Threats and Barriers

  • Egondu R. Onyejekwe
  • Cory L. Hall
Part of the Health Informatics book series (HI)


The establishment of a ubiquitous and authoritative portable health record for patients must overcome significant threats and barriers. The primary threat comes from the Electronic Health Record (EHR) industry that has a vested interest in maintaining the status quo. The primary barrier is finding an economic model that will support the creation and maintenance of an independent and transportable health record and the supporting infrastructure. On the other hand, having a portable health record will lower the cost of entry to the market, increase competition, and accelerate innovation. But, it will take either government or philanthropic intervention to change the course and establish an independent authoritative health record.


Portable health record Economic model Amazon Berkshire Hathaway JPMorgan chase Software vendors Continuity of care document (CCD) Continuity of care record (CCR) Clinical document architecture (CDA) Consolidated-clinical document architecture (C-CDA) Government intervention Philanthropic intervention Atul Gawande 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Egondu R. Onyejekwe
    • 1
  • Cory L. Hall
    • 2
  1. 1.Public Health, Health Administration, College of Health SciencesWalden UniversityMinneapolisUSA
  2. 2.Department of Information TechnologyUniversity of Miami Health SystemMiramarUSA

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