Abstract: An electronic medical record system includes a first electronic medical record system to store a complete medical record for a patient. An electronic medical record appliance is connected to the first electronic medical record system. The electronic medical record appliance includes a medical information exchange consent policy module including instructions executed by a processor to supply to the patient a medical information exchange consent policy interface with selectable medical information exchange consent policy elements, receive selected medical information exchange consent policy elements from the patient, accept from a second electronic medical record system a medical record request for the patient, filter the complete medical record for the patient in accordance with the selected medical information exchange consent policy elements to form a consent filtered medical record and transfer the consent filtered medical record to the second electronic medical record system.

Abstract: An electronic medical record exchange system includes an electronic medical record appliance to interface with a first legacy electronic medical record system. An electronic medical record gateway server interfaces with the electronic medical record appliance and a second legacy electronic medical record system. The electronic medical record appliance and the electronic medical record gateway server communicate utilizing assigned doctor identifiers and patient identifiers that are different than assigned doctor identifiers and patient identifiers utilized by the first legacy electronic medical record system and the second legacy electronic medical record system.