mardi 1 mars 2016

HPI Elements

I have the following HPI scenario:

"This new patient to my practice presents today to establish me as his new primary care physician and to discuss a 2 week history of black stools. He also describes a 1 - 2 year history of progressive fatigue and shortness of breath. He denies any cough, wheezing, abdominal pain or pain with defecation. He last saw a doctor several years ago.
He voices no other complaints today."

I am having a discussion with colleagues about what the HPI elements are in this.
I would be interested in the opinion of other coders on this.

Thanks.

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HPI Elements