Problem Oriented Medical Record

Original Editor - Gayatri Jadav Upadhyay

Top Contributors - Ajay Upadhyay, Gayatri Jadav Upadhyay and Kim Jackson  


Developers

Developed by Weed and Zimny [1]

Phases of POMR

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.

It Highlights

The POMR thus highlights the relationship of the database to the POC and allows the specific patient problems to become the central focus of planning.

References

  1. Bringing science to medicine: an interview with Larry Weed, inventor of the problem-oriented medical record.Wright A, Sittig DF, McGowan J, Ash JS, Weed LL.J Am Med Inform Assoc. 2014 Nov-Dec;21(6):964-8.