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A simplified office practice record system
Abstract:
This variant of the problem-oriented record system has been used for over two years in an office practice with a volume of five patients per hour. It is a fast, simple system designed for a busy practice. The record has only five components, plus colored flags that may be inserted in the charts. The original innovation in this system is a graphic three year, all-purpose flow sheet.
Related Concept Videos
Methods of Documentation II: POMR
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Types of Records II: Educational and Administrative Records
Types of Records I: Unit and Nurses Records
Unit records can be divided into two main types: administrative records and clinical records.
Administrative records in...
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Purpose of Health Records II

