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History of present illness (HPI): This is a description of the present illness as it developed. It is typically formatted and documented with reference to location, quality, severity, timing, context, modifying factors, and associated signs/symptoms as related to the chief complaint.
OLD CARTS is a mnemonic device used by providers to guide their interview of a patient while documenting a history of present illness. The letters stand for onset; location; duration; characteristic; alleviating and aggravating factors; radiation or relieving factors; timing; and severity.
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).
History of Present Illness: Patient is a 48 year-old well-nourished Hispanic male with a 2-month history of Rheumatoid Arthritis and strong family history of autoimmune diseases presenting after an episode of lightheadedness and muscle weakness.
Any patient interview should start with the HPI (history of present illness, which makes up the 7 dimensions: Chronology, Location, Quantity, Quality, Aggravating and Alleviating factors (what makes the problem Better or Worse), Setting, and Associated Manifestations.
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History of Present Illness (HPI): A description of the development of the patients present illness. The HPI is usually a chronological description of the progression of the patients present illness from the first sign and symptom to the present.

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