Pertaining to the study of the microscopical, anatomical, and physiological characteristics of tissues and the cells found therein.

Cost information submitted by providers when submitting Medicare claims that is used to determine the future cost of medical professional services (referred to as rate setting ).

1. Record of past events. 2. Systematic account of the medical, emotional, and psychosocial occurrences in a patient’s life and of factors in the family, ancestors, and environment that may contribute to a patient’s condition.

Detailed account obtained during an interview with the patient of the onset, duration, and character of the present illness and any acts or factors that aggravate or ameliorate the symptoms, as well as the findings on physical examination. Then the physician makes a medical decision based on the number of diagnoses or management options, amount of data or complexity of data reviewed, and complications and/or morbidity or mortality. An H & P may be performed before or on the day of admission as an inpatient to the hospital.

Chronological description of the development of the patient’s present illness from the first sign or symptom or from the previous encounter to the present.

Attending physician’s statement that is usually part of an insurance application that contains specific health history of the proposed insured.