The type of recording system in which the members of each discipline record their findings in a separately labeled section of the chart is?

Appeared in: AIIMS Raipur NO - 2017 (Shift-1)

Explanation

In a source-oriented record system, the patient's chart is organized by the 'source' of the information.
This means each professional discipline, such as nursing, medicine, physical therapy, and laboratory services, has its own designated section to record findings.
For example, all nursing notes are located in one section, while all physician's progress notes are in another.
This method directly matches the description in the question.

Option B: Problem-oriented record systems (POMR) organize documentation around the patient's problems, not the discipline of the person charting. All team members chart on the same problem list.
Option C: A focused record system organizes documentation around a specific patient 'focus,' which could be a problem, concern, or significant event. It uses a Data-Action-Response (DAR) format and is not structured by discipline.
Option D: Exception-based record systems (also known as Charting by Exception or CBE) involve documenting only significant findings or deviations from pre-established standards of care. It is a shorthand method, not a system organized by discipline.

Visual 1: Comparison Table - An infographic table comparing the four main types of documentation systems (Source-oriented, Problem-oriented, Focused, Exception-based) with columns for 'Organization Method,' 'Key Feature,' and 'Advantage/Disadvantage.' This helps learners quickly differentiate the systems.
Visual 2: Flowchart - A flowchart showing how information is fragmented in a source-oriented system versus integrated in a problem-oriented system when tracking a single patient problem (e.g., 'Pain').

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of Health Record Documentation Systems as background academic context rather than a clinical decision trigger.
Understanding different charting systems is crucial for nurses to efficiently locate patient information, ensure continuity of care, and communicate effectively with the interdisciplinary team.
In a source-oriented system, a nurse must actively seek out information from other sections (e.g., physician's orders, physical therapy notes) to get a holistic view of the patient, which can be time-consuming and lead to fragmented care.
What if a nurse needs to know the latest recommendation from the physical therapist for a post-op patient? In a source-oriented system, the nurse must find the 'Physical Therapy' tab. In a problem-oriented system, both the nurse's and therapist's notes would likely be under the problem 'Impaired Mobility,' making collaboration more seamless.

How to Approach the Question

First, identify the key phrase in the question: 'members of each discipline record their findings in a separately labeled section.'
This describes a system organized by the 'source' of the information (i.e., the discipline).
Evaluate the options based on this key phrase.
Recognize that 'Source-oriented' directly reflects the idea of organizing by the source or discipline.
This is a factual recall question that tests your knowledge of the definitions of different documentation methods.

Concept Tested & Keywords

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Practise the full AIIMS Raipur NO - 2017 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.