Many times when you take a family history, there are no obvious genetic diseases or familial aggregation of disease. … Clinicians often note in the medical record that the family history is “negative” or the person has “no family history.” I prefer stating the family history is unremarkable or noncontributory.
Is family history negative acceptable?
Is it acceptable to use ‘noncontributory, unremarkable or negative’ when reporting past, family or social history? It is not acceptable to document “noncontributory, unremarkable or negative.” Because these statements do not indicate what was addressed.
What is considered family history?
A family health history is a record of health information about a person and his or her close relatives. A complete record includes information from three generations of relatives, including children, brothers and sisters, parents, aunts and uncles, nieces and nephews, grandparents, and cousins.
What does family history noncontributory mean?
Medical Definition of noncontributory
: making no contribution to a medical diagnosis the patient’s past history was noncontributory.
What is an unremarkable medical history?
Unremarkable: Just what you think it means. Boring! Normal. Negative: Usually referring to a medical test. Generally means that the test did not find anything abnormal.
How do I document my family history?
Talk to your relatives. Start with the oldest ones first. Be sure to take written notes or record your interviews. Ask family members for permission to see certificates and make a record of family birth, marriage, death, and burial records (known as vital records) in your free Pedigree chart and Family Group Sheet.
What do you call a patient’s medical history?
The medical history, case history, or anamnesis (from Greek: ἀνά, aná, “open”, and μνήσις, mnesis, “memory”) of a patient is information gained by a physician by asking specific questions, either of the patient or of other people who know the person and can give suitable information, with the aim of obtaining …
How do you ask about family medical history?
Questions can include o Do you have any chronic diseases, such as heart disease or diabetes, or health conditions such as high blood pressure or high cholesterol? o Have you had any other serious diseases, such as cancer or stroke? o How old were you when each of these diseases and health conditions was diagnosed? o …
Why do doctors ask for family medical history?
Your doctor might use your family medical history to: Assess your risk of certain diseases. Recommend changes in diet or other lifestyle habits to reduce the risk of disease. Recommend medications or treatments to reduce the risk of disease.
Why is it important to know your family history?
Even though you cannot change your genetic makeup, knowing your family history can help you reduce your risk of developing health problems. Family members share their genes, as well as their environment, lifestyles, and habits. … Risks for diseases such as asthma, diabetes, cancer, and heart disease also run in families.
Is a chief complaint required?
Every encounter, regardless of visit type, must include a CC. The physician must personally document and/or validate the CC with reference to a specific condition or symptom (e.g. patient complains of abdominal pain).
What’s the difference between remarkable and unremarkable?
As adjectives the difference between unremarkable and remarkable. is that unremarkable is not remarkable while remarkable is worthy of being remarked or noticed; noticeable; conspicuous; hence, uncommon; extraordinary.
What is another word for unremarkable?
Find another word for unremarkable. In this page you can discover 33 synonyms, antonyms, idiomatic expressions, and related words for unremarkable, like: common, average, commonplace, workaday, standard, stock, garden-variety, formulaic, garden, indifferent and mediocre.
What does it mean unremarkable?
: unworthy or unlikely to be noticed : not remarkable : common, ordinary The village itself is unremarkable; its one great attribute being the nearby network of extensive caverns.— Mark Blacksell.