Problem-Oriented Records

MEDICAL centers throughout the nation are changing their methods of record keeping. The problem-oriented record as developed by Lawrence Weed, MD,1is altering the format of medical records, because the classic source-oriented record which segregates history, physical findings, hematologic, serologic, blood chemistry, and x-ray reports makes accurate and rapid retrieval of key information all but impossible. This is, however, not the only reason for the adoption of the problem-oriented approach.2This format provides, for example, a more rational "filing system," a necessary prelude to the ultimate logistic use of computers for medical record keeping. Its use allows the logical organization of data concerning each problem of the patient. The rationale for laboratory and therapeutic procedures are lucidly and sequentially delineated for each problem. This system allows clear indication when problems are resolved and, conversely, when they are not. Its popularity and the enthusiasm of its promulgators, in general, are inversely