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Complex continuous care process of patients suffering from thalassemia is largely due to a collection of a large volume of diverse data, which makes traditional paper-based approach burdensome. Adoption of electronic medical records (EMR) system is the best solution in this situation because of the documented benefits in previous studies. Unfortunately, current implementation rate of the system, especially in Malaysia, found to be poor. Studies showed that it is related to low acceptance level towards the system. Previous studies recommend collaboration with targeted end-users during system development stages. Therefore, this article investigated and proposed a framework for online Thalassemia medical record management system which developed with the involvement of the targeted users, which are doctor and nurse. Paediatric Day Care Unit in Hospital Sultanah Aminah was selected for the setting of this study. In this study, previously gathered user requirement was analysed to produce the system framework, which then was used to develop the prototype. Usability and acceptance testing of the system prototype was conducted, from which questionnaires and interviews were given to 3 doctors and 3 nurses. System Usability Scale (SUS) was used and the mean final score was 68.75 with standard deviation 5.352, which is slightly above average. The results also support the previous study which found a significant negative correlation between SUS score and age. The results of the user acceptance testing (UAT) showed a very positive and encouraging feedback from the users. In conclusion, the framework proposed in this study can be accepted and used as a reference for any effort to develop a similar system. [ABSTRACT FROM AUTHOR]