HL7 EHR Problem-Oriented Health Record Functional Profile

This document is a technical report detailing the HL7 EHR Working Group's Project on the Problem-Oriented Health Record (POHR) Functional Profile. It outlines the clinical and health IT background for the POHR, including its origins, purpose, and the significance of problem-oriented clinical decision support. The report explains how problem orientation can improve care and reduce clinician burdens through standardized data collection and analysis. It distinguishes between problems and health concerns and discusses the curation of problem lists. Additionally, the document describes a seven-step process for diagnostic decision-making that integrates patient data with medical knowledge, emphasizing the role of clinical decision support tools. The report also addresses the relationship between problem orientation and artificial intelligence, highlighting the potential benefits of AI in enhancing traditional software tools and improving patient care. Overall, the report aims to provide a comprehensive understanding of the POHR standards and their implications for healthcare.