02401nam a22004215i 4500001001800000003000900018005001700027007001500044008004100059020003700100024003500137050000700172072001500179072002300194072001400217100008300231245014200314250001800456264007200474300006500546336002600611337002600637338003600663347002400699505023600723520071700959650002101676650002301697710003401720773002601754776003601780776003601816776003601852856004601888912001401934912001401948999001701962978-981-97-4189-2DE-He21320251030113041.0cr nn 008mamaa240913s2024    si |    s    |||| 0|eng d  a97898197418929978-981-97-4189-27 a10.1007/978-981-97-4189-22doi 4aR1 7aMB2bicssc 7aMED0000002bisacsh 7aMB2thema1 aKim, Gheun-Ho.eauthor.4aut4http://id.loc.gov/vocabulary/relators/aut98425410aProblem-Oriented Medical Record in Electronic Healthcare Systemh[electronic resource] :bGuide to Systematic Writing /cby Gheun-Ho Kim.  a1st ed. 2024. 1aSingapore :bSpringer Nature Singapore :bImprint: Springer,c2024.  aVIII, 92 p. 24 illus., 23 illus. in color.bonline resource.  atextbtxt2rdacontent  acomputerbc2rdamedia  aonline resourcebcr2rdacarrier  atext filebPDF2rda0 a1. 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.  aProblem 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. 0aMedicine.96392314aClinical Medicine.2 aSpringerLink (Online service)0 tSpringer Nature eBook08iPrinted edition:z978981974188508iPrinted edition:z978981974190808iPrinted edition:z978981974191540uhttps://doi.org/10.1007/978-981-97-4189-2  aZDB-2-SME  aZDB-2-SXM  c63359d63359