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problem
(redirected from problem-oriented medical record)

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Melnick returned home to an internship and residency at the University of Vermont, where he was drawn to the work of Lawrence Weed, pioneer of something called "The Problem-Oriented Medical Record.
The Problem-Oriented Medical Record and the SOAP (Subjective, Objective, Assessment, and Plan) note documentation model are covered, including a discussion of how the treatment planning process reinforces the importance of goal development and evaluation.
From many years of using the problem-oriented medical record in daily patient care, we found that to understand the patient and his or her problems, a defined database and complete problem list were needed.
 
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