Information and communication technologies (ICTs)have a significant role in transforming the lives of Tanzanians and individuals across the world in different aspects of education, health, and governance. It is acknowledged that ICT has the potential to transform the support and delivery of healthcare services in both developed and developing countries.Electronic health (e-health) refers to the use of ICT for cost-effective and secure delivery of health care services [1]. The range of services includes electronic health records, telehealth, mobile health services (mHealth), and decision support systems for health [2]. The health care delivery services are challenged with systemic misalignment of incentives, health records, lack of coordination, that spawns' inefficient allocation of resources or harm to patients collectively termed fragmentation [3]. *Author for correspondence Electronic medical records are generally fragmented across multiple treatment sites which means patients' e-medical records are distributed in different health care services which have different types of e-medical recording systems.This has brought challenges in sharing information between e-medical recording systems. Fragmentation occurs when there is heterogeneity among the systems which means that e-medical recording systems have different characteristics and behaviours but they all perform similar functions.An electronic medical record system (or electronic health record system) is an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization, have the potential to provide substantial benefits to physicians, clinical practices, and health care organizations [4]. These systems can facilitate workflow and improve the quality of patient care and patient safety [4,5].