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Medical Record

 

 

 

 

I

NTRODUCTION 

Medical Records Department is situated at the ground floor.The main entrance to the Medical Record Department is through administrative lobby. Patient medical records is in electronic form and is monitored jointly by the Department of Information Technology . This is to ensure the functionality and security features of electronic medical records in accordance with guidelines established by Ministry of Health Malaysia

The Medical Record Department is also responsible for the management of the patient physical records (e.g referral letter,ECG,EEG other records not in the system)

 

F 

ACILITIES AND SERVICES

 

Medical Report is a  written information on the history, level of health and condition of the patient who have been hospitalized and can only be provided by the Medical Officer of the Clinical Department where the patient is receiving treatment.

Reports are based on the information available in the Patient Medical Record.

TYPE OF MEDICAL REPORT

  1.  Brief Medical Report.
  2.  Brief Specialist Medical Report.
  3.  Detail Specialist Medical Report.
  4.  Autopsy Report.
  5.  Insurance / SOCSO / EPF Form
  6.  Labour 90 Form (Medical Certificate of Employment Compensation Ordinance, 1952)
  7.  Application from Employer / Police / Army.

 

Further information for application procedures, please refer .. (this pamphlet)

Application Form For Medical Report / Autopsy Report...(this form)

 

Management of Hospital’s Statistic

Hospital Statistics generated electronically through the system. Record Department is responsible for the compilation of the report. Medical Record Department must ensure that statistical are in accordance with the ministry’s guideline (HMIS report). HMIS reports must be submitted to the informatics Health Centre Ministry of Health.

The Management of Patient Record

The physical patient records are part of the electronic record which still has to be kept due the legality of the document and practically for future references. Records will not be issued to any unauthorized persons.

The department shall keep the record for the length dictated by Ministry Of Health.

 

OPERATING HOURS

 

DAY 

TIME 

Monday – Thursday 

8.00 a.m - 1.00 p.m
2.00 p.m - 5.00 p.m
 

Friday 

8.00 a.m - 12.15 p.m
2.45 p.m - 5.00 p.m
 

 

 

Head of Department

Pn. Zanariah Binti Abd. Rahim

 

 

Counter Service         

Telephone                     :  03-8312 4243

Faxs                            :  03-8889 2904

 

 


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