By empowering consumers, electronic personal health records (ePHRs, more commonly PHRs) will play a key role in the evolving electronically enabled health information environment. Consumers want to be more engaged in their own healthcare and are seeking out information online. Despite intense concerns about confidentiality and security, they have high expectations for electronic health information. The growth of patient self-management tools for remote monitoring will fuel PHR adoption, if tools and standards are developed that make clinical information understandable to and usable by consumers. The value of the PHR will lie in shared information and shared decision-making, as its components support the continuity of care. Efforts in other countries can provide guidance in helping Americans do what they do best-develop and use innovative technology to serve the American people.