Venesco, the ONC contractor that developed the report, said patient portals or personal health records offered through the EHR are “tethered” health records since they are often limited to a single health system. However, patients often receive care from numerous providers, so these tethered patient health records may often be incomplete.
Instead, the report suggests considering non-tethered, cross-organization personal health records, which could be supported or sponsored by a health information exchange.
“Having an HIE base for the PHR provides greater interoperability, depth of information and ability to integrate data sources, which in turn provides better service to the consumer and to other stakeholders,” according to the report.
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