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.