Chief complaint
The chief complaint, formally known as CC in the medical field, or termed presenting complaint (PC) in Europe and Canada, forms the second step of
-recommended return, or other reason for a medical encounter.[2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance.[3]When obtaining the chief complaint,
health care professionals are important for formulating differential diagnoses.[citation needed
]
Prevalence
The collection of chief complaint data may be useful in addressing
| Type of history | CC | HPI | ROS | Past, family, and/or social |
|---|---|---|---|---|
| Problem focused | Required | Brief | N/A | N/A |
| Expanded problem focused | Required | Brief | Problem pertinent | N/A |
| Detailed | Required | Extended | Extended | Pertinent |
| Comprehensive | Required | Extended | Complete | Complete |
See also
References
- PMID 23176447.
- ^ "VI. Evaluation and Management (E/M) Services". Compliance Training Manual. www.usc.edu. Archived from the original on 2001-05-03.
- ^ "coding q & a - Medical Vs. Vision Insurance". Optometric Management. July 1, 2004. Archived from the original on December 25, 2016.
- S2CID 155837706. Archived from the originalon 2017-09-05.
- ISBN 9781469893419.
- ^ "Implementation Guide for Transmission of Patient Chief Complaint as Public Health Information using Version 2.3.1 of the Health Level Seven (HL7) Standard Protocol" (PDF). Centers for Disease Control and Prevention. May 27, 2003. Archived from the original (PDF) on 2006-10-23.
- PMID 3455125.
- ^ Hussain N, Karnath B. "Differentiating Chest Pain". Emergency Medicine. Archived from the original on 2011-07-30.
- PMID 11214394.
- PMID 9624316.
- ^ "Evaluation and Management Services Guide" (PDF). www.cms.gov. December 2010. Archived from the original (PDF) on 2012-04-11. Retrieved 2011-02-27.