病历常用词句中英对照.docVIP

POMR (Problem-Oriented Medical Records)表格式住院病历Biographical data:一般项目：Name Age Sex Marital status Nativity Race姓名 年龄 性别 婚否 籍贯 民族Occupation Date of admission Informant History职业 入院日期 病史叙述者 病史Chief complaint主诉History of present illness现病史Past history既往史：Previous health status: well ordinary bad Infectious diseases平素健康状况： 良好 一般 较差 传染病史Immunizations Allergies: N Y clinical manifestation预防接种史 过敏史 无 有 临床表现allergen: Trauma: Surgery:过敏原 外伤史 手术史Review of systems:(Tick if positive, cross out if negative. If postive, you should write down your disease history an