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いちゃ部屋
Jul 20, 2018 08:02
5 yrs ago
2 viewers *
Japanese term

入院病歴

Japanese to English Medical Medical (general) Medical chart
Many thanks for your help.
Proposed translations (English)
4 +2 history of inpatient care
4 History of illnesses requiring hospitalization
4 inpatient medical record
3 hospitalization history, history of hospitalization
2 clinical/medical record (during hospitalization)

Discussion

multiverse Aug 5, 2018:
入院病歴とは 入院病歴の欄では主訴、既往歴、家族歴、現病歴、入院時現象、検査所見、入院後の経過および退院時処方については、それぞれ項目毎にまず行を改めて〔現病歴〕の様に見出しをつけ、その後に記載すること。
https://www.t-kenseikai.jp/user/media/igakusei-net/pdf/2015_...

入院病歴（主訴、既往歴、家族歴、現病歴、身体所見、検査、治療、経過など）
https://www.fujita-hu.ac.jp/medicine/syllabus_58db1c9079812/...
patent_pending Jul 22, 2018:
"history of inpatient care"は「入院経験」というような意味にもなる？ The findings of this study show that whereas African American children, who represent 51% of the sample, were composed of 35% of those with a history of inpatient care, White children, who represent 43% of the study sample, were composed of nearly 60% of those with a history of inpatient care.
The findings may relate to a possibly limited access to, and underutilization of, mental health services among African American children or their possible excess use of juvenile detention facilities in lieu of psychiatric facilities for behavioral control.
http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.918...
TranslatorENJP (asker) Jul 21, 2018:
ありがとうございます。退院時要約で、今回の入院の原因となった病気の経過などについて記述しています。
patent_pending Jul 20, 2018:
入院病歴 vs 入院歴 「入院病歴」は入院に至った状況や入院中の経過などを経時的に記した公的文書。
「入院歴」は「過去に何回の入院歴がある」などという使い方をする用語。
間違ってますか？

Proposed translations

+2
1 hr
Selected

history of inpatient care

I believe it means 入院治療の病歴. Then it will be "history of inpatient care".
Peer comment(s):
agree cinefil : agree
14 hrs
Thank you!
agree Tomo Olson : agree
1 day 3 hrs
Thank you!
agree Patricia Bowden
1 day 3 hrs
Thank you!
disagree patent_pending : 「入院して治療を受けた経験」と言うような意味で使われる表現と思われます。
3 days 9 hrs
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
1 hr

History of illnesses requiring hospitalization

過去の入院を必要とする病気のことだと推定しました。違っていれば、それなりに変更する必要があると思います。(入院中の病歴ではないでしょうね。)
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3 hrs

hospitalization history, history of hospitalization

I would simply translate it as "hospitalization history" or "history of hospitalization" unless the context (which isn't shared here) warrants something else.
Peer comment(s):
agree MedSpecialis (X) : I work in the medical field. This is how medical professionals refer to it. You would put the date of hospitalization followed by the condition that led to the hospitalization. i.e. History of Hospitalization: June 2005 Myocardial infarction
3 hrs
disagree patent_pending : "hospitalization history"の用例を調べてみますと、「入院病歴」ではなく「入院歴」の意味で使われていると考えざるを得ないようです。
1 day 24 mins
The OP's additional information made it more clear. Thanks!
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15 hrs

clinical/medical record (during hospitalization)

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2 days 17 hrs

inpatient medical record

(a) Each inpatient medical record shall consist of at least the following:
(1) Identification sheets to include but not be limited to the following:
(A) Name.
(B) Address on admission.
(C) Identification number (if applicable).
1. Hospital admission number.
2. Social Security number.
3. Medicare number.
4. Medi-Cal number.
(D) Age.
(E) Sex.
(F) Marital status.
(G) Legal status.
(H) Religion.
(I) Date of admission.
(J) Date of discharge.
(K) Name, address and telephone number of person or agency responsible for patient.
(L) Name of patient's medical staff member responsible for care.
(M) Initial diagnostic impression.
(N) Discharge or final diagnosis.
(O) Disposition.
(2) Psychiatric history and physical examination.
(3) Legal authorization for admission.
(4) Consultation reports, including neurologic examination.
(5) Order sheet including medication, treatment and diet orders.
(6) Treatment plan.
(7) Progress notes including current or working diagnosis, the complaints of others regarding the patient, as well as the patient's comments.
(8) Nurses' notes which shall include but not be limited to the following:
(A) Concise and accurate record of nursing care provided.
(B) Record of pertinent observation of the patient and the response to treatment.
(C) Name, dosage and time of administration of medications and treatment. Route of administration and site of injection shall be recorded, if other than by oral administration.
(D) Record of type of restraint, including time of application and removal.
(9) Vital sign sheet, including weight record.
(10) Reports of all laboratory tests performed.
(11) Reports of all X-ray examinations performed.
(12) Consent forms, when applicable.
(13) Anesthesia record including preoperative diagnosis, if anesthesia has been administered.
(14) Operative report including preoperative and postoperative diagnosis, description of findings, technique used, tissue removed or altered, if surgery was performed.
(15) Pathological report, if tissue or body fluid was removed.
(16) Labor record, if applicable.
(17) Delivery record, if applicable.
(18) A discharge summary which shall briefly recapitulate the significant findings and events of the patient's hospitalization, the patient's condition on discharge and the recommendation and arrangements for future care.
https://govt.westlaw.com/calregs/Document/I3E236220D4BC11DE8...
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