DecisionHealth, DecisionHealth - 2012 Issue 8 (August)

Template abuses: An HPI with all elements complete that says nothing

Physicians will fill in each element of a history of present illness (HPI), even when some are not applicable, because an electronic health record (EHR) template provides spaces for all of them. The doctors will think they have provided enough information to warrant a certain level of service by completing all eight elements, but that’s not always the case, says Regan Tyler, senior consultant at DecisionHealth Professional Services.

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