The most important step in making an accurate medical diagnosis is not the physical examination or expensive medical tests, according to medical schools.Taking a complete patient history is important for the doctor.Most people don't know much about their own health.This can cause a misdiagnosis and contribute to medical errors.We need to have timely access to medical information.To create a quick record of your medical history, follow these steps.
Step 1: Request your doctor's records.
Explain that you are trying to maintain a personal health record, that they have your records, and you have the right to access them.If the office is using a modern computerized charting system, or if the doctor has been particularly careful with the paper charts, a "Front Sheet" or "Cumulative Patient Profile" (CCP) may already be available to print or photocopy.The following steps can be assisted by the CCP if available.
Step 2: You can write down your demographic information.
The following information should be included: full name, date of birth, sex health insurance number, next of kin, and phone number of the primary care provider.
Step 3: List your medical, surgical, and family histories.
All known medical diagnoses, past and present All surgeries, with name of surgery, date, and outcome Allergies, especially to medications and what reaction you had
Step 4: You should include a complete list of the drugs you are taking.
The number of times per day a prescription is taken.Drug trials, specialized treatments, over-the-counter medications, vitamins and supplements are some of the things that can be done.
Step 5: Do you have access to the results of medical tests?
If you have ever had any cardiac issues, you don't need to bring the actual films or CD unless you see a specialist in that field.Most cardiac care is time dependent.
Step 6: If you consider yourself elderly, you might want to consider writing an advanced care directive.
All medical measures will be taken, including life support, if you are unable to say otherwise."Do Not Resuscitate" means no cardiopulmonary intervention, no life support, and no blood donations.
Step 7: All the information can be found on one side of a single sheet of paper.
You have to sign and date the sheet.You should keep this information with you all the time.