If you are using HealthVault as your PHR, you might want to take a look and see where your data is stored and available for access. Not too long ago HealthVault 
announced the use of their Azure cloud services for storing medical images with full encryption. Encryption we want today with our medical images and records when stored in cloud services or any area for that matter. Actually I have tried the image interface it’s not bad at all and has a nice viewer as well, so if the ER room does not have a DICOM viewer on their PCs, problem solved with storing in HealthVault. 
HealthVault Begins Storing Medical Images (Dicom) Using Windows Azure Cloud Services With Full Encryption
The video is worth a watch to get an idea of the size and complexity of the centers. Some of the centers are powered by water. Everything now is modular and the first center with this model was built in Chicago, using shipping containers. Little did I think years ago, as I spent many years in logistics that servers would be stored in the ocean containers. Plug and play has arrived at the data centers. The size of the facilities ranges from 7 to 10 footballs fields so we have some big “clouds”. I found this interesting to learn and see how the facilities are built and how they operating and see where my tiny little HealthVault account is stored. BD
Microsoft has released a video providing an overview of its global cloud computing platform and the data centers that power it. The video begins with a big-picture overview of Microsoft’s cloud operations, and how the company’s 200 cloud services reach more than a billion customers and 20 million businesses in over 70 countries. The video then provides a closer look at how the company’s data center design has evolved from its first “Generation 2″ data center in Quincy, Washington and the “Generation 3″ container-driven facilities in Chicago and Dublin Ireland. The video closes with the most detailed video yet of the new “Generation 4″ site at Quincy, which uses a lightweight structure and next-generation IT-PACs (pre-assembled components).
Video: Microsoft’s Data Center Evolution « Data Center Knowledge
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