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Wiki CC versus HPI

veloso

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Hi,
It is acceptable to have the NOTES of HPI in the Chief Complaint (s) line? and leave the HPI line BLANK?



Thank you,
IM
 
No.

C/C is supposed to be in the patient's own words, while HPI has to be in the provider's own words.

The two should not be mixed
 
HPI is also the patient relating the history of the condition to the provider. I often find the CC contained within the HPI. The exam is the providers words of the assessment of the patient based on the hands on exam.
 
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