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Medical notes often begin with a brief phrase that summarizes the reason the patient is being seen. This is where CC shows up.
Let’s take a closer look.
CC stands for Chief Complaint. It refers to the main reason a patient seeks medical care.
Healthcare providers use it to document what the patients say is wrong with them. It’s usually a brief statement, written in the patient’s own words. For example:
This information helps guide the entire visit, including what questions the doctor asks, what tests are ordered, and what treatment may be needed.
The CC gives focus to the medical visit. It tells the provider what matters most to the patient right now. Research in low-resource emergency settings found that accurately recorded chief complaints help guide decision-making and predict how severe a patient’s condition might be
A clear chief complaint helps:
It also ensures the provider is listening to what the patient feels is most urgent.
Sometimes the CC is too vague, like "check-up" or "follow-up". While this may reflect the visit reason, it doesn’t give clinical details. Providers may ask follow-up questions to get a more precise answer.
Other times, patients mention multiple concerns. In those cases, the most urgent or bothersome issue is usually listed as the chief complaint.
CC often appears alongside other common parts of a medical history. Here’s how it compares:
Each plays a different role, but they all help build a full picture of the patient’s condition.
No. CC is the symptom or concern the patient brings up. Diagnosis comes after evaluation.
Yes, but usually only the main issue is listed. Others may go under "additional complaints."
No, but it reflects the patient’s words. A nurse or doctor usually writes it down during intake.
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