Please identify the patient type, the documented PFSH elements and the supporting findings. How does the patient type and documented PFSH provide greater information about the CC, HPI, ROS and the professional relationship between patient and physician performing the E/M service?
What will be an ideal response?
PFSH—Pertinent:
PMH: CABG 2002
FMH: None documented
SH: None documented
Generally, the PFSH provides information about the patient's life in addition to the story of the patient's health: while past history informs the reader about the patient's past medical history, the social and family histories inform the reader about the rest of the patient's life from the perspective of the CC. The patient type provides information about how familiar the physician is with the patient's story of health.
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