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Essentials of Health Information Management Essay

The major advantage is that information is organized together, which makes It easier to determine the assessment, treatment, and observations a particular department provided a patient. The major disadvantage Is there Is no possible way to quickly determine all of the patient problems or treatment that has been provided to the patient. Problem- oriented medical records are kept together by a problem number; with this a number Is placed to each problem. This Is the most traditional way that most physicians document his or her records.

Progress notes are kept In a “SOAP format, which is S= subjective, 0=objective, A= assessment, and P= plan of action. ” (SOAP Notes, 2010) The problem oriented-medical records have four parts, which include a database, problem list, Initial plan, and progress notes. The major advantage Is the record format Is the ease or progression through all the data. The data is organized Into stratified sections, which Is quicker to find Information needed and allows for a more rapid review of multiple office volts over time.

The major disadvantage Is that this type of format requires additional training and commitment from the medical and professional staff. An Integrated record Is a combination of source- oriented and problem-

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oriented medical records. The records are arranged In a strict chronological order, regardless of the source of original Information. This method keeps a good account of continual events as the events occur and this method makes It difficult to compare and coordinate the Issues easily. References Farley. (2011).

The Free Dictionary. Retrieved from http://www. Medical- adulatory. Differentially. Com SOAP Notes. (2010). Retrieved from http:// MN. Unexampled. Com/soap-notes. HTML Essentials of Health Information Management By backhander paragraph format; these entries are filed under a specific sectionalism area in the The major advantage is that information is organized together, which makes it easier provided a patient. The major disadvantage is there is no possible way to quickly with this a number is placed to each problem.

This is the most traditional way that most physicians document his or her records. Progress notes are kept in a “SOAP format, which is S= subjective, 0=objective, A= assessment, and P= plan of which include a database, problem list, initial plan, and progress notes. The major advantage is the record format is the ease or progression through all the data. The data is organized into stratified sections, which is quicker to find information needed and allows for a more rapid review of multiple office visits over time.

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