That is not even an acceptable chief complaint, much less an HPI.
I would get out the 95 and 97 guidelines for this.
HISTORY OF PRESENT ILLNESS (HPI)
The HPI is a chronological description of the development of the patient's present illness from
the first sign and/or symptom or from the previous encounter to the present. It includes the
following elements:
• location,
• quality,
• severity,
• duration,
• timing,
• context,
• modifying factors, and
• associated signs and symptoms.
Brief and extended HPIs are distinguished by the amount of detail needed to accurately
characterize the clinical problem(s).
A brief HPI consists of one to three elements of the HPI.
!DG: 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.
!DG: The medical record should describe four or more elements of the present
illness (HPI), or the status of at least three chronic or inactive
conditions.
Laura, CPC, CPMA, CEMC