This report provides a system analysis and design overview for the Australian Commonwealth Government's My Health Record initiative, a cloud-based online database for storing individuals' health information. It discusses various cloud service vendors like Amazon Web Services, Google Cloud Platform, and IBM Cloud, highlighting their features and capabilities relevant to the project's security and scalability needs. The report also examines the strengths and weaknesses of cloud computing, focusing on cost-effectiveness, storage capacity, security vulnerabilities, and potential technical issues. Furthermore, it compares predictive and adaptive Software Development Life Cycle (SDLC) models, advocating for the adaptive SDLC due to its emphasis on user requirements, error correction, and security implementation, crucial for protecting sensitive health data. The analysis underscores the importance of selecting a reliable cloud vendor and implementing robust security measures to ensure the integrity and confidentiality of the My Health Record system.