The electronic medical records system has spread in Japan since 1999. However, characteristic features specific to the otolaryngological clinic have not been reflected in the development of the electronic medical record. Therefore, we developed cutting-edge tools for otolaryngological clinic use through cooperation between the otolaryngological clinic and medical informatics staff. The results of audiological tests stored in the filing system can be displayed on the electronic medical record monitor through a URL link set up by the medical informatics staff to the audiological file server developed by the otolaryngological staff. Liquid crystal pen-tablets are also utilized in approximately 40.7% of all otolaryngological clinics to allow illustration of physical findings. These results suggest that both research into and the introduction of an electronic medical record suitable for use in the otolaryngological clinic have resulted in great success.