Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI)[1] (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).
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.[2][3]
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.
^Adler HM (1997). "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.
^Evaluation and Management Coding and Electronic Health Records
^. www.usc.edu. Archived from the original on 2001-05-03.
^. Archived from the original on 2007-02-25. Retrieved 2006-09-26.
^Learning To Perform a Medical Assessment – Part 1: Quick Medical Assessment
^. Archived from the original on 1998-12-06. Retrieved 2006-09-26.
^. Archived from the original on 2006-10-04. Retrieved 2006-09-26.
^Buring SM, Kirby J, Conrad WF (February 2007). "A structured approach for teaching students to counsel self-care patients". Am J Pharm Educ. 71 (1): 8. doi:10.5688/aj710108. PMC1847542. PMID 17429508.
External linksedit
Overview at medicine.ucsd.edu
April 19, 2024
history, present, illness, confused, with, past, medical, history, following, chief, complaint, medical, history, taking, history, present, illness, abbreviated, termed, history, presenting, complaint, refers, detailed, interview, prompted, chief, complaint, p. Not to be confused with Past medical history Following the chief complaint in medical history taking a history of the present illness abbreviated HPI 1 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 Contents 1 Questions to include 2 See also 3 References 4 External linksQuestions to include editDifferent 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 2 3 CMS OLDCARTS OPQRST 4 5 or PQRST 6 7 LOCATES CLEARAST 8 LIQOR AAA 9 SCHOLAR 10 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 Time see 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 amp 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 editMedical record Medical history Pain scaleReferences edit Adler HM 1997 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 Evaluation and Management Coding and Electronic Health Records Compliance Training Manual www usc edu Archived from the original on 2001 05 03 Medical Assessment Archived from the original on 2007 02 25 Retrieved 2006 09 26 Learning To Perform a Medical Assessment Part 1 Quick Medical Assessment WEMSI Assessment by PQRST Archived from the original on 1998 12 06 Retrieved 2006 09 26 Department of Medicine Home Page Dartmouth Medicine Magazine Student Notebook HPI history of present illness Archived from the original on 2006 10 04 Retrieved 2006 09 26 Buring SM Kirby J Conrad WF February 2007 A structured approach for teaching students to counsel self care patients Am J Pharm Educ 71 1 8 doi 10 5688 aj710108 PMC 1847542 PMID 17429508 External links editOverview at medicine ucsd edu Overview at medinfo ufl edu Retrieved from https en wikipedia org w index php title History of the present illness amp oldid 1143972142, wikipedia, wiki, book, books, library,
