How to collect medical history in the examination of medical practitioners? Is it written as a template or a big case?

We just need to write it out in the form of a template, and it is not necessary or possible to write a large medical record (the examination time is limited, and this is medical history collection, based on the basic idea, not concrete implementation). Generally speaking, it is not difficult to follow this, you just need to follow this (are you a clinical professional? Hehe, this is a template for clinical majors, please ignore it for non-clinical majors):

First, the current medical history: including the following five parts.

1, according to the chief complaint and related identification.

1), etiology and inducement

2) Characteristics of main symptoms

3) Accompanied symptoms

4) General state: General state after onset.

(Changes in diet, sleep, defecation and weight after onset)

2. After diagnosis and treatment

1), have you been to the hospital? What tests have you taken?

2) What treatments have you done and what are the effects?

Second, the past history (related medical history)

1, related medical history: smoking and drinking, similar seizures and family history, etc.

2. History of drug allergy and surgery (it must be mentioned that this is included in the annual scoring standard)

Third, the consultation must be organized, and you should think it over before writing, and don't add it later, so you will lose points.

Fourth, ask around the theme