A mechanism is provided in a data processing system to implement localized device specific limitations on access to patient medical information. An authorizing device receives a request from a requestor device via a dose proximity communication protocol requesting to access an electronic medical record (EMR) associated with a patient. The authorizing device receives user input via a user interface specifying conditions for permitting access to the EMR. The authorizing device transmits an access authorization request to a patient registry system requesting the patient registry system to provide access to the EMR associated with the patient in accordance with the conditions for permitting access specified by the user input. The patient registry system generates a temporary access data structure based on the specified conditions. The patient registry system processes a subsequent request from the requestor device to access the EMR in accordance with the temporary access data structure.