I'm with you. I was always taught the same thing. The HPI is what the patient says about their illness "my left leg hurts when I run, and motrin is not helping". When I see "no right leg pain, no swelling, no warmth, no redness" then I know these are responses to what the doc is asking.
The same thing came up in a seminar I was in (given my our local Medicare carrier) and I questioned it. To my suprise, I seemed to be in the minority in the room.
I'd like some better examples of negative responses for an HPI.
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