Recording and sharing of information
Standard 7: Systems are in place to enable the recording and sharing of information.
Criteria
7a A secure system is in place that allows for the recording of, and access to, information in the service user’s care record.
7b Information is recorded and transferred in accordance with the Health & Social Care Data Dictionary (http://www.datadictionary.scot.nhs.uk/) and includes:
- the national data sets: Information Core for Integrated Care (ICIC) and the Psychiatric Inpatient Clinical Discharge Summary Information Set (PIC-DSIS), and
- current recommendations on consent, confidentiality and record-keeping standards.