EDM HEALTH SERVICES LLC is a healthcare services organization with experience in data engineering for HIPPA compliant medical offices or clinics. Our function is to bridge the gap between paper and the digital page, this case the medical chart. Now known as the Electronic Health Record (EHR), requires analysis for a number of reasons. Specifically, providing documentation of patient encounters, laboratory and radiological testing, referrals and treatment regimens. The data contained within an EHR can be condensed and disparate all at once. Depending on the lab company doing tests, and its format, as well as radiological testing, which may involve data containers (e.g., compact disc, with DiCOM imaging). All while assurance that treatment, testing and diagnosis is consistent with protocols associated with presenting complaints. Cataloging the vast amount of information contained in the EHR presented an especially challenging problem prior to emergence of cloud systems, clustering and workspaces. However, with some data being in the form of formatted text, while others such as Quickbooks, Electronic Data Interface (EDI) and relational database management systems (RDBMS) exist in tables, records and various industry formats. EDM, empowered disease management, involves multiple levels of action. Infrastructure that addresses, Patient centered care, HIPPA compliance, Centers for Medicaid and Medicare Services (CMS) and other protocols are a mixture of federal, state and locale specific guidelines. Platform for communication between respective entities, complaint resolution, education, scheduling, training concerns. Then who manages, measures and reports on data collected daily? Now , that data is accessible without thumbing through file cabinets, folders or paper charts, that's what we do. Finding the disconnects depends on accurate analysis and governance. EDM is taking empowerment to the next level.