How to document patient complaints and HPI
This guide provides step-by-step instructions on how to effectively document patient complaints and the History of Present Illness (HPI). This guide ensures that patient encounters are properly documented, facilitating comprehensive and efficient healthcare delivery.
Software Subscriptions
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7 steps
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24 seconds
Ilarahealth
1
On the patient encounter, click "Complaints & HPI"
2
Pick the correct encounter type. This should define the reason for visiting the facility.
3
Indicate if this encounter is a revisit or a new encounter. For revisit pick "Yes"
4
Add Patient complaint or reasons for visit, note that it is possible to add more than one complaint
5
Add the duration (optional)
6
Add Comments (optional)
7
Enter the patient's HPI in the provided text- field.