romanization:	Jyutping Yale
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text-to-speech*:	Soprano Alto Tenor Bass
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1. Personal Information

	全名 Cyun4 meng2 Chyùhn méng	Full name
	出世日期 Ceot1 sai3 jat6 kei4 Chēut sai yaht kèih	Date of birth
	性別 Sing3 bit6 Sing biht	Gender
	地址 Dai6 zi6 Daih jih	Address
	聯絡資料（電話號碼，電郵） Lin4 lok3 zi1 lo2 (din6 waa2 hou6 maa5, din6 jau4) Lìhn lok jī ló (dihn wá houh máh, dihn yàuh)	Contact information (phone number, email)

2. Medical History

	過往嘅病況 Gwo3 wong6 ge3 beng6 fong3 Gwo wohng ge behng fong	Past medical conditions
	依家嘅病況 Ji1 gaa1 ge3 beng6 fong3 Yī gā ge behng fong	Current medical conditions
	過敏反應（藥物，食物，環境因素） Gwo3 mun5 faan1 jing3 (joek6 mat6, sik6 mat6, waan4 gin2 jan1 so2) Gwo múhn fāan ying (yeuhk maht, sihk maht, wàahn gín yān só)	Allergies (medications, foods, environmental factors)
	而家食緊嘅藥物（藥物名稱，劑量，頻率） Ji4 gaa1 sik6 gan2 ge3 joek6 mat6 (joek6 mat6 ming4 cing1, zai3 loeng6, pan4 lik6) Yìh gā sihk gán ge yeuhk maht (yeuhk maht mìhng chīng, jai leuhng, pàhn lihk)	Medications being taken (name, dosage, frequency)
	過去嘅手術或入院記錄 Gwo3 keoi5 ge3 sau2 ceot1 waak6 jyu5 gun2 gei3 luk1 Gwo kéuih ge sáu chēut waahk yúh gún gei lūk	Previous surgeries or hospitalizations
	家族病史 Gaa1 zuk6 beng6 si2 Gā juhk behng sí	Family medical history

3. Presenting Complaint

	入院原因 Jap6 jyun2 jyun4 jan1 Yahp yún yùhn yān	Reason for admission
	出現嘅症狀 Ceot1 jin6 ge3 zing3 zung6 Chēut yihn ge jing juhng	Symptoms experienced
	症狀持續時間同嚴重程度 Zing3 zung6 ci4 zuk6 si4 gaan3 tung4 jim4 zung6 cing4 dou6 Jing juhng chìh juhk sìh gaan tùhng yìhm juhng chìhng douh	Duration and severity of symptoms

4. Social History

	職業 Zik1 jip6 Jīk yihp	Occupation
	婚姻狀況 Fun1 jam1 zong6 fong3 Fūn yām johng fong	Marital status
	居住安排 Geoi1 zyu6 on1 paai4 Gēui jyuh ōn pàaih	Living arrangements
	吸煙或電子煙使用 Kap1 jin1 waak6 din6 zi2 jin1 sai2 jung6 Kāp yīn waahk dihn jí yīn sái yuhng	Tobacco use (smoking or vaping)
	飲酒習慣 Jam2 zau2 zap1 gun3 Yám jáu jāp gun	Alcohol consumption
	藥物使用 Joek6 mat6 seoi6 jyun6 Yeuhk maht seuih yuhn	Drug use
	運動習慣 Wan6 dung6 zap1 gun3 Wahn duhng jāp gun	Exercise habits

5. Psychosocial Assessment

	精神健康史 Zing1 san4 gin6 hong1 si2 Jīng sàhn gihn hōng sí	Mental health history
	壓力源或近期嘅生活事件 Aat3 lik6 jyun4 waak6 gan6 kei4 ge3 sang1 wut6 si6 gin2 Aat lihk yùhn waahk gahn kèih ge sāng wuht sih gín	Stressors or recent life events
	支援系統（家人，朋友） Zi1 jyun4 hai6 tung3 (gaa1 jan4, pang4 jau5) Jī yùhn haih tung (gā yàhn, pàhng yáuh)	Support system (family, friends)
	物質濫用或成癮史 Mat6 zat1 laam6 jung6 waak6 sing4 jan5 si2 Maht jāt laahm yuhng waahk sìhng yáhn sí	Substance abuse or addiction history
	有冇暴力或虐待史 Jau5 mou5 bou6 lik6 waak6 joek6 doi6 si2 Yáuh móuh bouh lihk waahk yeuhk doih sí	Any history of violence or abuse

6. Insurance and Financial Information

	保險提供商同政策詳情 Bou2 hin1 tai4 gung1 soeng1 tung4 zing3 caak3 coeng4 cing4 Bóu hīn tàih gūng sēung tùhng jing chaak chèuhng chìhng	Insurance provider and policy details
	就業同收入資料 Zau6 jip6 tung4 sau1 jap6 zi1 lo2 Jauh yihp tùhng sāu yahp jī ló	Employment and income information
	負責嘅一方或保證人資料 Fu6 zaak3 ge3 jat1 fong1 waak6 bou2 zing3 jan4 zi1 lo2 Fuh jaak ge yāt fōng waahk bóu jing yàhn jī ló	Responsible party or guarantor information

7. Advance Directives and Legal Information

	事前指示嘅存在（生前遺囑，授權書） Si6 cin4 zi2 si6 ge3 zaai6 zoi6 (sang1 cin4 ji4 zuk1, sau6 kyun4 syu1) Sih chìhn jí sih ge jaaih joih (sāng chìhn yìh jūk, sauh kyùhn syū)	Existence of advance directives (living will, power of attorney)
	任何法律問題或疑慮 Jam6 ho4 faat3 leot6 man6 tai4 waak6 ji4 lou6 Yahm hòh faat leuht mahn tàih waahk yìh louh	Any legal concerns or issues

8. Consent and Privacy

	機構嘅私隱政策解釋 Gei1 gau3 ge3 si1 jan6 zing3 caak3 gaai2 sik1 Gēi gau ge sī yahn jing chaak gáai sīk	Explanation of the facility's privacy policy
	治療同分享醫療資料嘅同意 Zi6 liu4 tung4 fong1 pun1 ji1 liu6 zi1 lo2 ge3 tung4 ji3 Jih lìuh tùhng fōng pūn yī liuh jī ló ge tùhng yi	Consent for treatment and sharing of medical information

^* The audio on these pages is created with Google's text-to-speech. Keep in mind that even though the result of this synthesization is usually good, it may in some cases be incorrect. So please do not solely rely on the synthesized audio, but always check the romanization!