title: [Local communalization of clinical records between the municipal community hospital and local medical institutes by using information technology].
abstract: We introduced the electronic health record system in 2002. We produced a community medical network system to consolidate all medical treatment information from the local institute in 2010. Here, we report on the present status of this system that has been in use for the previous 2 years. We obtained a private server, set up a virtual private network(VPN)in our hospital, and installed dedicated terminals to issue an electronic certificate in 50 local institutions. The local institute applies for patient agreement in the community hospital(hospital designation style). They are then entitled to access the information of the designated patient via this local network server for one year. They can access each original medical record, sorted on the basis of the medical attendant and the chief physician; a summary of hospital stay; records of medication prescription; and the results of clinical examinations. Currently, there are approximately 80 new registrations and accesses per month. Information is provided in real time allowing up to date information, helping prescribe the medical treatment at the local institute. However, this information sharing system is read-only, and there is no cooperative clinical pass system. Therefore, this system has a limit to meet the demand for cooperation with the local clinics.
authors.affiliation: Nutrition Support Team(NST), Minoh City Hospital.
authors.forename: Shohei
authors.initials: S
authors.lastname: Iijima
authors.forename: Keiji
authors.initials: K
authors.lastname: Shinoki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ibata
authors.forename: Chisako
authors.initials: C
authors.lastname: Nakashita
authors.forename: Seiko
authors.initials: S
authors.lastname: Doi
authors.forename: Kumi
authors.initials: K
authors.lastname: Hidaka
authors.forename: Akiko
authors.initials: A
authors.lastname: Hata
authors.forename: Mio
authors.initials: M
authors.lastname: Matsuoka
authors.forename: Hideko
authors.initials: H
authors.lastname: Waguchi
authors.forename: Saori
authors.initials: S
authors.lastname: Mito
authors.forename: Ryutaro
authors.initials: R
authors.lastname: Komuro
mesh_terms: D003153:Community Health Services; D019058:Community Networks; D057286:Electronic Health Records / Q000295:instrumentation*; D006773:Hospitals, Municipal; D020407:Internet / Q000295:instrumentation*; D010348:Patient Care Team