Abstract: A method to regulate access to a health record of an individual includes receiving a request from an application, the request identifying an item in the health record to which access is requested. The method further includes presenting the request to a marshal of the health record via a user interface and receiving a response from the marshal of the health record via the user interface, the response indicating whether access to the item is authorized or withheld. The method further includes granting the application access to the item if the response indicates that access to the item is authorized, and denying access to the item from the application if the response indicates that access to the item is withheld.