The purpose and essence of any records management system is the right information in the right place in the right order, at the right time for the right person at the most important is lowest cost. (Baje, 1998). In the health records, they use paper record management for any activities for record in their management. However, the issues of paper record management were discussed because it have disadvantages that need to be solved. After a few years, paper health record are used and now Electronic Document Management (EDM) will be introduce to replace paper record management. Electronic Document Management (EDM) is the system that has potential to reduce cost and workers to take risks associated with paper record management. Storage space for record is important and it is one of the most problem that happen in management. (Markgraf Bert, 2013) Hospital is one of the most prone to this problem and need more way to solve this important problem. The improvement of hospital medical record has issued guidance that covers both operational and clinical standard.

For deploying electronic document to improve access medical records have to divide into two department in the hospital, ophthalmology department and disablement services. To introduce the Electronic Document Management (EDM) to the worker and staff need to get training from Electronic Document Management (EDM) training. It is important to make staff and worker understand the introduction of new administration process required for support Electronic Document Management (EDM) system. However, cause are lack of the time, and relative priority, the clinical from ophthalmology department were not interest to go Electronic Document Management (EDM) training, while in the most of them received classroom training before live use began.

For the first few days, the department use Electronic Document Management (EDM) records, the clinical comprised a mixture of patients with paper-based records

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