The Practicom solution works fairly well, but does require the patient to pay a nominal monthly fee. All pt. can receive a lite version which allows them to receive messages from the office, but not reply, have access to the practicom site and use the journals to record/print out bp, blood sugars, wt, access to health information, etc.
Even before the full interface to AC you can just go to summary page and export CCD/CCR to the integration machine in your office and it will auto upload to the pt. who have the paid service. The beta interface which does auto uploading of CCD is undergoing some final testing, but they seem to have added some cool features.
I will contact Practicom and ask them to come on the vendor section.......P.S. I have no financial interest other than using them.