The chief complaint, formally known as CC in the medical field, or termed presenting complaint (PC) in Europe and Canada, forms the second step of medical history taking. It is sometimes also referred to as reason for encounter (RFE), presenting problem, problem on admission or reason for presenting.[citation needed][1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter.[2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance.[3]
The collection of chief complaint data may be useful in addressing public health issues.[6] Certain complaints are more common in certain settings and among certain populations. Fatigue has been reported as one of the ten most common reasons for seeing a physician.[7] In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints.[8] The most common complaint in ERs has been reported to be abdominal pain.[9] Among nursing home residents seeking treatment at ERs, respiratory symptoms, altered mental status, gastrointestinal symptoms, and falls are the most commonly reported.[10]
^Malmström T, Huuskonen O, Torkki P, Malmström R (November 2012). "Structured classification for ED presenting complaints - from free text field-based approach to ICPC-2 ED application". Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 20 (1): 76. doi:10.1186/1757-7241-20-76. PMC3564900. PMID 23176447.
^. Compliance Training Manual. www.usc.edu. Archived from the original on 2001-05-03.
^"coding q & a - Medical Vs. Vision Insurance". Optometric Management. July 1, 2004. from the original on December 25, 2016.
^Shah N (2005). . Student BMJ. 13: 309–52. doi:10.1136/sbmj.0509314. S2CID 155837706. Archived from the original on 2017-09-05.
^Bickley L (2017). Bates' Guide to Physical Examination and History Taking (12th ed.). Philadelphia: Wolters Kluwer. ISBN9781469893419.
^(PDF). Centers for Disease Control and Prevention. May 27, 2003. Archived from the original (PDF) on 2006-10-23.
^Nelson E, Kirk J, McHugo G, Douglass R, Ohler J, Wasson J, Zubkoff M (1987). "Chief complaint fatigue: a longitudinal study from the patient's perspective". Family Practice Research Journal. 6 (4): 175–88. PMID 3455125.
^Hussain N, Karnath B. . Emergency Medicine. Archived from the original on 2011-07-30.
^Graff LG, Robinson D (February 2001). "Abdominal pain and emergency department evaluation". Emergency Medicine Clinics of North America. 19 (1): 123–36. doi:10.1016/S0733-8627(05)70171-1. PMID 11214394.
^Ackermann RJ, Kemle KA, Vogel RL, Griffin RC (June 1998). "Emergency department use by nursing home residents". Annals of Emergency Medicine. 31 (6): 749–57. doi:10.1016/S0196-0644(98)70235-5. PMID 9624316.
^(PDF). www.cms.gov. December 2010. Archived from the original (PDF) on 2012-04-11. Retrieved 2011-02-27.
chief, complaint, chief, complaint, formally, known, medical, field, termed, presenting, complaint, europe, canada, forms, second, step, medical, history, taking, sometimes, also, referred, reason, encounter, presenting, problem, problem, admission, reason, pr. The chief complaint formally known as CC in the medical field or termed presenting complaint PC in Europe and Canada forms the second step of medical history taking It is sometimes also referred to as reason for encounter RFE presenting problem problem on admission or reason for presenting citation needed 1 The chief complaint is a concise statement describing the symptom problem condition diagnosis physician recommended return or other reason for a medical encounter 2 In some instances the nature of a patient s chief complaint may determine if services are covered by health insurance 3 When obtaining the chief complaint medical students are advised to use open ended questions 4 5 Once the presenting problem is elucidated a history of present illness can be done using acronyms such as SOCRATES or OPQRST to further analyze the severity onset and nature of the presenting problem The patient s initial comments to a physician nurse or other health care professionals are important for formulating differential diagnoses citation needed Contents 1 Prevalence 2 See also 3 References 4 External linksPrevalence editThe collection of chief complaint data may be useful in addressing public health issues 6 Certain complaints are more common in certain settings and among certain populations Fatigue has been reported as one of the ten most common reasons for seeing a physician 7 In acute care settings such as emergency rooms reports of chest pain are among the most common chief complaints 8 The most common complaint in ERs has been reported to be abdominal pain 9 Among nursing home residents seeking treatment at ERs respiratory symptoms altered mental status gastrointestinal symptoms and falls are the most commonly reported 10 CMS required history elements 11 Type of history CC HPI ROS Past family and or socialProblem focused Required Brief N A N AExpanded problem focused Required Brief Problem pertinent N ADetailed Required Extended Extended PertinentComprehensive Required Extended Complete CompleteSee also editIdentified patient Medical historyReferences edit Malmstrom T Huuskonen O Torkki P Malmstrom R November 2012 Structured classification for ED presenting complaints from free text field based approach to ICPC 2 ED application Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 20 1 76 doi 10 1186 1757 7241 20 76 PMC 3564900 PMID 23176447 VI Evaluation and Management E M Services Compliance Training Manual www usc edu Archived from the original on 2001 05 03 coding q amp a Medical Vs Vision Insurance Optometric Management July 1 2004 Archived from the original on December 25 2016 Shah N 2005 Taking a history Introduction and the presenting complaint Student BMJ 13 309 52 doi 10 1136 sbmj 0509314 S2CID 155837706 Archived from the original on 2017 09 05 Bickley L 2017 Bates Guide to Physical Examination and History Taking 12th ed Philadelphia Wolters Kluwer ISBN 9781469893419 Implementation Guide for Transmission of Patient Chief Complaint as Public Health Information using Version 2 3 1 of the Health Level Seven HL7 Standard Protocol PDF Centers for Disease Control and Prevention May 27 2003 Archived from the original PDF on 2006 10 23 Nelson E Kirk J McHugo G Douglass R Ohler J Wasson J Zubkoff M 1987 Chief complaint fatigue a longitudinal study from the patient s perspective Family Practice Research Journal 6 4 175 88 PMID 3455125 Hussain N Karnath B Differentiating Chest Pain Emergency Medicine Archived from the original on 2011 07 30 Graff LG Robinson D February 2001 Abdominal pain and emergency department evaluation Emergency Medicine Clinics of North America 19 1 123 36 doi 10 1016 S0733 8627 05 70171 1 PMID 11214394 Ackermann RJ Kemle KA Vogel RL Griffin RC June 1998 Emergency department use by nursing home residents Annals of Emergency Medicine 31 6 749 57 doi 10 1016 S0196 0644 98 70235 5 PMID 9624316 Evaluation and Management Services Guide PDF www cms gov December 2010 Archived from the original PDF on 2012 04 11 Retrieved 2011 02 27 External links editMedEd at Loyola ipm comphx1 sld003 htm Retrieved from https en wikipedia org w index php title Chief complaint amp oldid 1216759808, wikipedia, wiki, book, books, library,
