Abstract
Out-dated methods for recording details of routine consultations in general practice in England and Wales indicate the need for a more logically structured and automatically summarised patient record, particularly as large group practices increase in number.Progress is reported of a flexible phased programme for the construction of computer-stored, long-term medical histories of individual patients. These are derived from details of every consultation in a group general practice, recorded in structured narrative form on paper tape. No additional work is required of the doctor, and the additional work of the secretarial staff is minimised by the use of program tapes and punched cards bearing patient identification. Lists giving full details of all doctor/patient contacts can be produced. The corresponding master tapes can be searched and subsidiary lists printed out.
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