Differences Among Source Oriented Records, Problem Oriented Records, and Integrated Records.

Good Essays
1. CheckPoint: Record Formats * Resource: Ch. 4 of Essentials of Health Information Management: Principles and Practices 1. Summarize, in 250 to 300 words, the differences among source oriented records, problem oriented records, and integrated records. 2. Include how you think the advantages and disadvantages of each record format affect everyday work—remember to think about retrieving records as well as filing them. 3. Post your CheckPoint in your Assignment Section as an MS-Word document.

Patient Records

Many facilities and physician offices maintain patient records in a paper format known as a manual record. A variety of formats are used to maintain manual records, including the source oriented records (SOR), problem oriented records (POR), and integrated records.
In a source oriented medical record (SOR), the information about a patient's care and illness is organized according to the "source" of the information within the record, that is, if it is recorded by the physician, the nurse, or data collected from an xray or laboratory test are filed under their specific sectionalized areas in the chart usually in chronological order. Many facilities use this format since it is easy to locate documents. For example, if a physician needs to reference a recent lab report, it can easily be found in the laboratory section of the record. However, if a physician wanted to reference all information about a particular diagnosis being treated or treatment given on a particular day, many sections of the record would have to be referenced making it difficult to amass all the information for that specific diagnosis difficult. For PORs, we will define problem as anything that interferes with the health, well being and quality of life of an individual, that may be medical, surgical, obstetric, social or psychiatric, the problem oriented medical record (POR) has four parts: 1. Database: Is an overview of patient information. The

You May Also Find These Documents Helpful

  • Better Essays

    Record

    • 1447 Words
    • 6 Pages

    purpose and essence of any records management system is the right information in the right place in the right order, at the right time for the right person at the most important is lowest cost. (Baje, 1998). In the health records, they use paper record management for any activities for record in their management. However, the issues of paper record management were discussed because it have disadvantages that need to be solved. After a few years, paper health record are used and now Electronic…

    • 1447 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    THE PROBLEM OF FINANCIAL RECORD-KEEPING IN SMALL BUSINESSES According to Dictionary.com, record-keeping is the maintenance of a history of one’s activities by entering data in ledgers or journals and putting documents in files. “Taking time to organize a good system can be tedious and time consuming, but it only takes one visit by a tax auditor or a turndown for a loan by a bank to convince any business owner that an organized system would be useful.” (http://www.smallbusinessnotes.com/operating/finmgmt/recordkeeping…

    • 1833 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    5. B and C have problems because they are too vague. How is one supposed to determine the difference between good and fair or good, fair and average? To me, fair and average mean the same thing so trying to distinguish between them could create confusion. A and D are better because they are more clear cut. Purpose- This determine management decision making value because the purpose of a secondary source determines it prospective. A secondary source that gives objective data is probably of…

    • 870 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    record system

    • 3959 Words
    • 16 Pages

    Computerized Record System of Palawan Agricultural Experiment Station (CRS-PAES) A Project Proposal Presented to the Faculty of the College of Science Palawan State University In Partial Fulfillment of the Requirements for the Degree of Bachelor of Science in Information Technology By: Kareen M.Arque Mary Queensel V. Josol Cherry T. Luberanes Reviejoy R. Martinito Christian B. Mindero Alyssa I. Rico October 2013 ABSTRACT This special project entitled…

    • 3959 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Studies 3.1.1 A Study of Electronic Records Management in the Namibian Public Service in the Context of E-Government In striving to achieve good governance, organizations including Governments worldwide have been turning to information technologies. The conduct of business online has led to an increase in the creation of electronic records, which has brought about challenges in the management of records. This study, titled “A Study of Electronic Records Management in the Namibian Public Service…

    • 1315 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Record Formats

    • 495 Words
    • 2 Pages

    Point: Record Formats HCR/210 October 4, 2012 Many hospitals, clinics, and physicians offices maintain patient records in paper format which is also known as a manual record. There are several ways to maintain patient records, including source oriented records (SOR), problem oriented records (POR), and integrated records. The source oriented records (SOR) are information about a patient’s care categorized and organized by the “source” of the information provided for the patient. Records are kept…

    • 495 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    ABSTRACT Record Management System can help a hotel to manage and assure effectiveness of the records with avoiding loss of data. It has a centralized database which all records can be accessed easily than practiced that will sure to make the company’s productivity time faster. Information of members, historical records, recent records, validation records can now be accessed easily with the use of the Computer-Based Information System. It lessens the use of papers, record books and large file case…

    • 2087 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    Health Records

    • 927 Words
    • 4 Pages

    There are many meanings when it comes to patient health records. The record is used to document patient care, any financial and legal information, and research purposes. This information is used amongst several professionals who are part of the healthcare team and there are problems with the paper health record, it is becoming more apparent that developing an automated health record is very significant. The electronic health record provides the opportunity for hospitals and doctor’s offices…

    • 927 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Record Organization

    • 267 Words
    • 1 Page

    After reviewing the interview thread I noticed a lot of similarities and differences in how patient files are handled. For example, the majority of medium to large facilities use electronic filing over paper, decreasing the amount of lost information and recordings. The most apparent difference among medium and large facilities is that the vast majority of large facilities use paper record for inpatient purposes and medium facilities are strictly electronic. For the medium facilities files are automatically…

    • 267 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Record Controls

    • 747 Words
    • 2 Pages

    Record Controls • What conclusions can you draw about similarities and differences in circulation, tracking and security measures for records handling and storage within small, medium, and large facilities? Discuss reasons for these differences. • Consider how these differences affect other aspects of records management, and postulate consequences of staff not following those procedures properly. In the interview threads most of the small and large facilities kept their records in one…

    • 747 Words
    • 2 Pages
    Good Essays