Canada Electronic Health Records (EHR) Market - Strategic Insights and Forecasts (2025-2030)

Description

Canadian Electronic Health Records (EHR) Market Size:

The Canadian electronic health records (EHR) market is expected to experience steady growth during the forecast period.

The?‍?‌‍?‍‌ Canadian electronic health records (EHR) market shows a sector of digital health that is quite advanced in a government-led environment. The sector is in a strategic transition phase from the wide adoption of EHR (Electronic Health Records) to the optimization of systems and intelligence-driven healthcare delivery. A publicly financed healthcare system and the co-ordinated federal–provincial digital health initiatives are the two main factors leading to the market's penetration across hospitals and physician practices, with growth becoming increasingly focused on system upgrades, interoperability enhancement, analytics, and patient engagement ?‍?‌‍?‍‌functionalities.

Regulations?‍?‌‍?‍‌ in areas such as data privacy, cybersecurity, and patient consent remain the main drivers boosting the development of products and selection of vendors, and thus, compliance-ready and secure architectures remain pivotal. Demographic changes such as an aging population and an increased incidence of chronic diseases, as well as a shortage of clinicians, have made it even more evident that EHR systems play a key role in enhancing operational efficiency and care ?‍?‌‍?‍‌coordination.

Canada Electronic Health Records (EHR) Market Overview & Scope

The?‍?‌‍?‍‌ Canadian EHR market is primarily influenced by the public healthcare system, tight government control, and steady investments in compatible health information technology infrastructure. Market evolution has been largely driven by collective federal and provincial efforts designed to facilitate secure data sharing, support better clinical decision-making, and ensure smoother patient care transitions across the entire healthcare ecosystem, such as hospitals, primary care clinics, laboratories, pharmacies, and long-term care ?‍?‌‍?‍‌facilities.

The?‍?‌‍?‍‌ Canadian EHR market is governed by a stringent legal framework that addresses data privacy, interoperability, and patient consent, with most regulations being applicable at the federal and provincial levels. Among the essential federal legislations is the Personal Information Protection and Electronic Documents Act (PIPEDA), which, in general terms, outlines the requirements for the collection, use, and disclosure of personal health information. In parallel, provinces have their own health-specific laws that are being enforced, such as the Personal Health Information Protection Act (PHIPA) in Ontario, the Health Information Act (HIA) in Alberta, and the Freedom of Information and Protection of Privacy Act (FIPPA) in British Columbia. Canada Health Infoway is the main body for national coordination and standards development, determining the pan-Canadian interoperability standards, privacy guidelines, and certification requirements for digital health ?‍?‌‍?‍‌solutions.

Although?‍?‌‍?‍‌ the adoption of EHR throughout Canada is high compared to several international countries, the market is majorly experiencing new growth through system modernization, functional upgrades, and deeper integration of systems rather than new deployments. Healthcare professionals are mainly focusing on features that provide real-time patient data, population health management, predictive analytics, clinical decision support, patient engagement, as well as portals and mobile applications. The C.D. Howe Institute's 2025 publication indicates that between 2022 and 2023, the number of Canadians who accessed their health records online increased by only 3 percent and reached a national total of 39 percent in 2023.

The Canadian?‍?‌‍?‍‌ EHR market competition consists of global leaders and well-established domestic providers who are catering to different care settings. Epic Systems Corporation and MEDITECH are mainly known for their dominance in large hospitals and health systems, while Plexia Electronic Medical Systems, Omnimed, Ava EMR, Avaros EMR, and OSCAR EMR are mainly Canadian-based companies and are more involved in the ambulatory and primary care practices. Well Health Technologies Corp. has gained an extensive presence through acquisition and integrated digital health offerings, Oracle Health is providing enterprise-scale platforms and data capabilities, and TELUS Health is still a major player at the national level, benefiting from its extensive healthcare IT and connectivity ?‍?‌‍?‍‌ecosystem.

As?‍?‌‍?‍‌ the market consolidates, expansion is more a result of system optimization, cloud migration, advanced analytics, and integration with virtual care and connected health solutions rather than fresh installations. Tough data privacy and security standards, along with complicated provincial procurement frameworks, keep influencing the vendor strategies and endorsement of long-term ?‍?‌‍?‍‌partnerships.

The Canadian electronic health records (EHR) market is segmented by:

• Product: The Canadian electronic health record (EHR) market by product is divided into on-premise and cloud-based solutions. Cloud-based EHR systems are the fastest-growing solution in the market. On-premise solutions remain popular among larger hospital systems due to the improved control and customization over EHR systems, but on-premise solutions incur high upfront costs and involve non-linear and complicated maintenance.
• Type: The Canadian electronic health record (EHR) market by type is segmented into acute, ambulatory, and post-acute care EHR systems that all support healthcare environments. Ambulatory EHR systems are the fastest-growing segment of the market because of the increased outpatient visits and growth in adoption among small and medium practices, as well as demand for cloud EHRs and cost-effective solutions that improve patient engagement with healthcare and enable telehealth to flourish.
• Components: Based on components, the software segment holds the majority of the market value, and the continuous demand for core clinical modules and interoperability helps the software sector to grow.
• End-Users: The Canadian EHR market has different segments depending on the type of end-users. These include hospitals, clinics, pharmacies, laboratories, and others. Among these, the hospital segment is growing the most rapidly. This trend is because hospitals are the main adopters due to their high number of patients, need for centralized data management, and obligation to follow federal interoperability regulations. Although clinics are gradually switching to cloud-based EHRs, laboratories and pharmacies are using EHR integration for easy data sharing and smooth workflow, hospitals remain the main driver of the market as they are making substantial investments in cutting-edge, interoperable systems that can facilitate integrated care, telehealth, and value-based healthcare delivery.

Top Trends Shaping the Canadian Electronic Health Records (EHR) Market

• Tools for Clinical Decision Support (CDS) and Artificial Intelligence (AI)

AI functionalities such as predictive analytics, risk stratification, ambient scribing, and diagnostic assistance are increasingly being embedded in EHR platforms in Canada.

Clinical decision support systems enable providers to better control chronic conditions, enhance drug use, and lower the occurrence of side effects. Along with that, AI features facilitate administrative automation activities like prior authorization and coding support, which allow for the decrease of clinician burden.

• Combining Medication Management with E-Prescription

Secure electronic prescription transmission between prescribers and pharmacies is made possible by Canada's growing national PrescribeIT initiative. To increase medication safety and lower errors, EHR vendors are integrating e-prescribing modules straight into their platforms. Care transitions are becoming smoother due to integration with pharmacy information systems. In 2023, MEDITECH announced the agreement with Canada Health Infoway to connect with PrescribelT, which is a national e-prescribing service. This partnership will enable electronic prescription transmission from EHRs to pharmacies, which will streamline workflows while reducing errors.

Canada Electronic Health Records (EHR) Market Growth Drivers vs. Challenges:

Drivers:

• Consolidation of Health Systems and Enterprise-Wide EHR Implementation: The need for a single, unified EHR platform across several facilities is being driven by hospital, clinic, and regional health authority mergers and partnerships. Consolidation is a key market driver because shared platforms lower costs, enhance data consistency, and facilitate population-wide health analytics.
• Requirements for Data Residency Compliance, Privacy, and Cybersecurity: Canada has healthcare privacy standards that are among the most rigorous in the world, including PHIPA (Ontario), HIA (Alberta), and the corresponding provincial acts, as well as federal data residency requirements. The use of EHR is encouraged by the necessity to have record-keeping systems that are secure, compliant, and auditable, and that can meet all these strict laws. EHR platforms that have been certified to be able to give full encryption, have access controls, and be securely hosted in the cloud in Canada are the ones that organizations select.
• Governmental Initiatives and Regulatory Mandates: The adoption and growth of Canada’s EHR market are being accelerated by government initiatives and regulatory mandates by fostering digital transformation, ensuring interoperability, and prioritizing data security. To incentivize or mandate that healthcare providers switch from paper-based records to secure, interoperable EHR platforms, numerous nations have implemented extensive health IT policies, incentive schemes, and legislative frameworks.

Programs like the Meaningful Use initiative, the Health Information Technology for Economic and Clinical Health (HITECH) Act, and the Promoting Interoperability Program have implemented clear standards for functionality, data exchange, and patient engagement while offering financial incentives and penalties to encourage the adoption of EHRs. Furthermore, the Government of Canada outlined a Shared Pan-Canadian Interoperability Roadmap, which represents a key milestone to advance the government’s commitment. It was developed by Canada Health Infoway with jurisdictional partners, which prioritized immediate goals like primary care data portability, patient summaries, patient access to records, and e-referrals/e-consults, while advancing common standards (e.g., FHIR-based CA Core+).

Additionally, the government of Canada introduced the Connected Care for Canadians Act in Jun 2024. This Act allows Canadians to securely access their own health data, empowering patients' decision-making and improving the care they receive from health providers in Canada. This Act outlines Canada's plan to enable a modern, connected care system, in which health information can be securely accessed by patients and shared between providers, when needed.

Government-led digital health initiatives and changing regulations will continue to be two of the most significant factors influencing the growth trajectory and technological advancement of Canada’s EHR market, as healthcare systems continue to modernize.

Challenges:

• Low Adoption in Remote and Rural Areas: Lack of IT infrastructure, poorer digital literacy, and connectivity problems plague many rural, northern, and Indigenous communities. EHR adoption outside of urban areas is slower because of these gaps, which make implementation difficult. The digital divide undercuts national EHR goals and makes healthcare delivery disparities worse.
• Limitations on Customization and Usability: EHR platforms that are tailored to local billing, coding, and reporting standards are frequently needed by Canadian healthcare providers. The solutions offered by many international EHR vendors are largely tailored for American markets, necessitating significant modifications for Canadian workflows. In addition to increasing expenses and delaying implementation, this customization may still produce less-than-ideal user experiences.

Canada Electronic Health Records (EHR) Market Segmentation Analysis

• By End-Users: Hospitals

Based on end-users, the Canadian EHR market is categorized into hospitals, clinics, pharmacies, laboratories, and others. EHR integrates government policies with clinical and operational needs that aligns with a patient’s expectations, thereby broadening healthcare trends. The Canadian healthcare infrastructure is witnessing a considerable transformation in major facilities, including hospitals, investing to enhance the overall patient safety and quality, thereby reducing medical errors.

Similarly, the systematic inefficiencies due to staff shortages have negatively impacted the necessary generation of patient data, further stretching the overall operating system to its limits. According to the Philips “Future Health Index 2025”, it was stated that nearly 85% of Canadian healthcare professionals lost clinical time due to the lack of accessibility to patient data. The same report also specified that nearly 34% of the healthcare professionals spend less time with patients and more time on paperwork and administrative tasks.

Hence, EHR through task automation reduces the overall administrative burden on doctors, due to which its preference in Canadian hospitals is gaining traction. Moreover, remote patient monitoring and chronic disease management, especially for the geriatric population, require robust data management. With the digital landscape showcasing constant development in Canada, the prevalence of digital health record usage is expected to show progression in the country, particularly in community hospitals.

Furthermore, to bridge the gap between patient and hospital stays, the Canadian government has implemented various initiatives and policies. For instance, in June 2024, “Connected Care for Canadians Act” was launched by the government, aiming to provide secure health data access to not only patients but also to hospitals and healthcare facilities, thereby improving the overall clinical decision-making and reducing inefficiencies.

• By Region: Alberta

Based on the region, the Canadian electronic health record (EHR) market is divided into Ontario, Quebec, Alberta, British Columbia, and others. The ongoing digital infrastructure development in Alberta has transformed its healthcare sector. The governing authorities are investing in policies and healthcare standards that address public health concerns and provide oversight that ensures accountability across healthcare service providers.

Moreover, the transition towards a patient-centred approach by healthcare facilities has established a framework for the adoption of a digital platform for necessary patient data management. Hence, the government of Alberta is committed to developing a healthcare model that bridges the gap between efficiency & care coordination. According to its “Health Annual Report 2024-2025,” the government has expanded its information scale in the MyHealth Records (MHR) portal and also integrated community primary care data into the Alberta Netcare portal, which offers key health information access.

Similarly, bolstering the cost savings and improving clinical outcomes, the number of MyHealth Records (MHR) users is gaining traction. For instance, according to the same report, as of March 2025, the total number of MyHealth Records users stood at 1,993,500, marking a significant 15.33% growth over the number recorded in March 2024. Additionally, during the same period, nearly 2,100 physicians and 1,700 community pharmacies were added to Alberta Netcare, demonstrating a constant uplift in digital tool adoption.

In addition to improved digital healthcare infrastructure, the Alberta government has also issued the “Alberta Wallet” that enables storing digital documents. The recent launch of “Mobile Health Card” in August 2025 has further impacted the healthcare data volume storage in such a platform.

Likewise, Alberta also has a high frequency of smartphone users, and as EHR can be easily accessed through mobile devices, this high penetration is expected to further drive EHR adoption in the Canadian province.

Canada Electronic Health Records (EHR) Market Competitive Landscape

The market is fragmented, with many notable players, including TELUS Health, OSCAR EMR, CloudMD Software & Services Inc., Avaros EMR, Plexia Electronic Medical Systems, Omnimed, and Well Health Technologies Corp.

• New Product Launch: In May 2025, to lessen physician burnout and enhance patient experiences, Oracle Health introduced proven AI technology to Canadian healthcare organizations. Oracle Health Clinical AI Agent is a multimodal voice and screen-driven assistant powered by AI that helps doctors spend more time on patient care by reducing the amount of time they spend on administrative duties.
• Collaboration: In April 2025, through the migration to Oracle Cloud Infrastructure (OCI), North York General Hospital (NYGH) in Toronto, Canada, has enhanced the functionality and performance of its Oracle Health Foundation electronic health record (EHR).

 Canada Electronic Health Records (EHR) Market Scope:

Canada Electronic Health Records (EHR) Market Segmentation:

• By Product
  • On-Premise
  • Cloud-Based
• By Type
  • Acute
  • Ambulatory
  • Post-Acute
• By Component
  • Software
  • Services

• By End-Users
  • Hospitals
  • Clinics
  • Pharmacies
  • Laboratories
  • Others
• By Region
  • Ontario
  • Quebec
  • Alberta
  • British Columbia
  • Others

Our Best-Performing Industry Reports:

• Healthcare Natural Language Processing (NLP) Market
• Healthcare Compliance Software Market
• Healthcare Data Storage Market

Table Of Contents

1. Executive Summary

2. Market Snapshot

2.1. Market Overview

2.2. Market Definition

2.3. Scope of the Study

2.4. Market Segmentation

3. Business Landscape

3.1. Market Drivers

3.2. Market Restraints

3.3. Market Opportunities

3.4. Porter’s Five Forces Analysis

3.5. Industry Value Chain Analysis

3.6. Policies and Regulations

3.7. Strategic Recommendations

4. Technological Outlook

5. Canada Electronic Health Records (EHR) Market By Deployment

5.1. Introduction

5.2. On-Premise

5.3. Cloud-Based

6. Canada Electronic Health Records (EHR) Market By Component 

6.1. Introduction

6.2. Software

6.3. Services

7. Canada Electronic Health Records (EHR) Market By Type

7.1. Introduction

7.2. Acute

7.3. Ambulatory

7.4. Post-Acute  

8. Canada Electronic Health Records (EHR) Market By End-Users

8.1. Introduction

8.2. Hospitals

8.3. Clinics

8.4. Pharmacies

8.5. Laboratories

8.6. Others

9. Canada Electronic Health Records (EHR) Market By Region 

9.1. Introduction

9.2. Ontario

9.3. Quebec

9.4. Alberta

9.5. British Columbia

9.6. Others

10. Competitive Environment and Analysis

10.1. Major Players and Strategy Analysis

10.2. Market Share Analysis

10.3. Mergers, Acquisitions, Agreements, and Collaborations

10.4. Competitive Dashboard

11. Company Profiles

11.1. Epic Systems Corporation

11.2. MEDITECH

11.3. Plexia Electronic Medical Systems

11.4. Omnimed Inc.

11.5. Well Health Technologies Corp.

11.6. Oracle Corporation

11.7. Ava EMR Inc.

11.8. Avaros EMR Inc.

11.9. OSCAR EMR Inc.

11.10. TELUS Health Inc.        

12. Research Methodology

List of Figures

List of Tables

Companies Profiled

Epic Systems Corporation

MEDITECH

Plexia Electronic Medical Systems

Omnimed Inc.

Well Health Technologies Corp.

Oracle Corporation

Ava EMR Inc.

Avaros EMR Inc.

OSCAR EMR Inc.

TELUS Health Inc.                                                                                                       

Related Reports