Historically, a doctor recorded a patient’s medical issues on a problem list included as part of the patient’s paper chart.
Chronic illnesses and major medical issues were included on the list. Such paper records faced severe limitations, however. The chart was housed in one physical location, restricting accessibility. Each healthcare provider organization working with the patient would maintain its own records -- including problem lists -- leading to a highly fragmented view of the patient. Caregivers moving towards a more collaborative care delivery model would soon find paper records an undesirable and insecure way to share patient data. In addition, these paper-based problem lists were not always consistently maintained.