Information systems in the healthcare setting mature and become more widely integrated, and there is value in revisiting our understanding of record-keeping by healthcare professionals with respect to their patients. This involves understanding that (1) information is different from the media on which the information is stored or displayed, (2) healthcare delivery systems require the sharing of portions of that information for efficient and effective operations, (3) payors also need access to portions of that information, and (4) governments and very large provider organizations require the big data for epidemiologic and best practices analyses. Reproduced with permission of the publisher LexisNexis Canada Inc. from Electronic Healthcare Law Review, Vol. 5, No. 2, November 2015.