Where is the universal electronic health record?

It's the 21st century. Where is our universal electronic health record? The one where all the medical knowledge about us individually is viewable by any doctor anywhere. You know, you get a yearly flu vaccine at your local drug store, and show up at the nearby emergency room for a sprained ankle, but when you go to your yearly checkup with your doc near work, they have no idea! Forget about it being possibly available when you're on vacation and get food poisoning and go to a non-local hospital.

In the middle of backest-woods China I can show up at an ATM for cash. On a flight 40,000 feet over the ocean I can get wifi to check on who was in that movie with that actress in that TV show. But in Boston, in the best place to get sick in the world, with every hospital connected with multiple medical schools, and every doctor with an MD and PhD and leader of the field that covers exactly your problem, you still have to, after getting a CT scan, walk down the hall to pick up a CD to physically deliver it yourself to your assigned specialist's office next door, nominally part of the same hospital network, but only financially connected, not electronically (oh, it is electronically connected, just not for that one thing. Oh, and the other things too which you'll have to walk back and get).
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What's the point (other than that EHRs suck (and not just for the lack of interoperability))? The point is that the technology, the capability, and the knowledge to implement seamless connection for all electronic health data (images, reports, visits, medlists) was possible in the 70's ... with 60's technology. There is no rocket science here (a little electronics and programming sure). It is about as complex as ATMs. The internet should make things that much easier. But for whatever reason (oh there are reasons) it isn't there.

(that's not Jimmy Carter, it's a made up person for HIPAA compliance)

http://www.theplaidzebra.com/first-manned-mission-to-mars/

It is the year 2015, and there are plans to send people to Mars, so there is no technological reason why an interplanetary health record (IHR) doesn't already exist for use when they show up there. The record of the infection you got training in the desolate arctic landscape of Ellesmere Island. The dosimeter readings while stationed temporarily on the L2 jump-off station. Your monthly wellness-checkup with your PCP (well, remotely).

Right now all you get is your intraoffice electronic health record (that is, within an office, not between). It would work great if your PCP, endocrinologist, and cardiologist all belong to the same practice. Of course they don't. Sometimes you're lucky and a big hospital will be the only center for an area and all docs belong somehow to that one hospital. I'm not saying things are bad everywhere.

Wait. Expletive. I can't go to any local drugstore (again!) to get an over the counter bottle of Sudafed, some batteries for a game controller, and a jug of bleach for my socks without stormtroopers crashing through the windows, hog-tying me, and interrogating me on suspicion for running a meth lab (I mean every time), because I went to another drugstore across town for that very suspicious flu shot. At least somebody can connect systems. I was almost happy that they cared! About me!

Enough idle complaining. My idle blaming is that it is the health care businesses's fault. The docs are doing their job as well as they can. The businesses don't get anything out of making things easier on the patients or docs. I have all sorts of constructive suggestions just no one likes advice.