APAMI 2009 was held in Hiroshima, Japan, on November 22-24, 2009. This issue includes two selected papers recommended by the programming committee co-chairs. They; are "Lessons Learned from Data Mining of WHO Mortality Database" and "Survey on Medical Records and EHR in Asia-Pacific Region Languages, Purposes, IDs and Regulations". The theme of APAMI 2009 was "What are the medical records for?" A Hiroshima episode; Medical Records at Dr. Ban's Clinic, 9 km from the Epicenter of A-Bomb, is included, which lets us think of the fundamental purpose of medical records. tality Database" by Wansa Paoin [1] and "Survey on Medical Records and EHR in Asia-Pacific Region-Languages, Purposes, IDs and Regulations" by Kimura et al. [2].