Clinical examination & record-keeping: Part 3: Electronic records

• Published in: British dental journal Vol. 223; no. 12; pp. 873 - 876
• Main Author: Hadden, A. M.
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 22.12.2017; Nature Publishing Group
• Subjects: 631/114; 692/700/3032/3034/3037; Audit trails; Data encryption; Dentistry; Dentists; Electronic records; General Practice, Dental; Humans; Medicine; Patients; Physical Examination; practice; Software
• ISSN: 0007-0610; 1476-5373; 1476-5373
• DOI: 10.1038/sj.bdj.2017.994

Key Points Discusses the creation and maintenance of electronic records. Advises on security and encryption for electronic records. Discusses the legal aspects of retaining electronic records in practice. This article is the third and final part of a BDJ series of Practice papers on the subject of clinical examination and related record keeping. The series is taken from the Faculty of General Dental Practice UK (FGDP[UK]) 2016 Good Practice Guidelines book on this topic, edited by A. M. Hadden. This particular article covers the creation and maintenance of electronic patient records, including security and encryption guidance. It is important to note that throughout this article (and the BDJ series and associated FGDP[UK] book), the specific guidelines will be marked as follows: A: Aspirational, B: Basic, C: Conditional. Further information about this guideline notation system is provided in Part 1 of this series ( BDJ  2017; 223 : 765–768).