Help with HPI elements ???

mcarrillo

Networker
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Hi,
Can someone give me their opionion of how many elements there are in the HPI example below? Thanks. :)

"This 50-year-old female is admitted for abdominal pain x24 hours with a CT diagnosis of positive appendicitis."
 

Love Coding!

Expert
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372
Location
Laveen, AZ
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Hi,
Can someone give me their opionion of how many elements there are in the HPI example below? Thanks. :)

"This 50-year-old female is admitted for abdominal pain x24 hours with a CT diagnosis of positive appendicitis."
Abdominal - location
Pain - severity/quality
24hrs. - duration

Brief HPI...anyone else??
 

mcandia

Networker
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I get two:

Location: Abdomen
Duration: 24 hours

I would not count pain as: severity without an adjective qualifier describing the degree of severity or intensity i.e., mild, moderate etc.

I would not count pain as: quality without an adjective qualifier of the type of sign/symptom i.e., sharp, dull, throbbing etc.

Maria CPC, CPC-H, CPCO, CPMA, CEMC
 
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