A system supports live electronic messaging communication between a healthcare worker and a patient. The system includes a communication processor for establishing a bidirectional, real-time, secure text message communication link between a healthcare worker at a first location and a patient at a location remote from the first location. The communication processor supports bidirectional live text message communication between the worker and the patient. An authorization processor examines received patient and worker identification data to validate patient identity and worker entitlement to access a medical record of the patient. A user interface uses validated patient identification data for providing at least one display image including medical data of the patient derived from the medical record of the patient. The medical data of the patient is viewable concurrently by the healthcare worker and the patient while concurrently engaging in text message communication. A data processor stores a transcript record of a bidirectional live text message communication session between the worker and the patient in the medical record of the patient.
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