Brief and Extended HPI are distinguished by the amount of detail needed to accurately characterized the clinical problem(s). Brief HPI consists of one to three elements and an exteded HPI consist of four or more elements. HPI is the reason or the cause why she is at the clinic (medical necessity). Did the pt came for history of fatigue and decrease in energy, if so you have duration (2-3 mos), quality (fatigue) and associated sign /symptom (decrease of energy) you have three elements and that will make it BRIEF. The word HISTORY describing fatigue may throw you of, so check that out.
Did she came to have the knot in the right breast check. In that case you have the location (breast), duration (last week) and no mention of severity quality, etc so there are two elements present. In my opinion in the absent of other info your HPI is still BRIEF. It will be different if you can document other elements.
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