A blockchain enabled electronic health record (EHR) can solve the growing interoperability, accessibility, and security issues of legacy EHR systems. Hospitals and large health systems are being held hostage by EHRs infected with ransomware and multi-million dollar lawsuits for breach of patient records. As costs continue to rise while reimbursements tighten, the additional financial exposure of inadequate EHRs is particularly untenable for small medical practices. A next generation EHR enabled by blockchain technology is the only viable solution. Developed by veterans of the EHR and network security industry, the HealthHeart EHR is designed from the bottom up for maximum security and steadfast stability. With input from actively practicing physicians, HealthHeart’s purposeful design extends to a user-friendly interface that delivers intuitive usability and functional workflows. The open-source software platform known as Ethereum powers HealthHeart’s EHR and ensures affordability and scalability for any size practice or health system.