MD NAZMUL v 1. ) GP UNIMEDIC J SDN BHD 2. ) Universiti Malaya (UM)

wa-24ncvc-242-01-2025 High Court (Mahkamah Tinggi) 20 April 2025 • WA-24NCvC-242-01/2025 • 4 min read

Catchwords

Introduction 1. The Plaintiff applied by way of this Originating Summons (OS) to obtain his medical records from the 2 Defendants. 2. The provision of law relied by the Plaintiff amongst others is Regulation 44 of the Private Healthcare Facilities and Services (Private Hospitals and other Private healthcare Facilities Regulation 2006 (“health care Regulation”) which stipulates: (1) A patient's medical record is the property of a private healthcare facility or service. (2) No patient's medical record shall be taken out from the private healthcare facility or service except under a court order and when taken out from the private healthcare facility or service under a court order, a copy of the records shall be retained by the private healthcare facility or service and the original records shall be returned to the private healthcare facility or service at the end of the proceedings for which the records were directed to be procured. (3) The licensee or person in charge of the private healthcare facility or service shall ensure that for each admission, each patient's medical record shall have the information as specified in the Sixth Schedule. (4) All entries in a patient's medical record shall be- (a) dated and authenticated by the person who gave the order, provided the care or performed the observation, examination, assessment, treatment or other service to which the entry pertains; and (b) legibly written in ink, typewritten or recorded on a computer terminal which is designed to receive such information and if recorded and stored in a computer, it may be stored on magnetic tapes, discs or other devices suited to the storage of data. (5) All originals or copies of any patient's medical reports received from any other healthcare facility or service shall be filed in the patient's medical record in the private healthcare facility or service. (6) Any person who contravenes subregulation (3), (4) or (5) commits an offence. Conclusion 9. For the above reasons the Court dismisses the OS with a cost of RM3,000.

Practice Areas

Judges (1)

Counsel (6)

Parties (3)

Case Significance

Confirms a patient's right to medical records under Regulation 44 of the Private Healthcare Facilities and Services Regulations 2006 but dismisses the application because the named defendants were not shown to possess the records and so were the wrong entities to be sued.

This High Court (Kuala Lumpur) decision concerns an originating summons by which the plaintiff sought to obtain his medical records from two defendants. The plaintiff relied, among other provisions, on Regulation 44 of the Private Healthcare Facilities and Services (Private Hospitals and Other Private Healthcare Facilities) Regulations 2006, which provides that a patient's medical record is the property of the private healthcare facility or service, that no such record may be taken out except under a court order (with a copy retained and the original returned at the end of the proceedings), and which sets out requirements for the making, dating, authentication and storage of entries in a patient's medical record. The application also invoked section 107(2)(g) of the Private Healthcare Facilities and Services Act 1998, Order 24 rule 7A of the Rules of Court 2012 and section 25(2) of the Courts of Judicature Act 1964.

The court accepted that the plaintiff was entitled in law to his medical records, but held that the plaintiff had first to show that the defendants were in possession of those records. On the evidence, the first defendant was a company, and there was no evidence that it had any relationship with the clinic where the plaintiff had been treated. Similarly, the second defendant, a university, was a separate entity from the medical centre where the plaintiff had been treated.

Concluding that there was no evidence to show that either defendant had the plaintiff's medical records in its possession, the court ruled that neither defendant was the correct entity against whom the originating summons should have been directed. It accordingly dismissed the originating summons with costs of RM3,000. The judgment illustrates that although a patient has a right to obtain medical records under the private healthcare regulatory regime, an application must be directed at the party that actually holds the records, and it will be dismissed where the named defendants are not shown to possess them.

What did the plaintiff seek and under what provision?

An order to obtain his medical records, relying chiefly on Regulation 44 of the Private Healthcare Facilities and Services Regulations 2006 and section 107(2)(g) of the Private Healthcare Facilities and Services Act 1998.

Why was the application dismissed?

Although the plaintiff was entitled to his records, he had to show the defendants held them; there was no evidence that the defendant company or the university possessed the records (as opposed to the clinic and medical centre where he was treated), so the summons was dismissed with RM3,000 costs.

Judgment

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Source: eJudgment (wa-24ncvc-242-01-2025)