Currently cross institutional data sharing does not exist in the US healthcare system due to multiple challenges like high third party costs, lack of transparency, inadequate auditing. Personal health records are seldom with the individual patients as they are maintained by the institutions, products, services and solutions. Availing seamless medical care across the country is almost impossible. Added to this, most of the healthcare organizations delete personal medical records after certain number of years owing to regulatory requirements and high cost of maintenance. Hence after certain year (6 years), the chances of accessing personal health records are next to nil as they would’ve been permanently destroyed.