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ASOP: a new method and tools for capturing a clinical encounter

R A Gensinger1, J Fowler

  • 1SIU School of Medicine, Springfield, Illinois, USA.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1995
PubMed
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The proposed Assessment, Symptom, Objective, Plan (ASOP) method offers a standardized workflow for future automated medical records. This system aims to improve medical nomenclature and data querying for enhanced healthcare systems.

Area of Science:

  • Medical Informatics
  • Health Information Systems
  • Clinical Documentation

Background:

  • Current medical record systems, like POMR-SOAP, require modernization for automation.
  • Standardized workflows and nomenclature are crucial for efficient electronic health records (EHRs).

Purpose of the Study:

  • To demonstrate the limitations of existing POMR-SOAP methods.
  • To advocate for the adoption of the ASOP method for future medical record notation.
  • To highlight tools enabling ASOP implementation.

Main Methods:

  • Analysis of the POMR-SOAP system's shortcomings.
  • Exploration of emerging technologies for medical terminology mapping.
  • Review of tools for intelligent web-based medical queries.

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Main Results:

  • The POMR-SOAP system presents challenges for automated record-keeping.
  • Development is underway for tools to support ASOP, including terminology mapping and intelligent querying.
  • ASOP offers a pathway to standardized, automated medical documentation.

Conclusions:

  • A shift from POMR-SOAP to ASOP is necessary for advanced automated medical record systems.
  • The proposed ASOP method facilitates standardized workflows and medical nomenclature.
  • Further development of supporting tools will enable ASOP as the preferred medical notation system.