Drawing on 10 years’ experience working in the NHS my research will develop new understanding of the modalities through which technologies comes to bear on the production of knowledge, practice, and discourse in healthcare. Focusing on the everyday reality/experience of the ‘Medical Record’ and of record keeping I am interested in; (1) how knowledge is produced, recorded, and practiced (by patients, doctors, clinical scientists, nurses, administrators, managers etc.), (2) how technologies used in the construction of the record have a performative role in experiences of the Medical Record, and of how, (3) more broadly, we can/should consider the Medical Record an ontological object.