3. Physician Problem List Training Guide June 2015

5. You can add or edit problems from the following Meditech routines: Admission Order Set Clinical Review Discharge Desktop Discharge PDoc

7. GETTING TO THE PROBLEM LIST FROM AN ADMISSION ORDER SET

9. Admission Order Set From your Online Rounding List, highlight your patient and click Order.

11. Admission Order Set Select Order Sets.

13. Admission Order Set 1.Search for appropriate admit order set 2.Select the order set with check box 3.Click Done

15. Admission Order Set 1.Check Patient Problem 2.Click the Red Pencil. 21

17. Adding a Problem Click inside the Patient Problem box.

19. GETTING TO THE PROBLEM LIST FROM CLINICAL REVIEW

21. Clinical Review 1.Select Clinical Review from Online Rounding List 2.Click Problem List

23. GETTING TO THE PROBLEM LIST FROM THE DISCHARGE DESKTOP

25. Discharge Desktop 1.Select Discharge from Clinical Review or the Online Rounding List 2.Click Patient Problems

27. GETTING TO THE PROBLEM LIST FROM PDOC

29. PDoc Select Document from the Online Rounding List or POM Orders screen.

31. PDoc Select a document and click OK.

33. PDoc 1.Click on Problem List 2.Select Update Problems 1 2

35. PDoc Click Add Problem.

37. ADDING AND MANAGING PROBLEMS

39. Adding a Problem Start Typing patient problem by name(choices will begin appearing), or Click ICD Code button and start typing desired code. Name ICD 9

41. Adding a Problem 1.Click on the appropriate problem 2.Problem populates at the top of the screen 3.Click OK 3 1 2

43. Manage Problem List Type (optional) 1.Click in light gray box under “Problem List” 2.Select appropriate Problem Type

45. Manage Problem Status (optional) 1.Click light gray box under “Status” 2.Select Appropriate Status

47. Manage Current Visit Problems (optional) For problems associated with the current visit, check “Current Visit” box.

49. Manage Problem Onset Date (optional) Free type onset date or select onset date from the calendar.

51. Add a Permanent Comment (optional) 1.Click in light space under the thought bubble 2.Enter comment in comment box Once filed, the comment can only be added to and NOT deleted.

53. Accessing Family History Information From Clinical Review, select the “Assessments” button on the lower right hand side of the screen

55. Accessing Family History Information Click in the shaded grey area next to the “Family History” assessment

57. Family History View Here you can review what was entered for the patients Family History. To get back to Clinical Review, click the “Back” Button