One person, one record, fourteen views

What a clinician actually sees when they open somebody’s record: conditions, drugs, frailty, every contact across six settings, the GP’s own record pulled in, and the two tabs that make you say who you are before they open.

1 One person, fourteen ways of looking at them

Harold is 90, has dementia with BPSD, atrial fibrillation and hypertension, and a frailty score of 5. His GP holds part of his record. The memory service holds another part. The hospital that admitted him in March holds a third. Social care holds a fourth, and the pharmacy that did his medicines review holds a fifth. None of them is wrong. None of them is the whole thing either.

The Whole Person Record is one screen with all of it on, arranged as tabs. Same person, same identity, fourteen views.

2 What a GP sees, and what a GP can change

The record is read here and written where the work happens. A GP opens this screen to see the whole picture, then writes through the consultation, the prescription or the review — and what they write lands back on these tabs, on the same person, without anyone re-keying it.

Every drug carries what it’s for and when it’s next due a look. Risperidone is flagged high risk and marked time-limited, which is what the BPSD guidance asks for. Apixaban is flagged too. A GP changing either does it through prescribing, and the row here changes with it.

3 Every encounter, wherever it happened

The Timeline is the tab most people go to second. It puts every contact in date order, colour-coded by where it came from, with the clinician and the source system on each one.

Read down it and the year makes sense: an annual review at the surgery, a cardiology outpatient appointment, a district nurse dressing a leg ulcer, a CPA review, a support plan increased to fourteen hours a week, a medicines use review at the pharmacy, an emergency admission in March, a phone call about metformin, and a Care Act assessment in January. Nobody holding one of those systems can see that shape. Everybody looking at this tab can.

4 The GP record, pulled in rather than retyped

The GP Connect tab shows the registered practice’s own record — problems, medications, allergies, encounters — requested from the GP system and rendered here.

This matters more than it sounds. A community nurse standing in someone’s front room can see what the GP prescribed last week without ringing the surgery. And because it arrives as the GP system’s record, nobody has copied it into a second place where it can go stale.

5 Frailty, and what it costs to ignore it

The Frailty tab holds a Clinical Frailty Scale score with the clinician who assessed it and the date they did, plus a complexity score built from the rest of the record.

A frailty score with no name and no date on it is a number somebody typed once. This one says Dr S. Ahmed assessed it on 10 May 2026, so a clinician reading it in November knows exactly how much weight to give it.

6 The tabs that are gated, and why

Two tabs hold special category data under Article 9, and both say so on their own face before they show anything.

Genomics opens with a line naming the reader’s own access grade before a single result appears. Characteristics does the same for protected characteristics. Neither hides behind a blank panel: if you can’t see something, the screen says you can’t see it and on what basis, which is the difference between an access control and a bug.

7 Mental health and social care sit on the same record

The Mental Health tab holds Mental Health Act detentions and the Care Programme Approach record. The Social Care tab holds Care Act needs assessments, support plans and CHC checklists.

Harold has neither a detention nor a CPA record, and his tab says so plainly: no active MHA detentions, no CPA record. The figure above comes from someone who does. That’s the honest behaviour — an empty tab that says it’s empty, not a tab that hides when there’s nothing in it, because “nothing recorded” and “never asked” are different answers to a clinician.

8 Ordering, results and what came back

The Diagnostics tab lists every test ordered for this person, including the ones placed through order comms, and what has come back against each.

ACP and DNACPR sit on their own tab too. Harold has none recorded; a different person on the demonstration system carries a ReSPECT v4.0 form with “what matters most” written in their own words — to remain at home for as long as possible.

9 It leaves in a standard shape

The button at the top right of the header exports an International Patient Summary in the EHDS shape. The openEHR tab shows the structured compositions underneath the screens.

Both of those exist for the same reason: a record you can’t get out in a form somebody else can read isn’t really yours. The tabs are how it looks; the compositions and the IPS export are what it actually is.

Where it lives in commvita