Case Notes can provide a complete overlay to existing clinical systems, or can use selected clinical modules to work with existing administrative systems.
Case Notes has been implemented as a clinical overlay in many organisations including:
- A regional EHR service for the Worcestershire ICT programme
- A service for wide access to risk records for the London Development Centre for Mental Health
- An EHR for Labs, Referral and Discharge and support for the Coronary Heart Disease National Service Framework at Wrightington, Wigan and Leigh NHS Trust
- An integrated EPR sharing information across 10,000 clinical users in Oxfordshire, UK, with Oxford Radcliffe Hospitals NHS Trust
- An EHR linking acute, community and social care for Doncaster and South Humber Healthcare NHS Trust
- A pilot project for an EHR to link all care settings in the South Staffordshire Health authority
- A service to provide regional access to multiple laboratory facilities in the TeesPath project

