02578nam a22004695i 4500 978-981-97-4189-2 DE-He213 20251030113041.0 cr nn 008mamaa 240913s2024 si | s |||| 0|eng d 9789819741892 978-981-97-4189-2 10.1007/978-981-97-4189-2 doi R1 MB bicssc MED000000 bisacsh MB thema Kim, Gheun-Ho. author. aut http://id.loc.gov/vocabulary/relators/aut 84254 Problem-Oriented Medical Record in Electronic Healthcare System [electronic resource] : Guide to Systematic Writing / by Gheun-Ho Kim. 1st ed. 2024. Singapore : Springer Nature Singapore : Imprint: Springer, 2024. VIII, 92 p. 24 illus., 23 illus. in color. online resource. text txt rdacontent computer c rdamedia online resource cr rdacarrier text file PDF rda 1. What is the medical record? -- 2. Problem versus Impression -- 3. POMR for inpatients -- 4. Admission note -- 5. Progress note -- 6. Discharge summary -- 7. POMR for outpatients -- 8. POMR in the era of electronic health record. Problem Oriented Medical Record (POMR) has been a standard of physicians’ record since it was introduced in 1968 by Dr. Lawrence Weed. However, many physicians are unaware of its principles and do not apply it in a correct way in clinical practice. This book will describe how to systematically write medical records for the diagnostic and therapeutic approaches. This book will cover principles and practice of POMR for care of inpatients and outpatients. The importance of medical records cannot be overemphasized, but many trainees are not educated for the right way of POMR. Thus, this book will provided the right concept of POMR and correct way of medical writing, compatible with the principles of POMR. Medicine. 63923 Clinical Medicine. SpringerLink (Online service) Springer Nature eBook Printed edition: 9789819741885 Printed edition: 9789819741908 Printed edition: 9789819741915 https://doi.org/10.1007/978-981-97-4189-2 ZDB-2-SME ZDB-2-SXM 63359 63359