Final answer:
To file a problem-oriented medical record, use the SOAP format. It stands for Subjective, Objective, Assessment, and Plan. Each entry includes the patient's complaints, examination findings, diagnosis, and treatment plan.
Step-by-step explanation:
To file a problem-oriented medical record, you would need to follow a specific method of organization. One widely used method is the SOAP format, which stands for Subjective, Objective, Assessment, and Plan. In this format, each entry begins with the patient's subjective complaints, followed by objective findings, a medical assessment, and finally, the plan for treatment or further evaluation.
For example, if a patient came in with a complaint of abdominal pain, the subjective section would include the patient's description of the pain and any associated symptoms. The objective section would document the doctor's physical examination and any test results. The assessment section would include the doctor's diagnosis or differential diagnosis, and the plan section would outline the treatment or further tests that are ordered.
This method of organization helps to ensure that all relevant information is documented and easily accessible, making it easier for healthcare professionals to understand the patient's case and provide appropriate care.