due to both the public health sector not fully engaging with adopters and the adopters themselves exhibiting "reticence to share sensitive information." Several surveys of Americans in the twenty-first century have indicated that anywhere between 63 to 73% would be willing to share at least some personal health information with public health officials for detecting disease outbreaks and other purposes. However, caveats about retaining control of how the information is presented and used remain strong among respondents, with concerns about anonymity, government insensitivity, and discrimination. Given the questionable state of regulatory efforts to protect PHR data from these and other concerns, the standard use of health data from PHRs in public health may still be far away. The U.S. Centers for Disease Control and Prevention has taken the idea of PHR integration with public health efforts a step further, in 2016 suggesting a framework for a community health record "for integrating and transforming multisector data into actionable information." Integration of EHR, PHR, and county health data would allow the integration and presentation of data across residential blocks to entire zip codes. However, like PHR, significant social approval would have to occur, and data use agreements would have to be established. See also Electronic health record mHealth Microsoft HealthVault Solid health REHEALTH 2 Patient portal Personal health application References Further reading External links Health informatics Medical records Electronic health records