the user name and password is permitted to do so still further there is a bifurcation of the ability to access managed features rights to do something versus access of private data permissions to see something access to managed features is preferably role based for example a physician may add a healthcare reminder with the access of private data permission to see something access may alternatively be identity based for example an end user associated with a specific user name and password is able to see their own healthcare data and in certain circumstances his her spouse 39 s healthcare data while the invention of the subject patent application provides for very fine grained setting of access controls it may not be effective in all applications to individually set and unset each specific permission for each end user based on each service provider preferably default profiles of relationships are established for example when an end user or a patient establishes a new relationship with a hospital or a primary care physician a relationship of trust could be granted by default to the primary care physician and or their practice or establishment therefore the billing department the claims adjuster the other physicians associated with.