Organising medical records
Organising medical records

The following PI & Clinical Negligence practice note provides comprehensive and up to date legal information covering:

  • Organising medical records
  • Advantages of collating medical records
  • Types of medical records
  • Collating the indexing records
  • Example index for GP records
  • Example index for hospital records
  • Medical chronology

Advantages of collating medical records

Organising medical records prior to instructing a medical expert has several benefits:

  1. it can cut down on the time taken, and therefore costs, by medical experts when they are reviewing the documentation

  2. it acts as a first-stage check for any missing records

  3. it enables a comparison with the client’s chronology of events

For guidance on obtaining medical records and the type of medical records that may be obtained, see Practice Note: Medical records and disclosure.

Types of medical records

Although broadly similar, the type of documents that may be available and useful differs between GP records and hospital records. Where there are duplicate records between GP and hospital records, the copies should not be discarded. The following table demonstrates the different types of records.

GP recordsHospital records

Popular documents