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Medical records and reports
Medical records and reports
Patients' records are among the most basic of clinical tools, involved in almost every consultation. This section offers guidance about the content, disclosure and retention of clinical records and includes guidance on writing medical and medico-legal reports.
Questions and answers
- Missing consent form - 22 October 2002
Advice articles
- A matter of life and death - 5 October 2011
- Summary care records and patient opt–outs - 20 April 2011
- Dictated notes - 7 January 2011
- Shared care – ensuring patients don't lose out - 14 December 2010
- New guidance on Scottish records management - 2 December 2010
- View all (54)
Case histories
- Mystery abdominal pain - 22 December 2010
- A fatal complication of chickenpox - 22 December 2010
- Headaches not an indicator of acromegaly - 22 December 2010
- Telescoping symptoms - 22 December 2010
- Restoration story - 21 December 2010
- View all (32)
Advice calls
- Public display of images - 15 December 2010
- An inspector calls - 15 December 2010
- Ring of confidence - 1 December 2007
- Chaperones - 1 December 2007
- Retention of medical records - 19 March 2004
- View all (9)
