A method and system for managing health care patient record data including identifying and conveying recordation and temporal inconsistencies in health care patient data pertaining to chronic illnesses. An embodiment of the present invention includes identifying a first health care encounter date on which a chronic illness is recorded in a patient's digital health care data and determining if the chronic illness was recorded in the patient's digital health care data for each subsequent health care encounter. Some embodiments also identify the stage of the chronic illness at each encounter to determine if and how the condition of the chronic illness has changed. Some embodiments generate alerts to inform users when a preexisting chronic illness is not subsequently identified and/or if the subsequent diagnosis of the chronic illness indicates that the condition of the chronic illness has changed by some predetermined amount.