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Other factors such as social problems, psychiatric problems, risk factors, allergies, reactions to drugs or foods, behavioral problems, or other health alerts may be included.

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Currently, there is no single standard for the structure or content of problem lists.

Administration and maintenance of problem lists can present challenges, and most organizations struggle to define content, responsibilities, and accountability for maintaining an accurate, updated problem list.

Organizations must develop clear policies and guidance regarding the structure and use of problem lists in order to ensure reliability and integrity of the process.† The process for maintaining problem lists must be designed to integrate with a clinician's workflow to be successful.

Controlled vocabulary for problem lists may be contained in a problem list directory master table.

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Of note in this standard is the reference to past diagnoses and social care factors.Some problem lists limit entries to those factors requiring current action or consideration.