As defined by the Agency for Health Record Quality (ahrq.gov), A "health record" is understood to be a collection of records concerning your health. It includes "medical records", which are those records held by hospitals (emergency records, radiology records, admissions records, etc...), doctors offices, clinics, insurance companies, etc. If you create a Google Health Profile or a Medstory Profile (purchased by Microsoft), or WebMD Profile if and when that becomes available, it too could logically be part of your health record.
HR 2991 establishes that it is the patient who should maintain control over access to a health record by establishing the concept of a Health Record Trust -- basically, a framework for establishing trust relationships between individuals and those who would access health data.
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