Improved record keeping in general practice

Abstract

This paper describes a system of record keeping emphasising:(1) The collection of basic data on each patient recorded on a summary card,(2) The recording of chronic or continuing illnesses on the summary card,(3) The typing of medical records, at least the typing of referral letters with the retention of a copy in the record folder,(4) The use of a problem orientated record and a problem sheet either separately or as part of the summary card,(5) The use of a drug card,(6) The use of other specialised cards for special interests or clinics i.e. paediatric and geriatric cards.