The HPI structure is best to use for a complex patient with multiple co-morbidities and a recent work-up chronological structure. The correct option is D.
OLD CARTS, which stands for Onset, Placement, Duration, Characteristics, Aggravating or Alleviating Variables, Related Ailments, Treatments, and Significance, is a commonly used pneumonic to investigate the core elements of the primary concerns in HPI.
The HPI should be written in full sentences in prose and should be a narrative that constructs an assertion for why the patient was admitted.
For a complicated patient with multiple co-morbidities as well as a latest work-up chronological structure, the HPI framework is best.
Thus, the correct option is D.
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