Medical records at willow nursing home have the following format: database, problem list, initial plan, and progress notes. What type of record format is this?
A. Source-oriented
B. Integrated
C. Problem-oriented
D. Serial
My answer is a source oriented.
am i right?
thank you!
You are most welcome!
Sra
To determine the correct answer, let's understand the different types of medical record formats mentioned:
1. Source-oriented: This format organizes medical records by separating information into different sections based on the source of the information, such as the problem list, laboratory results, progress notes, etc.
2. Integrated: This format combines all aspects of the medical record into one comprehensive document, such that all information is chronologically organized in a single section.
3. Problem-oriented: This format focuses on organizing medical records around specific medical problems or diagnoses. It typically includes a database, problem list, initial plan, and progress notes for each problem or diagnosis.
4. Serial: This is not a common medical record format and is not relevant to this question.
Based on the information given, the medical record format at Willow Nursing Home includes a database, problem list, initial plan, and progress notes. This format aligns with the problem-oriented format, where the medical records are structured around specific problems or diagnoses. Therefore, the correct answer is C. Problem-oriented.
So, the correct answer is C. Problem-oriented.