Question

The ____ veterinary medical record is a medical record format in which patient information is grouped by subject matter, clinical observations are entered as they become evident, and progress note paragraphs are written in chronologic order.

A) SOAP (Subjective, Objective, Assessment, Plan)

B) Problem-oriented

C) Source-oriented

D) Narrative

Answer 1

The correct answer is the Source-oriented veterinary medical record, which groups patient information by subject matter and notes are entered in chronological order.

Step-by-step explanation:

The veterinary medical record format where patient information is grouped by subject matter, clinical observations are entered as they become evident, and progress note paragraphs are written in chronological order is known as the Source-oriented medical record. In contrast to the SOAP format which organizes notes into subjective, objective, assessment, and plan segments, the source-oriented record method presents information by source, such as laboratory reports, radiology, etc., in the order that these findings have been documented. It is important for veterinary professionals, including nurses, to review and record patient information in a systematic and organized manner to ensure accuracy and continuity of care.