Patient health records
Criterion 1.7.1
For each patient we have an individual patient health record containing all clinical information held by our practice relating to that patient.
Indicators
| |
|
| A |
There is evidence that each patient has an individual patient health record containing all clinical information held by our practice relating to that patient (health records review). |
| B |
Our patient health records are legible (health records review). |
| C |
Our active patient health records include contact and demographic information (where appropriate) including:
The patient's full name
Date of birth
Gender
Contact details (health records review). |
| D |
Our practice can demonstrate that we are working toward recording the following information in our active patient health records:
Self identified cultural background (eg. Aboriginal and Torres Strait islander self identification)
The person that the patient wishes to be contacted in an emergency (interview or health records review). |
Download RACGP criterion (PDF)
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