> ## Documentation Index
> Fetch the complete documentation index at: https://pabloferreyra.mintlify.site/llms.txt
> Use this file to discover all available pages before exploring further.

# Patient Medical History: Allergies, Vaccines & Background

> Manage a patient's complete medical history in Turnero including allergies, vaccines, growth charts, and personal and perinatal background.

Each patient record in Turnero includes a comprehensive medical history section where doctors can record and review allergies, vaccination records, growth measurements, and personal and perinatal background information.

## Allergies

<Steps>
  <Step title="Open the Allergies tab">
    Navigate to the patient's detail page and click the **Allergies** tab.
  </Step>

  <Step title="Add a new allergy">
    Click **Add Allergy** to open the allergy form.
  </Step>

  <Step title="Fill in the allergy details">
    Complete the fields described below. **Name** and **Start Date** are required; all other fields are optional.

    | Field           | Required | Description                                |
    | --------------- | -------- | ------------------------------------------ |
    | **Name**        | Yes      | Name of the allergen                       |
    | **Type**        | No       | Category — food, drug, environmental, etc. |
    | **Severity**    | No       | How severe the allergic reaction is        |
    | **Start Date**  | Yes      | Date the allergy was first identified      |
    | **End Date**    | No       | Date the allergy resolved, if applicable   |
    | **Description** | No       | Additional clinical description            |
    | **Occurrence**  | No       | How frequently reactions occur             |
    | **Comments**    | No       | Free-text notes                            |
  </Step>

  <Step title="Save the record">
    Click **Save** to add the allergy to the patient's record.
  </Step>
</Steps>

To update an existing allergy entry, click the **edit icon** on its row. To remove an entry permanently, click the **delete icon**.

## Vaccines

1. Open the **Vaccines** tab on the patient's detail page.
2. Click **Add Vaccine** and select the vaccine name from the dropdown list. If the vaccine is not listed, choose the free-text option and enter the name manually.
3. Enter the **date administered** in the date field.
4. Click **Save**.

To correct a vaccine entry, click its **edit icon**. To remove it, click the **delete icon**.

## Growth Chart

Track a patient's physical development over time using the **Growth Chart** tab. Each entry records measurements at a specific age, and Turnero automatically calculates the BMI for that entry.

1. Open the **Growth Chart** tab on the patient's detail page.
2. Click **Add Entry** to record a new measurement.
3. Fill in the measurement fields — **Age**, **Weight**, **Height**, and **Head Circumference** — and select the corresponding **time unit** (for example, months or years).
4. Click **Save**.

Previous entries appear in a table. Each row shows the recorded age, weight, height, head circumference, their respective percentile values, and the calculated BMI. Use the **edit** and **delete** icons on each row to update or remove a measurement.

## Personal Background

The **Personal Background** section records prior medical conditions the patient has had. Each condition is toggled on or off with a checkbox:

<CardGroup cols={2}>
  <Card title="Respiratory">
    Asthma, Pulmonological conditions, Pneumonia
  </Card>

  <Card title="Infectious / Childhood illness">
    Mumps, Rubella, Measles, Chickenpox, Otitis, Urinary Infections
  </Card>

  <Card title="Chronic / Systemic">
    Allergies, Diabetes, Hematological/Oncological conditions, Digestive conditions
  </Card>

  <Card title="Other">
    Psychological conditions, Accidents, Surgeries, and a free-text **Other** field for conditions not listed above
  </Card>
</CardGroup>

## Perinatal Background

For pediatric patients, the **Perinatal Background** section records birth-related data:

| Field                  | Description                      |
| ---------------------- | -------------------------------- |
| **Gestations**         | Number of pregnancies            |
| **Deliveries**         | Number of vaginal deliveries     |
| **Cesarean sections**  | Number of cesarean deliveries    |
| **Abortions**          | Number of abortions              |
| **Birth Weight**       | Weight at birth (grams)          |
| **Birth Height**       | Length at birth (cm)             |
| **Head Circumference** | Cephalic perimeter at birth (cm) |
| **Apgar 1 min**        | Apgar score at 1 minute          |
| **Apgar 5 min**        | Apgar score at 5 minutes         |
| **Gestational Age**    | Gestational age at birth (weeks) |
| **Pathologies**        | Any perinatal pathologies noted  |
| **Congenital Errors**  | Congenital anomalies or errors   |

## Parents' / Guardian Data

For pediatric patients, record parent or guardian information in the **Parents** tab. You can store the following for both the father and the mother:

* Full name
* Date of birth
* Blood type
* Occupation

You can also record the **number of siblings** the patient has.

<Note>
  All medical history sections are only accessible and editable by users with the **Medico** (Doctor) role.
</Note>