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Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

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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.
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Multilingual Framework for Risk Assessment and Symptom Tracking (MRAST).

Valentino Šafran1, Simon Lin2,3, Jama Nateqi2,3

  • 1Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, Slovenia.

Sensors (Basel, Switzerland)
|February 24, 2024
PubMed
Summary
This summary is machine-generated.

Advanced digital tools efficiently capture patient insights from diary recordings, improving real-world data collection for personalized oncology care. This approach enhances patient-centered healthcare by integrating daily experiences into treatment decisions.

Keywords:
chronic diseasesmultilingual frameworkpatient-centered carereal-world datarisk assessmentsymptom tracking

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Area of Science:

  • Digital Health
  • Oncology
  • Patient-Reported Outcomes

Background:

  • Traditional patient-reported experience and outcomes measures (PREMs/PROMs) have limitations in capturing the full spectrum of patient experiences.
  • Real-world data (RWD) offers valuable insights into patient journeys, but effective collection methods are needed.
  • Diary recordings can provide comprehensive psychological and physiological well-being data.

Purpose of the Study:

  • To explore the use of advanced digital technologies, including automatic speech recognition and natural language processing, for efficient patient insight capture in oncology.
  • To introduce and validate the MRAST framework for collecting, structuring, and understanding patient data from questionnaires and diary recordings.
  • To assess the usability and user acceptance of a digital solution for collecting real-world patient data.

Main Methods:

  • Development and implementation of the MRAST framework utilizing digital technologies.
  • Prospective study involving colorectal and breast cancer survivors.
  • Data collection through questionnaires and digital diary recordings, analyzed for usability and acceptance.

Main Results:

  • Patients found the MRAST solution well-made, easy to use, and integrable into daily routines.
  • A significant majority (75.3%) of cancer survivors expressed willingness for long-term daily health monitoring via digital wearables.
  • Despite some negative feedback, overall usability ratings were above satisfactory, with the app usability rated 7.9/10 and diary recording experience 7.0/10.

Conclusions:

  • Automated information extraction from patient diaries is a key step towards patient-centered care.
  • The MRAST framework demonstrates the potential of digital tools to enhance the measurement of everyday patient experiences.
  • User testing and continuous improvement are crucial for optimizing the usability and acceptance of digital health solutions in oncology.