ONC Update 2025: Patient Problem List

DrChrono has implemented critical updates to align with the requirements set forth by the Office of the National Coordinator for Health Information Technology (ONC) under the Health IT Certification Program’s HTI-1 final rule. A key focus of this initiative is ensuring that the Problem List aligns with the data standards specified in the United States Core Data for Interoperability (USCDI) Version 3 (v3).

Why This Update Matters

• Improved Data Consistency: Terminology aligns across platforms using standard coding systems such as SNOMED CT.
• Stronger Interoperability: Data exchanges more seamlessly with external healthcare systems and organizations.
• Regulatory Compliance: DrChrono meets the latest HTI-1 certification criteria, reducing the risk of non-compliance.

What Has Changed

Users will see new or updated fields when recording problems. These changes are designed to make problem documentation more thorough and standardized.

Let's take a closer look!

Web | Mobile

Web

Requirement	Update
Status field	Dropdown menu options active recurrence relapse inactive remission resolved
New problem statuses	Active recurrence relapse Inactive remission
Verification status field	Single select dropdown menu includes null/blank - default value unconfirmed provisional differential confirmed refuted entered-in-error
Problem type	This field is optional Options Functional Status (located in clinical dashboard> functional status)  Disability Status Cognitive Status ( located in clinical dashboard> mental status) Behavior for Problem Type Selection Functional Status, Disability, and Cognitive Status These options will remain manually selectable  There will be no automated logic

Mobile 

• From the appointment list, choose the patient's name
• Tap the patient name to display the dropdown
• Choose Problems under the patient column
• Tap applicable fields to view options