Table 1.

Underlying themes and potential sources of support in the decision-making process

	Underlying Themes in the Decision-Making Process
1	Compliance with state and federal laws
2	Technology capabilities
3	Adaptation to differing patient population needs
4	Availability of resources
5	Community expectations
6	Balance between access to and privacy of medical information
	a. Safety and quality of care
	b. Health information exchange
	c. Congruity with paper medical records access policies
7	Balance of autonomy and family shared decision-making
8	Tension between teen privacy and parental preferences

	Potential Sources of Support in the Decision-Making Process
1	Policies and guidelines
	a. State versus federal
	b. Panel members
	c. Guideline concerns
2	Other medical organizations
3	Functional standards
4	Technology innovations
	a. Granular control of information
	b. Clear identification of sensitive information
	c. Guarantee of privacy control
5	Research
6	Education and communication
	a. Parental and community education
	b. Medical staff education and communication with EHR vendors
	c. Dissemination of best practices among medical organizations