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6 - Medical records, reports and certificates

Kerry J. Breen
Affiliation:
National Health and Medical Research Council
Stephen M. Cordner
Affiliation:
Monash University, Victoria
Colin J. H. Thomson
Affiliation:
University of Wollongong, New South Wales
Vernon D. Plueckhahn
Affiliation:
Monash University, Victoria
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Summary

THE IMPORTANCE OF MEDICAL RECORDS

Accurate and sufficiently detailed medical records are an essential component of good patient care. Their main purpose is to store clinical data for use in patient management and as a means of communication with other doctors and health-care professionals. Thus, the medical record of any patient should contain sufficient information to enable another doctor to carry on the management of the patient. This need is particularly obvious in situations such as in public hospitals where resident medical cover and nursing cover are arranged in shifts; in group practices where patients may see different doctors; and in after-hours deputising locum services where the only communication between the locum and the treating doctor is in writing.

Medical records are an important repository of personal information. They include records held in private doctors' surgeries, in private and public hospitals, in medical clinics in industry and in community health centres. Medical or health information is also held in a variety of state and federal government departments including those of Health, Veterans Affairs, Education and Defence, and Medicare Australia.

Medical records can also be important for clinical and epidemiological research, teaching and health administration, and in litigation. Requests for information about patients come not only from other doctors but also from insurers, employers, police, lawyers and government agencies for legal, financial or other reasons and can be properly complied with only via recourse to accurate medical records.

Type
Chapter
Information
Good Medical Practice
Professionalism, Ethics and Law
, pp. 87 - 102
Publisher: Cambridge University Press
Print publication year: 2010

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References

,RACGP. Standards for General Practices: Patient Health Records. http://www.racgp.org.au/standards
Henderson, J, Britt, H, Miller, G. Extent and utilisation of computerisation in Australian general practice. Med J Aust 2006; 185: 84–7.Google ScholarPubMed
Wyatt, JC.Clinical data systems, part 1. Data and medical records. Lancet 1994; 344: 1543–7.CrossRefGoogle ScholarPubMed
,RACGP. Handbook for the Management of Health Information in Private Medical Practice. http://www.racgp.org.au
,General Practice Computing Group (GPCG). Security Self Assessment Guide and Checklist for General Practitioners. http://www.gpcg.org.au/index.php
Breen v. Williams (1996) 186 CLR 71.
Medico-legal Issues in Clinical Practice No. 1. Medical Defence Union, London, 1986.
,New South Wales Medical Board. Medical Certificates Policy, 2005. http://www.nswmb.org.au/index.pl?page=68
,AMAPosition Statement. Certificates Certifying Illness. 1998. http://www.ama.com.au/web.nsf/doc/WEEN-6YZV2X
Bird, S. Insurance reports. Aust Family Physician 2007; 36: 367–8.Google ScholarPubMed

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