<p>The writing is concise and direct and the public health problem was well stated with clear objectives.&nbsp;</p><p>The study design was adequately described as well as the statistical methods.</p><p>Results follow logical order; however, there was no comparison of the the impact of EMR versus paper-based system on patient care, outcomes, and data quality as stated in the objectives.</p><p>The data &nbsp;have an application to improving public health and have built on existing knowledge of electronic medical records but there is need to compare with the paper based system</p>