Medical records go online

Emerging online storage of personal health records is an example of the market responding to meet a need while combating rising costs. We're pleased the government seems to be assisting rather than impeding the process.

Microsoft and Google recently initiated online storage Web sites for consumers to compile personal health care records for patient and medical provider access. For example, individuals can manage their own data, rather than hope that myriad, disparate records can be gathered in an emergency from a multiple sources.

Microsoft's HealthVault is billed as part filing cabinet, part library and part fax machine for storage and transmission of records and notes. Google Health similarly allows users control over storage and sharing at a secure Web site. Both are free services.

However, both rely on users to input data. Many major insurance companies compile similar databases, filled with information automatically generated from insurance claims, that are probably more accurate and up-to-date. Few consumers have opted to access those systems, although insurers' generally have made available.

The California Department of Insurance seems to be helping. A department spokesman said private insurers are restrained by law from conferring on such matters, unless the government is involved. Insurance Commissioner Steve Poizner organized doctors and major insurance providers to cooperate on creating a common format to enable patient data sharing through an online Personal Health Record system.

Individuals could access their data and update information or check test results. The goal is to encourage more patient use and make different systems compatible so information becomes portable when changing jobs or insurers.

Operating like "a calendar of medical events," the system would provide histories of doctor and hospital visits, prescriptions, tests and other information automatically generated by insurers, while also allowing users to enter living wills, family contact information and other personal data.

Poizner promises no government control or taxes. The system is to remain privately operated. We urge online service providers always to respect privacy concerns. But automated, easily accessible and updatable systems should save time and money, perhaps even lives, when critical information can be accessed quickly for treatment.