Problem List is a section that lists all the illnesses and the problems faced by the patient.
To record a problem list:
| 1. | In the charting elements ribbon, click Problem List. The Problem List screen is displayed. By default, unresolved problems are displayed. Deselect the Unresolved Problems check box to view the list of resolved problems. |
| 2. | Enter the first 2 characters in the Illness field and select the illness from the list displayed. |
| 3. | Select the Illness Status (Continuation of same, Controlled, Well controlled, etc.) from the drop-down list. |
| 4. | Select the Date Onset using the calendar. If you don’t know the exact date, you can enter the date, month, year, or any relevant text in the text box. |
| 5. | Select the Problem Status (chronic, acute, etc.) from the drop-down list. |
| 6. | Select the Type (Resolved or Unresolved) from the drop-down list. |
| 7. | Enter the notes pertaining to problem list, if any. |
| 8. | Click Save. The illness will then added to the grid. |
Notes:
| • | The Problem Status and the Illness Status are preconfigured in the system. Contact InSync EMR Support to add or remove from the list. |
| • | Once the problem list is reviewed, select the Review button. Your name will display as a reviewer along with date and time. |
| • | Select the No Known Problem check box if the patient does not have any known problems. This helps in achieving Meaningful Use. |
| • | The list of problems can be imported from Chief Complaints/HPI, ROS, and Diagnosis. Based on this, the Problem From is populated in the grid. |
| • | If a problem is added by mistake, it can be inactivated. Click the inactivate icon  to inactivate the corresponding problem added, or select one or more check boxes corresponding to the problems and click the inactivate icon to inactivate the selected problems. |
| • | Select the Show History check box to view the list of active and inactive problems. Select the check box corresponding to the inactive problem and click the Activate icon  to activate the selected problems. |
| • | Once the problem is resolved or cured, click the Mark as Resolved icon  corresponding to that illness so that the illness is marked as resolved. |
| • | You can also view the education material related to the specific illness by selecting the check box in the column and clicking the icon  . The education material can be exported to PDF, printed, and provided to the patient as well. Providing education material will help in increasing numerator for “Core 13: Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient” of MU-2. Please refer to the above section in Meaningful Use Stage – 2 User Guide for more details. |
| • | Click the icon  to view the details such as Created By, Created On, Modified By, and Modified On. |
