More fundamental than that.
We're seeing "electronic patient records" but no custodians of them. Changes to the record over time, format of files and more importantly accuracy are eroded due to how the record is split across dozens of clinical systems with different "data protection reports" possible from each, differing audit logs etc. It use to be the case that if a clinician wanted to see a record they had to physically get hold of it. Now they can see parts of it but not the whole thing at any one point, the idea is they get to see only the parts they need to, so ensuring that data is correctly held on appropriate systems is more important than ever. You don't want a situation where mental health professionals can't see ALL of the medical you are currently on because System X hasn't passed that data onto System Y which is part of the portal the mental health professional happens to see.
I'm just not convinced we're in a place for electronic patient records yet, my own NHS has over 100 clinical systems..
Biting the hand that feeds IT
