Egondu Onyejekwe is a professor of health informatics who holds six different degrees in different disciplines. These include:  a BSc Zoology (Parasitology) from the University of Nigeria Nsukka;  a Masters in Zoology (Parasitology) from The Ohio State University;  a Masters in Health Education (Community Health) from The Ohio State University, Columbus, Ohio; a Masters in Public Administration (Health Administration) from The Ohio State University; a Masters in Industrial and Systems Engineering (Neural Network and Expert Systems) from Ohio, University, Athens, Ohio; and a PhD. in Communication (Information Systems) from Ohio University. She is currently a contributing faculty member at Walden University. She has extensive experience (teaching and practicing) in Information Technology (IT) and Health Informatics. Her research interests are in Mobile applications in Health Organizational Settings, especially, about Big Data Analytics, the effect of mobile(and other) applications in the causal chain – social/behavioral/economic/race/gender etc -  of ill health. She is also, interested in the effects of social media in small/large group communications and health outcomes.Jon Rokne has a partial degree in Electrical Engineering from the Norwegian Institute of Technology (1964), a Masters in Mathematics from the University of Calgary (1966), a PhD in Mathematics from the University of Calgary (1969). He is currently a full professor at the University of Calgary. He has volunteered extensively with IEEE including as a Vice-President of publications for 2009 and 2010. He has considerable experience in the area of Computer Science, with emphasis on Computer Mathematics. He specializes in Numerical Analysis, Computational Geometry, Computer Graphics and Social Networks.Cory Hall has a broad set of skills accumulated over 30 years of working in both provider and vendor environments. He helped design, build, implement and support almost every type of operational IT system in common use at providers around the world. This includes everything from revenue cycle processes to medical image analysis. His two most recent positions were the Dir. of Diagnostic Intelligence for the College of American Pathologists and the EVP of Medical Informatics for REACH Health. In addition to these roles, he has worked as a consultant for Cap Gemini Ernst & Young, managed the clinical products at Eclipsys (Allscripts), built the world’s first health information exchange for Ameritech Health Connections, and managed diagnostic imaging products at Merge Healthcare.

• Section I Introduction.- Introduction.- SECTION 2 Health Records.- Overview of Health Records.- Standards.- EHR Marketplace.- EHR and US Performance.- SECTION 3  SOCIETY.- Regulations: The Laws and their Limits.- Discrimination.- The A’s.- Privacy.- SECTION 4 Delivery.- Patient.- Facility.- Tools.- Administration.- Modified for Opioid paper.- SECTION 5 Technology/Decisions.- Technology/Decisions.- Security.- FITT Model.- Portability.- SECTION 6 Impact.- Impact.- Communication.- Semantics.- Analytics.- Mobility and Cloud Computing.- SECTION 7 Future Directions.- Foresight.- Cost.- Threat.- SECTION 8 Conclusion.- Conclusion.

Egondu Onyejekwe is a professor of health informatics who holds six different degrees in different disciplines. These include:  a BSc Zoology (Parasitology) from the University of Nigeria Nsukka;  a Masters in Zoology (Parasitology) from The Ohio State University;  a Masters in Health Education (Community Health) from The Ohio State University, Columbus, Ohio; a Masters in Public Administration (Health Administration) from The Ohio State University; a Masters in Industrial and Systems Engineering (Neural Network and Expert Systems) from Ohio, University, Athens, Ohio; and a PhD. in Communication (Information Systems) from Ohio University. She is currently a contributing faculty member at Walden University. She has extensive experience (teaching and practicing) in Information Technology (IT) and Health Informatics. Her research interests are in Mobile applications in Health Organizational Settings, especially, about Big Data Analytics, the effect of mobile(and other) applications in the causal chain – social/behavioral/economic/race/gender etc -  of ill health. She is also, interested in the effects of social media in small/large group communications and health outcomes.Jon Rokne has a partial degree in Electrical Engineering from the Norwegian Institute of Technology (1964), a Masters in Mathematics from the University of Calgary (1966), a PhD in Mathematics from the University of Calgary (1969). He is currently a full professor at the University of Calgary. He has volunteered extensively with IEEE including as a Vice-President of publications for 2009 and 2010. He has considerable experience in the area of Computer Science, with emphasis on Computer Mathematics. He specializes in Numerical Analysis, Computational Geometry, Computer Graphics and Social Networks.Cory Hall has a broad set of skills accumulated over 30 years of working in both provider and vendor environments. He helped design, build, implement and support almost every type of operational IT system in common use at providers around the world. This includes everything from revenue cycle processes to medical image analysis. His two most recent positions were the Dir. of Diagnostic Intelligence for the College of American Pathologists and the EVP of Medical Informatics for REACH Health. In addition to these roles, he has worked as a consultant for Cap Gemini Ernst & Young, managed the clinical products at Eclipsys (Allscripts), built the world’s first health information exchange for Ameritech Health Connections, and managed diagnostic imaging products at Merge Healthcare.

• Section I Introduction.- Introduction.- SECTION 2 Health Records.- Overview of Health Records.- Standards.- EHR Marketplace.- EHR and US Performance.- SECTION 3  SOCIETY.- Regulations: The Laws and their Limits.- Discrimination.- The A’s.- Privacy.- SECTION 4 Delivery.- Patient.- Facility.- Tools.- Administration.- Modified for Opioid paper.- SECTION 5 Technology/Decisions.- Technology/Decisions.- Security.- FITT Model.- Portability.- SECTION 6 Impact.- Impact.- Communication.- Semantics.- Analytics.- Mobility and Cloud Computing.- SECTION 7 Future Directions.- Foresight.- Cost.- Threat.- SECTION 8 Conclusion.- Conclusion.

Egondu Onyejekwe is a professor of health informatics who holds six different degrees in different disciplines. These include:  a BSc Zoology (Parasitology) from the University of Nigeria Nsukka;  a Masters in Zoology (Parasitology) from The Ohio State University;  a Masters in Health Education (Community Health) from The Ohio State University, Columbus, Ohio; a Masters in Public Administration (Health Administration) from The Ohio State University; a Masters in Industrial and Systems Engineering (Neural Network and Expert Systems) from Ohio, University, Athens, Ohio; and a PhD. in Communication (Information Systems) from Ohio University. She is currently a contributing faculty member at Walden University. She has extensive experience (teaching and practicing) in Information Technology (IT) and Health Informatics. Her research interests are in Mobile applications in Health Organizational Settings, especially, about Big Data Analytics, the effect of mobile(and other) applications in the causal chain – social/behavioral/economic/race/gender etc -  of ill health. She is also, interested in the effects of social media in small/large group communications and health outcomes.Jon Rokne has a partial degree in Electrical Engineering from the Norwegian Institute of Technology (1964), a Masters in Mathematics from the University of Calgary (1966), a PhD in Mathematics from the University of Calgary (1969). He is currently a full professor at the University of Calgary. He has volunteered extensively with IEEE including as a Vice-President of publications for 2009 and 2010. He has considerable experience in the area of Computer Science, with emphasis on Computer Mathematics. He specializes in Numerical Analysis, Computational Geometry, Computer Graphics and Social Networks.Cory Hall has a broad set of skills accumulated over 30 years of working in both provider and vendor environments. He helped design, build, implement and support almost every type of operational IT system in common use at providers around the world. This includes everything from revenue cycle processes to medical image analysis. His two most recent positions were the Dir. of Diagnostic Intelligence for the College of American Pathologists and the EVP of Medical Informatics for REACH Health. In addition to these roles, he has worked as a consultant for Cap Gemini Ernst & Young, managed the clinical products at Eclipsys (Allscripts), built the world’s first health information exchange for Ameritech Health Connections, and managed diagnostic imaging products at Merge Healthcare.

• Section I Introduction.- Introduction.- SECTION 2 Health Records.- Overview of Health Records.- Standards.- EHR Marketplace.- EHR and US Performance.- SECTION 3  SOCIETY.- Regulations: The Laws and their Limits.- Discrimination.- The A’s.- Privacy.- SECTION 4 Delivery.- Patient.- Facility.- Tools.- Administration.- Modified for Opioid paper.- SECTION 5 Technology/Decisions.- Technology/Decisions.- Security.- FITT Model.- Portability.- SECTION 6 Impact.- Impact.- Communication.- Semantics.- Analytics.- Mobility and Cloud Computing.- SECTION 7 Future Directions.- Foresight.- Cost.- Threat.- SECTION 8 Conclusion.- Conclusion.