| | Structure (frequency) | Corresponding attribute element (frequency) |
| | Patient information (5) | Date of consultation (3), place (3), patient’s name (3), age (2), home address (1), profession (1) | | Past medical history (3) | The previous treatment history (2) and the previous clinical effects (3) | | Diagnosis (5) | Inspection (4) | Height (3), weight (3), face color (4) | | Auscultation (3) | Voice (3) | | Inquiry (5) | The main symptoms and signs (2), the onset time of illness (2), the aggravated time of illness (3), afraid of cold or heat (3), diet (3), sleep condition (2), excretory functions (1), emotions (1) | | Pulse-taking (5) | Pulse condition (4) | | Other diagnoses (2) | Name of disease (3), Name of TCM pattern (3) | | Treatment (5) | Treatment method (4), treatment principle (1), prescriptions (4), medication methods (1), composition of Chinese herbs (1) | | Analysis of disease (2) | Etiology (4), pathogenesis (manifestation and root cause of disease) (3), nature of yin or yang (1), disease condition (3), disease location (1), severity of illness (1), chronic or acute (1) | | Analysis of treatment (2) | The modification of prescription (1), the explanation of Chinese medicine and prescriptions (1), contraindication (1) | | Outcome assessment (3) | Clinical effect (3) | | | Prognosis (1) | Prognosis (1) | | | Acknowledgment (1) | The doctor’s signature (1) | |
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