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Answer for the clue "Record of a patient’s medical background ", 12 letters:
case history

Word definitions for case history in dictionaries

Wiktionary Word definitions in Wiktionary
n. The details of the history of some case (often medical).

Wikipedia Word definitions in Wikipedia
Case History is the debut solo LP by artist Kevin Coyne .

Longman Dictionary of Contemporary English Word definitions in Longman Dictionary of Contemporary English
noun EXAMPLES FROM CORPUS ▪ A case history will illustrate what I mean.

WordNet Word definitions in WordNet
n. detailed record of the background of a person or group under study or treatment