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# Something Just Happened

Health incident

Document a new health incident for your personal records and tracking
Form Progress
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Complete the essential information to get started

## Episode Information

Episode Identification Information
Provide basic information to identify and timestamp this health episode.
Episode Name: *
Give this episode a memorable name for your records.
Date & Time: *
When did this episode begin or when did you first notice the symptoms?

## About Important Questions

Important questions help you document key symptoms for your personal health record. These notes will help you track patterns and provide complete information if you decide to seek additional care.

## searchEssential Information

What happened? (Describe the main problem) *
Describe the symptoms or incident that brought you to fill out this form. Include what you were doing when it started.
Where do you feel it? (Location and spread)
Be specific about the location of symptoms. Note if the sensation moves or spreads to other areas.
Current Pain Intensity (0-10 medical scale)

Rate your overall pain level right now

Pain Scale: 0-10
0 = No pain • 10 = Worst possible pain
0 1 2 3 4 5 6 7 8 9 10
1
Very mild discomfort
Minimal impact on daily activities
Describe the quality of the sensation - is it sharp, dull, throbbing, burning, etc.? What makes it better or worse?
Click to describe your symptoms using voice input (browser support required)

## rotate_rightCondition Severity Assessment

Use arrow keys or tab to navigate between severity levels. Press Enter or Space to select.
Select your current condition severity level above
Current Status:

## historyContext & Actions Taken

What were you doing when this started?
What have you tried so far?
What makes it better or worse?
Any medications taken?

## analyticsCurrent Status & Next Steps

How has it changed since it started?
What's helped the most?
What would tell you it's improving?
When would you seek medical help?
description Has this changed significantly since it started?
description What are your concerns about this condition?
How is this affecting what you can do?
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