Coders smash FM study online at quizlet.com/_kdf9d. The document provides a template for gathering patient history with 14 categories: 1) Allergies, 2) Chronology, 3) Description, 4) Exacerbating factors, 5) Family history, 6) Hospitalization, 7) Intensity, 8) Medical history, 9) Medications, 10) Onset, 11) Remitting factors, 12) Symptoms associated, 13) Social history, and 14) Surgical history. Each category contains questions to guide documentation of the patient's condition, symptoms, treatments, and related history.
Coders smash FM study online at quizlet.com/_kdf9d. The document provides a template for gathering patient history with 14 categories: 1) Allergies, 2) Chronology, 3) Description, 4) Exacerbating factors, 5) Family history, 6) Hospitalization, 7) Intensity, 8) Medical history, 9) Medications, 10) Onset, 11) Remitting factors, 12) Symptoms associated, 13) Social history, and 14) Surgical history. Each category contains questions to guide documentation of the patient's condition, symptoms, treatments, and related history.
Coders smash FM study online at quizlet.com/_kdf9d. The document provides a template for gathering patient history with 14 categories: 1) Allergies, 2) Chronology, 3) Description, 4) Exacerbating factors, 5) Family history, 6) Hospitalization, 7) Intensity, 8) Medical history, 9) Medications, 10) Onset, 11) Remitting factors, 12) Symptoms associated, 13) Social history, and 14) Surgical history. Each category contains questions to guide documentation of the patient's condition, symptoms, treatments, and related history.
2. C Chronology Dose Frequency Time frame showing the sequence of events. 10. O Onset
Have you ever had this BEFORE? With a positive: Occurence
When was that? When was the first time you had it? When did the current symptoms start? How often does it occur? 11. R Remitting factors How long does it last? Did you seek intervention? What makes it better? Was there a prior diagnosis? What was the prior treatment? 12. S Symptoms associated What was the prior outcome? Concurrent findings. How has it CHANGED? What was the order of symptoms? For a cold, question about presence of fever, chills, runny nose, sinus pressure, headache, nasal congestion, sore 3. D Description throat, cough, etc.
Describe it. Location. Radiation 13. S Social History
FED TACOS Can you describe it to me? Food (diet) What does it FEEL like? Exercise Where is it located? Drugs Does it go anywhere? Tobacco Alcohol 4. E Exacerbating factors Caffeine Occupation What makes it worse? Sexual History 5. F Family History 14. S Surgical History
Mother, father, siblings, family tendencies. What?
6. H Hospitalization When?
What? Where? When? 7. I Intensity
Scale. How bad is it?
On a scale from 1 to 10, how bad is the pain?
How has the symptom affected your activities of daily living? What cant you do anymore? 8. M Medical History