About

Medical Records PALS Malaysia website-blog is my personal communications blogging platform in health information management / medical records management professional matters.

The letters in “PALS” identifies to “Practice, Advocacy, Learning and Sharing (PALS)”. Each initial component (first letter) of the phrase “Practice, Advocacy, Learning and Sharing” will share the acronym “PALS”, that is PALS will be an abbreviation formed from the initial components in the phrase “Practice, Advocacy, Learning and Sharing”.

This website-blog was originally started to bring closer Malaysian HIM / MR practitioners through planned social meets along with the sharing of health information management / medical records management articles and news. Hence I adopted the best acronym I could think of then, that is “pals” to include all of Malaysian HIM / MR practitioners, both the ex-colleagues and colleagues who served and still serving in Health Information Management (HIM) services, primarily in the Medical Records Management services, with the Ministry of Health Malaysia (MoHM) and surely not forgetting those HIM / MR practitioners who served or still with the Malaysian private healthcare industry.

However, as much as my intuition defibrillates, I think I am not expecting much of meetups, of the social kinds among Malaysian HIM / MR practitioners in the distant future.

Thus, stimulated by the disinclination for change in the horizon, this website-blog is a new dimension where I intend to continue to blog using this same website-blog. This website-blog continues to use the same blog segments (actually categories) I used in all previous posts – with active posts and room for interactive discussion and knowledge sharing among discerning HIM / MR practitioners in health information management / medical records practice, advocacy, learning and sharing for HIM / MR practitioners in Malaysia first, and then reaching out internationally, minus the social component.

Each blog segment/category title will begin with a small “b” denoting that it is a blog with posts. The 8 blog segments/categories are titled as:

1. bMeetup – Blog posts on meetup sessions, an extension from the page “Meetup” with sub-segments or called sub-categories; this segment/category will cease to continue to carry posts on any meetup;

2. bRound-ups – Here in this blog segment/category, you will find list-style posts, posted weekly or monthly, all of them put together with a list of links to other blog posts recently posted in medical records niche. Sure, it’s going to be a bit of a cop out but I hope it keeps this blog segment blog fresh, and I hope to bring this blog to the attention of other bloggers in the medical records niche, and give readers access to other material they might find interesting. I like these because they’re a way to show readers trends in what bloggers in a certain niche are talking about during a given week/month;

3. bBig-List – Big List blog segment/category is a longer than top ten types of lists. This is a compilation of a large number of resources that readers would be interested in, all in one place. It’s a segment showing lists my niche audience may frequently look for. I hope to help them find it;

4. bBig-Ten – Some people love them and some people hate them, but top 10 lists everything medical records;

5. bReviews – Every niche has something that’s available to review. Review of books, services, products, other websites and blogs for the medical records niche!;

6. bViews – Blog posts sharing my viewpoint on issues with link to the original news. It can to be a great way to ignite some cross-blog or comment discussions;

7. bNews – Presenting a blog segment/category, sharing with readers of detailed post(s), or just link(s) to the news source and a brief summary write up after news engines search for news on what’s going on in the medical records niche; and

8. bTechno – News on enabling technology affecting medical records management.

As I have hinted above, this website-blog will no longer remain the domain for social contact, rather it moves into professional discussion with blog posts from me allowing insights into developments in enabling technology, and news from many facets of the medical records and health information management niche.

To remind of its previous version of this website-blog, the Meetup Page will remain available until further notice. Nonetheless, the Contacts Page is modified to allow new contacts to join the contacts list, both among HIM / MR practitioners in Malaysia and globally.

I must also add that given the limitations of a free blogging environment from WordPress.com, I am curtailed to keep within its confines, but I intend to keep the website-blog as evolving as ever, considering the volatility of the changing and challenging times we live in.

Finally, the Uniform Resource Locator (URL) of this website-blog will remain as http://mrpalsmy.com/ so as not to lose it original identity and route. Thank you for been part of this website-blog and do care to leave your comments after each blog post.

Recent Posts

Global COVID-19 Clinical Characterization Case Record Form

In the wake of COVID-19, I have been thinking how coronavirus data is been captured into a typical medical record. A check around the Internet led me to the World Health Organisation [WHO] recommended rapid clinical characterisation case record form (clinical CRF).

Like the one standardised form i.e. The World Health Organisation (WHO) International Form of Medical Certificate of Cause of Death to collect mortality data among member states—with the clinicial CRF form also by the WHO, the WHO intends that by using one standardised clinical data tool, there is potential for clinical data from around the world to be aggregated; in order to learn more to inform the public health response and prepare for large scale clinical trials.

This form is intended to provide member states with a standardised approach to collect clinical data in order to better understand the natural history of this disease and describe clinical phenotypes and treatment interventions (i.e. clinical characterisation) for Covid-19.

Some important stuff to take note if implementing this form include:

1: this CRF has 3 (M)odules to be completed—(M1)for first day of admission to the health centre, (M2) on first day of admission to ICU or high dependency unit, also be completed daily for as many days as resources allow and continued to follow-up patients who transfer between wards, and (M3) to be completed at discharge or death; and,

2: Internet services are required to enter data to the central electronic REDCap database or to your site/network’s independent database; the form guidelines suggest that printed paper CRFs may be used and the data can be typed into the electronic database afterwards.

The form can be viewed from the link (the link will open in a new tab of your current window) in the reference given below.

Reference:
Coronavirus disease (COVID-19) technical guidance: Patient management, Case Management, WHO, <https://www.who.int/docs/default-source/coronaviruse/who-ncov-crf.pdf?sfvrsn=84766e69_4>

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