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What is the meaning of SOMR in medical records?
S = Source O = Oriented M = Medical R = Record A format of using Source approach example Radiology Report Laboratory Report Surigical Report
Differences between source oriented problem oriented medical record?
In a POMR or problem oriented medical record, the record is kept together by problem number (a number is assigned to each problem. Progress notes in these records are kept in SOAP format. S=subjective (chief complaint, present illness), O=objective (physical exam, labs), A=assessment (diagnosis, prognosis), P=plan (treatment). In a SOMR or source oriented medical record, the record is kept together by subject matter (labs are all together, progress notes are all together). Progress notes in a SOMR are written in paragraph format.
Define a source-oriented medical record?
Consist of a chronological set of notes for each visit beginning with patients first's visit.(SOMR)
What kind of record format consists of format databases problem lists initial plans and progress notes?
The record format you are referring to is likely the SOAP note format used in medical documentation. SOAP notes include subjective information (S), objective data (O), assessments (A), and plans (P), making it a structured format for healthcare professionals to document patient encounters.
What are the three major types of paper based health records?
1.source-oriened record(SOHR) 2.problem-oriented record(POHR) 3.intergrated health record(IHR))
Is a medical record a primary source document?
As long it is endorsed and licked by Morgan Freeman, then yes it is.
What does the word circumferentially oriented cells mean?
Circumferentially oriented cells is a medical term. Essentially, a circumferentially oriented cell is a group of cells that surround or encircle something.
What are the importance of medical record keeping?
The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past
What is the medical term meaning record of the eardrum?
Tympanogram is the medical term for a record of the eardrum.
You work for medical record review how do you handle wrong medical codes?
If the medical record naratted a wrong diagnosis it will reflect in doing medical coding
What is the medical term meaning RECORD of the LUNG?
A pneumogram is the medical term meaning record of the lung.
Why should a recording in the medical record never be erased or abliterated?
The medical record is a legal document.
