32 categories used as best practice for documentation
| Demographics | X-ray results |
| Age | ABG/VBG results |
| Presenting complaint | AMTS |
| History of presenting complaint | CPR/escalation plan |
| Past medical history | Senior review |
| Drug history | Initial diagnosis |
| Where/who drug history elicited from | Diagnosis following PTWR |
| Allergies | Observations |
| Family history | Respiratory exam |
| Social history | Cardiology exam |
| Smoking/alcohol status | Abdominal exam |
| Exercise tolerance | Neurological exam |
| Impression/problem list | Date (of clerking) |
| Blood results | Time (of clerking) |
| Urinalysis results | Doctors name |
| ECG results | Consultant |
ABG = arterial blood gas; AMTS = abbreviated mental test score; CPR = cardiopulmonary resuscitation; ECG = electrocardiogram; PTWR = post-take ward round; VBG = venous blood gas