住院病历中英文对照（Inpatient medical records in English and Chinese）.doc

住院病历中英文对照（Inpatient medical records in English and Chinese） With the strengthening of communication between China and foreign countries, specialized English is becoming more and more important to hospitals! Took some time to sort out the inpatient medical records of English and Chinese format, sent up and share with you, and I hope to help people who can use it! POMR (Problem-Oriented, Medical, Records) tabular format inpatient medical records Biographical data: General project: Name, Age, Sex, Marital, status, Nativity, Race Name age gender marital status, ethnic origin Occupation, Date, of, admission, Informant, History Occupational date of admission, history, history of the narrator Chief complaint Chief complaint History of present illness History of Present Illness Past history Past history: Previous, health, status:, well, ordinary, bad, Infectious, diseases Previous health status: good general bad infectious diseases Immunizations, Allergies:, N, Y, clinical, manifestation The vaccination history of allergy history with clinical manifestations Allergen: Trauma: Surgery: Allergen, history of trauma, history of operation Review, of, systems: (Tick, if, positive, cross, if, negative., If, postive, you, should, out, write, down,, your,, disease, therapy, history, and, and, diagnose, brief, course, of, etc.) Systematic review: (a play without me your * positive history should fill in the time of onset in the following space and briefly after treatment) Respiratory system: Respiratory system Sore, throat, chronic, cough, sputum, hemoptysis, wheezing Chronic sore throat cough asthma sputum hemoptysis Dyspnea chest pain Dyspnea, chest pain Cadiovascular system: circulatory system Palpitation, dyspnea, on, exertion, hemoptysis, syncope Palpitation dyspnea on exertion hemoptysis syncope Edema, of, lower, limbs, precordial, pain, hypertention Edema of lower extremities, precordial pain, hypertension Digestive system: Digestive system Anorexia, sour, regurgitation, belch