What should the HPI focus on?

The History of Present Illness (HPI) should focus on the chief complaint and the context surrounding that complaint. This section of the medical documentation provides a detailed exploration of the patient's current issue, including the onset, duration, severity, quality, and factors that exacerbate or alleviate the symptoms. The HPI helps to paint a comprehensive picture of the patient's current health status and is crucial for formulating a diagnosis and treatment plan.

In this context, while past medical history is important, it is not the primary focus of the HPI. Physical exam findings are documented separately, providing objective assessment details rather than subjective experiences from the patient's perspective. Diagnostic procedures may guide treatment but also fall outside the scope of the HPI, which is centered on the patient's narrative regarding their current condition and symptoms. By emphasizing the chief complaint and its context, the HPI becomes a vital component for understanding the patient’s experience and concerns.