3 provide evidence of the care planned, the decisions made, the care delivered and the information shared; l provide evidence of actions agreed with the patient (including consent to treatment and/or consent to disclose information). And include l medical observations: examinations, tests, diagnoses, prognoses, prescriptions and other treatments
K117 Enhancing your healthcare practice Unit 14 Interpreting and managing information Copyright © 2013 The Open University Contents Unit 14 Interpreting and managing information 2 14.1 Information about service users…