Fujitsu et l'Université médicale de Sapporo ont annoncé le lancement d'un projet conjoint démarrant en avril 2023 pour réaliser la portabilité des données (1) pour les données de santé des patients, y compris les dossiers médicaux électroniques (EHRs) (2) et les dossiers de santé personnelle (PHRs) (3). Dans le cadre de ce projet conjoint, Fujitsu développera une application mobile qui permettra aux utilisateurs de consulter leurs données de santé sur leurs iPhones (4) et une plateforme de données de santé basée sur le cloud pour gérer les données de santé des patients. Ce projet marque la première initiative au Japon pour relier les dossiers médicaux électroniques à l'application Health d'Apple sous le support d'Apple. Les données EHR stockées sur la nouvelle plateforme de données de santé externe seront converties en un format conforme à JP Core (FHIR JP Core Implementation Guide Version 1.1.1) (5), la dernière ligne directrice japonaise sous le cadre de normes de la prochaine génération HL7 FHIR pour l'échange d'informations sur la santé. En donnant aux patients la possibilité d'accéder à leurs données médicales de n'importe où à tout moment et de jouer un rôle plus actif dans la gestion de leur propre santé, le projet vise à contribuer à la fourniture des soins médicaux et des services optimaux adaptés aux conditions de santé des patients individuels tout en améliorant l'engagement des patients (6). L'hôpital universitaire de Sapporo Medical University, l'hôpital affilié à l'Université médicale de Sapporo, vise à introduire le système en avril 2023.
1) Data portability:
A system that allows a person to manage and freely carry information that is individually managed by governments, companies, medical institutions, etc.
(2) EHR:
"Electric Health Record;" here, EHR refers to integrated data for the purpose of collaborating and utilizing medical information in the various medical institutions.
(3) PHR:
"Personal Health Records." Data on individual health, medical care and nursing care collected and stored in an integrated manner.
(4) iPhone, Apple Watch, HealthKit are registered trademarks of Apple Inc. The iPhone trademark is used under the license of Aiphone Co., Ltd.
(5) JP Core:
Implementation Guide of the next-generation standard for health information exchange HL7 FHIR in Japan (FHIR JP Core Implementation Guide V 1.1.1). HL7 FHIR stands for HL7 (Health Level Seven) Fast Healthcare Interoperability Resource and is a next-generation standard created by the HL7 organization. Health Level Seven, Inc. is an organization dedicated to developing and promoting standards for healthcare information. Standards for healthcare information are established to provide data interoperability in the medical field.
HL7 FHIR JP Core refers to the Japanese implementation guide "FHIR JP Core Implementation Guide V 1.1.1," that defines minimum compatibility requirements for accessing patient data in Japan based on the HL7 FHIR standard, which is certified by HL7 Japan (Japanese branch of the HL7 organisation) and created by the NeXEHRS Research Group "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)".
(6) Patient engagement:
Active engagement of patients and their families in gathering information and decision making about their health symptoms, diseases, and treatment methods.
(7) Measures examined by the Japanese government and ministries: The "Basic Policies for Economic and Fiscal Management and Reform 2022 (Basic Policies 2022)," which was approved by the Cabinet in June 2022, also indicated a policy of emphasizing the promotion of PHR and the utilization of medical information as a national strategy. www.mhlw.go.jp/content/12401000/000977520.pdf (in Japanese)
1) Data portability:
A system that allows a person to manage and freely carry information that is individually managed by governments, companies, medical institutions, etc.
(2) EHR:
"Electric Health Record;" here, EHR refers to integrated data for the purpose of collaborating and utilizing medical information in the various medical institutions.
(3) PHR:
"Personal Health Records." Data on individual health, medical care and nursing care collected and stored in an integrated manner.
(4) iPhone, Apple Watch, HealthKit are registered trademarks of Apple Inc. The iPhone trademark is used under the license of Aiphone Co., Ltd.
(5) JP Core:
Implementation Guide of the next-generation standard for health information exchange HL7 FHIR in Japan (FHIR JP Core Implementation Guide V 1.1.1). HL7 FHIR stands for HL7 (Health Level Seven) Fast Healthcare Interoperability Resource and is a next-generation standard created by the HL7 organization. Health Level Seven, Inc. is an organization dedicated to developing and promoting standards for healthcare information. Standards for healthcare information are established to provide data interoperability in the medical field.
HL7 FHIR JP Core refers to the Japanese implementation guide "FHIR JP Core Implementation Guide V 1.1.1," that defines minimum compatibility requirements for accessing patient data in Japan based on the HL7 FHIR standard, which is certified by HL7 Japan (Japanese branch of the HL7 organisation) and created by the NeXEHRS Research Group "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)".
(6) Patient engagement:
Active engagement of patients and their families in gathering information and decision making about their health symptoms, diseases, and treatment methods.
(7) Measures examined by the Japanese government and ministries: The "Basic Policies for Economic and Fiscal Management and Reform 2022 (Basic Policies 2022)," which was approved by the Cabinet in June 2022, also indicated a policy of emphasizing the promotion of PHR and the utilization of medical information as a national strategy. www.mhlw.go.jp/content/12401000/000977520.pdf (in Japanese)
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