主诉
主诉（chief complaint，简称CC），是病史询问的第二个步骤，是病患或家属有关症状、问题、疾病、诊断、或医生建议回诊等，就诊原因的简单描述[1]。患者对医生、护理师或是其他医疗保健专业人员提出的初步资讯有助于鉴别诊断的建议。
有些情形下，病患提出主诉的性质会决定此医疗是否在医疗保险的范围内[2]。
盛行率
主诉资讯的搜集可以用在公共卫生议题的处理上[4]。有些主诉在特定环境及特定人群中特别常见。疲劳是病患去就诊的十大原因之一[5]。在紧急医疗的情形（例如急诊室），胸痛是最常见的主诉原因之一[6]。腹痛也是急诊室常见的主诉原因之一[7]。若是已住进疗养中心，去急诊室就诊的病患，常见的主诉有呼吸系统症状、精神状态改变、肠胃道症状以及跌倒[8]。
相关条目
参考资料
- ^ VI. Evaluation and Management (E/M) Services. Compliance Training Manual. www.usc.edu. [2018-07-03]. （原始内容存档于2001-05-03）.
- ^ coding q & a - Medical Vs. Vision Insurance. Optometric Management. July 1, 2004 [2018-07-03]. （原始内容存档于2016-12-25）.
- ^ Shah, Nayankumar. Taking a history: Introduction and the presenting complaint. Student BMJ. 2005, 13: 309–52 [2018-07-03]. doi:10.1136/sbmj.0509314 (不活跃 2017-01-15). （原始内容存档于2017-09-05）.
- ^ Implementation Guide for Transmission of Patient Chief Complaint as Public Health Information using Version 2.3.1 of the Health Level Seven (HL7) Standard Protocol (PDF). Centers for Disease Control and Prevention. May 27, 2003 [2018-07-03]. （原始内容存档 (PDF)于2006-10-23）.
- ^ Nelson, E; Kirk, J; McHugo, G; Douglass, R; Ohler, J; Wasson, J; Zubkoff, M. Chief complaint fatigue: A longitudinal study from the patient's perspective. Family practice research journal. 1987, 6 (4): 175–88. PMID 3455125.
- ^ Differentiating Chest Pain. Emergency Medicine. [2018-07-03]. （原始内容存档于2006-11-17）.
- ^ Graff, Louis G.; Robinson, Dave. Abdominal Pain and Emergency Department Evaluation. Emergency Medicine Clinics of North America. 2001, 19 (1): 123–36. PMID 11214394. doi:10.1016/S0733-8627(05)70171-1.
- ^ Ackermann, Richard J; Kemle, Kathy A; Vogel, Robert L; Griffin, Ralph C. Emergency Department Use by Nursing Home Residents. Annals of Emergency Medicine. 1998, 31 (6): 749–57. PMID 9624316. doi:10.1016/S0196-0644(98)70235-5.