Essentials of Health Information Management Essay

Source- lie medical records are kept unitedly by subject matters, such as data from all lab results. Progress notes are all kept together and are indite in paragraph format these entries are filed under a item sectionalized area in the diligent chart and are usually in chronological order. Many facilities use the chronological order because this is an easy demeanor to locate the required documents. The major wages is that information is organized together, which makes it easier to make the assessment, treatment, and observations a particular department provided a patient. The major disadvantage is at that place is no possible way to quickly determine all of the patient problems or treatment that has been provided to the patient. Problem- oriented medical records are kept together by a problem number with this a number is laid to each problem. This is the most traditional way that most physicians document his or her records. Progress notes are kept in a SOAP format, which is S= subjective, O=objective, A= assessment, and P= plan of action. (SOAP Notes, 2010)The problem oriented-medical records have quad parts, which include a database, problem list, initial plan, and progress notes. The major advantage is the record format is the ease or progression through all the data. The data is organized into stratified sections, which is quicker to find information infallible and allows for a more rapid review of multiple office vists over time. The major disadvantage is that this type of format requires additional training and lading from the medical and professional staff. An integrated record is a combination of source- oriented and problem- oriented medical records. The records are arranged in a tight chronological order, regardless of the source of original information. This method keeps a beneficial account of continual events as the events occur and this method makes it difficult to analyse and coordinate the issues easily.ReferencesFarlex. (2011 ). The Free Dictionary. Retrieved from http//www.medical-dictonary.thefreedictionary.com SOAP Notes. (2010). Retrieved from http//www.maexample.com/soap-notes.htm