A record of something a care actor has seen, heard, or noticed in reference to the health or social wellbeing of a person. These can include objective and subjective observations and can be recorded by healthcare professionals and/or other care actors.
Observations are recorded by a Care Actor and refer to the Subject of Care. An Observation is preformed in a Location and multiple Care Actors could be involved. Observations influence Assessment, Care Plans and Instructions and can trigger Reviews.
Some Observations are healthcare specific e.g. Allergies, Investigation Results and the Problem list and and these have been included in the Social Care Record, whilst others are associated predominantly with Social Care Provision.