Consultation 32 - Patient Record Content

The Patient Record Content standard was last reviewed in January 2016. The update reflects current medical practice, with the added preamble and definitions providing additional context. The draft provides improved clarity, modern relevance and stronger regulatory alignment, helping regulated members document more safely, consistently and transparently. These updates should reduce risk, support evolving technologies, and enhance the quality of the patient record as a clinical and legal document.

The survey consists of 8 questions, 3 of which are demographic in nature, and should take approximately 5 minutes to complete. It will be easiest to respond to after reading the draft standard (e.g., rationale for edits/inclusions, references/citations, and definitions can be found in the document).

The current standard and consultation page, where you will find clean and marked versions, are linked below:

· Current standard
· Clean version of the draft (with rationale in comments)
· Marked version of the draft (lined comparison with current version with rationale in comments)

All responses will be reviewed, and a summary of the results will be provided to CPSA Council when considering the revised standard for approval for implementation. However, the identity of all respondents will be kept strictly confidential, and feedback will be anonymous.

If you would like to go back to complete or change your responses before submitting, please click the "Previous" button.

If you have any questions, please email consultation@cpsa.ab.ca.