Defining the Contextual Problem List

Stud Health Technol Inform. 2020 Jun 16:270:567-571. doi: 10.3233/SHTI200224.

Abstract

The Problem Oriented Medical Record (POMR) is considered a key charting method to support clinical care. Although not uniformly represented amongst digital health systems, this paper presents a clinical model to represent multiple clinical perspectives from a single problem list. The contextual problem list model is defined according to primary diagnosis, comorbidities and problems arising from the primary condition. It is represented within the patient record as a single composition according to the prescribed context. The model pattern could help alleviate the traditional criticisms of paper and digitally based problem records.

Keywords: Contextual problem list; clinical models; digital health; electronic health records; problem list; problem oriented medical record.

MeSH terms

  • Comorbidity
  • Medical Records*