The medical record is a major factor in patient care and has many functions which the clinical user accepts without thought. Analysis reveals these functions in detail and shows up the limitations of present systems. It is seen that, as well as the more obvious functions of storage and communication of information, the medical record has importance as a medico-legal document and that, because of this, more thought needs to be given to the problems of identification of the various contributors. Along with these problems is the whole question of confidentiality which at present, because of the number of individuals who have access to the complete record, is largely in name only. The management of a hospital ultimately derives its basic data from the medical record. At present the nursing record is kept separate from the doctor's record until the patient's discharge, but because of this much duplication takes place and interaction between the two could avoid this. The application of computer techniques could do much to improve the flexibility and content of the medical record. Various methods of input and of interrogation have been tried, but the most applicable and useful appears to be the computer-driven visual display unit, giving a real time facility. Of the various schemes in use, that using branching display techniques gives the quickest input and allows much standardization of vocabulary, since the words and phrases the user may require are stored by the computer and presented in a logical sequence. Free text must be allowed but is used in the knowledge that future analysis will be extremely difficult, if not impossible. Careful display design should minimize the use of free text. The application of such a system to the nursing record will be very challenging and difficult. By the use of a computer system, the communication function of the record can be immeasurably improved.