Summarising Medical Records

SCIMP have produced this document to help provide guidance for general practices in NHS Scotland on best practice for summarising medical records onto electronic record systems.

This process of record reconciliation can be complex and requires a methodical and planned approach to do well. We have addressed the background; why this process is required, and outlined some of the benefits. We provide a description of ideal content and advice on how this should be identified and captured to the primary care electronic health record on currently used systems in NHS Scotland general practice.

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