In order to transform healthcare into a more efficient and cost-effective system, it is essential to improve communication between the various caregivers and their patients. The capabilities of the HarmoniMD EHR can be enhanced, enabling it to serve as the foundation of a universal Health Information Exchange network. This network will provide secure, open communication between hospitals, physicians, pharmacies, test labs, clinics, and patients, facilitating a transformative evolution in the extention of quality, cost-effective health care to rural America. The HIE network will leverage widely-used Internet-based interfaces such as web browsing and email, requiring little or no training for medical personnel or the general public to take full advantage of the system.