HOSPITAL ADMISSION

AND PATIENT RECORD

ETTY KOMARIAH S.Kp.,M.Kep

VOCABULARY

Immediate family
• Mother and father (patient’s parents)
• Husband or wife (the man or woman the patient is married to)
• Son and daughter (children of the patient, boy or girl)
• Brother and sister/siblings (other children of the patient’s parents)
VOCABULARY

Extended family
• Grandmother and grandfather (mother and father of patient’s
parents)
• Aunt and uncle (brother and sister of patient’s parents)
• Niece and nephew (girl and boy of patient’s siblings)
• Cousins (children of patient’s aunt or uncle)
• Relative/next of kin ( all of the immediate and extended family)
VOCABULARY
Friends and other loved ones

• Best friend (patient’s closest friend)

• Room-mate (a person the patient lives with)
• Neighbor (a friend who lives near the patient)
• Co-worker (a person who works with the patient)
• Boyfriend or girlfriend(the man or woman the patient loves / dates)
• Fiance (the man or women the patient is engaged to marry)
VOCABULARY

• First name/ given name : nama pertama yang ditulis di awal

• Surname
• Last name nama belakang/keluarga yang ditulis terakhir
• Family name
• Civil state/ marital status : status pernikahan
 Questions to collect data to fill in
the Admission Form
FIRST NAME
• Whats’s your first name ?
• How do you spell it?
SURNAME
• What’s your surname ? or Surname please?
• How do you spell it?
 Questions to collect data to fill in
the Admission Form
DATE OF BIRTH (DOB)
• When were you born? or Your date of birth please?

ADDRES S & TELEPHONE NO

• Where do you live?
• What’s your telp no?
 Questions to collect data to fill in
the Admission Form
OCCUPATION
• What’s your occupation?
CIVIL STATE/MARITAL STATUS
• Are you married? (Married, single, widow, others)
RELIGION
• What’s your religion?
 Questions to collect data to fill in
the Admission Form
NAME, ADDRESS AND TELEPHONE NO OF NEXT OF
KIN/RELATIVE
• Who’s your nearest relative? or Your next of kin?
• Do you live at the same address with your relative/next of kin?
• What is his/her telephone number? or
• Do you have a contact telephone number for your next of kin?
 Questions to collect data to fill in
the Admission Form
PATIENT’S COMPLAINT
• What happened to you ?
• What’ your chief complaint?
ALLERGY
• Are you allergic to anything such as sea food ? certain drugsor
food? or others?
 Questions to collect data to fill in
the Admission Form
FAMILY HISTORY
• Do any of your close family suffer from any of the following such as
: diabetes ? tuberculosis? Hypertension? or other diseaseas?
PHYSICIAN (GENERAL PRACTITIONER /GP) IN CHARGE OF
CASE
• Who is the doctor in charge of your case? or
• Do you know the doctor in charge of your case?