Pervasive environments introduce a technological paradigm shift, giving a new impetus to the functionality of applications, overcoming applicability barriers of legacy applications. Electronic healthcare records management can clearly benefit from the new challenges brought by this emerging technology, due to its low cost and high percentage of user adoption. Still, the sensitivity of medical data, poses new requirements in the design of a secure infrastructure based on the ad-hoc networking schema, which underlies pervasive environments. User authorization and controlled access to information is of outmost importance. This paper proposes a management system for electronic healthcare records satisfying the aforementioned security requirements.