In recent years, development of information industry as technology and network coverage improved dramatically, making the government, business practices and even the life style people have to quickly toward digital, information-oriented direction; the Department of Health simplifying processes for healthcare, lower costs and improve administrative efficiency, HL7 international standards through existing national institutions of the various medical institutions in a unified format for medical information to facilitate future medical electronic information can be exchanged between the various institutions use of medical resources and give full play to improve health care quality. Although electronic medical information for health care, bring profound vision, but also for the patients along with the personal privacy of medical information in the storage, exchange and transmission during the maintenance of security worries, so how to avoid information leakage or medical electronics was not evil individuals theft, forgery and tampering led to violations of patient privacy violations occur in the process of electronic medical information to promote the study of the subject worth exploring. At present, the electronic media to access information or file in the process of information access are only for authentication and access to those records for audit, but most involve the patient medical electronics and information privacy, if applied to the traditional certification audit mechanism, may lead to patient privacy protection issues, so we propose to stand in patient perspective as a starting point to design a transfer or exchange of electronic medical records in the process of adding patients to access authorization authentication mechanism to empower patients to protection of personal privacy of patient power, but also to health care access electronic information exchange process in the multi-layer security mechanisms to build a safe, efficient and people-oriented exchange of electronic medical records and medical information sharing platform and environment.