Personal　Health　Record　(PHR)　is　a　novel　way　of　managing　individual　health.　With　the　help　of　cloud　computing　and　Ciphertext-Policy　Attribute-Based　Encryption　(CP-ABE),　the　fine-grained　access　control,　as　well　as　authenticated　sharing,　can　be　realized.　However,　the　importance　of　policy　preserving　has　emerged　to　be　a　major　security　risk　in　the　PHR　cloud　sharing　scenario.　Besides,　cloud-assist　policy　updating,　as　a　practical　functionality　of　the　PHR　system,　should　also　be　taken　into　consideration.　In　this　paper,　we　present　an　integrated　policy　preserving　PHR　scheme　with　efficient　policy　updating.　The　scheme　is　proved　to　be　selectively　secure　under　q-BDHE　assumption.　The　evaluation　result　indicates　that　our　scheme　can　reach　a　balanced　trade-off　in　terms　of　privacy　and　efficiency.　©　2020,　Springer　Nature　Switzerland　AG.