English Language Learners Stack Exchange is a question and answer site for speakers of other languages learning English. It only takes a minute to sign up.
Sign up to join this community
When going to a physician he used to write what the complaint of the patient is, on a paper. He also used to write his findings in physical examination, observation, diagnosis, recommendations, etc. on this paper. What is this document called?
By googling I found "patient medical history", or "patient medical history" but I'm not sure if this is what I'm looking for. I looked for a translation in my language but I didn't find.
The word you are looking for is
charts
All observations, notes and instructions are kept in your medical charts, and these are the clipboards and binders that used to hang off the end of the patient's bed, but now are mainly kept on computers.
Over time the collection of charts become your medical records.
