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I have the following HPI scenario:
"This new patient to my practice presents today to establish me as his new primary care physician and to discuss a 2 week history of black stools. He also describes a 1 - 2 year history of progressive fatigue and shortness of breath. He denies any cough, wheezing, abdominal pain or pain with defecation. He last saw a doctor several years ago.
He voices no other complaints today."
I am having a discussion with colleagues about what the HPI elements are in this.
I would be interested in the opinion of other coders on this.
Thanks.
"This new patient to my practice presents today to establish me as his new primary care physician and to discuss a 2 week history of black stools. He also describes a 1 - 2 year history of progressive fatigue and shortness of breath. He denies any cough, wheezing, abdominal pain or pain with defecation. He last saw a doctor several years ago.
He voices no other complaints today."
I am having a discussion with colleagues about what the HPI elements are in this.
I would be interested in the opinion of other coders on this.
Thanks.