Author Question: Which of the following BEST defines past, family social history? A. Documentation of a collection ... (Read 93 times)

Davideckstein7 · **on:** Jun 27, 2018

Which of the following BEST defines past, family social history?

A. Documentation of a collection of the patient's responses to questions related to their own health prior to the time of the visit, requiring verbal or written responses from the patient
B. Documentation of the patient's past medical history, the medical history of the patient's family, and the patient's day-to-day social activities
C. Documentation of any of eight standardized descriptions with which the patient may provide a visceral, personalized description of the specific health issue, complaint or disease for which the patient came to the clinician
D. Documentation of the patient's personal sensation of the current health complaint, the status and function of the patient's body, as well as past medical history, genetic medical history, and/or any social habits, which may impact the patient's health

Question 2

Patient presents to the clinic he has visited frequently for over ten years, but his regular physician is on vacation and a staff physician he has never met before sees the patient. Physician documents an extended HPI, extended ROS and a pertinent PFSH. What is the overall history level?

A. Problem-focused
B. Expanded problem-focused
C. Detailed
D. Comprehensive