Medical Records
The term ‘medical records’ is a broad term which incorporates a range of data and information storage mediums containing patient information. Medical records can be either paper based or electronic and include: clinical notes, investigations, specialists’ letters, appointment records, diagnostic reports, accounts and diary systems.
It should be noted that information exchanges between a Practitioner and their Medical Indemnity Insurer or Lawyer seeking legal advice, or in contemplation of litigation, are likely to be privileged and are NOT considered ‘medical records’. Accordingly this information should be stored separately from the patient’s medical records in a secure place.
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