Problem Oriented Medical Records
Part of the Lecture Notes in Computer Science book series (LNAI,volume 6924) Problem Oriented Medical Record (POMR) is a medical record approach that provides a quick and structured acquisition of the patient’s history. POMR, unlike classical health records, focuses on patient’s problems, their evolution, and the relations between the clinical events. This approach provides the physician a view of the patients’ history as an orderly process to solve their problems, giving the opportunity to make explicit hypotheses and clinical decisions. Most efforts regarding POMR focus on the implementation of information systems as an alternative of classical health records. Results reveal that POMR information systems provide a better organisation of patients’ information but unsuitable mechanisms to perform other basic issues (e.g. administrative reports). Due to its features, POMR can help to bridge the gap between the traditional clinical information process and knowledge management. Despite the potential advantages of POMR, only few efforts have been done to exploit its capacities as a knowledge representation model and a further automatic reasoning. In this work, we propose the Problem Flow, a computational model based on the POMR. This proposal has a double objective: (1) to make explicit the knowledge included in the POMR for reasoning purposes and (2) to allow the coexistence between classical health records and the POMR. We also present PLOW, a knowledge acquisition tool which supports the proposed model. We illustrate its application in the Intensive Care Unit domain. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves. This is a preview of subscription content, access via your institution. Buying optionsChapter EUR 29.95 Price includes VAT (Singapore)
eBookEUR 42.79Price includes VAT (Singapore)
Softcover BookEUR 49.99Price excludes VAT (Singapore)
Learn about institutional subscriptions PreviewUnable to display preview. Download preview PDF. Unable to display preview. Download preview PDF. Workflow Management: Models, Methods, and Systems. The MIT Press (2004) Google Scholar Aranda, J.M.: The problem-oriented medical record. experiences in a community military hospital. American Medical Association 229(5), 549–551 (1974) CrossRef Google Scholar Black, N.A.: Developing high-quality clinical databases. the key to a new research paradigm. Br. Med. J. (3125), 831–832 (1997) Google Scholar Bossen, E.: Evaluation of a computerized problem-oriented medical record in a hospital department: Does it support daily clinical practice? International Journal of Medical Informatics 76, 592–600 (2007) CrossRef Google Scholar Boxwala, A.A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q.T., Wang, D., Patel, V.L., Greenes, R.A., Shortliffe, E.H.: Glif3: a representation format for sharable computer-interpretable clinical practice guidelines. Journal of Biomedical Informatics 37(3), 147–161 (2004) CrossRef Google Scholar Cadmus, M.G.: Problem-oriented gynecology. a nursing renewal. Journal of Obstetric, Gynecologic, & Neonatal Nursing 1(1), 45–48 (2006) Google Scholar Campbell, J.R.: Strategies for problem list implementation in a complex clinical enterprise. In: Proceedings / AMIA Annual Fall Symposium, pp. 285–289 (1998) Google Scholar Campos, M., Juarez, J.M., Palma, J., Marin, R., Palacios, F.: Avian influenza: Temporal modeling of a human to human transmission case. Expert Systems with Applications 38(7), 8865–8885 (2011) CrossRef Google Scholar Combi, C., Gozzi, M., Oliboni, B., Juárez, J.M., Marín, R.: Temporal similarity measures for querying clinical workflows. Artificial Intelligence in Medicine 46(1), 37–54 (2009) CrossRef Google Scholar Schiuma, G., Carlucci, D.: Knowledge asset value spiral: linking knowledge assets to company’s performance. Knowledge and Process Management 13(1), 35–46 (2006) CrossRef Google Scholar De Clercq, E.: From a conceptual problem-oriented electronic patient record model to running systems: A nationwide assessment. International Journal of Medical Informatics 77(5), 346–353 (2008) CrossRef Google Scholar De Clercq, E.: Problem-oriented patient record model as a conceptual foundation for a multi-professional electronic patient record. International Journal of Medical Informatics 77(9), 565–575 (2008) CrossRef Google Scholar Elson, R.B., Connelly, D.P.: The impact if anticipatory patient data displays on physician decision making: a pilot study. In: Proceedings / AMIA Annual Fall Symposium, pp. 233–237 (1997) Google Scholar Ho, L.M., McGhee, S.M., Hedley, A.J., Leong, J.C.Y.: The application of a computerized problem-oriented medical record system and its impact on patient care. International Journal of Medical Informatics 55(1), 47–59 (1999) CrossRef Google Scholar Juarez, J.M., Riestra, T., Campos, M., Morales, A., Palma, J., Marin, R.: Medical knowledge management for specific hospital departments. Expert Syst. Appl. 36, 12214–12224 (2009) CrossRef Google Scholar Leonardi, G.: Interacting Agents through a Web-based Health Serviceflow Management System. PhD thesis, University of Pavia (2007) Google Scholar Margolis, C.Z.: Problem-oriented record. a critical review. Paediatrician 8(3), 152–162 (1979) Google Scholar Neumuth, T., Jannin, P., Strauss, G., Meixensberger, J., Burgert, O.: Validation of knowledge acquisition for surgical process models. Journal of the American Medical Informatics Association 16(1), 72–80 (2009) CrossRef Google Scholar Palma, J., Juárez, J.M., Campos, M., Marín, R.: Fuzzy theory approach for temporal model-based diagnosis: An application to medical domains. Artificial Intelligence in Medicine 38(2), 197–218 (2006) CrossRef Google Scholar Quaglini, S.: Information and communication technology for process management in healthcare: a contribution to change the culture of blame. Journal of Software Maintenance 22(6-7), 435–448 (2010) CrossRef Google Scholar Rakel, R.E.: Textbook of Family Practice, 5th edn. W. B. Saunders, Philadelphia (1995) Google Scholar Sackett, D.L., Richardson, W.S., Rosenberg, W., Haynes, R.B.: Evidence-Based Medicine. How to Practice and Teach EBM. Pearson Professional Limited (1997) Google Scholar Salmon, P., Rappaport, A., Bainbridge, M., Hayes, G., Williams, J.: Taking the problem-oriented medical record forward. In: Proceedings / AMIA Annual Fall Symposium, pp. 463–467 (1996) Google Scholar Schultz, J.R., Cantrill, S.V., Morgan, K.G.: An initial operational problem oriented medical record system: for storage, manipulation and retrieval of medical data. In: AFIPS 1971 (Spring): Proceedings of the Spring Joint Computer Conference, May 18-20, pp. 239–264. ACM, New York (1971) CrossRef Google Scholar Shahar, Y., Miksch, S., Johnson, P.: The asgaard project: a task-specific framework for the application and critiquing of time-oriented clinical guidelines. Artificial Intelligence in Medicine 14(1-2), 29–51 (1998) CrossRef Google Scholar Simborg, D.W., Starfield, B.H., Horn, S.D., Yourtee, S.A.: Information factors affecting problem follow-up in ambulatory care. Medical Care 14(10), 848–856 (1976) CrossRef Google Scholar Starfield, B., Steinwachs, D., Morris, I., Bause, G., Siebert, S., Westin, C.: Concordance between medical records and observations regarding information on coordination of care. Medical Care 17(7), 758–766 (1979) CrossRef Google Scholar Sutton, D.R., Fox, J.: The syntax and semantics of the proforma guideline modeling language. Journal of the American Medical Informatics Association 10(5), 433–443 (2003) CrossRef Google Scholar Tange, H.J., Schouten, H.C., Kester, A.D., Hasman, A.: The granularity of medical narratives and its effect on the speed and completeness of information retrieval. Journal of American Medical Informatics Association 5(6), 571–582 (1998) CrossRef Google Scholar Vickar, G.M., Herjanic, M.: The use of problem-oriented medical records in community mental health centers. American Journal of Psychiatry 133, 340–341 (1976) CrossRef Google Scholar Weed, L.L.: Medical records that guide and teach. New England Journal of Medicine 12, 593–600, 652–657 (1968) Google Scholar Download references Author informationAuthors and Affiliations
Authors
Editor informationEditors and Affiliations
Rights and permissionsReprints and Permissions Copyright information© 2012 Springer-Verlag Berlin Heidelberg About this paperCite this paperJuarez, J.M., Campos, M., Gomariz, A., Morales, A. (2012). Computing Problem Oriented Medical Records. In: Riaño, D., ten Teije, A., Miksch, S. (eds) Knowledge Representation for Health-Care. KR4HC 2011. Lecture Notes in Computer Science(), vol 6924. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27697-2_9 What are the 4 major components of the POMR?This five-component structure evolved to the four-component Subjective, Objective, Assessment and Plan structure, now commonly known as SOAP. Although the SOAP note structure has been widely embraced, adoption of the POMR has been more limited. Given the numerous potential benefits, Simons et al.
What is included in the POMR medical record quizlet?POMR. Used more exclusively in large clinics or practices that may have more than one physician who see the same patients. Problems are listed by date & numbered. It has four components, Database, Problem list, Diagnostic & treatment plan & Progress notes.
What does POMR mean in medical terms?Problem Oriented Medical Record (POMR) is a medical record approach that provides a quick and structured acquisition of the patient's history.
What is the POMR also known as?PROBLEM-ORIENTED MEDICAL RECORD (POMR)
|
