Wiki “location” in HPI

[stephaniec5]

I am need of some assistance regarding “location” in HPI. I had a chart review done and was informed that I could not use shortness of breath as a location. To me I see shortness of breath as location for where the problem is which would be the respiratory system. The QM felt it should be more of a “quality” rather than location. Then I started to think about chest pain, sore throats etc… if you can't use shortness of breath as a location then I don't think these would qualify as well. What are your opinions regarding location?

Thanks!
Stephanie

 

[LLovett]

I agree that "shortness" is a quality element. I also have no problem with "breath" being a location.

Generally SOB is more of an associated sign or symptom but if that is the reason they are there it works for me as 2 elements, quality and location.

I see that the same as "pink eye", or "broken nose", etc..

Just my take on it,

Laura, CPC, CPMA, CEMC

 

[RebeccaWoodward*]

I agree w/ Laura. Breath is certainly inferred. I would have no problem crediting location.

 

[jthweatt]

I would count location in the same scenario.

Jerri, CPC

 

[stephaniec5]

thank you for your assistance!