It is important that corrections should only be in the form of additions and not, for example, erasure and overwriting such that the original entry is lost. It is inadvisable to make derogatory or inappropriate comments about a patient in your notes. The Daily Diary of Appointments Make your daily diary a useful tool in your practice. Maintaining a daily diary of patient appointments is a requirement of the record regulation. The daily diary must include all professional encounters.
Some physicians use the diary only to list the patients seen each day.
However, the daily diary can contain other useful information. Counselling and psychotherapy sessions should be pre-booked with an allotted time in your daily diary. If you use or are planning to use electronic records, become familiar with the requirements. Increasingly, electronic medical records are becoming useful for collecting and displaying individual patient information and for facilitating the continuity of a patient's ongoing medical care. Specific requirements have been established by law for physicians who maintain their patient records electronically.