Problem list (MU2)

MU Requirements

Per ONC

Taken from ONC Final Rule

(5) Problem list. Enable a user to electronically record, change, and access a patient’s active
problem list:
(i) Ambulatory setting. Over multiple encounters in accordance with, at a minimum, the
version of the standard specified in § 170.207(a)(3)

Per ONC/NIST Final Test Methods

See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method

Status

Analyzed - Bradymiller 00:29, 16 January 2013 (UTC)

Proposal

This is currently mostly supported, however there is a Date Changed field that needs to be there. Also some minor things that should be done to improve and enforce the SNOMED encoding. Details are described below.

Mandatory:

1. Place a Date Changed field in the lists entry form (interface/patient_file/summary/add_edit_issue.php). Use a new database entitled modifydate item in lists table to store this.

Not mandatory, but considered necessary:

1. Support 'Problem Lists' specific code type:

• Add ct_problem sql column flag to the code_types sql table
• By default, set this to on (1) for the ICD9,ICD10 and SNOMED code types.
• Add it to comments and main array in the custom/code_types.inc.php script
• Support modification of this setting in interface/super/edit_list.php script
• Modify collect_codetypes() in custom/code_types.inc.php to support a medical_problem category and then use it when call this function in code search popup from interface/patient_file/summary/stats_full.php script

2. When adding/editing a Medical Problem, after selecting a code from the code type pop-up, then populate the title of the Medical Problem with the Code title (only do this if the Title entry is currently empty).

3. In the code_set_search() in custom/code_types.inc.php script, note that the SNOMED searching also produces titles that end in (disorder). Is there a way to remove this '(disorder)' from the entry within the sql query (ie. via something like the mysql substring() function or something like that). Otherwise, all the problems will have an ugly (disorder) at the end.

Owner

ZH Healthcare

Links

• OpenEMR Certification Stage II Meaningful Use Main Project Page
• Problem List wiki page for stage I certification