How to Add Problems and Diagnoses

How to Add Problems and Diagnoses

Every consultation in Jump is structured around problems — the clinical conditions you're addressing during the encounter. Each problem is coded using SNOMED CT, the international clinical terminology standard.

Selecting Existing Problems

When you reach the Clinical Record step, you'll see a list of the patient's existing problems. Each problem card shows:

• The problem name (SNOMED display term)
• The SNOMED code
• Status badge (Active or Inactive)
• Significance level
• Onset date (if recorded)

Tick the checkbox next to each problem you want to address in this consultation.

Setting the Episode Type

After selecting a problem, choose the Episode Type to indicate how this consultation relates to the problem's care journey:

Episode Type	When to use
New Episode	The patient is presenting with this problem for the first time
Review	A follow-up or routine review of an ongoing problem
Flare Up	The condition has worsened or recurred
End Episode	The problem is resolved or care is being concluded

The episode type helps build a clear timeline when viewing the patient's clinical history.

Adding a New Problem

If the patient is presenting with a condition not yet on their problem list:

1. Use the problem search to find the correct SNOMED-coded term
2. Start typing the condition name — results appear as you type
3. Select the most appropriate term from the search results
4. The problem is added to the consultation and to the patient's problem list

Problem Qualifiers

For selected problems, you can optionally add qualifiers to provide more clinical specificity:

• Laterality — Left, Right, or Bilateral (e.g. left knee osteoarthritis)
• Severity — coded severity level using SNOMED post-coordination

Consultation Notes per Problem

Each selected problem has a dedicated Consultation Notes text area where you can add notes specific to that problem for this encounter. These notes appear alongside the structured POMR sections.

Tip: You can address multiple problems in a single consultation. Each problem gets its own tab in the clinical editor, keeping your documentation organised.

Next Steps

Once you've selected your problems and set episode types, you're ready to document your clinical findings — see How to Document Clinical Findings.