Donna, here is my take on it.

Leaving aside documentation/reimbursement issues,the PH, FH, SH, etc. are isolated snippets of data that live all by themselves in their own little cubbies of the patient's chart. Whether you choose to show them or not is kind of immaterial... they are not really duplicated with each note, just displayed or not.

If you do not wish to see those pieces of data when you review previous encounters, you can just click the button for assessment and plan only, and skip to the chase of each note.

I choose to show them for each new note because every once in a while... not all that often, but sometimes... there is something there of which I need to be reminded. (Oh, yeah, his daughter was killed in a car crash last Fall, about the time he now says the stomach pains started....") I figure it is harmless to show the data, and sometimes helpful. If someone else has to wade through all that stuff when I transfer care, that is their problem.

Last edited by dgrauman; 04/12/2011 3:59 AM.

David Grauman MD, FACP
Flagstaff, Arizona