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The name of the game, as any lawyer will tell you, is the label that you succeed in placing upon the facts. The label "problem-oriented records" has become so popular that it seems to represent "the only game in town" for those interested in improving our chaotic system of medical recording. It refers to techniques for correcting the prolixity and disorganization that characterize most medical records.
Dr. Easton set the task of defining problem-oriented concepts as they relate to an individual patient "with such clarity that any member of the health care team, medical or paramedical, will be able to
Problem-Oriented Medical Record Concepts.. Ann Intern Med. ;82:437. doi: 10.7326/0003-4819-82-3-437_1
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Published: Ann Intern Med. 1975;82(3):437.
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