@matthew.strother I agree completely with your comments, hence why I haven’t participated more. I think we need to edit the wiki to make it clear that this is about a data model (and we need to decide if it is a maximal or minimum data model ) and the main problem(s) we are trying to solve with such a list.
How we display the data (UI) and the business rules (Who enters, when, who maintains etc) comes second.
It might be helpful to start with a couple of specific use cases?
I currently have a thread called persistent patient health summary which is a piece of work that I’m doing at healthAlliance to try to agree to a minimum data set for a summary care record @brian.yow your suggestion to call this curated clinical summary is a broader scope, a curated clinical summary contain more data than a ‘problem list’.
Here are the links to two references that might be helpful
http://www.jointinitiativecouncil.org/registry/standards.set.patient.summary.asp - This is a collaboration between major standards body to produce a specification for a patient summary- and a ‘problem list’ is part of that data set.
Attached Core Personal Health Information A3.pdf (248.6 KB) is a poster from the MOH that is the output of all the workshops for the national EHR defining a core data requirements for a summary of personal health information. In this model they refer to problem lists as Medical History.
The scope of of this heading is Historical information and events that the consumer/whānau has previously encountered including primary, community and acute instances to understand and help formulate the overall health picture
Useful for: getting a more comprehensive overview of a consumer’s healthcare interactions that could improve clinical diagnosis, treatment, and condition management
May include: relevant diagnosis, problems (including general and mental health and social) and treatments or therapies a consumer has undergone (e.g. type of surgery, specialist care), relevant medical events (incl. adverse), oral health, medical devices