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Deezer Music Free. FM Radio Free. QR Scanner Plus Free. Approximate size KB. Google and Microsoft face many of the same issues -- privacy, bureaucracy, and technological intransigence in the health industry -- as they attempt to put their own spin on e-health. They are trying to make a connection between the data that exists in various places in the health care system and those consumers who want to be proactive in their health.

Both companies are in the early stages of their efforts, having launched an initial Web-based product that individuals can use to store a variety of personal health records, including prescriptions, allergies, and medical-device data. Microsoft and Google aren't alone in this space. WebMD and Revolution Health also offer tools for building a personal health record.

Efforts like those of Dossia and Aetna's ActiveHealth Management unit are working directly with employers to offer health record options to workers. Meanwhile some providers, such as Kaiser Permanente, also offer their own health records. Such records could dovetail with the growing number of digital health care records being maintained by individual providers and even work with online patient communities in sites such as Yahoo Groups. Microsoft and Google are making the case that patients can get better individual care by having a record that they can take with them.

They also believe that amassing a broader collection of data could help show trends and cut down on medical errors. Zeiger paints the typical scenario in which digital health records could come in handy.

Say a person is out of town and gets sick, and goes to an urgent-care clinic or emergency room. The doctors there have no idea about that person's allergies, medical history, or other information. They must therefore rely on whatever the patient can remember and write down. However, the idea of a digital health record has also stirred privacy fears. Although both companies say their services put patients in control of their records, some health care providers remain concerned over how the data will be handled, particularly if Google and Microsoft aren't subject to the Health Insurance Portability and Accountability Act HIPAA , the federal law that governs how doctors and hospitals handle data.

Right now, it's up to each person to read the terms of service for whatever service that they are using. Even though Microsoft and Google have good policies, McGraw worries that other sites will inevitably emerge, and may or may not offer similar protections. Another challenge: by their nature, these online services amalgamate records from a variety of sources. One of the richest sources is billing data, but as one recent case illustrates, such records are also prone to errors. One particular patient, Dave deBronkart, took to the blogosphere to talk about flaws he found in his Google Health record based on the fact that it used data compiled from billing codes, the numeric shorthand used by insurance companies to reimburse doctors and hospitals.

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