Abstract
An electronic health record (EHR) is a repository of information regarding health status and longitudinal electronic records of patient information. During the past decade, EHR use has grown in Australia significantly, while adoption rates of EHR across the United States reached more than 90%. To support this expansion, enterprise architecture (EA) is effective because it can contribute to the design of information systems facing major technical challenges in the era of cloud, mobile IT, big data and digital IT. Recent research proposed and verified the “Adaptive Integrated Digital Architecture Framework (AIDAF),” which can meet with IT strategy promoting digital IT. This paper highlights the existing inadequacies in the governance and management of current EHRs and investigates how the AIDAF can improve EHRs. This will be demonstrated by using a case study, interviews with government and hospital officials in Asia Pacific countries such as Australia, the United States region as examples. The AIDAF should contribute to enhancements of governance and management for EHRs toward the era of digital IT.