There are 3 very specific documentation requirements to fully describe your patients’ asthma status.
1. Type
- Mild, Moderate or Severe
2. Character
- Intermittent or Persistent
3. Complications
- Acute Exacerbation
- Status Asthmaticus
- Acute Respiratory Failure
Excellent Documentation Examples:
- Mild, Intermittent Asthma without acute exacerbation
- Acute Exacerbation of Moderate, Intermittent Asthma
- Acute Exacerbation of Severe, Persistent Asthma with Status Asthmaticus and Acute Respiratory Failure
Download the complete tip, Asthma.