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The ePHR (electronic Personal Health Record) is a self-service technology (SST) used in health care, which can serve as an electronic information source for patients, physician and the government. Based on the literature review, we found that there are some concerns and barriers during the ePHR implement in industry perspectives, physicians’ perspective, patients’ perspectives and technology perspectives. In the pilot study of ePHR implementation impact on physician workflow, we conduct a qualitative analysis using structured physician interviews, and a quantitative analysis for physician workflow observations. We try to create recommendations for ePHR implementation for a variety of physician practices, at the same time, discussed some other important ePHR implementation components: communication, training and measurement.