A significant component of the PMH is the Medication History. Include significant previous medications which have been used for a current medical problem. Drug, route of administration, description of reaction in patient's own words, treatment is any, and approximate date of occurrence. Other active medications include Med. Drug allergies include .
Social history is primarily concerned with alcohol and tobacco use.
Other social factors of significance would concern the patient's ability to obtain medications and whether or not this would affect compliance. This includes vital statistics and vital signs as well as other pertinent physical findings. Include only significant signs and symptoms. Comment on admission vital signs if abnormal. Include height and weight.