Urgent Care Medical Decision Making: Presenting Problem

Good Evening,

Question regarding presenting problem  for established patient.
Established patient to examiner: stable, improved.
Established patient to examiner: worsening.
Unfortunately I'm a little confused on this per a discussion that I had with a co-worker. From my understanding I thought a pt would be considered established due to the following: a pt came in yesterday with a cough and now is returning to urgent care today due to the pt's symptoms worsening, coughing to the point of difficulty breathing. Wondering if possible someone can give an example of each within the urgent care setting?

Thank you,

 Coder18 Newbie
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