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This Concept Map, created with IHMC CmapTools, has information related to: documentation, database, problem list, care plan, progress notes ways to chart progress notes Focus Charting (Data—Action—Response), problem-oriented medical record (POMR) is a method of documentation that emphasizes the client's problems. Data are organized by problem or diagnosis. consists of: database, problem list, care plan, progress notes, Documentation methods of narrative, Documentation methods of reporting source records- seperate section for each discipline, Documentation methods of problem-oriented medical record (POMR) is a method of documentation that emphasizes the client's problems. Data are organized by problem or diagnosis., database, problem list, care plan, progress notes ways to chart progress notes SOAP (Subjective—Objective— Assessment—Plan)????, Documentation methods of reporting charting by exception (CBE) focuses on documenting deviations, Documentation guidelines for factual, don't label, be specific, neurtral language, eliminate bias, keep the record intact (don't white out), database, problem list, care plan, progress notes ways to chart progress notes PIE (Problem—Intervention—Evaluation), Documentation methods of reporting case mgt. & critical pathways- incorporates a multidisciplinary approach to documenting client care, that include client problems, key interventions, and expected outcomes within an established time frame, Documentation purpose communication, billing, legal, research, education, auditing/monitoring