Piloting electronic medical records in Ophthalmology has been a challenging journey which kicked off in 2022. Unlike other specialties, there are multiple stops of assessments to be conducted by nurses, allied health or health care assistants prior to doctors' consultations. Therefore, a specific ophthalmology form has to be custom made to allow transition of ophthalmology record into electronic version. In this talk, the difficulties and problems encountered throughout this journey will be shared. In every challenge lives a greater opportunity. The introduction of this electronic ophthalmology record did not only provide a paperless solution, it aims at delivering a safer platform for ophthalmology service as well. This also expands future usage of medical records in terms of artificial intelligence applications and closed-loop communications. As we continued our electronic transition, the bummock of the Iceberg has revealed other new challenges ahead including changes of workflow, need of SOPD prescription documentations. important ophthalmology results alert or screening, inefficient graphic input, etc. Ongoing difficulties for such transition is also expected with the high number of Ophthalmology SOPD attendance, low physician incentives and intrinsic limitations of CMS IV.
