WALLACE J. MULLIGAN, M.D.
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To the editor: The recent exchange of letters (Ann Intern Med, August, 1973) in the continuing debate about the pros and cons of the problem-oriented health record is discouraging; perhaps it is a too-literal interpretation of Dr. Weed's pleas for problem listing.
In the first place, the simple listing of the problems is often enough to upgrade the quality of care. If, for example, "anemia" is a diagnosis, then listed on the problem sheet should be mention of a peripheral blood smear, stool guaiac test, and so on. There should then emerge a meaningful diagnosis on which reasonable therapy is
WALLACE J. MULLIGAN. Problems Lists. Ann Intern Med. 1973;79:763. doi: 10.7326/0003-4819-79-5-763_1
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Published: Ann Intern Med. 1973;79(5):763.
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