Related Experiment Video
Updated: Feb 18, 2026
07:26
Executing Complexity-Increasing Queries in Relational MySQL and NoSQL MongoDB and EXist Size-Growing ISO/EN 13606 Standardized EHR Databases
Published on: March 19, 2018
9.8K
Towards an overarching model for electronic medical-record systems, including problem-oriented, goal-oriented, and
Huibert Tange1, Zsolt Nagykaldi2, Jan De Maeseneer3
1a Department of Family Medicine , Maastricht University , Maastricht , The Netherlands.
The European Journal of General Practice
|November 18, 2017
Summary
Integrating medical record approaches is key for better clinical decisions. A new model combines problem, goal, and source-oriented methods for improved patient care.
Area of Science:
- Health Informatics
- Medical Record Systems
- Clinical Decision-Making
Background:
- Current medical record structures lack consensus for clinical decision-making.
- Dominant problem-oriented approach in primary care is insufficient for multimorbidity.
- Existing source-oriented, problem-oriented, and goal-oriented approaches have limitations.
Purpose of the Study:
- To address the lack of consensus in medical record structuring.
- To explore misconceptions hindering consensus on 'problems' and 'goals' in medical records.
- To propose an integrated model for next-generation electronic medical record systems.
Main Methods:
- Historical perspective analysis of medical record approaches.
- Examination of different definitions of health and their relation to record-keeping.
- Development of a three-level overarching model combining existing approaches.
Main Results:
- Identified misconceptions about 'problems' and 'goals' impede consensus.
- Demonstrated that each approach relates to a distinct definition of health.
- Proposed a new three-level model integrating problem, goal, and source-oriented merits.
Conclusions:
- A unified medical record system is needed to serve all patients effectively.
- The proposed model integrates diverse approaches, preserving their merits.
- This approach paves the way for advanced electronic medical record systems.
More Related Videos
Related Concept Videos
01:26Methods of Documentation II: POMR
1.5K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.5K
01:30Methods of Documentation VII: EMR
1.5K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.5K
01:15Methods of Documentation VI: Case Management Model
966
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
966
01:30Health Information Technology and Healthcare Information System
3.4K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.4K
01:18Methods of Documentation I: Source-Oriented Records
1.7K
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
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:
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:
1.7K
01:25Models of Health Promotion and Illness Prevention I
2.9K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.9K