Appl Clin Inform 2017; 08(01): 180-190
DOI: 10.4338/ACI-2016-04-IE-0054
Editorial
Schattauer GmbH

Accelerating the Benefits of the Problem Oriented Medical Record

Joel Buchanan
1   Department of Medicine, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, United States
› Author Affiliations
Further Information

Correspondence to:

Joel Buchanan, MD
UW Health Information Services
8007 Excelsior Drive
Madison, WI 53717

Publication History

Received: 10 April 2016

Accepted: 11 February 2016

Publication Date:
20 December 2017 (online)

 

 


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Conflicts of interest

The author has no conflicts of interest to report.

  • References

  • 1 Weed LL. Medical records that guide and teach. N Engl J Med 1968; 278: 593-600.
  • 2 Weed LL. Medical records, medical education and Patient care: Press of the Case Western Reserve University. 1969
  • 3 Simons SM, Cillessen FH, Hazelzet JA. Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature. BMC Medical Informatics and Decision Making 2016; 16 (Suppl. 01) 1.
  • 4 https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/3_Maintain_Problem_ListEP.pdf
  • 5 Wright A, Maloney FL, Feblowitz JC. Clinician attitudes toward and use of electronic problem lists: a thematic analysis. BMC Medical informatics and Decision Making. 2011: 1.
  • 6 https://en.wikipedia.org/wiki/Network_effect
  • 7 Wright A, Pang J, Feblowitz JC, Maloney FL, Wilcox AR, McLoughlin KS, Ramelson H, Schneider L, Bates DW. Improving completeness of electronic problem lists through clinical decision support: a randomized, controlled trial. J Am Med Inform Assoc 2012; 19 (Suppl. 04) 555-561.
  • 8 Wright A, Pang J, Feblowitz JC, Maloney FL, Wilcox AR, Ramelson HZ, Schneider LI, Bates DW. A method and knowledge base for automated inference of patient problems from structured data in an electronic medical record. J Am Med Inform Assoc 2011; 18 (Suppl. 06) 859-867.
  • 9 Wright A, Chen ES, Maloney FL. An automated technique for identifying associations between medications, laboratory results and problems. Journal of biomedical informatics 2010; 43 (Suppl. 06) 891-901.
  • 10 Salmon P, Rappaport A, Bainbridge M, Hayes G, Williams J. Taking the problem oriented medical record forward. Proceedings of the AMIA Annual Fall Symposium 1996 p. 463 American Medical Informatics Association.
  • 11 Bainbridge M, Salmon P, Rappaport A, Hayes G, Williams J, Teasdale S. The Problem Oriented Medical Record-just a little more structure to help the world go round. Proceedings of the 1996 Annual Conference of PHCSG 1996 Sep.
  • 12 Kaplan DM. Clear writing, clear thinking and the disappearing art of the problem list. J Hosp Med 2007; 2 (Suppl. 04) 199.
  • 13 Kaplan DM. Perspective: whither the problem list? Organ-based documentation and deficient synthesis by medical trainees. Academic Medicine 2010; 85 (Suppl. 10) 1578-1582.
  • 14 Don’t Pave the Cowpath. http://www.nearfuture.io/dont-pave-the-cowpath
  • 15 Horsky J, Schiff GD, Johnston D, Mercincavage L, Bell D, Middleton B. Interface design principles for usable decision support: a targeted review of best practices for clinical prescribing interventions. Journal of Biomedical Informatics 2012; 45: 1202-1216.
  • 16 Zeng Q, Cimino JJ. Evaluation of a system to identify relevant patient information and its impact on clinical information retrieval. Proc AMIA Annu Symp 1999: 642-646.
  • 17 Zeng Q, Cimino JJ, Zou KH. Providing concept-oriented views for clinical data using a knowledge-based system: an evaluation. J Am Med Inform Assoc 2002; 9 (Suppl. 03) 294-305.
  • 18 Schiff GD, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med 2016; 375 (Suppl. 04) 306.
  • 19 McDonald CJ, Huff SM, Suico JG, Hill G, Leavelle D, Aller R, Forrey A, Mercer K, DeMoor G, Hook J, Williams W. LOINC, a universal standard for identifying laboratory observations: a 5-year update. Clinical chemistry 2003; 49 (Suppl. 04) 624-633.
  • 20 What is IHTSDO?. https://ihtsdo.freshdesk.com/support/solutions/articles/4000009519-what-is-ihtsdo.
  • 21 Shaprio C, and Varian HR. Information Rules. Harvard Business School Press; 1999

Correspondence to:

Joel Buchanan, MD
UW Health Information Services
8007 Excelsior Drive
Madison, WI 53717

  • References

  • 1 Weed LL. Medical records that guide and teach. N Engl J Med 1968; 278: 593-600.
  • 2 Weed LL. Medical records, medical education and Patient care: Press of the Case Western Reserve University. 1969
  • 3 Simons SM, Cillessen FH, Hazelzet JA. Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature. BMC Medical Informatics and Decision Making 2016; 16 (Suppl. 01) 1.
  • 4 https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/3_Maintain_Problem_ListEP.pdf
  • 5 Wright A, Maloney FL, Feblowitz JC. Clinician attitudes toward and use of electronic problem lists: a thematic analysis. BMC Medical informatics and Decision Making. 2011: 1.
  • 6 https://en.wikipedia.org/wiki/Network_effect
  • 7 Wright A, Pang J, Feblowitz JC, Maloney FL, Wilcox AR, McLoughlin KS, Ramelson H, Schneider L, Bates DW. Improving completeness of electronic problem lists through clinical decision support: a randomized, controlled trial. J Am Med Inform Assoc 2012; 19 (Suppl. 04) 555-561.
  • 8 Wright A, Pang J, Feblowitz JC, Maloney FL, Wilcox AR, Ramelson HZ, Schneider LI, Bates DW. A method and knowledge base for automated inference of patient problems from structured data in an electronic medical record. J Am Med Inform Assoc 2011; 18 (Suppl. 06) 859-867.
  • 9 Wright A, Chen ES, Maloney FL. An automated technique for identifying associations between medications, laboratory results and problems. Journal of biomedical informatics 2010; 43 (Suppl. 06) 891-901.
  • 10 Salmon P, Rappaport A, Bainbridge M, Hayes G, Williams J. Taking the problem oriented medical record forward. Proceedings of the AMIA Annual Fall Symposium 1996 p. 463 American Medical Informatics Association.
  • 11 Bainbridge M, Salmon P, Rappaport A, Hayes G, Williams J, Teasdale S. The Problem Oriented Medical Record-just a little more structure to help the world go round. Proceedings of the 1996 Annual Conference of PHCSG 1996 Sep.
  • 12 Kaplan DM. Clear writing, clear thinking and the disappearing art of the problem list. J Hosp Med 2007; 2 (Suppl. 04) 199.
  • 13 Kaplan DM. Perspective: whither the problem list? Organ-based documentation and deficient synthesis by medical trainees. Academic Medicine 2010; 85 (Suppl. 10) 1578-1582.
  • 14 Don’t Pave the Cowpath. http://www.nearfuture.io/dont-pave-the-cowpath
  • 15 Horsky J, Schiff GD, Johnston D, Mercincavage L, Bell D, Middleton B. Interface design principles for usable decision support: a targeted review of best practices for clinical prescribing interventions. Journal of Biomedical Informatics 2012; 45: 1202-1216.
  • 16 Zeng Q, Cimino JJ. Evaluation of a system to identify relevant patient information and its impact on clinical information retrieval. Proc AMIA Annu Symp 1999: 642-646.
  • 17 Zeng Q, Cimino JJ, Zou KH. Providing concept-oriented views for clinical data using a knowledge-based system: an evaluation. J Am Med Inform Assoc 2002; 9 (Suppl. 03) 294-305.
  • 18 Schiff GD, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med 2016; 375 (Suppl. 04) 306.
  • 19 McDonald CJ, Huff SM, Suico JG, Hill G, Leavelle D, Aller R, Forrey A, Mercer K, DeMoor G, Hook J, Williams W. LOINC, a universal standard for identifying laboratory observations: a 5-year update. Clinical chemistry 2003; 49 (Suppl. 04) 624-633.
  • 20 What is IHTSDO?. https://ihtsdo.freshdesk.com/support/solutions/articles/4000009519-what-is-ihtsdo.
  • 21 Shaprio C, and Varian HR. Information Rules. Harvard Business School Press; 1999