I have one issue I would like to bring up: the distinction between diagnosis lists and problem lists.
I have solved this issue for myself, at least for now, by including the problem list in the ROS field. This works ok, but it involves duplicate work, since anytime a new diagnosis/problem pops up, I have to add it to both places.
Suggestion: add a field to the diagnosis list which would contain free text, and would essentially be the problem description corresponding to the diagnosis. If a diagnosis has no corresponding problem list entry, leave the field blank. If the problem has no corresponding diagnosis, create a dummy ICD code for misc. problem.
The problem is somewhat semantic in some sense.
You can create your own "problem" for the diagnosis field
Open the "search for dx" field and on the L side is add code.
You can then enter your problem and an artifical code (to recreate it) such as Problem: DM easily controlled with diet and weight loss = code M1. Then save. You can do 6 of them at a time with their own artificial "ICD" codes.
An issue with this would be that they are on the same "level" as a diagnosis and you would have to sift through the hash marks to separate them. Another issue is that it would move to the billing section and if you export your billing this would need to be ignored or the outside world would have issues (this is not a standard CPT code, DUH).)
Another way would be to create template for the top problems and simply drop a template into the problem section.
Issue with this is that they will not reoccur in the drop down box.
Another solution is to put them in the PMH (or ROS as you have chosen.) Yes, you can use the ROS but to my thinking PMH makes more sense. You can have templates that cross for both PMH and Dx list, so you can do both or either.
Ultimately everyone does it their own way.
One issue with all EMRs is that some things YOU adapt to and some things YOU modify to your tastes. AC is well poised to let you modify some things but some things you adapt.
Significant changes to the basic program would displease a segment of the AC the AC community no matter how small.
Look over some of the posts when versions 3,4,5 were introduced. Some new things are easy, just ignore them. I rarely use orders. They were made to codify in V4 or 5 and made them much more difficult to use, I use them occasionally but not much. I see why they were changed but the process is too cumbersome. Others adapted.
