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Lawrence Leonard Weed (December 26, 1923 – June 3, 2017) was an American physician, researcher, educator, entrepreneur, and author, who is best known for creating the SOAP note as well as one of the first electronic health records.
In the early 1950s, while a professor of medicine and pharmacology at Yale School of Medicine, Dr. Weed was known to accompany students in the hospital where he observed them struggling to interpret unstructured patient notes written by doctors. In response, he created the problem-oriented medical record (POMR), a method for documenting patient information. He first published about the problem-oriented medical record in 1964, but a 1968 article published by the New England Journal of Medicine introduced the concept to a broader audience. In the late 1960s and early 1970s he gave lectures at medical schools around the country," Larry Weed's 1971 Grand Rounds at Emory University" (video). Via YouTube. and published a book that described the problem-oriented medical record in more detail.Weed, Lawrence L. (1971). Medical Records, Medical Education, and Patient Care: The Problem-Oriented Medical Record as a Basic Tool. Cleveland, Ohio: Press of Case Western Reserve University. Weed's POMR included two features that have become nearly universal in healthcare, the Problem List and the SOAP note (Subjective, Objective, Assessment, and Plan).
Over 2,000 academic articles and numerous medical textbooks discuss Weed's problem-oriented medical record, and it has become a central component of medical and nursing education.Wright, Adam; Sittig, Dean F.; McGowan, Julie; Ash, Joan S. ; Weed, Lawrence L. (2015). " Bringing Science to Medicine: An Interview with Larry Weed, Inventor of the Problem-Oriented Medical Record", in: Wright (Ed.), Clinical Problem Lists in the Electronic Health Record. Oakville, Ontario, Canada: Apple Academic Press. . pp. 2-18; here: p. 14. Also published online via PubMed Central. Retrieved 2017-06-22. His original idea for a patient problem list was adapted and put into law in the “meaningful use” requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which promoted the adoption of electronic health records in the United States.Holmes, Casey (April 6, 2011). " The Problem List beyond Meaningful Use". Journal of AHIMA (American Health Information Management Association). Retrieved 2017-06-22.Wright, Adam, et al. (August 2012). " Use of an Electronic Problem List by Primary Care Providers and Specialists". Journal of General Internal Medicine. Vol. 27(8). pp. 968–973. Published online March 17, 2012, via PubMed Central. . Retrieved 2017-06-22.
He also helped develop PROMIS, a computerized medical information system based on the problem-oriented record, which used a touch screen;Mary L. Grady (1993). 9780788122491, U.S. Department of Health and Human Services. . ISBN 9780788122491 Also reprinted by Diane Publishing, 2004; . introduced in 1969, that system was one of the earliest versions of an electronic medical record. He launched a company PKC, which developed methods for clinical information management systems. In 2012, the firm was purchased by Sharecare.
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