an ▁Poly techn ic ▁in ▁Regin a ▁ ▁: ▁Centre ▁for ▁Dist ance ▁Education ▁ ▁Element s ▁Health care ▁quality ▁and ▁safety ▁require ▁that ▁the ▁right ▁information ▁be ▁available ▁at ▁the ▁right ▁time ▁to ▁support ▁patient ▁care ▁and ▁health ▁system ▁management ▁dec isions . ▁G aining ▁cons ensus ▁on ▁essential ▁data ▁content ▁and ▁documentation ▁standards ▁is ▁a ▁necessary ▁pr ere quis ite ▁for ▁high - quality ▁data ▁in ▁the ▁inter connected ▁health care ▁system ▁of ▁the ▁future . ▁Cont inu ous ▁quality ▁management ▁of ▁data ▁standards ▁and ▁content ▁is ▁key ▁to ▁ens uring ▁that ▁information ▁is ▁us able ▁and ▁action able . ▁ ▁Records ▁The ▁patient ▁health ▁record ▁is ▁the ▁primary ▁legal ▁record ▁document ing ▁the ▁health ▁care ▁services ▁provided ▁to ▁a ▁person ▁in ▁any ▁aspect ▁of ▁the ▁health ▁care ▁system . ▁The ▁term ▁includes ▁routine ▁clin ical ▁or ▁office ▁records , ▁records ▁of ▁care ▁in ▁any ▁health ▁related ▁setting , ▁prevent ive ▁care , ▁l ifest yle ▁evaluation , ▁research ▁protocol s ▁and ▁various ▁clin ical ▁databases . ▁This ▁repository ▁of ▁information ▁about ▁a ▁single ▁patient ▁is ▁generated ▁by ▁health ▁care ▁profession als ▁as ▁a ▁direct ▁result ▁of ▁interaction ▁with ▁a ▁patient ▁or ▁with ▁individuals ▁who ▁have ▁personal ▁knowledge ▁of ▁the ▁patient . ▁The ▁primary ▁patient ▁record ▁is ▁the ▁record ▁that ▁is ▁used ▁by ▁health ▁care ▁profession als ▁while ▁providing ▁patient ▁care ▁services ▁to ▁review ▁patient ▁data ▁or ▁document ▁their ▁own ▁observations , ▁actions , ▁or ▁instructions . ▁The ▁secondary ▁patient ▁record ▁is ▁a ▁record ▁that ▁is ▁derived ▁from ▁the ▁primary ▁record