id,medical_rec_id,process_id, patient_id,disease_id,patient_self_desc, illness_history,allergy_history_flag,personal_history, allergy_history,previous_history,previous_history_flag, family_history,family_history_flag,marriage_child_history, operation_history_flag,operation_history,create_user_id, create_time,update_user_id,update_time