History of present illness

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History of present illness, as the name suggests, is a detailed description of the onset, course, and any associated symptoms, risk factors, etc that relevant to the patients current illness. It is preceded by the chief complaint in a typical history taking of a case.

HPI[edit | edit source]

Abbreviated as HPI, it is a chronological description of the development of the patient's present illness from the first sign and/or symptom or from the previous encounter to the present.

Elements of HPI[edit | edit source]

It includes the following elements:

location;
quality;
severity;
duration;
timing;
context;
modifying factors; and
associated signs and symptoms.

History taking

Types - Brief and extended HPI[edit | edit source]

Brief and extended HPIs are distinguished by the amount of detail needed to accurately characterize the clinical problem(s).

Brief HPI[edit | edit source]

A brief HPI consists of one to three elements of the HPI.
The medical record should describe one to three elements of the present illness (HPI).

Extended HPI[edit | edit source]

An extended HPI consists of four or more elements of the HPI.
The medical record should describe four or more elements of the present illness (HPI) or associated comorbidities.