  The electronic health record (EHR) targets the systematized collection of
patient-specific electronically-stored health data. Currently the EHR is an
evolving concept driven by ongoing technical developments and open or unclear
legal issues concerning used medical technologies, data integration from other
domains and unclear access roles. This paper addresses cross-domain data
integration, data fusion and access control using the specific example of a
Unique Device Identification (UDI) expanded hip implant. In fact, the
integration of technical focus data into the hospital information system (HIS)
is discussed and presented based on surgically relevant information. Moreover,
the acquisition of social focus databased on mHealth is approached, which also
covers data integration and networking with therapeutic intervention or acute
diagnostics data. Data integration from heterogeneous domains is covered while
using a data ecosystem with hierarchical access based on a shell embedded role
model, which includes staggered access scenarios.
