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Attempting to create a Patient ID Portal within the health care environment is more complicated than might be the case in another context. This rich body of existing work, albeit with significant and important gaps, makes the design and development of a project such as envisioned here into a substantial effort to wedge what otherwise might be a relatively easy to install round peg, into a multi-sided, oddly shaped hole. The effort will require substantial reshaping of the peg to fit the space allotted.