Development of Fundamental Infrastructure for Nationwide EHR in Japan

Takemura, Tamiko; Araki, Kenji; Arita, Kenji; Suzuki, Toshiaki; Okamoto, Kazuya; Kume, Naoto; Kuroda, Tomohiro; Takada, Akira; Yoshihara, Hiroyuki

doi:10.1007/s10916-011-9688-z

Cited by 13 publications

(5 citation statements)

References 7 publications

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“…Medical information technology has been rapidly progressing. Electronic medical records (EMRs) and electronic health records (EHRs) are shared with individuals in many developed countries 51 ; online data sharing is one approach for establishing a patient-health care provider relationship. 52 The application of Internet of Things (IoT) technology has increased considerably, especially in vital sign monitoring.…”

Section: Discussion and Future Workmentioning

confidence: 99%

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

et al. 2021

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Background Long-term care (LTC) services are a professional service-driven (PSD) system; to deliver appropriate care services to residents, health care providers first need to collect appropriate patient data and make a professional assessment. A well-designed LTC information system should therefore consider the information requirements of multidisciplinary health care providers to adequately support their care services. Objectives This study proposed a modified service blueprint—the PSD service blueprint—for visualizing interdisciplinary service providers' input and output information requirements, which correspond to their service activities. Methods The PSD service blueprint comprises five layers and seven elements. We also present a case study to illustrate the blueprint's application to daily LTC services. Results Our proposed approach could clearly illustrate the daily care activities, service providers (main actors), actors' input and output information, and suggestions for LTC information system–related applications. Conclusion The proposed PSD service blueprint can not only gather interdisciplinary LTC service providers' information system requirements but also act as a mapping tool for visualizing the care service process.

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Section: Discussion and Future Workmentioning

confidence: 99%

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

et al. 2021

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“…These sources can include people, software, hardware, and other components needed and the integration of the components for the implementation of the project ( 20 ). In SEPAS project in order to create EHR system and interoperability HER( 21 ), the use of interoperability standards ( 22 ), the existence of networking communication infrastructure, technological infrastructure including software and hardware and other equipment for processing and storage are necessary to provide the basic information to create a broad national dialogue for electronic health information ( 23 , 24 , 25 ). Moreover, to cooperate in implementing EHR and to support its productive system, stakeholders should be aware of its benefits that lead to the creation of an integrated care system ( 26 , 27 ).…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of SEPAS National Project Based on Electronic Health Record System (EHRS) Coordinates in Iran

et al. 2015

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Background:Electronic Health Records (EHRs) are secure private lifetime records that can be shared by using interoperability standards between different organizations and units. These records are created by the productive system that is called EHR system. Implementing EHR systems has a number of advantages such as facilitating access to medical records, supporting patient care, and improving the quality of care and health care decisions. The project of electronic health record system in Iran, which is the goal of this study, is called SEPAS. With respect to the importance of EHR and EHR systems the researchers investigated the project from two perspectives: determining the coordinates of the project and how it evolved, and incorporating the coordinates of EHR system in this project.Methods:In this study two evaluation tools, a checklist and a questionnaire, were developed based on texts and reliable documentation. The questionnaire and the checklist were validated using content validity by receiving the experts’ comments and the questionnaire’s reliability was estimated through Test-retest(r =87%). Data were collected through study, observation, and interviews with experts and specialists of SEPAS project.Results:This research showed that SEPAS project, like any other project, could be evaluated. It has some aims; steps, operational phases and certain start and end time, but all the resources and required facilities for the project have not been considered. Therefore it could not satisfy its specified objective and the useful and unique changes which are the other characteristics of any project have not been achieved. In addition, the findings of EHR system coordinates can be determined in 4 categories as Standards and rules, Telecommunication-Communication facilities, Computer equipment and facilities and Stakeholders.Conclusions:The findings indicated that SEPAS has the ability to use all standards of medical terminology and health classification systems in the case of Maksa approval (The reference health coding of Iran). ISO13606 was used as the main standard in this project. Regarding the telecommunication-communication facilities of the project, the findings showed that its link is restricted to health care centers which does not cover other institutions and organizations involved in public health. The final result showed that SEPAS is in the early stages of execution. And the full implementation of EHR needs the provision of the infrastructure of the National Health Information Network that is the same as EHR system.

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“…In some similar studies [19,20], the authors proposed least fixed point (LFP) logic for assigning the particular semantic modal and signature, which specify the privacy regulations, where all legal constraints are expressed as positive and negative norms to make a decision, whereas the latter takes precedence over the former in the case of conflict. For the exchange of medical data, the authors of [21][22][23] proposed different approaches for the exchange of protected health information among the medical entities.…”

Section: Introductionmentioning

confidence: 99%

Conversion of Legal Text to a Logical Rules Set from Medical Law Using the Medical Relational Model and the World Rule Model for a Medical Decision Support System

et al. 2016

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Automated formalization of legal text is a time-and effort-consuming task, but human-based validation consumes even more of both. The exchange of healthcare data in compliance with the medical privacy law requires experts with deep familiarity of its intricate provisions for verification. The article presents a medical relational model (MRM) for the extraction of logical rules from medical law, required to design a medical decision support system (MDSS) that facilitates the process of exchanging data electronically with minimum human intervention. The division of medical law into small concept classes makes it easier to formalize the legal text of medical law into logical rules. These logical rules are then used to make a precise decision in compliance with the law, after evaluating requests from different entities for different purposes in MDSS. Our methodology is to analyze the legal text and release records in compliance with the medical law. For developing countries where medical laws are not as mature as HIPAA (Health Insurance Portability and Accountability Act) in the USA, the proposed methodology can be adapted to build their MDSS based on MRM.

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Development of Fundamental Infrastructure for Nationwide EHR in Japan

Cited by 13 publications

References 7 publications

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

The Evaluation of SEPAS National Project Based on Electronic Health Record System (EHRS) Coordinates in Iran

Conversion of Legal Text to a Logical Rules Set from Medical Law Using the Medical Relational Model and the World Rule Model for a Medical Decision Support System

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