1/16/2023 0 Comments Serum keeps asking for serial![]() Sources of the information obtained and their reliability should be mentioned at the beginning of the psychiatric history.Ĭhief complaint: The chief complaint should be written exactly as the patient states it, no matter how bizarre. Circumstances include where the interview was conducted (emergency setting, outpatient office, in restraints) and whether the episode reported was the first occurrence for the patient. It is helpful to include the circumstances of the interview because they provide information about potentially important patient characteristics that can be relevant to the diagnosis, the prognosis, or adherence. Ethnic background and religion may also be included if they are pertinent to the diagnosis. ![]() ![]() Data such as name, age, marital status, gender, occupation, and language(s) spoken other than English, if applicable, is included with identifying information.
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