Hello old Alaska guy,
The answer to your question "Is there a new expected form of the medical record?" is "yes".
I learned to create a note in much the same format as you. If you want to know why we are being pushed to change, take a look at how we get paid for office visits. In the past, my ROS was pretty empty, like yours. Now if you document multiple negatives, you get paid more. A family and social history in EVERY note...what a waste of time and paper. But the reimbursement gods have deemed that we get paid more if that is put into each note. So though it seems to minimally benefit the patient to repeatedly document these things in the note (of course you MUST ask the questions) you get paid more to do so. So the "default" in EMR's is to prominently include a place for a multisystem ROS, an FH, and an SH.
I grappled with the same issues when I first started using AC. My preference would be an EMR that allows us to customize the categories to our own habit, but I agree with Martin and Steven that once you adapt a little, you will be comfortable with the program.
The way I do it (which I think is pretty similar to your "old" approach) is as follows. One thing you will note is that the order is different-this you cannot change:
HPI- just what you are accustomed to. Includes the portion of the ROS for the one organ system appropriate to the chief complaint.
ROS- a long list of negatives
PMH- as you said, basically the PAST history, which doesn't change much. I divide it into PMH and PSH as Steven describes.
Allergies then meds (I know; seems backwards)
The problem list is automatically populated by the diagnoses you insert in the assessment area. You must select the ICD-9 to make that happen. If you like a complete problem list, this is kind of handy.
Assessment- If you want to keep adding diagnoses (making a problem list) you can, but I use this as the assessment for the one particular visit I am writing the note for. I can have a separate problem list but here can quickly see that day's impression.
Plan- is not really a jumble; it is what you want to do that is new,including prescribing and orders.
I suppose it is good for us to be flexible as we get older...???
