Please identify the overall Hx level. History can provide greater information about the patient's story of health in relation to the CC. How does the documented history in this clinical note do this?
What will be an ideal response?
The overall history level is Detailed.
While the HPI describes the CC, and the ROS describes the state of the patient's health prior to the E/M service, the PFSH provides a more revealing portrayal of the patient's entire life. All of these elements together provide a mosaic of the patient's health from the perspective of the CC.
Health Professions