Showing posts with label History Issues. Show all posts
Showing posts with label History Issues. Show all posts

Friday, November 24, 2017

History Issues

 ROS and PFSH may be recorded by others 

 The provider must reference the elements 

 ROS not as easy to obtain from NNs 

 No need to record things in more than one place 

 ROS elements may be documented in the HPI 

 A chief complaint will generally include at least one ROS 

 Chest pain associated with nausea and vomiting 

 HPI element for associated signs/sxs 

 GI ROS element 

 Same statement may not satisfy multiple sub Same statement may not satisfy multiple sub-elements of elements of HPI or ROS 

 Chest pain since this morning can not be both timing and duration

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