Nice work on the pivot + launch, team!
You mention that IAS "may open up in the future." Does that mean I am not currently allowed to request my own record from an HIE?
That's right, we can't even request our own records using Metriport - this currently can only be done for a Treatment purpose of use (and opens up a lot gray area of what that means, as you can imagine).
The promise of TEFCA, and QHINs, is to open up more use cases for data access, like individual access, payment/operations, and etc. We're optimistic that eventually this will become a thing, but there are a lot of politics around this, and full implementation of these use cases has been getting delayed for some time now. It's technically possible today, but responding to requests outside of Treatment is not a MUST, so essentially nobody (namely the big EHRs) will actually respond to IAS requests.
In the meantime though, we're sprinting to hook as many providers up to the networks as possible, which then can share records with their patients.
As the Metriport team mentions HIEs/TEFCA don't realistically allow patients to request their own medical records at the moment. However it is possible to request your individual medical records using the Cures Act Final Rule mandates -- it's what powers Fasten Health's Open Source PHR[0] and our B2B Fasten Connect service. The trade off is that patients need to remember & search for each of their health systems & then login to each of their individual patient portals. It's a pretty high friction experience.
