Abstract: A cloud-based, secure, integrated communication system for patient care delivery system can provide a platform that is device-agnostic and can adapt to the technology chosen by users of the system. The system can allow for asynchronous and/or real-time communication among all participants. Patients can create and manage their own specific health issues. Patients can assign their own caregivers and/or approve new care providers. Patients can also control whether to include certain members of the family and/or friends in discussions regarding the patients' health issues. Physicians can engage other healthcare providers, advanced practitioners, and/or consultants with specific patient issues. The system can also assist with billing for eligible e-visits for insurers providing such reimbursable services.