The Longitudinal Medical Record (LMR) is an ambulatory-care electronic medical record system used by physicians and other clinical staff in the outpatient setting for documentation of medical care. It is used as an adjunct or replacement for the paper medical record. Providers use the LMR to document patient problems, procedures, medications, allergies, health maintenance topics, and encounter notes. The LMR is also used to write prescriptions and to communicate with other providers. Currently, LMR has over 4,000 physician users and is in the process of expanding to community practices. The CIRD group provides product management, consultation on requirements specifications, application design, and performs evaluation studies of LMR use.