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50 pack-year history is correct. 50-pack-year history is actually correct according to the American Association of Medical Transcription guidelines. According to Vera Pyle's Current Medical Terminology 11th Edition, as well as the AAMT guidelines, the 2nd answer submitted as above is correct - It should be written as, for example: "The patient has a 50-pack-year history of smoking."


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That is the medical term.