Methods Inf Med 2011; 50(04): 386-391
DOI: 10.3414/ME11-02-0002
Special Topic – Original Articles
Schattauer GmbH

Survey on Medical Records and EHR in Asia-Pacific Region

Languages, Purposes, IDs and Regulations
M. Kimura
1  Hamamatsu University School of Medicine, Medical Informatics Department, Hamamatsu, Japan
,
P. Croll
2  Health Informatics Society of Australia, Australia
,
B. Li
3  China Medical Informatics Association, China
,
C. P. Wong
4  Hong Kong Society of Medical Informatics, Hong Kong
,
S. Gogia
5  Society for Administration of Telemedicine and Healthcare, New Delhi, India
,
A. Faud
6  Universitas Gadjah, Faculty of Medicine, Yogyakarta, Indonesia
,
Y.-S. Kwak
7  Samsung Seoul Hospital, Medical Informatics Department, Seoul, South Korea
,
S. Chu
8  Health Informatics New Zealand, Auckland, New Zealand
,
A. Marcelo
9  Philippine Medical Informatics Society, Manila, Philippines
,
Y.-H. Chow
10  Association for Medical and Bio-Informatics Singapore, Singapore
,
W. Paoin
11  Thammasat University, Faculty of Medicine, Pathumthani, Thailand
,
Y.-C. J. Li
12  Taipei Medical University, Taipeh, Taiwan
› Author Affiliations
Further Information

Publication History

received: 12 January 2011

accepted: 03 April 2011

Publication Date:
18 January 2018 (online)

Summary

Objectives: To clarify health record background information in the Asia-Pacific region, for planning and evaluation of medical information systems.

Methods: The survey was carried out in the summer of 2009. Of the 14 APAMI (Asia-Pacific Association for Medical Informatics) delegates 12 responded which were Australia, China, Hong Kong, India, Indonesia, Japan, Korea, New Zealand, the Philippines, Singapore, Thailand, and Taiwan.

Results: English is used for records and education in Australia, Hong Kong, India, New Zealand, the Philippines, Singapore and Taiwan. Most of the countries/regions are British Commonwealth. Nine out of 12 delegates responded that the second purpose of medical records was for the billing of medical services. Seven out of nine responders to this question answered that the second purpose of EHR (Electronic Health Records) was healthcare cost cutting. In Singapore, a versatile resident ID is used which can be applied to a variety of uses. Seven other regions have resident IDs which are used for a varying range of purposes. Regarding healthcare ID, resident ID is simply used as healthcare ID in Hong Kong, Singapore and Thailand. In most cases, disclosure of medical data with patient’s name identified is allowed only for the purpose of disease control within a legal framework and for disclosure to the patient and referred doctors. Secondary use of medical information with the patient’s identification anonymized is usually allowed in particular cases for specific purposes.

Conclusion: This survey on the health record background information has yielded the above mentioned results. This information contributes to the planning and evaluation of medical information systems in the Asia-Pacific region.