The Problem List shows all current problems and allergies with an option to display all past problems. The user may select a problem, and add a progress note, an order, medication, or a consultation, which are all automatically associated with the problem. From the Problem List, the user may call up all chart records, including lab results, which have been associated with the problem.

A new problem may be entered into the chart when documenting an encounter with the patient - the corresponding progress note becomes an integral part of the problem record. After the problem has been given its initial designation, the designation may be changed as diagnostic results or further observations become available. Ultimately the problem may be diagnosed by selecting an ICD-9 / ICD-10 code from cyberREN’s catalog system. This record/code is used as the justification when exporting billable events to a related financial system.

All elements of the cyberREN chart an be associated with a patient problem, allowing the user to easily determine all actions undertaken to resolve the problem, as well as the outcomes of treatment activities pertaining to an individual problem.

The user may write orders specific to a particular problem directly from the Problem List, or may activate a Care Map, also known as critical path, to help treat and eventually resolve the problem. A Care Map is a predefined set of orders, to be carried out in a certain sequence or schedule. cyberREN allows the user to define Care Maps for a variety of problems, and register these for continued use in a Care Map catalog. Care Maps assist in providing a consistent treatment, register outcomes of the treatment regime, and represent the basis for a Continuous Quality Improvement (CQI) program within your facility.

Problem records are automatically generated from several places within the cyberREN chart, when charting peritonitis episodes, for example, thereby reducing manual charting effort.