Identity
Use appropriate identifiers and document how identity was established.
MEDIVEERSETHE PRACTICAL HUBOBSERVE / REASON / EXPLAIN
Identity and objective documentation
Practise a structured, objective and appropriately authorised medicolegal station.
Your practical station
A simulated medicolegal referral has incomplete identifiers. Explain what must be verified before writing the report.
Recognise and interpret
Reliable documentation preserves observations, identity, context and traceability without unsupported conclusions.
- Verify the person, examiner, date and purpose
- Separate observed facts from reported history
- Document limitations and corrections
Objectivity
Describe observations without speculation about legal responsibility.
Record integrity
Follow the institution’s correction, confidentiality and authorisation procedure.
At the viva table
Try answering aloud, then open the suggested answer. Examiner questions vary.
01 / Does a referral replace identity checks?
No. Identity still needs appropriate verification.
02 / Why distinguish history from findings?
They have different evidential meanings.
03 / Can missing details be invented to complete a form?
No. Record the limitation and seek clarification.
04 / Who may receive the record?
Only recipients authorised under the applicable clinical, institutional and legal framework.