Health Concern A type of health Risk concern act It – “Risk Condition” Risk concern event A is a wrapper for a (Section 6.1.2.2.4): single risk concern health “possible which may be derived representing condition from a variety of an undesirable future sources within an health state” EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed. Relationship Not all health concerns The Problem section problem are problems. Not all lists and describes all conditions or problems relevant clinical are considered health problems at the time concerns. A health the document is concern may be an generated. At a item/entry on a problem minimum, all list. A health risk is not pertinent current and to be included a historical problems problem list (e.g. risk of should be listed. diabetic retinopathy is Overall health status not included on may be represented in problem list). this section. Entry patient’s level templates associated with the problem section include problem concern and health status observation.
Health Concern Risk A type of health concern event A Risk concern act – It is a wrapper for a single risk concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed. “Risk Condition” (Section 6.1.2.2.4): “possible health condition representing an undesirable future health state” Relationship problem Not all health concerns are problems. Not all conditions or problems are considered health concerns. A health concern may be an item/entry on a problem list. A health risk is not to be included a problem list (e.g. risk of diabetic retinopathy is not included on patient’s problem list). The Problem section lists and describes all relevant clinical problems at the time the document is generated. At a minimum, all pertinent current and historical problems should be listed. Overall health status may be represented in this section. Entry level templates associated with the problem section include problem concern and health status observation.
HealthConcernDAM20160316.docx