Problem Orientated Medical Records

Problem orientated medical records.

Problem orientated medical records will accommodate and integrate information about minor and major problems, allow rapid updating of information and better communication between health agencies and primary care team members. They will allow colleagues to retrieve information and assess patient problems, enable better co-ordination to occur between patient investigation and treatment, and ratio...

The problems of problem-orientated records.

Through an Upjohn Travelling Fellowship in 1975 I was able to visit some practices where problem-orientated medical records (POMR) have been introduced, to find out some of the advantages and the difficulties in using this new form of record. All those visited were busy service practices so that the records could be studied in a real situation. The practitioners agreed that the standard of reco...

An algorithm to improve diagnostic accuracy in diabetes in computerised problem orientated medical records (POMR) compared with an established algorithm developed in episode orientated records (EOMR).

BACKGROUND An algorithm that detects errors in diagnosis, classification or coding of diabetes in primary care computerised medial record (CMR) systems is currently available. However, this was developed on CMR systems that are episode orientated medical records (EOMR); and do not force the user to always code a problem or link data to an existing one. More strictly problem orientated medical r...

Problem orientated records. Disease coding in a problem oriented general practice.

Semantic relations for problem-oriented medical records

OBJECTIVE We describe semantic relation (SR) classification on medical discharge summaries. We focus on relations targeted to the creation of problem-oriented records. Thus, we define relations that involve the medical problems of patients. METHODS AND MATERIALS We represent patients' medical problems with their diseases and symptoms. We study the relations of patients' problems with each oth...