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The term ‘patient record’ is intuitively understood, but does not have an agreed upon information model. The emerging and broader concept of Electronic Health Record (EHR) includes an attempt to suggest such a model but, as yet, has no formal agreement. Nevertheless, three of the four excellent papers in this section (Brandner et al., Branston et al., and Weir et al.) deal with clinical documents as an integral part of the patient record. This demonstrates the centrality of clinical documents as fundamental constituents in the current perception of medical informatics for patient records. I will start by exploring this common ground and then review the fourth paper, which deals with patient-access to medical records (Ross and Lin)—in itself a challenging aspect of EHR.

Structuring the Medical Narrative in Patient Records - A Further Step Towards a Multi-Accessible EHR