No, records cannot be deleted. Even in the event that you make a mistake or entered a record twice by accident. A feature of modern medical databases is that records (cases) cannot be deleted. This has been integrated to protect users from being accused of falsifying records. Users can however overwrite those records. An audit log will record the details of when and where those changes have been made.
There is a function in the latest version of SurgicalPerformance where you are able to "Hide" a record. This could be used if you wanted to hide a double entry from your list of cases. It will not be deleted from your account, simply hidden.