There is an expectation that when a patient is transferred between two different medical institutions, their medical records will follow them. While this is becoming true for the majority of the patient population, there is a gap for those who must be medically transported by either ambulance, helicopter or fixed wing. Developing this type of IT architecture, our research will focus on properly aligning the concept of electronic health record interoperability across the transport medicine environment in a seamless fashion as well as address the contribution, expectations and promises associated with a universal electronic health record as defined by the Health Information Technology Standards Panel (HITSP).