I want to stress what Susie brought up.
My PCP has been operating with a computerized system for years, as long as I've treated with her. And just like Susie said, when she walks in (or the PA, or MA, or Nurse), they are able to access ALL (and I do mean ALL) my medical records, everywhere. From any doctor, from any hospital, from any surgeon, even from my the Rehab facility I went to after each surgery.
All the time.
With all the emphasis on HIPPA and protection and security and privacy of our medical records, frankly I'm more frightened to see how all of this electronic record keeping could potentially be breached.
Both of my orthopedic doctors just converted to 100% electronic over the past 4 months. The only "paper" I'm given is a printout of my next appointment.
If I want a "copy of my medical records," they're given to me on disk. The ONLY exception is my PCP which provides a detailed summary of each visit each time I leave, outlining EVERY condition I am currently or was previously treated for, the status, the purpose of the visit, the action of the visit, what tests were done,... You know, like traditional SOAP notes....
If I'm ever in a pinch, she provides me with the closest thing to a "current record" without having to recall everything (if there were an emergency). But nothing takes the place of the full record.
In fact, while I have primarily used the same pharmacy (CVS) for the past decade, certain circumstances called for the occasion for me to utilize a different pharmacy.
Much to my chagrin, they had access to my pharmacy records as well.
I think that at this time, not all are "integrated," (I may be wrong), but I think we're headed strongly in that direction.
It is yet another reason we must be ever vigilant with regards to the accuracy of our records.
This is another slippery slope.