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Click ‘Get Form’ to open the master problem list in the editor.
Begin by entering the 'Client Name' and 'ID #' at the top of the form. This information is crucial for identifying the individual associated with the problem list.
In the 'Date Identified' field, input the date when the problems were first noted. This helps track progress over time.
For each problem listed, select the appropriate 'Problem Code' from the provided options. Ensure that you accurately reflect the client's situation.
Fill in the 'Problem Statement' section by detailing specific issues faced by the client, such as substance use or emotional challenges.
Record any resolutions in the 'Date Resolved' field once applicable solutions have been implemented.
Review all entries for accuracy before saving your changes to ensure a comprehensive overview of client needs.

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What is the patient problem list?

The problem list is a list of symptoms, conditions, diagnoses, and/or risk factors identified through assessment, psychiatric diagnostic evaluation, crisis encounters, or other types of service encounters.

What goes in a problem list?

The Problem List details any ongoing health issues that currently affect your well-being. You can view this information for yourself in the Current Health Issues section of your MyChart account.

What does problem list mean on MyChart?

According to AHIMA, a problem list includes: chronic conditions, diagnoses, functional limitations, visit or stay-specific conditions, diagnoses, or signs and symptoms. A well maintained problem list paints the most precise clinical picture of your patient.

What should be on a problem list?

Problem lists should only include active problems and issues relevant to present and future care. This requires removing problems that are no longer relevant and adding newly diagnosed chronic conditions. In most EHRs, the problem list is used for clinical decision support.