| FN 04.06 |
Problem Lists |
The system shall provide the ability to display different views of the problem / diagnosis list based upon the status of the problem.. |
2009 |
N |
For example, active, all, or resolved or charted in error. |
Source is WG discussion and cross-group harmonization. |
IP 3.15 |
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| IP 04.02 |
Problem Lists |
The system shall provide the ability to display the history of changes made to a specific problem / diagnosis, including clinician, date, and time. |
2008 |
P |
For example, updates, corrections or erroneous entries. |
DC 1.4.3 |
IP 2.11 |
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| IP 04.03 |
Problem Lists |
The system shall provide the ability to configure problem list documentation to allow the entry of free text problems and to display an alert of the implications of entering the free text (e.g. free text won't trigger decision support) |
2009 |
N |
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Source is public comments and WG discussion. |
IP 3.67 |
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| IP 04.05 |
Problem Lists |
When the display of the problem list exceeds the current screen or printed page, the system shall indicate that the list continues. |
2009 |
N |
Use of a scroll bar is acceptable to indicate that the list continues. |
Source is public comments and WG discussion. |
IP 3.16 |
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| IP 04.06 |
Problem Lists |
The system shall provide the ability to modify documentation entered in error, maintaining a record of the original entry, identification of the clinician correcting the error and the date and time corrected. |
2009 |
N |
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IP 3.17 |
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| IP 04.09.01 |
Problem Lists |
The system shall provide the ability to maintain a coded list of problems using ICD-9 (or later versions of ICD) or SNOMED. |
2011 |
N |
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MU P1.IP.O3, MU P1.G1 |
IP 3.13 |
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| IP 04.11 |
Problem Lists |
The system shall provide the ability to search all patient records and identify individual patients with specific problems / diagnoses. |
2009 |
N |
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MU P1.IP.O11 |
IP ADM.29 |
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| FN 04.01 |
Problem Lists |
The system shall provide the ability to capture, maintain and display free text comments associated with the problem / diagnosis. |
2009 |
N |
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Source is WG discussion and cross-group harmonization. |
IP 3.12 |
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| FN 04.02 |
Problem Lists |
The system shall provide the ability to capture, maintain and display, as discrete data elements, all problems associated with a patient. |
2009 |
N |
Would include current/active and past/resolved problems. |
Source is WG discussion and cross-group harmonization. |
IP 3.13 |
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| FN 04.04 |
Problem Lists |
The system shall provide the ability to print a problem/diagnosis list. |
2009 |
N |
A screen print is not the intention of this criterion. |
Source is WG discussion and cross-group harmonization. |
IP 3.14 |
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| FN 04.05 |
Problem Lists |
The system shall provide the ability to capture and maintain, as discrete data elements, the specific problem / diagnosis, user, date and time of all updates to the problem list. |
2009 |
N |
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DC.1.4.3 |
IP 3.18 |
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