What type of progress note is organized and entered based on the source of medical documentation?

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The POMR (Problem-Oriented Medical Record) note is organized around specific problems rather than by the source of the information. This type of documentation integrates all aspects of a patient’s care related to their health issues and allows healthcare providers to track and manage problems effectively over time. Each problem is documented separately, and all relevant information, treatment, and progress for that issue are grouped together.

This structure emphasizes the patient’s problems, which improves continuity of care and facilitates communication among healthcare providers. Additionally, POMR notes help streamline the process, allowing for quicker access to information regarding specific issues rather than sifting through various sources of documentation.

In contrast, other types of notes, such as SOAP notes, organize information around the specific format of Subjective, Objective, Assessment, and Plan, which is not based solely on the source of the documentation. Similarly, CHEDDAR notes (Chief complaint, History, Examination, Details, Drugs and dosage, Assessment, and Return visit) and HPIP notes (History, Physical examination, Indications, and Plan) also do not organize notes strictly by source but rather follow other specific frameworks.

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