If advanced electronic patient records are construed as epistemic pati
ent analogues in information space, then the traditional property-mode
l of patient records is longer appropriate. A new paradigm is required
. This paper suggests a new paradigm, examines its ethical implication
s and explores ways in which these could be reflected in legal and reg
ulatory mechanisms. Special attention is paid to privacy, security and
access relative to the so-called ''fair information principles''.