RE: [Hardhats-members] CPRS Clinical Workflow Question

[Cameron Schlehuber]

The Problem List in VistA is very rudimentary and needs a good deal of work to make it more useful to care providers.  Part of the difficulty is that the software tools for managing the list just aren’t there so problem lists get out of date quickly or cluttered with old information.  Until the Problem List becomes much more rigorous and easy to use, it won’t be properly used everywhere and certainly won’t be a good set of entries to link to diagnostic and treatment plans.  (But there are hopes among some docs to get back to the Problem Oriented Medical Record (POMR) and do it unobtrusively.)  And while there is a “Purpose of Visit” that can be associated with treatment episodes, the field is free text and therefore not very useful more rigorous searching.  At least every outpatient encounter gets associated with one or more diagnosis.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Marc Krawitz Sent: Monday, January 23, 2006 4:15 PM To: hardhats-members@lists.sourceforge.net Subject: [Hardhats-members] CPRS Clinical Workflow Question   As far as I can tell, VistA doesn't seem to associate orders, lab tests, etc. with a patient problem(s).  Why is that?  I'm not a physician, so my preconceptions about workflow are probably wrong - hence my question.  Do most EMRs function in this manner?   Thanks,   Marc