Professional Documents
Culture Documents
Elements of HPI
Location
Quality Brief
Severity Contains 1-3 elements listed
Duration Extended
Timing Contains ≥ 4 elements
OR discusses 3 chronic or inactive conditions
Context
Modifying factors
Associated Signs and Symptoms
Social History
An age appropriate review of past and current activities
Pertinent
Document at least 1 item from ANY of the 3 areas
It must be directly related to the problems identified in the HPI
Complete
All initial inpatient services require a Complete PFSH
Document at least 1 item from EACH of the 3 areas
Created by The Lung Doctor for e-Medtools