Healthcare IT Consultant Blog: “Pharmacistsâ€™ representatives have claimed that use of private health record services such as Google Health and Microsoft HealthVault could risk fragmentation of electronic patient records. The Royal Pharmaceutical Society of Great Britain said â€œthe proliferation of these systems and indiscriminate useâ€ could lead to information on drug allergies, possible interactions, duplications or dose adjustments not being available when it was needed. The society, which was responding to a consultation by the Nuffield Council on Bioethics on medical profiling and online medicine, said there could be â€œserious patient safety implicationsâ€. It argued that the single health record supports the seamless transfer of care between primary and secondary settings and promoted multi- disciplinary working.” – I don’t necessarily agree with “the society” about personal health records. Personal health records – like medication lists carried in wallets, purses, and pockets – serve as additional information to an already detailed health system record. The technology is in its infancy and further growth and development should be encouraged. I believe it empowers the individual with enough control to become interested in their own care. I wouldn’t remove a patient allergy from the pharmacy system based solely on the information in a patient’s personal medical record, but would certainly investigate the opposite. First hand information directly from the patient is a valuable commodity. I remember interviewing patients upon admission to Long/Moffit Hospital on the UCSF campus when I was a 4th year pharmacy student. Many times asking the right questions led to the patient remembering something they had forgotten. If that information would have been in a digital personal medical record, the patient’s lack of memory becomes a non-issue. UCSF had the luxury of 30 pharmacy students running around talking to patients. Most hospitals aren’t so lucky.