A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession’s progress notes.
B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP.
C. The source oriented medical system uses charting by exception and the source oriented medical record system does not.
D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession’s progress notes.
Correct Answer is : A.
Source VS. Problem medical records:
Source= one in which each healthcare group keeps data on its own separate form. Sections designed for nurses, physicians, lab, x-ray, etc. Disadvantages include: Fragmented data — making it difficult to track problems chronologically with input from different groups of professionals. Advantages include: Each discipline can easily find and chart pertinent data.
Problem= Organized around a patient’s problems rather than around sources of information. Advantages include: Entire healthcare team works together in identifying a master list of patient problems and contributes collaboratively to the plan of care.