palmER Support
Features

HPI Assistant

Generate focused, comprehensive histories from brief input in seconds

The HPI Assistant lets you instantly generate a high-quality history of present illness from just a few words. Simply enter a short patient summary, and the assistant will produce a full, structured HPI — saving you time while maintaining clinical clarity.


✍️ How It Works

Simple Input, Comprehensive Output

Enter a brief summary of the patient presentation:

Example Input:

74M, L sided weakness, R facial droop, slurred speech x 1 hour

Generated HPI: The assistant expands this into a complete, professionally structured history including:

  • Precise onset and timing - "acute onset 1 hour prior to arrival"
  • Symptom characterization - detailed description using appropriate medical terminology
  • Functional impact - how symptoms affect patient's daily activities
  • Pertinent negatives - specifically relevant to the chief complaint
  • Associated symptoms - related findings that support or refute diagnoses
  • Context clues - family observations, prior similar episodes, medications

Input Flexibility

The HPI Assistant works with various input styles:

Chief complaint format: "45F, chest pain x 2 hours"
Triage notes: "SOB, productive cough, fever x 3 days"
EMS report: "MVA, LOC, c/o neck pain"
Bullet points: "Headache, photophobia, nausea, no fever"
Brief narratives: "Patient reports worsening abdominal pain since yesterday"

What Gets Added Automatically

  • Medical terminology - Converts lay terms to appropriate clinical language
  • Systematic review - Adds relevant review of systems elements
  • Timing precision - Clarifies onset, duration, and progression
  • Quality descriptors - Adds appropriate pain scales, character descriptions
  • Pertinent negatives - Includes "denies" statements relevant to differential
  • Functional context - How symptoms impact activities of daily living

🖼️ HPI Assistant Interface

The HPI Assistant transforms brief clinical input into comprehensive, structured histories:

HPI Assistant Interface

The screenshot demonstrates how a simple input like 74M, L sided weakness, R facial droop, slurred speech x 1 hour becomes a comprehensive, clinically appropriate HPI that includes:

  • Detailed symptom description with appropriate medical terminology
  • Timeline and onset clearly documented
  • Pertinent negatives relevant to the presentation
  • Clinical context that supports decision-making

🔄 Flexible Follow-up and Refinement

Real-Time Modifications

After generating an HPI, easily refine the output with natural language commands:

Smart Updates

The assistant understands context and integrates new information seamlessly without requiring you to regenerate the entire history.

Add clinical details:

  • Include that he's on warfarin
  • Add that family witnessed the event
  • Note he has a history of MI

Adjust focus and length:

  • Make this shorter for a fast track patient
  • Expand the timeline section
  • Focus more on the pain characteristics

Format modifications:

  • Format as bullet points
  • Use our department's HPI template
  • Add more pertinent negatives

Template Integration

Customize output to match your institution's preferred format:

Format using our HPI structure:
- Chief Complaint:
- History of Present Illness:
- Review of Systems:
- Past Medical History (relevant):
- Medications (relevant):

✅ Key Benefits

⚡ Speed and Efficiency

  • Time savings - seconds vs minutes
  • Copy-paste ready - Output formatted for direct EMR insertion
  • Handle multiple patients quickly during busy shifts

🎯 Clinical Quality

  • Comprehensive coverage - Never miss important elements of the history
  • Pertinent positives and negatives - Automatically included
  • Medical terminology - Professional language that supports clinical decision-making
  • Differential support - History structured to help rule in/out diagnoses

📝 Documentation Excellence

  • Consistent format - Standardized structure across all providers
  • Billing support - Appropriate detail level for E/M coding
  • Legal protection - Comprehensive documentation for chart reviews
  • Teaching tool - Shows residents proper HPI structure and content

🔄 Workflow Integration

  • EMR compatibility - Works with any electronic medical record system
  • Real-time editing - Modify output as you gather more information
  • Template flexibility - Adapts to your department's preferred formats
  • Handoff preparation - Creates clear summaries for consultants or admitting teams

💡 Pro Tips for Optimal Results

Input Best Practices

  • Include timing - x 2 hours vs recently provides better context
  • Add severity - severe vs moderate helps with urgency assessment
  • Note progression - worsening vs stable vs improving
  • Include triggers - after exercise or at rest adds diagnostic value
  • Mention location - left-sided vs bilateral guides examination

Common Input Examples by Chief Complaint

Chest Pain:

55M, substernal chest pain x 30 min, diaphoretic, radiates to left arm

Shortness of Breath:

68F, SOB and productive cough x 3 days, worsening, unable to walk upstairs

Abdominal Pain:

23F, RLQ pain x 6 hours, sharp, worse with movement, nausea

Headache:

34M, sudden severe headache x 1 hour, worst of life, photophobia

Integration with Other palmER Tools

Workflow Synergy

  1. Start with HPI Assistant - Generate comprehensive history
  2. Use Physical Exam Assistant - Create focused examination documentation
  3. Complete with MDM Assistant - Generate final assessment and plan

Copy-Paste Workflow

  • Generated HPI can be directly pasted into EMR
  • Use as input for subsequent palmER tools
  • Easily modified as case evolves
  • Perfect for sign-out summaries