past medical history question

jjones81

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If the documentation states that patient has no history of allergies or asthma would that be considered PMH even though the pt did not have they conditions?
 

Chelle-Lynn

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This would be a determination made by the context in which the information was noted. It could be applied to two different areas:

* Review of Systems = Allergic/Immune and Respiratory
* Past Medical (PFSH) = Prior illness and Allergies

Either area could potentially be supported. Again, I would look at the context in which the information was documented.
 
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