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The Problem-Oriented Medical Record in the Age of the EMR: State of the Science

Authors: Timothy Brannon, MD

Primary Advisor: Todd R. Johnson, PhD

Committee Members: Jiajie Zhang, PhD

Masters thesis, The University of Texas School of Health Information Sciences at Houston.


Simply modeling the electronic medical record (EHR) after the paper-based record will fail to take full advantage of the capabilities of computer processing. The problem-oriented medical record (POMR) is often considered as an architecture for the modern EHR. This paper reviews the scientific literature to explore the structure of the POMR, its potential advantages and disadvantages, desirable new features, and avenues for further research. Future EMR models should continue to provide the user with source-oriented and time-oriented views of patient data in addition to the problem-oriented view, giving the clinician an important third dimension and allowing him a choice of the view best suited for a particular task.