Wiki Hpi elements?

[veloso]

How many Elements I will get for the following HPI:

1. Pt comes as walk-in to address new c/o insomnia for past 2-3 wks ... + freq nightmares ... .

2. Pt is easily DOE with freq SOB ... this has been going on a "long time" .... no N?V/D or CP 's though ...

Thanks again this Forum helps me a lot.

 

[Sandy Stevens]

Number of elements in the HPI examples:

Example 1. If insomnia is the CC, then HPI is: Duration = 2-3 wks;
Timing = frequent; Assoc s/s = nightmares

Example 2. Assuming reason for visit is separately documented, the HPI
is: Timing = upon exertion; Assoc s/s = SOB; Duration = "long
time" ---------
The "no N/V/D or CP 's though ...", sounds like typical elicited
system inventory Q&A, with positive responses or pertinent
negatives, and in this case are 2 systems

 

[veloso]

Yes,you're right these are two different encounters,thanks a lot Sandra I thought I could count the CC as one element automatically.