title: The guideline of the personal health data structure to secure safety healthcare. The balance between use and protection to satisfy the patients' needs.
abstract: OBJECTIVE
  To inform about the impact of a recent movement towards a policy to develop integrative networked electronic health record (EHR) as a basis for cooperation among care teams and with patients and in support of safe patient care in Japan.
  
  
  METHODS
  The author headed a commission developing policy for health record (HR) structure and its computerization. It executed two questionnaire surveys as the basis for its work. One survey assessed the current state of computerization of health record in the hospitals certified by Japan Council for Quality Health Care (JCQHC). The other survey assessed the attitudes towards a specific EHR system in the Hiroshima University Hospital and its affiliate hospitals.
  
  
  RESULTS
  The survey of the above hospitals showed that most have computer supported administrative procedures, but only few computer-based health records. The attitudes of the Hiroshima EHR users show that while they expect efficiency and quality improvements, there is also apprehension that the system in use might lower practical efficiency and compromise patient safety. Accordingly, health recording requirements and storage policy have been restructured and communicated to the hospitals.
  
  
  CONCLUSIONS
  These insights led to the initiation of curricula educating "Health Information Technologist" which is promoted by Japan Association Medical Informatics and the criterion of Chart Review Promotion of JCQHC. They will also lead to recommendation for improved and advanced EHR.
authors.affiliation: Healthcare Informatics and Hospital Systems Management Department, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Kiyomu@hiroshima-u.ac.jp
authors.forename: Kiyomu
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Hisashi
authors.initials: H
authors.lastname: Ohmichi
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Umesato
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Terasaki
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Tsukuma
authors.forename: Norikazu
authors.initials: N
authors.lastname: Iwata
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tanaka
authors.forename: Akie
authors.initials: A
authors.lastname: Kawamura
authors.forename: Kayo
authors.initials: K
authors.lastname: Sakata
authors.forename: Teruko
authors.initials: T
authors.lastname: Sainohara
authors.forename: Miyuki
authors.initials: M
authors.lastname: Sugimura
authors.forename: Nakao
authors.initials: N
authors.lastname: Konishi
authors.forename: Reiko
authors.initials: R
authors.lastname: Umemoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Mase
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takesue
authors.forename: Masashi
authors.initials: M
authors.lastname: Tooya
mesh_terms: D003219:Confidentiality / Q000592:standards*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000592:standards*; D033283:Patient Access to Records / Q000592:standards*; D017060:Patient Satisfaction