As part of the Economic Recovery Act funds were created, laws and rules were enacted to speed up the adoption of Electronic Medical Records. Without appropriate safeguards, a system of Information Exchanges were created that all connected entities and their data.
Separate Charts will be replaced by a single permanent unchangeable chart, at risk by its very access and connections. There are very sound reasons patients may need to keep charts separate & private from others. Not all Diagnosis, Opinions are Valid; others are Stigmatizing.
Insurance Carriers & CMS will have access to mine charts in a system that seeks to deny care and coverage. Patients and Doctors need safeguards to protect both parties privacy: No Penalty Right to Fully Opt-Out for Both, Control by Sections, Subject Matter.