This research is to assess Medical Records System Towards Ensuring Confidentiality Of Patients Records a Case Study Of Medical Records Department In Federal medical Centre, Ebute-Metta Lagos, Nigeria.;four (4) objectives were set up in order to achieve the desire alongside with four (4) research question, literature was extensively reviewed on assessment of medical records system toward ensuring confidentiality of patient record from different authors under the objectives mentioned. The research design was descriptive research method to obtain information from 72 respondent representing the entire population of the study area data collected were analyzed in tabular form using percentage some major findings include: findings show that provision of adequate working materials will enhance the production of accurate patient health information asserted by the table 4.7(52.54%)its equally shows that code and conduct should be follow and properly maintain to ensure confidentiality of patient record as asserted by the table 4.10(59.33%)and also observe that electronic medical record help with the standardization of patient record as asserted by table 4.14(72.88%)and also the recommendation were made suggestion the need for the hospital management should improve the welfare of the health information personnel in other to avoid any circumstance that will lead to poor management of patient information in the hospital. And also made of operation :The government should also provide adequate operating materials to the department of health information management to enable the delivery of quality healthcare services to patients in the hospital. Also made suggestion about the staffs in the health information management department should make sure they abide by every code and conduct of the profession for effective practice in the hospital. And also the hospital management should embark on electronic health record because it contains all standards of managing information