Full Name: for proper identification of patient Age: Certain conditions, such as prostate cancer and benign prostatic hyperplasia, become more prevalent with advancing age Birth date and place: Sex: some conditions manifest differently based on sex Religion: important for cultural competence in nursing Occupation: Helps to identify risk factors to certain conditions (e.g people who use motorbikes) Marital Status: [Single/Married/Divorced] Ethnicity/Nationality: Ethnic and national groups may experience varying health outcomes due to socioeconomic factors, access to care, and systemic inequalities.

Chief Complaint A. Brief statement of primary problem (including duration) that caused family to seek medical attention B. OLDCART ACRONYM II. History of Present Illness A. Initial statement identifying the historian, that person’s relationship to patient and their reliability B. Age, sex, race, and other important identifying information about patient C. Concise chronological account of the illness, including any previous treatment with full description of symptoms It belongs here if it is relates to the differential diagnosis for the chief complaint.