Wiki Interval history

[kathleenl]

Hi,
In place of an interval history for a subsequent inpatient visit, can a physician use HPI elements as they would for any other type of visit or must it be interval?

Thanks!
Kathleen

 

[Orthocoderpgu]

For inpatient services and other similar situations it's not necessary to ask the patient about the PFSH every day. So a Past, Family or Social history does not need to be documented since it's not going to change from the previous day. You would only use HPI & ROS to get your History level for that date and not include the PFSH component.