Title: Critical analysis of the usage of patient demographic and clinical records during doctor-patient consultations: a Malaysian perspective

Authors: Mohd Khanapi Abd Ghani, Rajeev K. Bali, Raouf N.G. Naguib, Ian M. Marshall, Nilmini S. Wickramasinghe

Addresses: Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka, Hang Tuah Jaya, 76100, Durian Tunggal, Melaka, Malaysia. ' Faculty of Computing and Engineering, Biomedical Computing and Engineering Technologies Applied Research Group (BIOCORE), Coventry University Coventry, CV1 5FB, UK. ' Faculty of Computing and Engineering, Biomedical Computing and Engineering Technologies Applied Research Group (BIOCORE), Coventry University Coventry, CV1 5FB, UK. ' Faculty of Computing and Engineering, Biomedical Computing and Engineering Technologies Applied Research Group (BIOCORE), Coventry University Coventry, CV1 5FB, UK. ' School of Business IT and Logistics, RMIT University, GPO Box 2476, Melbourne, VIC 3001, Australia

Abstract: The Lifetime Health Record (LHR) is the central key delivery component of Malaysia|s integrated telehealth application. The LHR consists of the summarised health records of every individual compiled from their Electronic Medical Record (EMR). The most important consideration however is that the patient health record should not only be available and accessible seamlessly, but also has the ability to be continuously captured by healthcare professionals. This research aims to analyse and identify the most crucial patient demographic and clinical records that are referred to and recorded by the doctors during the consultation encounter.

Keywords: clinical records; patient demographics; knowledge management; telehealth; Malaysia; electronic medical records; EMRs; electronic health records; e-health; electronic healthcare; healthcare technology.

DOI: 10.1504/IJHTM.2010.033279

International Journal of Healthcare Technology and Management, 2010 Vol.11 No.1/2, pp.113 - 130

Published online: 16 May 2010 *

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