In a PFSH, what is the requirement for established patients?

In the context of evaluating a patient's history for established patients, the requirement for the Past Family Social History (PFSH) is that two items must be documented from any two of the three categories of PFSH. For established patients, the specific guidelines state that having two items provides a sufficient understanding of the patient's history and allows the clinician to assess changes or continuity in the patient's life that may affect their health.

The three categories of PFSH typically include:

1. Past medical history: This may cover previous illnesses, surgeries, treatments, and other medical information that is relevant.

2. Family history: Information about the medical conditions of family members which could have genetic implications or influence the patient's health.

3. Social history: This can include lifestyle factors such as smoking, alcohol or drug use, exercise habits, and other social factors that impact health.

It is important to remember that while the comprehensive documentation of all three categories provides a complete view of the patient's background, the minimum requirement for established patients focuses on obtaining information from at least two of these categories. This standard ensures that healthcare providers are aware of relevant risks and factors that may impact patient care without necessitating an exhaustive review of every possible detail.