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A problem list is a document that states the most important health problems facing a patient such as nontransitive illnesses or diseases, injuries suffered by the patient, and anything else that has affected the patient or is currently ongoing with the patient.
The problem list is a key part of the medical record. At a high level, it lists the patient's most important health problems and gives the practitioner key information to determine the best treatment plan.
DEFINITIONS: ACTIVE PROBLEM LIST: A list of all health issues that affect the individual's current functioning and all health issues potentially requiring monitoring.
Examples of problems include health, psychiatric, nursing, dental, social, and preventive care. In addition, important events are often listed in the problem list, such as procedures, allergic reaction, complications from treatment and so on.
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. They are an important communication vehicle used throughout the entire healthcare continuum.
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A problem list is a document that states the most important health problems facing a patient such as nontransitive illnesses or diseases, injuries suffered by the patient, and anything else that has affected the patient or is currently ongoing with the patient.
For example, they would document medical information by source, e.g., x-ray reports in an x-ray section, and lab reports in a section about lab reports, and so on. Build on the Time & Cost Savings Advantages of POMR through EHR/EMR: Transitioning From Paper-Based to Electronic Medical Records.
ACTIVE PROBLEM LIST: A list of all health issues that affect the individual's current functioning and all health issues potentially requiring monitoring. Active problems include chronic problems such as scoliosis, as well as acute problems.
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. They are an important communication vehicle used throughout the entire healthcare continuum.
An assessment documents a diagnosis which is present or addressed at the time of the visit while a problem documents a diagnosis that affects the patient for an extended period.

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