Wiki HPI Question

[coder21]

I have question say a patient come in for a fall. And the doctors notes the patient triped and fell yesterday, and that the she has shoulder pain 4/10.

Can you score this as
Loc-Shoulder
Serverity- 4/10
Duration-yesterday
Context-trip and fell

Thank you

 

[cdcpc]

Yes

Yes--that is exactly how I would score it. You'll end up with 4 HPI points.

 

[FTessaBartels]

Don't forget pain

And "pain" is Quality. (But you don't really need a 5th element.)

F Tessa Bartels, CPC, CEMC