This report provides a comprehensive analysis of cloud-based solutions for the 'My Health Record' project, an initiative by the Commonwealth Government of Australia. It identifies and evaluates three vendors—Microsoft Azure, Amazon, and IBM—detailing their features and suitability for healthcare information systems, particularly focusing on aspects like storage, databases, hybrid capabilities, and security. The report also reviews the strengths and weaknesses of cloud-based solutions in the healthcare environment, considering factors such as interoperability, cost, data privacy, and security risks. Furthermore, it discusses the pros and cons of using Predictive and Adaptive SDLC approaches for the project, ultimately recommending the Adaptive SDLC approach due to its emphasis on user involvement and adaptability to complex project requirements, ensuring a comprehensive and user-focused design for the 'My Health Record' system.