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T his study is a case study of Show-Chwan hospital of Taiwan. Based on a perspective of activity theory, this study develops an innovation model of health cloud services (HCS) and explores the evolution of the model. This study collected the related secondary data of the case between 1995 and 2012andin-depth interviews. The findings are: 1)Epidemic prevention mechanism is a primary development mechanism of health cloud activity; 2) Electronic medical record management is a core mechanism to promote health cloud activity; 3) Personal health management is a business mechanism of health cloud activity; 4) Privacy protection mechanism is a critical issue of health cloud activity, however, it hinders the development of health cloud activity.

Exploring service innovation mechanisms of health cloud service: Aperspective ofactivity theory