Patient Problem List

 

 

 

Patient Problem List

A patient's problems are listed in the upper left of the Medical window. 

Every time you add, edit or remove a patient problem, an entry is made in the Audit Trail.

Add a Problem
1. Click Add Problem to open the Problem Master List
2. Double click on the problem to select it.
It will show in the patient's list. 

Edit a Problem
To change a problem's status or enter start/stop dates or notes, double click on it.

Status: There are three options.
- Active:
- Resolved:  An acute problem that will never return (e.g fractured hip or an infection).
- Inactive: A problem that may return (e.g. diabetes or angina).

Start/Stop Date:  Click Today to populate the field with the current date.

Note:  Enter any patient-specific notes.

Problem Type: EHR only. Must be set to Problem for this condition to show on a Continuity of Care document (CCD).

Functional Status:  EHR only.  If Problem, this will show under Problems on a CCD. If CognitiveResult, CognitiveProblem, FunctionalResult, or FunctionalProblem, this will show under Functional Status on a CCD.