In a nutshell, MD + PHR = ISP? In other words, when a medical doctor or clinic starts serving personal health records from their office, are they starting to turn into an Internet service provider?
Physicians in Ontario and British Columbia are blessed with access to the OSCAR system for EMR’s (That is, Electronic Medical Records.) From the IT perspective, there is an excellent (detailed and accurate!) OSCAR installation guide for setting up on the long-term-support edition of Ubuntu. It appears to me that OSCAR provides our physicians with good reliable free/open-source software so they can focus on looking after our health.
Whereas OSCAR provides convenience for the practitioner, MyOSCAR (related free/open-source software) gives access for the patient. Moreover, installation again seems straightforward, particularly in the case where a MyOSCAR server will be side-by-side with an OSCAR server. So physicians wishing to provide the best possible service are setting up MyOSCAR.
My concern is that when MyOSCAR is installed in a medical office, the ante goes up in terms of server demands. Is it wildly dystopian to imagine medical offices as moving towards becoming ISP’s, dealing with bandwith-burning hypochondriacs and crackers starting to see medical offices as prime targets?
My suggestion to an interested doctor or clinic would be to seriously consider installing OSCAR if they haven’t already, but to seek an Internet Service Provider sufficiently trustworthy to serve MyOSCAR from the ISP office. The rationale is that medical doctors should not risk getting distracted by ongoing concerns about network security.
It is a subtle issue. Even aside from technical convenience of having MyOSCAR side by side with OSCAR, there is a possibility that in some jurisdictions patient records on MyOSCAR may have better legal protection with the server in the medical office. So I cannot insist that the MyOSCAR-at-the-ISP approach is correct, I can only raise the question.

