The public healthcare services in Malaysia is a tax-funded system whereby the Ministry of Health (MoH) currently operates 146 hospitals and almost 3,000 clinics across the country to provide healthcare services at a highly subsidised rate. The Ministry of Health (MoH) began to plan for the implementation of electronic medical records (EMR) at hospitals operated by the ministry in the 1990s under the 6^th Malaysia Plan (1991 – 1995) and over the years, more hospitals began to adopt EMR. However, the adoption rate has been relatively slow due to various challenges. In parallel with the country’s national digitalisation agenda across all sectors, a new focus on EMR adoption was placed under the 12^th Malaysia Plan (2021 – 2025) where the National EMR Project was introduced. However, this project is currently only focused on MoH facilities. On the other hand, the private healthcare sector which is completely separate from the public sector, has been actively adopting electronic records in their daily operations. However, discrepancy also exists between the adoption of EMR among private healthcare facilities in urban areas and non-urban areas. Therefore the adoption of nationwide EMR in Malaysia remains a huge challenge that needs to be addressed.