A digital record of health care information generated within a medical institution or environment, such as a hospital, clinic or doctor’s office. It may include medical history, laboratory results, immunizations, prescription lists, demographics, etc. The Affordable Care Act (ACA), which is also known as “Obamacare,”includes Medicare payment incentives to move medical record-keeping in the direction of all electronic records. This will make data sharing easier, but also raises serious privacy and security concerns. Also known as Electronic Health Record (EHR).