Based on the PRISMA 2020 manual, this systematic review critically assesses the research outputs releasedbetween 2015 and 2025 regarding the integration of Electronic Health Records (EHR) within the Philippinehealthcare system. The findings in the study clearly demonstrate that the adoption of EHR has largely beenpromoted via governance at the national level, especially through the Philippine Department of Health, inpartnership with the policy strategies embraced by PhilHealth regarding the compensation of healthcare servicesdependent on standardized medical records. These support the overall principles of Universal Health Care(UHC), emphasizing the importance of correct, timely, and complete medical data, and monitoring theperformance of the healthcare system. Notwithstanding these facilitative policy strategies, the adoption of EHRin the Philippine healthcare system has had issues and challenges regarding the inconsistencies in the successfulimplementation of these new healthcare technologies. The core reasons underlying the challenges associatedwith the adoption of EHR in the Philippine healthcare system include the lack of infrastructure, governance, andsectoral policy approaches necessary for sustaining the entire process of the successful implementation of EHR.Critically, the systematic review described in this study brings out the overarching concern that the successfuladoption of EHR infrastructure cannot be guaranteed by technology or policy, emphasizing the need for therequired institutional capacity development, human capital, or change approaches. If not addressed, the potentialperformance or utility of EHR may be compromised, especially regarding the efficiency of the healthcaresystem.