Table 1: Royal College of Surgeons Criteria for Documentation.

Presenting Complaint Activities of Daily Living A Oxygen Saturations Weight
History of Presenting Complaint Alcohol B Respiratory Rate Blood Test Results
Past Medical History Smoking B Cardiovascular Examination Urinary Pregnancy Test D
Past Surgical History Employment C Respiratory Examination Plan
Medication History Systems Review Abdominal Examination Advice to patient
Allergies Blood Pressure Neurological Examination Name
Family History Heart Rate Abbreviated Mental test Score A Grade
Package of Care A Temperature Height Time

AAssessed in over 65 years of age; BAssessed in over 13 years of age; CAssessed between 16 and 70 years of age; DAssessed females 13-50 years of age.