EMR Security Update — Patient Opt-In EMR operates free from HIPAA regulation, and free from government scrutiny.

Instead patients are in the power seat to communicate as THEY see fit with their physicians.

When patients enroll, they can opt in to receive communications over non-HIPAA-compliant methods.

These non-HIPAA-compliant methods include confidential communications via SMS, email and Twitter DMs, and also general billing conducted via email.

Unless users check to allow these features, no private information will be communicated in any of these manners.

However, EMR will send emails to patients regarding billing, e.g. invoices, confirmation of payments, confirmation of refunds, and more.

Invoices, to the best of EMR’s abilities, will never contain any sensitive or compromising information.

UPDATE: Dr. Josh’s Interview With The Objective Standard Now Available Online

Head over to to read Dr. Josh’s recent interview with Ari Armstrong. We sent out a PDF copy last week to our subscribers, but if you missed it, you’re in luck. You can check it out right there on the website, or download it as a PDF.

In the interview, Dr. Josh fleshes out his vision of direct care, one that’s taken the interest of influential parties, including patients, doctors, insurance companies, and even members of the state congresses. Yes, direct care sounds utopic, and therefore unrealizable, but if you remove the bias and look at the data and listen to its success stories, it’s clear that healthcare wins when doctors spend time with patients and not paperwork. Of course, direct care doctors see many fewer patients than those operating inside the red tape, and Dr. Josh addresses this issue with honesty and conviction.

Ari Armstrong is the assistant editor of The Objective Standard, and a writer/blogger based in Colorado. Besides purveying the philosophy of Ayn Rand, his book Values of Harry Potter: Lessons for Muggles explores themes contained within J.K. Rowling’s beloved Harry Potter novels. Obviously, Ari’s well-rounded. Thanks to him for conducting such an insightful conversation about direct care.

Atlas Blog Q&A: ICD codes, HL7 Feeds, and New Patient Forms

I wanted to share our follow-up with a doctor who recently wrote into us asking about direct care. Here’s her query:

Dr Josh,

Thanks again for speaking to me a couple of weeks ago about DPC. It was very helpful. I will be using your EMR program in my practice. Was wondering if the ICD codes are generated /accessible by/from your EMR?? Also, I was advised by the local lab I will be using to ask you if your EMR has a “HL7 feed” for importing lab results. One last thing, could we see what forms you are using in your new patient information packet? I have created my own from basic forms I have used in the past but was interested in seeing what you use. Thanks again for all your help and being a champion for the DPC movement. Wish you much continued success!

[name omitted]

These are fantastic questions. I’ll address them one at a time.

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