“This is a record that is built around registries, in which we record the structured things that are important in the care of patients,” wrote Bob Morrow, MD, of Bronx, N.Y. “The rest is not terribly important when a patient with diabetes comes in and is having some belly pain. You evaluate it and it is not urgent, but you have done some tests. That doesn’t have to be structured into your record except as a visit. But you do have to structure in the things that you might have forgotten, and with a good registry-based record, you can have the rest of your team do things for you before you even see the patient. For diabetes, the team can order the patient’s A1c, or they can give an immunization that might be needed. They can do the foot examination, and so on — whatever you decide based on the structure of your practice.”
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