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Patient-controlled health records AI

MyChart Takeout

MyChart Takeout is a deterministic record exporter, so the standalone utility is unscored. Its documented gaps report helps users see missing data. Export supports patient-chosen downstream analysis but does not guarantee a complete institutional record.

Unscored infrastructure Read full report Open directory

Standalone deterministic exporter. Downstream AI is chosen separately. Historical scores are retained in the report.

Unscored Current comparison
Agency posture Strongly agency-expanding, with license-clarity, instance-variability, and access caveats
The question we ask Who does MyChart Takeout serve in this deployment?
Control Deterministic patient record-export infrastructure, with downstream AI chosen separately. The September 7 closeout places the standalone exporter outside AI scoring scope.
Agency read Strongly agency-expanding, with license-clarity, instance-variability, and access caveats
Vendor
Josh Mandel (jmandel) / independent open-source project
Who it serves
Patient-directed record-export infrastructure (standalone AI not applicable)
Primary User
Patients, caregivers with MyChart proxy access, and patient-developers with Epic/MyChart accounts
Control Model
Local CLI or browser-based record export. Downstream AI is separate.
Patient Impact
The new documented gaps report matters: a patient can see what was missed rather than assuming silence means absence. Exported originals can support disputes, but extraction does not correct source records or guarantee that an entire institutional history is available.
Profile Status
Unscored infrastructure
Last assessed
Sep 8, 2026
Review Confidence
Medium for repository documentation, limited for deployed build (AI-assisted draft)
AI / Model
OpenAI Codex / GPT-6
Human Review
Hugo Campos authorized publication of these AI-assisted draft reassessments on September 8, 2026. This does not claim comprehensive human verification of every finding.

Summary judgment · Unscored in current comparisons

Standalone deterministic exporter. Downstream AI is chosen separately. Historical axis: 92/100.

Strongly agency-expanding, with license-clarity, instance-variability, and access caveats

MyChart Takeout is a deterministic record exporter, so the standalone utility is unscored. Its documented gaps report helps users see missing data. Export supports patient-chosen downstream analysis but does not guarantee a complete institutional record.

Patient agency

How this tool changes agency

Expands agency when

The new documented gaps report matters: a patient can see what was missed rather than assuming silence means absence. Exported originals can support disputes, but extraction does not correct source records or guarantee that an entire institutional history is available.

Limits agency when

Hosted-bundle equivalence, current license grant, proxy semantics and completeness across real portals remain untested.

Patient agency assessment

Who sets and changes the goal?

Patient authority

Local portable artifacts let the patient choose subsequent analysis and recipients. That is the agency basis, not the maintainer's reputation or an open-source label. Proxy access gives an authorized caregiver capability and does not establish the subject's consent to every later use.

What can the patient understand, question, or do?

Critical capacity

The new documented gaps report matters: a patient can see what was missed rather than assuming silence means absence. Exported originals can support disputes, but extraction does not correct source records or guarantee that an entire institutional history is available.

Can the patient evaluate the conditions of use?

Informed control

The documented local architecture reduces an extra custody layer. It still relies on an authenticated portal and software supply chain, and does not prove the hosted bundle matches source. Optional agents and downstream AI have their own data paths.

Text findings

Conditions of use

Published controls and their limits

The documented local architecture reduces an extra custody layer. It still relies on an authenticated portal and software supply chain, and does not prove the hosted bundle matches source. Optional agents and downstream AI have their own data paths.

What remains unknown?

Not tested or not established

Hosted-bundle equivalence, current license grant, proxy semantics and completeness across real portals remain untested.

Who evaluated this?

AI-assisted public-source draft

Vendor statements describe published conditions, not independently verified behavior. No clinical, security, accessibility, or legal validation is claimed. Earlier evidence remains dated in the report and history.

Sources checked

Source-specific findings and retrieval limitations are recorded in the full report.

Review provenance

Criteria

CAIHL-derived HugoScore framework and September 7 qualitative review priorities. Draft v1.2 numerical anchors remain unadopted.

Reviewer

AI-assisted public-source reassessment prepared in OpenAI Codex.

AI / model

OpenAI Codex / GPT-6

Human review

Hugo Campos authorized publication of these AI-assisted draft reassessments on September 8, 2026. This does not claim comprehensive human verification of every finding.

Review date

2026-09-08

Limitations

Hosted-bundle equivalence, current license grant, proxy semantics and completeness across real portals remain untested. No live product use, patient-data upload, account creation, code audit, clinical evaluation, or independent implementation validation.

Review method

Focused public-source reassessment using CAIHL: patient authority, critical capacity, and informed control. Existing evidence plus one focused primary-source pass and at most one targeted follow-up. No live product testing. Numerical scores remain provisional editorial placements, not a new calculation.

Unscored infrastructure · Medium for repository documentation, limited for deployed build (AI-assisted draft)