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Integrated care and the working record

Geraldine Fitzpatrick

Department of Informatics, The University of Sussex, Brighton BN1 9QH, UK, Tel: 44 (0)1273 678982, Fax: 44 (0)1273 671320G.A.Fitzpatrick{at}sussex.ac.uk

By default, many discussions and specifications of electronic health records or integrated care records often conceptualize the record as a passive information repository. This article presents data from a case study of work in a medical unit in a major metropolitan hospital. It shows how the clinicians tailored, re-presented and augmented clinical information to support their own roles in the delivery of care for individual patients. This is referred to as the working record: a set of complexly interrelated clinician-centred documents that are locally evolved, maintained and used to support delivery of care in conjunction with the more patient-centred chart that will be stored in the medical records department on the patient’s discharge. Implications are drawn for how an integrated care record could support the local tailorability and flexibility that underpin this working record and hence underpin practice.

Key Words: Australia • case study • integrated care record • patient chart • working record

Health Informatics Journal, Vol. 10, No. 4, 291-302 (2004)
DOI: 10.1177/1460458204048507
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