TY - JOUR T1 - Medical records and record-keeping standards JF - Clinical Medicine JO - Clin Med SP - 328 LP - 331 DO - 10.7861/clinmedicine.7-4-328 VL - 7 IS - 4 AU - Iain Carpenter AU - Mala Bridgelal Ram AU - Giles P Croft AU - John G Williams Y1 - 2007/08/01 UR - http://www.rcpjournals.org/content/7/4/328.abstract N2 - The structure of medical records becomes ever more critical with the advent of electronic records. The Health Informatics Unit (HIU) of the Royal College of Physicians has two work streams in this area. The Records Standards programme is developing generic standards for all entries into medical notes and standards for the content of admission, handover and discharge records. The Information Laboratory (iLab) focuses on hospital episode statistics and their use for monitoring clinician performance. Clinician endorsement of the work is achieved through extensive consultations. Generic medical record-keeping standards are now available. ER -