What is defined as the Principal problem?

The Principal problem is defined as the main reason for the patient’s hospitalization. This designation is critical in clinical documentation as it helps healthcare providers focus on the primary issue affecting the patient's health that necessitated their admission. This principal diagnosis serves as the guiding factor for treatment planning, resource allocation, and effective communication among the care team.

By accurately identifying the principal problem, providers can ensure that the most pressing health concerns are addressed first, leading to better outcomes. Understanding this concept is foundational in the Epic Inpatient Module, as it shapes how patient care is structured and prioritized during their stay. The principal problem plays a vital role in the overall clinical narrative, impacting everything from diagnosis coding to billing processes.