Suggested items | Patient | Physician | ||
---|---|---|---|---|
Essential(n) | Essential (%) | Essential(n) | Essential (%) | |
first name and last name | 56 | 93.3 | 20 | 100 |
father’s name | 20 | 33.3 | 8 | 40 |
National Code | 50 | 83.3 | 18 | 90 |
Date of birth | 44 | 73.3 | 17 | 85 |
place of birth | 34 | 56.7 | 12 | 60 |
height | 60 | 100 | 20 | 100 |
Weight | 60 | 100 | 20 | 100 |
marital status | 15 | 25 | 13 | 65 |
duration of marriage | 55 | 83.3 | 20 | 100 |
Number of children | 44 | 73.3 | 15 | 75 |
Family history of infertility | 52 | 86.7 | 20 | 100 |
Type of insurance | 45 | 75 | 15 | 75 |
blood type | 60 | 100 | 20 | 100 |
Man’s job | 55 | 91.7 | 18 | 90 |
Woman’s job | 46 | 76.7 | 16 | 80 |
Income level | 51 | 85 | 16 | 80 |
Residential area | 49 | 81.7 | 15 | 75 |
Address of residence | 35 | 58.3 | 10 | 50 |
Phone | 52 | 86.7 | 20 | 100 |