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This document outlines various record formats utilized by physical therapists and related professionals for effective manual entry and paper-based systems. It covers key models such as the Source-Oriented Medical Record (SOMR), Problem-Oriented Medical Record (POMR), and the Integrated Health Record Format, including specific individual entry formats focused on problem status, treatment plans, functional goals, and outcomes. Additionally, it addresses clinical pathways, documentation principles, and decision-making models relevant to physical therapy, ensuring a structured approach to patient records.
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Application for Models for Organization and Guidelines for Contents Dr. Ali Abd El-MonsifThabet
Record Format There are a variety of record formats used by physical therapists and other professionals for manual entry or paper- based system
Individual Entry Format Problem Status Plan (PSP)
Individual Entry Format Problem Status Plan and Functional Goals
Individual Entry Format Data Evaluation Performance Goals
Individual Entry Format Functional Outcome Report (FOR)