A computerized diagnostic evaluation of a psychiatric problem

The authors has developed a computerized system for diagnostic evaluation of a psychiatric problem on the Problem-Oriented Medical Information System (PROMIS). He evaluates the chief complaint of hyperactivity by the three-step process: 1) defining the problem, 2) considering causes that are common and easily reversible, and 3) considering other causes. Eleven physicians, including 6 psychiatrists, used this system. The psychiatrists thought the organization of the diagnostic evaluation was clinically sound and a useful training device. The nonpsychiatric physicians thought this diagnostic process was analogous to the diagnostic process for other medical problems.