| OP sets all defaults to share all information. Any individual decisions by Practice-users to restrict information sharing (access, use, or exchange) are the responsibility of the Practice in the implementation of its 21st Century Cures Act Information Blocking policies and procedures for its Practice and patients. |
Version 20.17
 This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page. |
About Problem List
Path: Clinical, Practice Management, or Billing tab > Patient Chart button > History > (select category) > New button
The Problem List creates or edits problems for the patient’s past medical history. Visibility for this note can be set in the Problem List window.
Problem List Map
Number | Section | Description |
1 | Note tab | The Note tab creates the Problem List note. This note can be a general note, historical note, or a review of systems note. The Problem List location section of the Note tab helps to determine the subsection location for the problem in the Problem List. You can indicate the onset date and resolution date. You can also indicate if the problem is active, being tracked, or resolved. The problem details section of the Note tab indicates the problem and ICD code, stage, symptoms, and quality of life. Any notes are indicated below the problem. |
2 | Chart Review tab | The Chart Review tab lists the problems for that patient. Here, the Provider can view the progress notes, diagnoses, date of diagnosis, provider, and more. |
3 | Audit Trail tab | Using the Audit Trail tab as an Administrator, you can see what changes were made to the Problem List and by whom. |
| 4 | Symptoms/severity | The Symptoms/severity ellipsis button displays the Symptoms window where you can add, edit and delete symptoms and the associated severity. |
| 5 | Notes | The Notes field allows you to add any pertinent information. You can also use the Phrase Construction button to find a phrase for the description. |
Version 20.16
About Problem List
Path: Smart Toolbar > Chart button > History tab > (select category) > + button
The Problem List creates or edits problems for the patient’s past medical history. Visibility for this note can be set in the Problem List window.
Problem List Map
Number | Section | Description |
1 | Note tab | The Note tab creates the problem list note. This note can be a general note, historical note, or a review of system note. The problem list location section of the Note tab helps to determine the subsection location for the problem in the problem list. You can indicate the onset date and resolution date. You can also indicate if the problem is active, being tracked, or resolved. The problems details section of the Note tab Indicates the problem and ICD code, stage, symptoms, and quality of life. Any notes are indicated below the problem. |
2 | Chart Review tab | The Chart Review tab lists the problems for that patient. Here the practitioner can view the progress notes, diagnoses, date of diagnosis, provider, and more. |
3 | Audit Trail tab | Using the Audit Trail tab as an Administrator, you can see what changes were made to the problem list (and by whom) from within Office Practicum. |
