A. Records of each consultation
B. Process consultation records
C. termination of consultation records
D. Diagnostic consultation records
Pre-treatment consultation record form is one of the important tasks that medical institutions must do before unconventional treatments such as medical beauty and plastic surgery. The record sheet is used to record the patient's basic situation, medical history, current symptoms and treatment plan, so that doctors can better understand the patient's physical condition, formulate personalized treatment plan for patients and arrange appropriate operation time.
Pre-treatment consultation records usually include the following contents:
1. Basic information of the patient, such as name, gender, age, contact information, etc.
2. The patient's medical history, including past medical history, surgical history, medication history, etc.
3. Describe the current symptoms, how to appear, duration, influence degree, etc.
4. The patient's physical examination and diagnosis results.
5. Doctors' treatment suggestions and risk warnings for patients.
200 words should not be included in the pre-treatment consultation record form. Because the purpose of the record sheet is to record the patient's basic situation and medical history concisely, as well as the doctor's preliminary evaluation and treatment suggestions, rather than describing the patient's condition or treatment plan in detail. If more specific descriptions or explanations are needed, supplementary explanations can be made during the consultation process.