PROBLEM ORIENTED MEDICAL RECORD

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Across
  1. 1. A problem orient medical record has ___ basic components
  2. 3. In the POMR, the progress notes are written in ___ format (Subjective, Objective, Assessment, Plan).
  3. 5. In POMR, each medical problem should be documented in a separate entry and followed through until it is
  4. 7. The Problem-Oriented Medical Record (POMR) was introduced by Dr. ____ in 1966.
  5. 8. The “Plan” section of SOAP typically includes _____, including prescriptions, referrals, and follow-up appointments.
  6. 9. The Problem List should be updated regularly to reflect changes in the patient's ___ or treatment plan.
  7. 10. The “A” in SOAP stands for Assessment, where the healthcare provider makes an _____ or diagnosis based on the subjective and objective data.
  8. 13. In POMR, the Problem List is organized _____ and updated with new information as necessary.
Down
  1. 2. The “O” in SOAP refers to ____, which includes findings from physical exams, lab results, and diagnostic tests.
  2. 3. The "S" in SOAP stands for ___ and refers to the patient's verbal account of symptoms.
  3. 4. One of the key advantages of POMR is its ability to facilitate better _____ among healthcare providers.
  4. 6. LIST In POMR, the ___ includes all current and past medical problems that need ongoing management or attention.
  5. 11. In POMR, each problem is assigned a unique ___ for identification and tracking.
  6. 12. The “P” in SOAP refers to ___, outlining the planned treatment, interventions, or follow-up.