Last updated: 5 July 2026
Once a consultation is finalised, it becomes an immutable clinical record. To make changes, you must use the amendment process, which records what was changed and why.
Open the finalised consultation from the consultation history and click Amend. The consultation reopens in amendment mode.
Before you can make changes, a dialog asks for the reason for amendment. This is a medico-legal requirement. Enter a clear explanation of why the consultation needs to be changed.
In amendment mode, you can update:
The consultation metadata (original date and time) is preserved.
The wizard steps change in amendment mode:
Every amendment is recorded in the consultation's audit trail. The amendment history shows:
This creates a complete, traceable history of all modifications.
Tip: Always provide a specific, clinical reason for the amendment. Vague reasons like "correction" are less useful for audit purposes than "Added observation values recorded during examination but omitted from initial documentation".
While amending a consultation you can record structured observations — such as blood pressure, temperature, pulse, height, and weight — using the Add Observation tool in the editor, just as you would in a new consultation. Open the tool, enter the measurement values, and save.
The observations are linked to the consultation and appear on the Review step in the Consultation Preview, so you can confirm them before completing the amendment. This is the recommended way to add measurements that were taken during the appointment but omitted from the original documentation, rather than typing them into the free-text notes.