Follow-up Comment #2, bug #63535 (project health):
[comment #1 comment #1:] > Thanks, Mathias! > > Indeed notes_complaint is obsolete field. We'll remove it on 4.2 > > The Chief Complaint (CC) and History of Present Illness (HPI) are part of the standard evaluation record. They go together in the "SOAP" note. > The CC is a very short annotation using the patient's own words, while the HPI is a thorough description of the problem / condition. We can put a tooltip in both fields. I think tooltips are a good idea to explain the intended usage of those fields. I agree that standards should be adhered to, but sometime standards seem not to be esatblished by real life work. >From https://www.aapc.com/blog/42585-chief-complaint-required/ "If the patient record does not reflect a chief complaint, the service is either: A preventive service; or Unbillable. " So in the case of e.g. a Corona immunization there is nothing in the CC and it is difficult to write something into HPI, because there is no illness. But yes, a standard is a standard... ;) Cheers, Mathias _______________________________________________________ Reply to this item at: <https://savannah.gnu.org/bugs/?63535> _______________________________________________ Message sent via Savannah https://savannah.gnu.org/
