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HISTORY OF PRESENT ILLNESS (HPI)



The History Of Present Illness is a chronological description of the development of the patient's present illness from the first sign or symptom or from the previous encounter to the present. It includes the following elements:

- location
- quality
- severity
- duration
- timing
- context
- modifying factors &
- associated signs and symptoms.

Brief and extended History of present Illnesses are distinguished by the amount of detail needed to accurately characterize the clinical problem.
A brief HPI consists of one to three elements of the HPI.

The medical record should describe one to three elements of the
present illness (HPI). An extended HPI consists of four or more elements of the HPI. The medical record should describe four or more elements of the
present illness. Brief and extended HPIs are distinguished by the amount of detail needed to accurately characterize the clinical problem. A brief HPI consists of one to three elements of the HPI. The medical record should describe one to three elements of the present illness (HPI).

An extended HPI consists of four or more elements of the HPI.

The medical record should describe four or more elements of the
present illness.

Thanks,
Medical-billing-updates.blogspot.com

Comments

  1. UnknownNovember 28, 2013 at 3:41 AM

    Nowadays maintaining the medical records are becoming more difficult. creating a bill payment is based on coding provided by the healthcare professional to medical coding services. so coding should represent the treatment provided to the patients

    ReplyDelete

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