Patent attributes
Electronic health record sharing is provided using a hybrid architecture. A centralized architecture provides centralized service including a search service and a token ownership service. A decentralized architecture comprises electronic health record locations. Electronic health records are created at locations and patient identifying information is stored at the centralized architecture. The centralized service manages ownership of electronic health records using ownership tokens comprising unique electronic health record identifiers and unique location identifiers. A current electronic health record owner location is authorized to view and/or edit the electronic health record. Ownership is transferred via the sending location, receiving location, and centralized service.