With the permission of the patient who would have a code so that they could give the code to anyone they wanted to give access to records to. I know doctors are very uncomfortable. With electronic records the records would finally be kept in possession of their rightfull owner, the patient. It is the patient who is ultimately affected by whatever, and whoever accesses his records and what is said and recorded. Now doctors are supposed to reliece medical records to patients who request them.
Patients often have to make numerous requests before they can actually get possession of records.
A complete switch in power. Now the patient has power over one of his most intimate and personal records. It certainly should be that way. Well, I hope it all evolves sooner than later. Too bad congress has to push doctors into doing what they should have done ten years ago.