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October 7, 1974

Value of the Problem-Oriented Record

JAMA. 1974;230(1):38. doi:10.1001/jama.1974.03240010021017

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To the Editor.—  Recent articles in the LETTERS section regarding the problem-oriented medical record make me believe that physicians such as myself, who do not think that the problem-oriented record will survive, because it demands more writing from physicians rather than less, should know that an alternative form of record is possible.This alternative is a mission-oriented medical record (Crit Care Med 1:261, 1973), so named because its sole mission is to help the doctor meet the needs of the patient in a manner amenable to automatic quality control. In this record the physician makes three lists. The first relates to the problems of the patient, the second is a list of the data pertinent to the problems, and the third consists of solutions to the problems, ie, the orders. Each list checks the accuracy of the others in that the data should explain how the problems are perceived and