HPI stands for which phrase?

• A. History of past illnesses
• B. History of present health
• C. History of present illness
• D. Health process inquiry

Answer: (C)

HPI stands for History of present illness—the detailed narrative of the patient’s current problem from its onset to the present and how it has evolved. This portion focuses on the current symptoms: when they started, where they are, how they feel, how severe they are, how they have progressed, and what factors worsen or relieve them. It also includes related symptoms and any treatments already tried, helping clinicians shape their differential and plan.

This is distinct from the past medical history, which covers prior diseases, surgeries, and illnesses. The other phrases listed aren’t standard terms used in clinical notes. History of present illness is the correct expansion.