Introduction : Spurred on by Medicare and Medicaid financial incentive, the prospect of increased efficiency, and the expectation of improved outcomes, the rate of adoption of electronic health records (EHRS) by health care providers has accelerated since 2009. According to a study by the centers for Disease Control and Prevention published in 2011,57% of office-based physicians had adopted some type of HER system Many of the HER systems currently in use lack essential “functionality” and lag Department of Health and Human Services (HHS) “meaningful use” requirements. Nevertheless, HER adoption has gained momentum, and it is realistic to contemplate the implementation of a nationwide system of interoperable, comprehensive, and longitudinal EHRs.