*Hospice 3 used a separate corticosteroid dosing sheet on which the reducing regimen was written; as a consequence, a smaller percentage of reviews were documented in the notes.
All information relating to the catheter and its care should also be documented in the notes (this could be in the form of a sticker to be easily found in the notes) and on the care plan.
With the patient's permission, which will be documented in the notes by the treating ophthalmologist or neurologist, they will be telephoned by the trial team and invited to come to the trial centre in Oxford.
In the absence of both pyrexia and muscular rigidity, 2 or more of the following features were required to be documented in the notes - diaphoresis, dysphagia, tremor, incontinence, changes in level of consciousness (ranging from confusion to coma), mutism, tachycardia, elevated or labile blood pressure, leukocytosis or evidence of muscle injury (elevated CK).
Of the nine patients with documented weight gain, three were entered as encounter diagnoses, and six were documented in the note text.
To assess whether radiographic findings were documented in the clinical notes by the referring medical team.
Discussions and individual integration plans are documented in the consultation notes.
A management plan will be formulated and will be documented in the clinical notes.
The consent process was documented in the field notes, and participants were provided with information sheets including contact details.
The assessment of mental capacity can be complex, and the results in this study are limited to what was documented in the electronic notes.
Body mass index (BMI; kg/m) in the TKR cases was calculated from measurements of height and weight that were documented in the cases notes.
