title: Development of fundamental infrastructure for nationwide EHR in Japan.
abstract: The movement of create medical information systems that is now taking place involves both progress in EMR (Electronic Medical Records)-computerization of records at hospitals and clinics, and also in EHR (Electronic Health Records) in which information is shared with individual regions. However, the geographical coming and going of people in modern society is extremely active. Naturally the places these people move to are not necessarily within the same region. For this reason, even if the basic unit for the health care supply system is in practical terms limited to the local level, if services are restricted to only one region, many persons may be unable to receive the benefits of health care cooperation. In this study, we constructed a mechanism for a medical cooperation system which links the EHR systems of individual regions and is able to create a one-patient, one-record system on the national level. In this paper, we will provide a report of this mechanism and of the 4-year operational trial.
authors: Department of Medical Informatics, Kyoto University Hospital, Kyoto, Japan. takemura@kuhp.kyoto-u.ac.jp
authors: Tadamasa
authors: T
authors: Takemura
authors: Kenji
authors: K
authors: Araki
authors: Kenji
authors: K
authors: Arita
authors: Toshiaki
authors: T
authors: Suzuki
authors: Kazuya
authors: K
authors: Okamoto
authors: Naoto
authors: N
authors: Kume
authors: Tomohiro
authors: T
authors: Kuroda
authors: Akira
authors: A
authors: Takada
authors: Hiroyuki
authors: H
authors: Yoshihara
mesh_terms: D003195:Computer Communication Networks / Q000458:organization & administration*; D007564:Japan; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D016730:Program Development; D014584:User-Computer Interface