Table 3.

Personal health record (PHR) policies

	Categories	BIDMC	BWH	PAMF	Aetna	Kaiser	Medem	Vet Affairs
1. Patient proxies enable PHR access	Data access	Yes	Yes	Yes	Yes	Yes	Yes	No
2. PHR access for minors	Data access	NA*	No	Yes†	Yes†	Yes†	Yes†	NA*
3. Patient views EMR clinical notes	Data content	No	No	No	NA‡	No	No	No
4. Patient views full EMR diagnosis list	Data content	Yes	No	Yes	No§	Yes	Yes	No
5. Patient control of information access	Data control	No	No	No	Yes	No	Yes	No
6. Research using patient self-entered data	Data re-use	No	No¶	No	No	No¶	No	No
7. Third party PHR web advertising	Advertising	No	No	No	Yes	No	No	No
8. Emergency “break the glass” access	Emergencies	No	No	Yes	No	Yes	Yes	No
9. Normal lab results PHR availability	Communication	Stat**	Stat-day 2††	Sign-day 5	NA‡	Sign-day 2	Sign	After day 7‡‡
10. Clinician response to patient emails	Communication	<72 h	NA§§	24–48 h	NA‡	24–48 h	NA§§	<72 h

^*Predominantly adult medical services.

^†Parent proxy while a minor.

^‡No relevant notes, investigations or messaging.

^§Filtered for mental illnesses.

^¶Patients are unable to self-enter data.

^**Stat is immediately and sign is when the results are signed off by a clinician.

^††Regardless of sign off availability based on each specific lab test.

^‡‡Regardless of sign off.

^§§Practice level decision making.

BIDMC, Beth Israel Deaconess Medical Center; BWH, Brigham and Women's Hospital; PAMF, Palo Alto Medical Foundation; EMR, electronic medical record.