Location, quality and duration are the elements of HPI met in this statement.
An explanation of how the patient's current ailment developed. The HPI often provides a chronological account of how the patient's current illness developed from its initial signs and symptoms to the present. The following components, in some combination, should be present:
Location: What is the location of the pain?
Quality: Include a description of the quality of the symptom (i.e. sharp pain)
Severity: The degree of pain for example can be described on a scale of 1 - 10
Duration: How long have you had the pain
Timing: Describe when you have pain for example pain with exertion or pain in the evening
Context: What is the patient doing when the pain begins
Modifying Factors: What makes the pain better or worse for example aspirin helps
Associated Signs and Symptoms: Physicians based on assessment may ask about other sensations or feelings for example – do you experience pain while exercising
Two Levels of HPI:
Brief HPI: Requires one to three HPI elements (see above list)
Extended HPI: Requires four HPI elements or the status of three chronic problems (see 1997 guidelines for the status of chronic conditions)
Well there's no real answer as to what the meaning is but it may sound cheesy or whatever but its basically what you want it to be. If you want to live and start a company or work a 6-5 job or take a vacation. It's really up to you on how you see it and what you want the meaning to be.
