historial médico
/istoɾjal mediko/from spelling rules
In Spanish, 'hospital chart' is translated as historial médico.
The term refers to a record of a patient's medical history and the care they have received. expediente médico is frequently used when referring to the physical or digital file/folder containing the chart.
Which one should you use?
The term historia clínica is a common alternative used specifically in clinical settings to refer to a patient's medical record or chart. For more formal contexts, you may use Historial Hospitalario or Expediente Médico.
How does it change in a sentence?
To make the phrase plural, both the noun historial and the adjective médico must take the plural suffix -es and -s respectively: historiales médicos.
Did you know?
- In some Spanish-speaking regions, a medical record is called a ficha, a word that usually means a 'token' or 'gaming chip' in other contexts.
- In a clinical setting, a doctor might ask for the evolución instead of the full historial to see only the most recent daily progress notes.
- In Spanish law, the term historia clínica is treated as a formal legal document used to determine medical malpractice or negligence.
Examples in context
- Necesito solicitar mi historial hospitalario para llevar al especialista. ¿Dónde puedo obtener una copia?I need to request my hospital chart to take to the specialist. Where can I obtain a copy?
- El enfermero está revisando el historial médico.The nurse is checking the medical history.
- Necesito copiar el historial médico de la paciente.I need to copy the patient's medical history.
- ¿Dónde guardan el historial médico en este hospital?Where do they keep the medical history in this hospital?
Example conversation
A nurse is talking to a patient in a clinic.
- SofíaHola Mateo, voy a leer tu historial médico.Hello Mateo, I am going to read your medical record.
- MateoEstá bien, Sofía. ¿Todo parece normal?That's fine, Sofía. Does everything look normal?
- SofíaSí, pero falta una firma en el historial médico.Yes, but there is a signature missing from the chart.
- MateoPuedo firmarlo ahora mismo.I can sign it right now.
Sources
- IPA marked “from spelling rules” is derived from standard Spanish spelling, where Wiktionary gives none.