Which part of the Problem Oriented Medical Record (POMR) includes the initial client assessment data?

The part of the Problem Oriented Medical Record (POMR) that includes the initial client assessment data is the database. The database contains all pertinent information about the client at the onset of treatment, including demographic details, medical history, presenting problems, and results from assessments. This foundational information serves as a critical reference point for clinicians as they develop treatment plans and monitor progress over time.

In contrast, the progress notes document the ongoing observations, interventions, and changes in the client's condition throughout their treatment journey. The problem list identifies specific concerns or issues that need to be addressed but does not encompass the initial comprehensive assessment data. The discharge summary is created at the end of care to summarize the client's treatment and outcomes, again not including the initial assessment data that is recorded in the database.