Example Medical Record Problem List

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Problem List Guidance in the EHR - AHIMA

https://library.ahima.org/doc?oid=104997

Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifying the time of occurrence or identification and resolution. 1 They are an important communication vehicle used throughout the entire healthcare continuum. See more

Problem Lists in Health Records - AHIMA

https://bok.ahima.org/PdfView?oid=106339

The problem list must be a dynamic section of the health record, used primarily for theprovision of care. Examples of problems include health, psychiatric, nursing, dental, …

Problem List Guidance in the EHR. Appendix A: Sample …

https://library.ahima.org/doc?oid=104978

Problem list: a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifying the time of occurrence or identification and …

PROBLEM-ORIENTED MEDICAL RECORD …

http://www.stritch.luc.edu/lumen/meded/medicine/subint/pomr.pdf

EXAMPLE: For an elderly, lonely female who is admitted with a hip fracture and whose physical exam is normal except for the hip and whose answers are positive for every …

What is a problem list in healthcare? - SearchHealthIT

https://www.techtarget.com/searchhealthit/definition/problem-list

It is easier to analyze the medical records and find all patients with a common illness through ICD-11 coded problems or view medical histories in the electronic health …

Problem List - PCC Learn

https://learn.pcc.com/help/problem-list/

Review a Problem List. Each problem includes a diagnosis description (from SNOMED-CT, or ICD-9 for pre-2014 Problems) and a Resolved/Active/Inactive status. There are also optional fields for …

The Problem with Problem Lists—and How EHR …

https://www.chiefhealthcareexecutive.com/view/the-problem-with-problem-lists-and-how-ehr-functionality-can-help-fix-them

Lawrence Weed, MD, pioneered the concept of the problem list in the 1960s. Weed developed what he called the problem-oriented medical record, which consisted of …

A resource guide for medical problem list problems - IMO

https://www.imohealth.com/ideas/article/a-resource-guide-for-medical-problem-list-problems/

The problem with the medical problem list – Discover why the problem list is often disjointed and needlessly complex – then we make the case for better organization. Four steps to a more effective …

10 Components Of a Medical Record? The Best Guide …

https://digitalhealth.folio3.com/blog/10-components-of-a-medical-record/

What Are The 10 Components Of A Medical Record? 1. Identification Information 2. Medical History 3. Medication Information 4. Family History 5. Treatment …

Eliminating the Problems From Problem Lists - For The Record …

https://www.fortherecordmag.com/archives/SO20p20.shtml

For example, an outdated problem list “may reflect the problem for which the patient is being treated today but also all the prior conditions, many of which may no longer be …

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