Which documentation level corresponds to Chief Complaint, brief HPI, and problem pertinent system review?

• A. Problem Focused
• B. Detailed
• C. Expanded Problem Focused
• D. Comprehensive

Answer: (C)

This item is about how documentation depth is defined by history and review of systems. Including a Chief Complaint sets the problem in focus. A brief HPI gives some narrative about the present illness but isn’t a long, detailed history. Limiting the review of systems to the problem-related system means you’re not surveying all body systems, just the one pertinent to the issue. Together, these elements show more than the simplest problem-focused note, but not the breadth of a detailed or comprehensive chart. That middle ground—more history than the bare minimum, plus a targeted ROS—fits Expanded Problem Focused documentation. The note wouldn’t be as broad as Detailed or Comprehensive, which would involve extended histories and broader ROS and exams.