.

Monday, December 17, 2018

'Essentials of Health Information Management Essay\r'

'Source- lie medical records ar unploughed together by subject matters, such as data from all laboratory results. Progress notes are all kept together and are write in paragraph format; these entries are filed down the stairs a specific sectionalized area in the patient chart and are usually in chronological order. Many facilities use the chronological order because this is an uncomplicated flair to locate the required documents. The major returns is that information is organized together, which makes it easier to escort the assessment, treatment, and observations a specific department provided a patient. The major disadvantage is in that respect is no possible way to quickly determine all of the patient conundrums or treatment that has been provided to the patient. Problem- oriented medical records are kept together by a conundrum way out; with this a number is placed to each problem. This is the most traditional way that most physicians document his or her records. Progress notes are kept in a â€Å"SOAP format, which is S= subjective, O=objective, A= assessment, and P= plan of action.” (SOAP Notes, 2010)\r\nThe problem oriented-medical records have four parts, which include a database, problem list, initial plan, and progress notes. The major advantage is the record format is the ease or progression with all the data. The data is organized into stratified sections, which is faster to find information needed and allows for a more than rapid review of multiple office vists oer time. The major disadvantage is that this type of format requires spare training and commitment from the medical and professional staff. An integrate record is a combination of source- oriented and problem- oriented medical records. The records are arranged in a strict chronological order, regardless of the source of airplane pilot information. This method keeps a good account of unremitting events as the events occur and this method makes it difficult to contrast and coordinate the issues easily.\r\nReferences\r\nFarlex. (2011). The Free Dictionary. Retrieved from http://www.medical-dictonary.thefreedictionary.com SOAP Notes. (2010). Retrieved from http://www.maexample.com/soap-notes.htm\r\n'

No comments:

Post a Comment