Problem List

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MU Requirements

Meaningful Use Measures:

At least 80% of all unique patients have at least one entry or an indication of none recorded.


Certification Criteria for EHR:

Enable a user to electronically record, modify, and retrieve a patient’s problem list for longitudinal care (i.e., over multiple office visits) in accordance with the applicable standards% specified in Table 2A row 1: Applicable HIPAA code set required by law (i.e.,ICD-9-CM); or SNOMED CT.

Proposed Solution

Problem list can be found in Issues section of each patient's Medical Record.

File:problemlist1.png

It will be easier to access in the new GUI developed by Tony. See Medical Problems.

File:problemlist2.png


The proposed solution is as follows:

1. Add a "problem_list_status" field to "patient_data" table. The default for this field is "". This status is displayed under Medical Problems (new GUI).


2. Create a new field in Encounter form to allow the provider to choose "None" if there is no problem.
O Add Problem O None
O Add Allergy O None
O Add Medication O None

Effected Code, Tables, etc

-- -- Table structure for table `patient_data` --

DROP TABLE IF EXISTS `patient_data`; CREATE TABLE `patient_data` ( 

 `id` bigint(20) NOT NULL auto_increment,
 `title` varchar(255) NOT NULL default ,
 `language` varchar(255) NOT NULL default ,
 `financial` varchar(255) NOT NULL default ,
 `fname` varchar(255) NOT NULL default ,
 `lname` varchar(255) NOT NULL default ,
 `mname` varchar(255) NOT NULL default ,
 `DOB` date default NULL,
 `street` varchar(255) NOT NULL default ,
 `postal_code` varchar(255) NOT NULL default ,
 `city` varchar(255) NOT NULL default ,
 `state` varchar(255) NOT NULL default ,
 `country_code` varchar(255) NOT NULL default ,
 `drivers_license` varchar(255) NOT NULL default ,
 `ss` varchar(255) NOT NULL default ,
 `occupation` longtext,
 `phone_home` varchar(255) NOT NULL default ,
 `phone_biz` varchar(255) NOT NULL default ,
 `phone_contact` varchar(255) NOT NULL default ,
 `phone_cell` varchar(255) NOT NULL default ,
 `pharmacy_id` int(11) NOT NULL default '0',
 `status` varchar(255) NOT NULL default ,
 `contact_relationship` varchar(255) NOT NULL default ,
 `date` datetime default NULL,
 `sex` varchar(255) NOT NULL default ,
 `referrer` varchar(255) NOT NULL default ,
 `referrerID` varchar(255) NOT NULL default ,
 `providerID` int(11) default NULL,
 `email` varchar(255) NOT NULL default ,
 `ethnoracial` varchar(255) NOT NULL default ,
 `interpretter` varchar(255) NOT NULL default ,
 `migrantseasonal` varchar(255) NOT NULL default ,
 `family_size` varchar(255) NOT NULL default ,
 `monthly_income` varchar(255) NOT NULL default ,
 `homeless` varchar(255) NOT NULL default ,
 `financial_review` datetime default NULL,
 `pubpid` varchar(255) NOT NULL default ,
 `pid` bigint(20) NOT NULL default '0',
 `genericname1` varchar(255) NOT NULL default ,
 `genericval1` varchar(255) NOT NULL default ,
 `genericname2` varchar(255) NOT NULL default ,
 `genericval2` varchar(255) NOT NULL default ,
 `hipaa_mail` varchar(3) NOT NULL default ,
 `hipaa_voice` varchar(3) NOT NULL default ,
 `hipaa_notice` varchar(3) NOT NULL default ,
 `hipaa_message` varchar(20) NOT NULL default ,
 `hipaa_allowsms` VARCHAR( 3 ) NOT NULL DEFAULT 'NO',
 `hipaa_allowemail` VARCHAR( 3 ) NOT NULL DEFAULT 'NO',
 `squad` varchar(32) NOT NULL default ,
 `fitness` int(11) NOT NULL default '0',
 `referral_source` varchar(30) NOT NULL default ,
 `usertext1` varchar(255) NOT NULL DEFAULT ,
 `usertext2` varchar(255) NOT NULL DEFAULT ,
 `usertext3` varchar(255) NOT NULL DEFAULT ,
 `usertext4` varchar(255) NOT NULL DEFAULT ,
 `usertext5` varchar(255) NOT NULL DEFAULT ,
 `usertext6` varchar(255) NOT NULL DEFAULT ,
 `usertext7` varchar(255) NOT NULL DEFAULT ,
 `usertext8` varchar(255) NOT NULL DEFAULT ,
 `userlist1` varchar(255) NOT NULL DEFAULT ,
 `userlist2` varchar(255) NOT NULL DEFAULT ,
 `userlist3` varchar(255) NOT NULL DEFAULT ,
 `userlist4` varchar(255) NOT NULL DEFAULT ,
 `userlist5` varchar(255) NOT NULL DEFAULT ,
 `userlist6` varchar(255) NOT NULL DEFAULT ,
 `userlist7` varchar(255) NOT NULL DEFAULT ,
 `pricelevel` varchar(255) NOT NULL default 'standard',
 `regdate`     date DEFAULT NULL COMMENT 'Registration Date',
 `contrastart` date DEFAULT NULL COMMENT 'Date contraceptives initially used',
 UNIQUE KEY `pid` (`pid`),
 KEY `id` (`id`)

) ENGINE=MyISAM AUTO_INCREMENT=1 ;


-- -- Table structure for table `lists` --

DROP TABLE IF EXISTS `lists`; CREATE TABLE `lists` ( 

 `id` bigint(20) NOT NULL auto_increment,
 `date` datetime default NULL,
 `type` varchar(255) default NULL,
 `title` varchar(255) default NULL,
 `begdate` date default NULL,
 `enddate` date default NULL,
 `returndate` date default NULL,
 `occurrence` int(11) default '0',
 `classification` int(11) default '0',
 `referredby` varchar(255) default NULL,
 `extrainfo` varchar(255) default NULL,
 `diagnosis` varchar(255) default NULL,
 `activity` tinyint(4) default NULL,
 `comments` longtext,
 `pid` bigint(20) default NULL,
 `user` varchar(255) default NULL,
 `groupname` varchar(255) default NULL,
 `outcome` int(11) NOT NULL default '0',
 `destination` varchar(255) default NULL,
 PRIMARY KEY  (`id`)

) ENGINE=MyISAM AUTO_INCREMENT=1 ;


The affected file is "\htdocs\openemr\interface\patient_file\summary\add_edit_issue.php".

Owner and Status

Design - Tony McCormick and Thomas Wong

Coding - Jeremy Wallace

Links

Retrieved from "http://www.openmedsoftware.org/wiki/Problem_List"
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