section name header
Notes
Onset Origin
When did symptom begin?
Was onset sudden or gradual?
Origin of symptom (e.g., injury, meal).
Provocation
Precipitation
Palliation
Activity at or before onset of symptom.
Factors that worsen symptom.
Factors that alleviate symptom.
Quality
Characteristics (dull, achy, sharp, etc.).
Radiation
Region
Related s/s
Does symptom travel to another part of body?
Have Pt point to source of symptom.
Document related symptoms (e.g.,
nausea
, fever).
Severity
If pain, rate on a scale of 0-10.
Is symptom mild, moderate, or severe?
Timing
Ascertain duration of symptom.
Is symptom constant or intermittent?