Wiki CC versus HPI

[veloso]

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

 

[erjones147]

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

 

[mitchellde]

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.

 

[veloso]

Hi Debra,
You mean it is acceptable if the CC contained the HPI, and nothing on the HPI pls. advice.

Thanks again,
IM

 

[mitchellde]

Yes it can all be one statement.