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Certainly some of the historical records that go back decades are contained in paper files that may not even be cost effective to digitize. But let me say this. I have had two hospital episodes in the last six years, and all my records are fully digitized. I even have accounts, passwords and access codes to look up all the diagnoses, treatments and prescriptions on my own computer. My full history is all there all the way back to my childhood. At my last hospital stay back in 2009, a nurse came in and asked me my history, which she immediately typed into her computer. She double checked with me at the time to confirm accuracy.
During my hospital stay earlier this month whenever a nurse came into the room to check my progress or conduct tests or change my drip, she scanned my wrist band and the bar codes on any antibiotic packets to be administered. Everything else was immediately entered into her "computer on wheels"...my blood pressure, temperature, any discomfort experienced...everything. The doctor had immediate access to all this info before he came into the room to visit with me.
So yes some doctors, hospitals, clinics are slow to convert to digital, but that is certainly not the case for my care givers.