<Dd> This is the main problem (traditionally called a complaint) that has brought the patient to see the doctor or other clinician . Information on the nature and duration of the problem will be explored . </Dd> <Dt> History of the present illness </Dt> <Dd> A detailed exploration of the symptoms the patient is experiencing that have caused the patient to seek medical attention . </Dd> <Dd> The physical examination is the recording of observations of the patient . This includes the vital signs, muscle power and examination of the different organ systems, especially ones that might directly be responsible for the symptoms the patient is experiencing . </Dd>

What is the information in a record used for