History of Present Illness (HPI)
The HPI 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. It includes the following elements:
-location;
-quality;
-severity;
-duration;
-timing;
-context;
-modifying factors; and
-associated signs and symptoms.
Brief and extended HPIs are distinguished by the amount of detail needed to accurately characterize the clinical problem(s).
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).
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)
1997 GUIDELINES- Extended HPI consists of at least four elements of the HPI or the status of at least three chronic or inactive conditions.
*** The medical record should describe at least four elements of the present illness (HPI), or the status of at least three chronic or inactive conditions.