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Posted By mary peabody on 05-28-2019, 12:03:37 in Ob-Gyn
Hello Melanie,


When reviewing GYNONC follow up visits notes, what would be the HPI elements for a follow up for Grade 1 endoumentrial cancer. The GYNONC follow up notes repeats the history of present illness on every note
Thank you for your assistance.

Location: endometrium
Severity-Grade 1
Duration-01/15/2019
Associate signs and symptoms-denies vaginal bleeding
Comments (1)
Posted By Melanie Witt on 05-29-2019, 19:41:21
That's all I could get out of this note as well. However, this visit was most likely counseling dominated in which case you only need to have the discussion documented and total face-to-face time with a statement about more than 50% was spent on counseling and then HPI does not come into the equation. He did not do an extensive exam and the reason for the visit was to discuss treatment.
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