The Cleveland Clinic sometime in 2014 will make nearly all information in a patient’s electronic health record available via its Epic MyChart patient Web portal.

Patients currently can access via the portal their after-visit summary, medication and allergy lists, immunizations, diagnostic images and preventive care information. This month, the clinic will start automatically sending pathology reports to MyChart accounts after users have learned of the results from a physician. Beyond this information, patients wanting more of their record must contact the hospital to get hard copies--thumb drives or paper--of the EHR.

When the expansion is complete, patients will have access to pathology and plain film x-ray reports, physician notes, current health issues and recent concerns, known diagnoses, prior surgical procedures, test results and any other information with exceptions for certain information concerning mental health, substance abuse and sexually transmitted diseases. Procedure and problem lists and patient notes will be the first added information, available later in 2013.

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