The primary purpose of Electronic Health Record (EHR) technology is to Improve quality, safety, efficiency, of healthcare delivery. This technical paper reviews an electronic health record (EHR) systems, "mNotes" from the perspective of Remote Patient Management (RPM) for metabolic disorder and lifestyle diseases treated by Nutrient supplementation and Bioidentical Hormonal Replacement Therapy (BHRT). The aim was to review (1) The structure of maintenance of Health records (2) The Model used to optimize the use of M-notes in remote patient monitoring (3) The Model for coordination between the units that are involved in the healthcare delivery (4) Potential for interoperability between EHRs Based on the features provided by mNotes, working models for RPM using the EHR and easily available IT tools were designed. These models are described and reviewed. "mNotes" EHR provides an effective platform for Remote Patient Management for chronic metabolic and lifestyle diseases with respect to clinical treatment and documentation as well as for generating useful data from its Medical Information System. The Model used to optimize monitoring was found to be effective in achieving the primary purpose of the EHR using cost-effective IT tools. A logical evolution of the EHR would be to achieve seamless integration with cloud-based applications and provide interoperability with other EHRs and with other Medical Information Systems.