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Problem-oriented charting is form of medical documentation that organizes patient data by a diagnosis or problem. In this review, we discuss the history and current use of problem-oriented charting by critically evaluating the literature on the topic. We provide insights with regard to our own institutional use of problem-oriented charting and potential opportunities for research.

作者:Shilpa M, Chowdhry;Rebecca G, Mishuris;Devin, Mann

来源:International journal of medical informatics 2017 年 103卷

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作者:
Shilpa M, Chowdhry;Rebecca G, Mishuris;Devin, Mann
来源:
International journal of medical informatics 2017 年 103卷
标签:
Documentation Electronic medical records Problem list Problem-oriented medical records
Problem-oriented charting is form of medical documentation that organizes patient data by a diagnosis or problem. In this review, we discuss the history and current use of problem-oriented charting by critically evaluating the literature on the topic. We provide insights with regard to our own institutional use of problem-oriented charting and potential opportunities for research.