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Generate active problem list
Paste notes, a discharge summary or a medication list, and get a numbered problem list with each problem tied to the record that shows it.
Paste clinical notes, a discharge summary, or a medication and diagnosis list, and River builds a numbered problem list from what the records actually show. Each problem is marked active, chronic or resolved from the evidence, with the date and source that support it, and anything unclear is flagged for you rather than assumed.
A problem list is only useful if every line is true. This one never adds a diagnosis the records do not state, never turns a medication into a diagnosis without saying so, and keeps resolved problems with ongoing implications, such as a past blood clot while on anticoagulation, visible instead of deleting them.
What makes a problem list useful
Keep problems specific and current. List a diagnosis once it is established rather than the symptom that led to it, mark problems resolved rather than deleting them, and keep history that still changes care, such as a prior stent or a past bleed, where the next clinician will see it.
Order depends on the setting. In hospital, the reason for admission usually comes first, then other acute problems, then chronic conditions. In clinic, list by what needs active management. Number the list so each assessment and plan can refer to problem 1, problem 2 and so on.
How it works
Paste the records
Notes, a discharge summary, a medication list or a referral letter, in any order.
River sorts the problems
Each documented problem found, dated, sourced and marked active, chronic or resolved.
Check the flags
Unclear problems, unmatched medications and conflicts are listed for your decision.
Paste into your note
Copy the checked list into your admission note, progress note or chart.
What you get
- A numbered problem list ordered for the setting you choose
- Each problem marked active, chronic or resolved, with the record that shows it
- Medications without a matching documented diagnosis flagged for you to check
- Conflicts between sources listed, never silently resolved
- No diagnosis added that the records do not state
Common questions
Will it add diagnoses it thinks are likely?
No. It lists only problems the records state. If a medication suggests a condition that is not documented, such as insulin with no diabetes diagnosis, it flags the mismatch for you instead of adding the diagnosis.
How does it decide active versus resolved?
From the records only: dates, current treatment and the clinician's own wording. When the evidence is unclear, the problem is marked for you to decide.
Will it suggest diagnosis codes?
Only if you ask, and only where the documented wording supports a code, marked for coder review.
Can I include patient identifiers?
Follow your organization's policy. River is HIPAA-eligible and offers a Business Associate Agreement for work with identifiable information. Without one, leave out names, record numbers and dates of birth; the result reads the same, and you can add identifiers in your own record system.
Generate active problem list
Describe what you need, add any files you have, and your workspace opens with the work already underway.