According to the 1995 guidelines, what is required for an Expanded Problem Focused exam?

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An Expanded Problem Focused exam, according to the 1995 guidelines, requires brief documentation of relevant findings in at least two areas and/or systems. This approach emphasizes a targeted evaluation that is broader than a problem-focused exam, which might only assess one specific issue. Instead, the expanded version includes multiple areas to ensure a more comprehensive understanding of the patient's situation without necessitating a full examination of all body systems.

This requirement allows the physician to gather enough information to assess the patient more effectively while still focusing on the presenting complaints. It strikes a balance between thoroughness and efficiency, ensuring that the clinician can attend to various aspects of the patient's health without overwhelming documentation requirements.

Other options would not fulfill the criteria for an Expanded Problem Focused exam. For instance, a comprehensive history and physical is more aligned with a higher level of service, while full documentation of all body areas goes beyond the requirement of expanding only to two areas. Only documenting patient history would omit the necessary examination aspect required for this classification.

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