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Sample view of an electronic health record. An electronic health record (EHR) also known as an electronic medical record (EMR) or personal health record (PHR) is the systematized collection of patient and population electronically stored health information in a digital format. [1] These records can be shared across different health care settings.
A medical certificate or doctor's certificate [1] [2] is a written statement from a physician or another medically qualified health care provider which attests to the result of a medical examination of a patient. [3]
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The Access to Health Records Act 1990 gave them the right to inspect their own records. The Data Protection Act 1998 and the Data Protection Act 2018 apply to medical records as to other records. Only 3% of GPs in England offered online record access in October 2014 to patients although all of them were expected to by April 2015. [3]
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
In 2019 only 10% of NHS trusts claimed to be fully digitised. The NHS Long Term Plan requires all hospitals to move to digital records by 2023, so clinicians can access and interact with patient records and care plans wherever they are. As of 2019, 62% of trusts have plans to digitise all their patient records. [11]
The Access to Medical Reports Act 1988 (c. 28) is an Act of the Parliament of the United Kingdom which applies to people in England, Wales and Scotland. It came into effect on 1 January 1989.