# History Taking: Tensors ## The important layers of communication The first step in any patient-interaction is to understand the patient's situation. The process of understanding this situation is typically called the *history of present illness*, or HPI. This HPI is the seed for further focused effort in treating the patient. The process of taking an HPI is historically framed in steps. ## Model We take a tensor model to highlight the important structures of the HPI. A tensor is, in general, a pattern with many interacting parts. Unlike a vector, a tensor does not necessarily have numbers intrinsically associated with it. It only has numbers once you've chosen to view it from a specific perspective. While the tensor itself assumes a specific structure, this specific structure does not hinder the generalizability of the core objects of interest: the encoding, communication, and decoding of the patient's situation. ## Intention Tensor We start with the patient's intrinsic *intention tensor*. The goal of the HPI is to infer this intention tensor for further downstream diagnosis and management. ##