CatchTheWind
Guest
1) My checklist for existing problems states to give 1 problem point for a "resolved, improving, or stable" problem, or 2 points for a "worsening" problem. What if the problem (which is acne) is "inadequately controlled"? Since it is not getting better or worse, the closest of the above descriptions is "stable," but it would seem that the complexity of an inadquately controlled problem would be more like that of a worsening problem, not a stable one. So how many problem points would you give?
2) The HPI notes the medications the patient is taking, but does not document whether any of these has modified the condition. But since the provider's diagnosis states that the condition is "inadequately controlled," can we extrapolate from this that none of the medications has helped, and get a "modifying factor" out of this?
2) The HPI notes the medications the patient is taking, but does not document whether any of these has modified the condition. But since the provider's diagnosis states that the condition is "inadequately controlled," can we extrapolate from this that none of the medications has helped, and get a "modifying factor" out of this?