A business method for providing improved portable health care records management that is HIPAA compliant and legally reliable from the physician's perspective. The method provides service for providing a USB portable medical records database to a hospital patient in a USB device with multiple layers of security. The USB device and first and second softwares for implementing updates of the USB portable medical records database are provided. A first software resident on the USB device auto-runs a resident database of patient medical records and provides security and HMI functions. Second software resides on a business computer linked to the hospital medical records database for acquiring, sorting, and storing medical records on the USB device. A discharge service includes creating a USB portable medical records database for a patient being discharged, and may optionally include reviews of the records for compliance with medical and insurance standards. Only physician-dictated records are stored.