HUMS Hospital

Issue Identified
Current system allows addendum notes to be created even after patient records are signed off or discharged.
This undermines the finality of documentation and exposes the institution to medico-legal risks.
Post‑discharge modifications compromise compliance with clinical governance and legal standards.

Risks
Documentation integrity – Records lose credibility if altered after sign‑off.
Medico-legal liability – Post‑discharge addendum may be challenged in court or audits.
Compliance breach – Violates standards for medical record immutability.

Recommendation
Block addendum functionality once patient record is discharged or signed off.
Remove any addendum entries created post discharge/sign‑off.
Display a clear error message if users attempt to add addendum after sign‑off/discharge.
Maintain audit trail for all addendum created before discharge/sign‑off.

Expected Behavior
Addendum creation allowed only before discharge/sign‑off.
After discharge/sign‑off, system must restrict addendum creation.
All addendum notes created pre‑discharge must be flagged clearly and remain traceable.

Following our meeting on 14 August 2026, we have decided to revert these changes for the time being, pending a final decision from the HUMS management team.