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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 referred to as reason for encounter (RFE), presenting problem, problem on admission or reason for presenting. The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. The patient's initial comments to a physician, nurse, or other health care professional help form the differential diagnosis.

In some instances, the nature of a patient's chief complaint may determine if services are covered by medical or vision insurance.

Medical students are advised to use open-ended questions in order to obtain the presenting complaint.

Analyzing for the chief complaint involves assessment using the acronym SOCRATES, OPQRST.

Prevalence

The collection of chief complaint data may be useful in addressing public health issues. 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. In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints. The most common complaint in ERs has been reported to be abdominal pain. Among nursing home residents seeking treatment at ERs, respiratory symptoms, altered mental status, gastrointestinal symptoms, and falls are the most commonly reported.

See also

• Identified patient
• Medical history

References

1. Malmström, Tomi; Huuskonen, Olli; Torkki, Paulus; Malmström, Raija (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. ISSN 1757-7241. PMC 3564900. PMID 23176447.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
2. "VI. Evaluation and Management (E/M) Services". Compliance Training Manual. www.usc.edu. Archived from the original on 2001-05-03.
3. "coding q & a - Medical Vs. Vision Insurance". Optometric Management. July 1, 2004. Archived from the original on December 25, 2016. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
4. Shah, Nayankumar (2005). "Taking a history: Introduction and the presenting complaint". Student BMJ. 13: 309–52. doi:10.1136/sbmj.0509314 (inactive 2018-09-21). Archived from the original on 2017-09-05. {{cite journal}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)CS1 maint: DOI inactive as of September 2018 (link)
5. "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.
6. 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.
7. "Differentiating Chest Pain". Emergency Medicine. Archived from the original on 2011-07-30.
8. Graff, Louis G.; Robinson, Dave (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.
9. Ackermann, Richard J; Kemle, Kathy A; Vogel, Robert L; Griffin, Ralph C (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.
10. "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

• MedEd at Loyola ipm/comphx1/sld003.htm

• CS1 maint: DOI inactive as of September 2018
• Medical terminology
• Symptoms