Seems to me that the observations about a patient, made by a doctor, nurse, consultant or physio should be captured. They represent the professional’s assessment, judgement, advice, direction. This data should be available and accessible for other professionals responsible for caring for the patient. And, I would argue, this information should be available to the patient.
We have to move on from hand written notes – which are not easily shared, stored, searched against.
And I do not buy the concerns of professionals that entering such data into a computer interferes with patient care. In fact it creates records likely to improve patient care.
Bringing medicine into the age of computers is an excellent blog posting on the subject.
The game should have moved on by now. And the players need to start playing the new game.
And we do need to ensure that software and devices are configured to facilitate electronic health records.