The current state of electronic health records across Canada: an environmental scan and interoperability maturity assessment
Sunand Kannappan, Stephanie Hastings, Alan Forster, Stafford Dean, Grant Hollett, Simon Hagens, Bobby Gheorghiu, Ewan Affleck, Claire Snyman, Owen Adams, Tyler Williamson, Braden Manns · 2026
Read The current state of electronic health records across Canada: an environmental scan and interoperability maturity assessment by Sunand Kannappan, Stephanie Hastings, Alan Forster, Stafford Dean, Grant Hollett, Simon Hagens, Bobby Gheorghiu, Ewan Affleck, Claire Snyman, Owen Adams, Tyler Williamson, Braden Manns (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13155890.txt.
Description
Canada uses electronic health records almost everywhere, yet the systems still share data poorly. Sunand Kannappan and co-authors mapped the state of these records in 2026 across all ten provinces and three territories. They reviewed national documents and interviewed twenty-three experts, then scored each region with a structured model of sharing maturity.
Adoption was high, but the ability to exchange records was low and uneven. Almost no region linked hospitals, community specialists, and primary care well, and fax or mailed letters still carried much of the traffic. Patient portals and system-wide data analysis were weak across the country. The team lists eight barriers and calls for national rules that require systems to work together.
Catalog record
| CREATOR | Sunand Kannappan, Stephanie Hastings, Alan Forster, Stafford Dean, Grant Hollett, Simon Hagens, Bobby Gheorghiu, Ewan Affleck, Claire Snyman, Owen Adams, Tyler Williamson, Braden Manns |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 39 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |