S = Source O = Oriented M = Medical R = Record A format of using Source approach example Radiology Report Laboratory Report Surigical Report
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.
Your medical records are protected by Federal privacy laws. If your's have been leaked, the source of the leak can be prosecuted and sued for damages.
No, medical records are not a source of law. They may be used as evidence in legal proceedings, but they do not have the authority to establish or interpret laws. Legal sources include statutes, regulations, case law, and legal precedent.
Medical records can be accessed, against a patient's will, only by legal subpoena (or if an emergency situation occurs requiring access of information that will assist in life-saving measures).
A source-oriented medical record (SOMR) is a type of patient record that organizes information by the source of the data, such as different healthcare providers or departments. Each section of the record is dedicated to a specific source, making it easy to locate information from doctors, nurses, and ancillary services. This format can enhance communication among providers but may lead to fragmentation of information, as it does not emphasize a chronological order of patient care.
Consist of a chronological set of notes for each visit beginning with patients first's visit.(SOMR)
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1.source-oriened record(SOHR) 2.problem-oriented record(POHR) 3.intergrated health record(IHR))
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If you meant 'paper' records as opposed to electronic records - The main reason is that computers are always under attack from hackers. Paper records held in a locked filing cabinet, inside a secure building are much more secure than electronic records stored on a computer connected to the internet !
It takes millions of years to have more of. That's what makes it non-renewable.