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in this video were going to document the process for a specialist or any medical provider for that matter to document a medical problem and add it to the patients problem list we will also then go over the method for them removing it from the problem list but adding it to the patients past medical history for historical purposes as well as documenting any surgical or procedural intervention which may have been performed in this example Im going to give this patient and diagnosis of gall stones I searched for it Im going to choose this one notice that once Ive added it theres this box that says PL PL means problem list so if I check this then it will remain on the problem list forever or until another provider goes ahead and removes it in this case Im assuming the role of a general surgeon whos seeing a patient in consultation for gall stones Ive seen them at the visit Ive documented that they have gall stones I can also this moment make some diagnostic specific notes if I c
