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The Non-Pathological History (Antecedentes No Patológicos) module documents lifestyle factors, social determinants, and environmental conditions that influence patient health. This comprehensive form covers habits, living conditions, socioeconomic factors, and preventive health measures.

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Overview

The non-pathological history is organized into three main tabs:
  1. Habits (Hábitos) - Lifestyle and substance use
  2. Environment (Entorno) - Housing and socioeconomic factors
  3. History (Historial) - Immunizations, allergies, and travel
This information provides essential context for understanding health risks and developing appropriate treatment plans.

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Tab 1: Habits and lifestyle

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Substance consumption

Document the patient’s use of various substances:

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Alcohol

Select frequency:
  • Nunca (Never)
  • Ocasional (Occasional)
  • Moderado (Moderate)
  • Frecuente (Frequent)
  • Ex-consumidor (Former consumer)

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Tobacco

Choose current status:
  • Nunca (Never)
  • Ex-fumador (Former smoker)
  • Ocasional (Occasional)
  • Diario (Daily)
Cantidad/día field: Specify daily consumption (e.g., “5 cigarrillos”)

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Caffeine

Daily intake:
  • Ninguna (None)
  • 1-2 tazas (1-2 cups)
  • 3-4 tazas (3-4 cups)
  • 5+ tazas (5+ cups)

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Illicit drugs

Toggle switch (Yes/No) to indicate use of illicit substances.

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Physical activity

Select exercise frequency:
  • Sedentario (Sedentary)
  • Ligero (Light - 1-2/week)
  • Moderado (Moderate - 3-4/week)
  • Intenso (Intense - 5+/week)

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Diet type

Multiple selection checkboxes:
  • Omnívora
  • Vegetariana
  • Vegana
  • Sin gluten (Gluten-free)
  • Keto
  • Otra (Other)
Patients can have multiple diet types selected (e.g., vegetarian + gluten-free).

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Sleep patterns

Hours of sleep (Horas de sueño):
  • Menos de 5 (<5)
  • 5-6 horas
  • 7-8 horas
  • 9+ horas
Sleep quality (Calidad del sueño):
  • Buena (Good)
  • Regular (Fair)
  • Mala (Poor)

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Tab 2: Social environment

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Housing information

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Type of dwelling

  • Casa (House)
  • Apartamento (Apartment)
  • Condominio (Condominium)
  • Otro (Other)

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Number of occupants

  • 1 persona (1 person)
  • 2-3 personas
  • 4-5 personas
  • 6+ personas

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Pets

Multiple selection:
  • Perro (Dog)
  • Gato (Cat)
  • Ave (Bird)
  • Ninguna (None)

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Socioeconomic information

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Education level

  • Primaria (Primary school)
  • Secundaria (Secondary school)
  • Preparatoria (High school)
  • Universidad (University)
  • Posgrado (Postgraduate)

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Current occupation

Free-text field for job title or employment status.

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Income level

  • Bajo (Low)
  • Medio-bajo (Lower-middle)
  • Medio (Middle)
  • Medio-alto (Upper-middle)
  • Alto (High)
Handle socioeconomic information sensitively and ensure patient privacy when documenting these details.

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Tab 3: Additional history

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Immunizations up to date

Checkbox selection of common vaccines:
  • COVID-19
  • Influenza
  • Hepatitis B
  • Tétanos (Tetanus)
  • Sarampión (Measles)
  • Varicela (Chickenpox)
  • HPV
  • Neumococo (Pneumococcal)

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Environmental allergies

Select applicable allergies:
  • Polen (Pollen)
  • Ácaros (Dust mites)
  • Polvo (Dust)
  • Pelo animal (Animal hair)
  • Moho (Mold)
  • Látex (Latex)
  • Ninguna (None)
  • Otras (Others)

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Recent travel

Toggle switch: Indicates whether the patient has traveled recently to endemic zones in the last 12 months. If Yes, the Travel details field appears:
  • Describe destinations
  • Include dates
  • Note any relevant health risks from travel regions

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Additional notes

Free-text area for any other relevant non-pathological information not covered by the structured fields.

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Summary display

The bottom of the form shows a real-time summary with colored badges: Substance use:
  • Alcohol status (primary color)
  • Tobacco status (primary color)
  • Drugs indicated (red badge)
Lifestyle:
  • Diet types (primary color)
  • Housing type (primary color)
Preventive health:
  • Number of vaccines up to date (green badge)
The summary updates instantly as you fill out the form, providing a quick overview of key information.

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Nested form structure

The form uses nested objects for data organization: 
{
  habitos_estilo_vida: {
    alcohol: string,
    tabaco: string,
    tabaco_cantidad: string,
    drogas_ilicitas: boolean,
    cafeina: string,
    dieta: string[],
    actividad_fisica: string,
    horas_sueno: string,
    calidad_sueno: string,
  },
  entorno_social: {
    tipo_vivienda: string,
    numero_ocupantes: string,
    mascotas: string[],
    nivel_educativo: string,
    ocupacion_actual: string,
    nivel_ingresos: string,
  },
  historial_adicional: {
    inmunizaciones: string[],
    alergias_ambientales: string[],
    viajes_recientes: boolean,
    detalles_viajes: string,
  },
  notas_generales: string,
}

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Custom Switch component

The form includes a custom toggle switch for boolean fields (drugs, travel):
  • Green when active (checked)
  • Gray when inactive (unchecked)
  • Displays “Sí” or “No” label
  • Keyboard accessible
  • Disabled state supported

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Saving and updating

Click Guardar (Save) to:
  • Create a new record (if none exists for the patient)
  • Update existing record (if already present)
The system automatically determines whether to create or update based on patient_id. Click “Imprimir Informe” to generate a formatted report including:
  • All habit and lifestyle information
  • Social environment details
  • Immunization and allergy status
  • Travel history
  • General notes

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Clinical significance

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Lifestyle factors and health

Non-pathological history reveals:
  • Risk factors: Smoking, alcohol, sedentary lifestyle
  • Protective factors: Exercise, healthy diet, adequate sleep
  • Social determinants: Housing, income, education affecting health
  • Preventive status: Immunization coverage, health screening

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Using the information

1

Risk assessment

Identify modifiable risk factors (smoking, diet, exercise).
2

Prevention planning

Recommend immunizations, lifestyle changes, and screenings.
3

Treatment adaptation

Consider socioeconomic factors when prescribing treatments.
4

Health education

Provide targeted education based on current habits and knowledge gaps.

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Best practices

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Data collection tips

  • Create rapport: Explain why you’re asking about sensitive topics
  • Non-judgmental approach: Use neutral language about substance use
  • Verify immunizations: Ask for vaccination card when possible
  • Update regularly: Habits and circumstances change over time

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Counseling opportunities

When tobacco use is documented:
  • Offer cessation resources
  • Discuss health benefits of quitting
  • Provide support options (medications, counseling)
Based on diet type and habits:
  • Assess nutritional adequacy
  • Recommend dietary improvements
  • Refer to nutritionist if needed
For sedentary patients:
  • Encourage gradual activity increase
  • Provide safe exercise recommendations
  • Address barriers to physical activity

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Source code reference

Implemented in:
  • /workspace/source/src/pages/AntecedentesNoPatologicos.tsx (1036 lines)
  • Uses React Hook Form with Zod validation schemas
  • Nested schema structure for organized data
  • Custom Switch component for boolean toggles
Key validation schemas:
  • habitosEstiloVidaSchema - Lifestyle habits
  • entornoSocialSchema - Social environment
  • historialAdicionalSchema - Additional history
API endpoints:
  • api.antecedentesNoPatologicos.getByPatientId()
  • api.antecedentesNoPatologicos.create()
  • api.antecedentesNoPatologicos.update()

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