I record this as part of the physical exam. The amount of detail depends on how pertinent they are to that particular patient (post stroke, dementia, other brain injury, pre-op evaluation, etc) or whether there are positive findings that need to be documented.
Not sure about whether they need a separate section.
I would be more interested in a separate section for past medical history that could be updated at any time (meaning whenever we get new information) and not just during an encounter.
Thank you.


Theo A. Stephens, MD
Internal Medicine,
Baltimore, MD