I am missing the whole HPI in a chart but I have a complete ROS. Dr no longer works for our hospital so I can't send chart back to him to complete. I know I can take elements from HPI to use for ROS, but can I take elements from ROS and use them for the HPI?
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Wiki Can I take HPI elements from ROS?
- Thread starter vanessa10
- Start date
RebeccaWoodward*
True Blue
I don't think so...
The provider must document the HPI and in this case, there isn't any. Ancillary staff can obtain the ROS or the patient can complete a form indicating positive/negative. How do you use information that can be delegated to ancillary staff and use it for information that requires provider involvement (HPI)?
The provider must document the HPI and in this case, there isn't any. Ancillary staff can obtain the ROS or the patient can complete a form indicating positive/negative. How do you use information that can be delegated to ancillary staff and use it for information that requires provider involvement (HPI)?
jwestfall
Contributor
I agree with Rebecca. The HPI must be documented by the provider, therefore cannot be taken from the ROS which ancillary staff can document.
Last edited:
Belinda Frisch
Guru
Point of Clarification
"I am missing the whole HPI in a chart but I have a complete ROS. Dr no longer works for our hospital so I can't send chart back to him to complete. I know I can take elements from HPI to use for ROS, but can I take elements from ROS and use them for the HPI?"
...I do not see where this says the ROS wasn't done by the MD? And yes, if the ROS was done by ancillary staff, I agree, the MD needs to do the HPI but you can take HPI from ROS and vice-versa as long as you don't count the elements more than once.
"I am missing the whole HPI in a chart but I have a complete ROS. Dr no longer works for our hospital so I can't send chart back to him to complete. I know I can take elements from HPI to use for ROS, but can I take elements from ROS and use them for the HPI?"
...I do not see where this says the ROS wasn't done by the MD? And yes, if the ROS was done by ancillary staff, I agree, the MD needs to do the HPI but you can take HPI from ROS and vice-versa as long as you don't count the elements more than once.