Problem lists should be reviewed at the beginning and end of every inpatient encounter, at every initial outpatient consult, and at least yearly for followed outpatients. Problem "reconciliation" includes addition of new problems, designation of current problems as active (attended to during an encounter) or inactive (non-hospital or non-visit), and either resolving or deleting problems no longer requiring ongoing attention.
Inpatient and outpatient problem lists are optimized to manage the activation/deactivation of hospital problems and visit diagnoses, respectively.
The Admission navigator has a problem list section with a layout facilitating designation of prior problems as active hospital problems:
The Discharge navigator has a problem list section that emphasizes marking problems as resolved or not and chronic or not:
