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October 7, 1974

Value of the Problem-Oriented Record

Author Affiliations

Overlook Hospital Summit, NJ

JAMA. 1974;230(1):37-38. doi:10.1001/jama.1974.03240010021016

To the Editor.—  I recently had the opportunity to subject the "problem-oriented medical record" to an unusual test. Despite its obvious limitations, the force of the results compel me to add my experience to the debate over the Weed system.1,2I recently did an audit of the office charts of 53 middle-aged patients with high blood pressure. All were the regular patients of one experienced and conscientious family physician. The physician had adopted the Weed system 2 1/2 years previously. The average duration of treatment was five years. Approximately half of the office visits were before the adoption of the Weed system and half after.The audit was conducted for other purposes. However, the advantage of the Weed system as used by this physician was so great as to make formal statistical testing trivial in the extreme. Before the use of the Weed system, I could usually tell what