When economical labels is put into care the medical record system is forced into a certain form pushing doctors to work more with laboratory investigations and less with education. Inevitable a focus on cash flow will result in more non value activities. To reverse this process we have to show that we can handle details. This will simplify a move from abstract finances to concrete activities like education. A basic information sheet with codes is carried by the patient and is the starting point while we write the medical record together.
Free text is integrated with structured information in the medical record.
The codes are saved to the system and used for production of readable records and statistics. Results from educational activities and the content of education can thus be demonstrated. Evaluation is educational for the tutors as well as for the patient. The information sheet can be used as a integration link between primary care units and the hospital. In a future a patient card or a diskette could also be used for information flow.