I tend not to count this
First, I work in pediatrics, and more specifically with pediatric surgeons. We only see patients who have some definitive, potentially surgical, problem.
That being said, I usually don't count such nebulous statements for any of the HPI elements.
What would I count as quality? Let's look as specifics rather than generalities ...
Complaint F/U fracture - open vs closed or "greenstick"
complaint DM - type 1 or type 2, controlled or uncontrolled
Complaint hernia - reducible or incarcerated or strangulated
Complaint rash - red, itchy, patchy, scaly
However, I think LindaEV has a valid point. If I could be persuaded to count is as a "negative" report, I might count it as negative for assoc signs/symptoms.
If the patient is coming in for a F/U of DM2, for example, and the only HPI is "patient feels fine" then I think it might count for quality. Still, if you're only going to get ONE HPI element, I'd rather see duration .... e.g. Last seen 2-13-12, and patient feels fine.
Hope that helps.
F Tessa Bartels, CPC, CEMC