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Here in Sweden you can view any patients info, and there is supposed to be audits to check that a doctor only ever checked relevant patient journals.

Always a few cases now and then of people getting caught checking friends, family and foes.

Pretty sure that auditing is completely separate from the caregiver.

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In Stockholm, there is one journal system everyone is mandated to use, written in APL (was called Take Care but could have changed name), and completely without access control.

I believe each institution get printed access logs sent to them, which is never looked at.

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