Definitely don’t want to add even more categories and more branch points – and we have seen from past experience that having different views of the condition list (CL) by different providers is a safety hazard as well as an opportunity for miscommunication.
Darius, Akhil and I happened to be in the same forum today. From that discussion:
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the overpopulation of the CL is less likely than in other exemplars (because diagnoses are not automatically sent there), so there is less need to filter the CL based on perceived priority. We doubt that the CL will get so large that a too-long CL will be a larger problem than a partially-hidden CL.
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Clinically, if someone felt it was important to take the time to place halitosis on the CL, then it should be on the CL; that provider intends for themselves or others to note it when they glance at the patient’s chart for an overview.
So: we now advocate
- not filtering the CL by priority, but rather letting everyone see the complete list.
- keeping a field for clinical (not physiological) status, i.e., this problem is worth considering as you look at this patient today (Active) vs. this problem isn’t really something you should be thinking about anymore (Inactive – which could possibly be mapped to FHIR Resolved, although that continues to not quite be the right term)
- we went back and forth about this, but currently feel that having a listStatus field, even hidden from the initial UI, could cause more problems (tempting people to add importance filtering which we now feel doesn’t make sense) than it solves