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I have been deeply involved in computerisation of medical records for
10 years +. It was only this weekend when I was talking to a lay friend
about medical records that it struck me that any networked computer record
breaches the trust and confidentiality as perceived by the vast majority
of patients. A simple note jotted on a GP Lloyd George record and then
refiled until the next contact probably did meet patients expectations of
confidentiality. Adding anything to an accessible networked record
breaches confidentiality. There has been no consent. It would not be
practical to ask every patient about what we could and could not put on a
networked record. Legislation about data sharing is probably a peripheral
issue compared to the vast amount of unconsented and unmanaged data
sharing now going on within health care.