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First published October 18, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2562
Journal of the American Medical Informatics Association 2008;15(1):1-7
© 2008 American Medical Informatics Association

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Submitted on July 18, 2007
Accepted on October 4, 2007

Early Experiences with Personal Health Records

John Halamka MD1*, Kenneth D. Mandl MD, MPH2, and Paul Tang MD3

Affiliation of the authors: 1 Beth Israel Deaconess Medical Center, Boston, MA; 2 Children's Hospital Boston, Boston, MA; 3 Palo Alto Medical Foundation, Palo Alto, CA

* To whom correspondence should be addressed.

Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies - MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo at Children's Hospital Boston. We describe our implementation challenges from 1999 to 2007 and postulate the evolving challenges we will face over the next 5 years.




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