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Openai/693ba560-4ef8-8008-bb6b-4af70da3d109
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=== 精神科に限らず、内科・外科すべてで使われる国際的な記録方式です。 === ===== 患者本人や家族が語った内容。 ===== ===== 医師が観察した事実・検査結果・バイタル(血圧など)。 ===== ===== 医師が S と O を踏まえて行う 医学的評価・診断的印象。 ===== ===== 薬、指導、次の方針。 =====
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