Patient Problems in the Clinical Summary

A list of documented Problems for the selected patient displays in the chart under Clinical Summary in the “Problems” section.

Both providers and DaVita care team members will create and maintain a patient’s problems list.  Problems added, edited, and deleted in OneView and CWOW will display on the Rcopia Problem List. 

The current problem data includes the problem name, SNOMED (Systematized Nomenclature of Medicine) code, ICD-10 code, added or updated date, and the user who added or updated the problem.

Viewing the Problem List

The patient’s current problems are displayed by default and in a collapsed form indicated by a horizontal arrow (>).

Click the arrow to expand the problem data, which will include: the information list above, as well as reported date, onset date, onset info, managing provider, and problem comments, if available.

Problems Designated as Priority

Problems marked as a priority are displayed at the top of the list with an orange star.

The most recently added priority problem will show first if there is more than one priority problem.

Sorting the Problem List

To re-sort the current problem list, click “Priority” and a dropdown list appears.

The options are Priority, Date Updated, Added by Me, Problem Name, and Role.

Steps to Add a Problem

Click here to view the steps

Select the +ADD PROBLEM link
Begin typing a problem name to search and then select it from the populated list
Enter the appropriate problem details	NOTE: Problem, Reported Date, Source, and Status are required fields. The Onset Date field can be marked as an approximated date.
Select SAVE or SAVE & CREATE NEW

Steps to Edit a Problem

Click here to view the steps

Select the Edit icon next to the appropriate problem
Edit the appropriate fields	NOTE: All fields can be modified except for the problem name and associated SNOWMED and ICD-10 codes.
Select the SAVE button

Resolved / Deleted Problems

Problems resolved or deleted are moved from the “Current” list to the “Resolved/Deleted” list, and the priority will be removed if it was added.

To re-sort the resolved/deleted problem list, click the dropdown to view your list of options.

The sort options are Date Updated, Added by Me, Problem Name, Role, Resolved, and Deleted.

Steps to Delete or Resolve a Problem

Click here to view the steps

Click the Remove icon next to the appropriate problem
Select the appropriate Clinical Status
Click the DELETE or UPDATE button

NOTE: Problems marked as “Entered In Error” in OneView will not be visible in Rcopia.

NOTE: The original author is the only user that can permanently remove the problem by choosing the “Entered In Error” option. A problem that a clinician enters in CWOW that the provider deems inaccurate may be deleted in OneView. Clinicians may not delete problems that a provider creates. Selecting the option of "Resolved" will allow you to enter a date and comment prior to saving your changes.

Practice Staff Access to Problems

Practice staff users can view the Problems List for their physician’s/APP's patients by navigating to PATIENTS.  After opening the patient's chart, the data is located in the Problems section under Clinical Summary. The data is read-only.