While many innovative information and communication technologies have been offered as solutions to primary care management challenges, few have been shown to be effective and or sustainable over time. Information technology approaches have been narrow in focus, relying on designs that enhance usability, interoperability and adaptability by delimiting the traits, attributes, and characteristics of individual communication processes. It is increasingly understood in primary health care settings that relational communication continuity between the patient and the health care team is essential for optimizing co-determined treatments, interventions, and self-management strategies. Successful utilization of a patient-centered web-based portal must account for essential proximity of the relational aspect of care between the patient and the immediate health care team.