Problem Oriented Medical Record


Developers
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Developed by Weed and Zimny

Mechanism of Injury / Pathological Process
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Phase 1 The formation of a database, including history, physical examination and laboratory and other test results

Phase 2 Identification of a specific problem list from the interpretation of the database, including specific impairment of function (Physical, psychological, social and vocational) resulting from the disease process or from secondary impairments.

Phase 3 Identification of a specific POC that includes interventions for each of the problems described; evaluative and progress notes are included for each problem.

Phase 4 Determination of the effectiveness of the POC and subsequent changes as a result of patient progress.

Clinical Presentation[edit | edit source]

add text here relating to the clinical presentation of the condition

Diagnostic Procedures[edit | edit source]

add text here relating to diagnostic tests for the condition

Outcome Measures[edit | edit source]

add links to outcome measures here (see Outcome Measures Database)

Management / Interventions
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add text here relating to management approaches to the condition

Differential Diagnosis
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add text here relating to the differential diagnosis of this condition

Key Evidence[edit | edit source]

add text here relating to key evidence with regards to any of the above headings

Resources
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add appropriate resources here

Case Studies[edit | edit source]

add links to case studies here (case studies should be added on new pages using the case study template)

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.