History of the present illness

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List of terms related to History of the present illness


Overview

In a medical encounter, a history of the present illness (HPI) (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).

Questions to include

Different sources include different questions to be asked while conducting a HPI, but in general they include the following:

  • onset
  • location and radiation
  • severity and character/quality
  • duration and timing
  • precipitating and palliating factors
  • progression

Acronyms

Several acronyms have been developed to categorize the appropriate questions to include:

Medicare definitions

The Centers for Medicare and Medicaid Services has published criteria for what constitutes a reimbursable HPI. A "brief HPI" constitutes one to three of the following elements:

  • location
  • quality
  • severity
  • duration
  • timing
  • context
  • modifying factors
  • associated signs & symptoms

A "extended HPI" includes four or more of these elements.[7][8]

See also

References

  • Adler H. "The history of the present illness as treatment: who's listening, and why does it matter?". J Am Board Fam Pract. 10 (1): 28–35. PMID 9018660. 

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