This study describes an analysis of 1832 papers dealing with electronic pat
ient records, and indexed in NLM's MEDLINE. Of each retrieved publication t
he country of origin and the journal in which it was published was determin
ed. Furthermore, insight into the subjects of the publication was obtained
by analysing the MeSH terms by which it was indexed. Since 1990 the number
of publications on electronic patient records has increased. Publications o
riginated from 43 different countries rep resenting a II continents. Howeve
r, 75% stemmed from only 4 countries. The publications appeared in 379 diff
erent journals, of which 26 journals had 10 or more publications. Of all pu
blications, 5.3% had appeared in journals with an impact factor of at least
4.5. The topics most often dealt with were: Hospital Information Systems,
Computer Communication Networks, User-Computer Interface, Confidentiality a
nd Computer Security. No obvious trends, other than an increased interest i
n confidentiality and computer security, were observed.