Following the chief complaint in medical history taking, a history of the present illness (abbreviated 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 an HPI.
Several acronyms have been developed to categorize the appropriate questions to include.
The Centers for Medicare and Medicaid Services has published criteria for what constitutes a reimbursable HPI. A "brief HPI" constitutes one to three of these elements. An "extended HPI" includes four or more of these elements.Evaluation and Management Coding and Electronic Health Records
CMS"OLDCARTS" "OPQRST"Learning To Perform a Medical Assessment – Part 1: Quick Medical Assessment or "PQRST"Department of Medicine Home Page"LOCATES" "CLEARAST"Dartmouth Medicine Magazine :: Student Notebook "LIQOR AAA" "SCHOLAR"("S" = Symptoms) "COLDER AS" location"L": Location "R": Region and Radiation"L" : Location "L": Location "L": Location "L:" Location "L:" Location quality"C": Character "Q": Quality of the pain"C": Character "C": Character "Q": Quality "C:" Characteristics "C": Character "R": Radiation "R": Radiation see above "R": Radiation severity"S": Severity-how disruptive "S": Severity"S": Severity "S": Severity "I": Intensity see above "S": Severity duration"O": Onset "D": Duration "O": Onset"T": Time "T": Time frame "O": Onset "O:" Onset"H:" History "D:" Duration timing"T:" Timing "T": Timesee above see above see above see above "O": Onset context"E": Environment modifying factors"A": Aggravating factors "R": Relieving factors "P": Provocation or Palliation"A" Alleviating/Aggravating Factors "E": Exacerbation "A": Aggravating factors "A:" Aggravating factors "E:" Exacerbation "A": Alleviation "A": Alleviating factors "R:" Remitting factors "R:" Remitting factors associated signs & symptoms"O": Other symptoms "A": associated symptoms "A": Associated symptoms see above "A": Associated symptoms
Also usable is SOCRATES. For chronic pain, the Stanford Five may be assessed to understand the pain experience from the patient's primary belief system.
See also Medical record Medical history Pain scale
References
External links Overview at medicine.ucsd.edu Overview at medinfo.ufl.edu