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[Health-dev] [bug #63535] Unused field notes_complaint
From: |
Mathias Behrle |
Subject: |
[Health-dev] [bug #63535] Unused field notes_complaint |
Date: |
Sun, 18 Dec 2022 15:09:44 -0500 (EST) |
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 Indeed notes_complaint is obsolete field.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
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