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There has been interest in using medical records as a data source for performing clinical analytics as early as the 1960s.23 Medical records contain a tremendous accumulation of data, and it was hoped that electronic data processing systems would allow for organised, chronological records of patient information that could be used to facilitate research and hospital reporting.23 It has recently been suggested that linkage of electronic medical records can be successfully used to provide near real-time clinical audit with feedback to clinicians, and provide a framework for clinical decision support.24 Overcoming the technical and legal issues associated with data linkage to the electronic medical record can be a barrier12