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:
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
vsrecently
provides better context - Add severity -
severe
vsmoderate
helps with urgency assessment - Note progression -
worsening
vsstable
vsimproving
- Include triggers -
after exercise
orat rest
adds diagnostic value - Mention location -
left-sided
vsbilateral
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
- Start with HPI Assistant - Generate comprehensive history
- Use Physical Exam Assistant - Create focused examination documentation
- 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