1st part of history taking: Identifying data

1. Group 8B
History Taking & Physical
Examination

2. ✤ Comprehensive Assessment
✤ Focused Assessment / Problem-Oriented Assessment

3. Comprehensive Assessment of the
Adult
✤ Identifying Data & Source of the History; Reliability
✤ Chief Complaint
✤ Present Illness
✤ Past History
✤ Family History
✤ Personal and Social History
✤ Review of Systems

4. Initial Information
✤ Date and Time of History
✤ Identifying Data
✤ Reliability

5. Date and Time
of History

6. Identifying Data
✤ NAME

7. Identifying Data
✤ Age

8. Identifying Data
✤ Gender

9. Identifying Data
✤ Marital Status

10. Identifying Data
✤ Occupation

11. Identifying Data
✤ Source of History or Referral
✤ Family Member, Friend, officer, consultant or Medical
Record

12. Reliability
Memory
Trust
Mood

13. THANK YOU
DOCTORS! 