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Defining the Contextual Problem List

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… Click to show full 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: problem list; problem; model; contextual problem; defining contextual

Journal Title: Studies in health technology and informatics
Year Published: 2020

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