Describe The Source-Oriented And Problem-Oriented Medical Record Formats

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Chapter 38: The Medical Record Flashcards | Quizlet

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Documentation & Reporting in Nursing - Nurseslabs

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ch 5 documentation Flashcards | Quizlet

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ch 5 documentation. Term. 1 / 28. Problem-oriented records. Click the card to flip 👆. Definition. 1 / 28. Problem-oriented records differ from source-oriented records in that …

What is the difference between source oriented and problem …

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Source-oriented (SO) charting is a story record that each member of the health care team (source) keeps on separate records. Charting, on the other hand, takes a long time and …

What are Problem Oriented Medical Records (POMR)?

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This is a complete problem list outlining the patient’s medical issues after the hospital or clinic admitted them. It will also include information from the database. Based on the …

Documentation Flashcards | Quizlet

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Documentation. Written or typed legal record of all pertinent interactions with the patient - assessing, diagnosing, planning, implementing, and evaluating. Patient Record. …

1 describe the difference between a source oriented

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A problem-oriented medical record (POMR) is an offset of the traditional source-oriented system. The POMR is a record of clinical practice that divides medical action into four or …

What is a source oriented medical record? How does it …

https://www.quora.com/What-is-a-source-oriented-medical-record-How-does-it-function

Answer (1 of 3): Medical records that are used by physicians come in three types: · Problem oriented record · Source oriented record · Integrated record A source …

Differences Among Source Oriented Records, Problem.

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A variety of formats are used to maintain manual records, including the source oriented records (SOR), problem oriented records (POR), and integrated …

Ch 5 Documentation Flashcards | Quizlet

https://quizlet.com/434143243/ch-5-documentation-flash-cards/

b. Access to a patient's medical record is restricted to the physician, the nurse, and the patient c. HIPAA guarantees the patient the right to view his or her own medical record d. The patient may not take the original …

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