Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan (Preprint)

Abstract

BACKGROUND Government policies in the U.S. and E.U. promote standardization and value creation in the use of FAIR (Findability, Accessibility, Interoperability and Reusability) data. OBJECTIVE In this global trend, the interoperable interface called Sync for Science-J (S4S-J) for linking Electronic Medical Record (EMR) and Personal Health Record (PHR) was launched on the Basic Policy for Economic and Fiscal Management and Reform in Japan. METHODS S4S-J controls data distribution consisting of EMR and Patient-Generated Health Data (PGHD) and converts this information into QR codes that can be scanned by mobile applications. This system facilitates data sharing based on personal information beliefs and unlocks siloed IoT systems with Privacy Preference Manager (PPM). In line with Japanese information handling practices, the development of a mobile-cloud network will lower barriers to entry and enable accelerated data sharing. To ensure cross-compatibility and compliance with future international data standardization, S4S-J conforms to the HL7-FHIR standard and uses the international standardized LOINC to redefine medical terms used in different terminology standards in different medical fields. It is developed as an applied standard in the medical information intended for industry, healthcare services and research through secondary use of data. RESULTS A multicenter collaborative study was initiated to investigate the effectiveness of this system as a registry clinical trial and a multicenter randomized controlled trial, the EMBRACE study of the mobile health (mHealth) application M♡Link for hyperglycemic disorders in pregnancy, which implements EMR-PHR interoperable interface S4S-J. CONCLUSIONS The patient-centric data flow of the S4S-J in Japan is expected to guarantee the right to data portability, which promotes the maximum benefit of use by patients themselves, which in turn contributes to the promotion of open science. CLINICALTRIAL 1) Efficacy of MLink based telemedicine on GDM in a randomized controlled trial (EMBRACE), jRCT1032230258, https://jrct.niph.go.jp/en-latest-detail/jRCT1032230258 2) Study on Registry of Pregnancy with Abnormal Glucose Metabolism, jRCT1030220452, https://jrct.niph.go.jp/en-latest-detail/jRCT1030220452