When calculating HPI elements, do all "4" have to be on the same complaint?
for example, pt came in for cold and shoulder pain..
Pt has had cold symptoms for five days (duration) and has been taking Robitussin with some relief of symptoms (modifying factors). complains of low grade fever (associated signs and sympoms). She also has pain in her shoulder, which she describes as a 7/10 (severity). It hurts worse in the evenings (timing).
neither condition has 4 elements...but is this still considered extended/comprehensive??
for example, pt came in for cold and shoulder pain..
Pt has had cold symptoms for five days (duration) and has been taking Robitussin with some relief of symptoms (modifying factors). complains of low grade fever (associated signs and sympoms). She also has pain in her shoulder, which she describes as a 7/10 (severity). It hurts worse in the evenings (timing).
neither condition has 4 elements...but is this still considered extended/comprehensive??