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Japanese National Projects around Great East Japan Earthquake toward Standardization
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Transcript of Japanese National Projects around Great East Japan Earthquake toward Standardization
Jun NakayaCo-Chair of IMIA Standardization WG
Tohoku University School of Medicine
Tohoku University Hospital, Medical IT Center
Tohoku Medical Megabank Organization
MEDINFO2013. 2013.08.23
Japanese National Projects
aroundGreat East Japan Earthquake
toward
Standardization
1
The beginning is ・・・
2
Great East Japan EarthquakeHappened 2 and half Years ago
For Successful Reconstruction
■ We required Symbolic “Core” toward Reconstruction/Regeneration■ We designed 2 huge core national projects for regeneration/reconstruction in the
field of Life Science.• MMWIN (Miyagi Medical and Welfare Information Network) which covers all
areas of Miyagi pref. with MI network to make disaster-area better place than before earthquake. (National Budget: 60 Million Dollars)
• ToMMo (Tohoku Medical Megabank Organization) which develops/supplys Future Medicine and related required technologies to start a new leading Medical innovation in Japan from Tohoku Region. (National Budget: 600 Million Dollars)
Emergency Headquarter of Graduate School of Medicine of Tohoku Iniversity Immediately Started on March 25, 2011
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Nursing Care
Nursing Care
MedicineMedicine
WelfareWelfare
Problems before 3.11Problems before 3.11Problems before 3.11Problems before 3.11 An elucidated problem after 3.11An elucidated problem after 3.11An elucidated problem after 3.11An elucidated problem after 3.11
• Shortage of doctors and medical resources• Aging• Falling behind in construction of highway traffic
network
• Shortage of doctors and medical resources• Aging• Falling behind in construction of highway traffic
network
Loss of Medical Information makes Medical practice entirely impossibleLoss of Medical Information makes Medical practice entirely impossible
Then we are in construction of Regional Medical & Welfare Information Networkwhich has both disaster robustness and usefulness in time of peace
Then we are in construction of Regional Medical & Welfare Information Networkwhich has both disaster robustness and usefulness in time of peace
To reduce the burden on
medical workers
For relief of patients and their
families in disaster areas
First we established Human Network ( MMWIN ) before constructing ICT network,
which is always necessary in both disaster and peace timeBased on this ‘All Miyagi Human Network’,
We aim to achieve not just restoration but reconstruction to better society than before 3.11
We summarized our concept and experiences as a typical model of Regional Healthcare Network in Japan, which is called as ‘Miyagi Model’
Basic concept of MMWIN (Miyagi Medical and Welfare Information Network)
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・ Prefectural Flagship Hospital
・ UniversityHospital
Prefecture Layer
RegionalCore Hospital
Medical Administration Area Medical Data Center
Administrative Regional Medical Area Layer
Accumulated Data Sharing
Core HospitalHIS
Regional Data Center
Medical Information Inquiry
Inspection Reservation
Small & Medium sized Hospitals/Clinics Zone
Temporary Houses Support Center Care Zone
Daily Life Medical Area Layer
Specialized Diagnosis/TreatmentHigh Medical Screening Request
SS-MIX2
SS-MIX2
ICD11GSVML
Green CDA
SS-MIX2
ICD11
GSVML
CDA R2
HL7 V3
GSVMLCDA R2
en13606
ICD11
Basic Concept of Regional Medical and Welfare Information Network Miyagi Model (3 layer Model)
Private CloudPrivate Cloud
ASP type EHRASP type EHR
StandardsStandards Seamless cooperation among home care, nursing care, and medical care for daily life
Cooperation among hospitals and clinics in regional medical area for hospital treatment
Cooperation among Central Hospitals and Regional Hospitals for high advanced medical treatment
■ Construction of Medical Megabank as combined Bio-Bank can be a long-term base of all biomedical researches toward future medicine
■ Prospective Cohort Study in conjunction with whole genome analysis can be a basis of designing future medicine
■ Establishment of standardized network model of regional healthcare can be a direct help for disaster suffers’ healthcare and also can be a base of next generation regional healthcare
■ Linking with education of disaster suffers to have medical skills in these projects can be direct help for disaster suffers
■Job creation and industrial accumulation around these projects in disaster area can be a life support for disaster suffers.
Features of Features of ToMMo ToMMo (Tohoku Medical Megabank Organization) (Tohoku Medical Megabank Organization)
ProjectProject
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Ground ICT Design of ToMMo & MMWIN
Daily Life Medical Area
Administrative Regional Medical Area Layer
Prefecture Layer
Distributed Cloud
Server for publication
Physically closed network in the Medical Megabank Building
InternetIntegrated System
Integrated System
Interated System
IP-VPN virtual closed network
Bio Bank Business
Access Control
Cohort Molecules, Specimen DB
1st DB
3rd DB
Disease-related clinical data
Database for Data publication
Bio Bank Database
Clinical DBPhase 0 Elemental DB
Batch Transfer
2nd DB
Integration
Regional healthcare ICT Regional healthcare ICT NetworkNetwork (( Miyagi ModelMiyagi Model ))
Medical megabanks analysis and storing ICT NetworkMedical megabanks analysis and storing ICT Network Biobank publication ICT NetworkBiobank publication ICT Network
SpecimenClinical
Info.Cohort
Info.Specimen
CohortInfo.
Health Check Up and Cohort ICT Health Check Up and Cohort ICT NetworkNetwork
Gateway Server
Anonymizing Control Room ( Iwate )Anonymizing Control Room ( ToMMo )
Info. which does not require Super Computers
Info. which does not require Super Computers
Info. which requires super computing
Info. which requires super computing LIMSLIMSLIMSLIMS
専用線
Iwate Tohoku Medical
MegabankOrganization
Molecular Info.
Molecular Info.
Clinical Info.
Anonymizing Control ( ToMM
o )
Anonymizing control
room ( ToMMo )
ToMMo Phase 0 : Operating
MMWIN:
Operating at 74 facilities
Constructing at 300 facilities
ToMMo Phase 1 、 Phase 2 :
(under construction)
ToMMo Phase 3: Designing
Integrated MMB Repository
Ontological integration
Anonymizing
Control Room(
MM
WIN
)
TRITRI
Unified viewpoint for Construction ( in Tohoku Region )
MMWINMMWIN
Tohoku Univ. School of Med. Tohoku Univ. School of Med. ICT InfrastructureICT Infrastructure
Foundation of Regional Medical Network ModelFoundation of Regional Medical Network Model
Prospective Cohort Analysis InformationWhole Genome Sequence Analysis
Information
Regional Medical ・ Nursing care ・ Welfare Information
Info. of Integrated Clinical Trials
Integrated Clinical Information including Research & Education
from all Tohoku region
Research/Analysis Information From Multi Medical fields
New Plan
InformationPipeline
Information around Future MedicineInformation around Bio-bank
ToMMo ToMMo
Groundwork of Advanced ResearchGroundwork of Advanced Research
Big DataBig Data
Multi-viewpointof Advanced Medical Information
Accumulated with respect to providing each medical care
Accumulated with respect to performing each analysis
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Tohoku Univ. Hospital Tohoku Univ. Hospital HISHIS
Tohoku Univ. Hospital Tohoku Univ. Hospital HISHIS
Tohoku Medical Information Tohoku Medical Information HighwayHighwayInformation
Pipeline
Then
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StandardPackaging
Road Map from Tohoku Medical Information Highway to Standards
Tohoku Medical Information HighwayTohoku Medical Information Highway
Japan Medical Information HighwayJapan Medical Information Highway
StandardPackaging
Spread to other Japanese regions
Export of disaster area Export of disaster area Healthcare IndustryHealthcare Industry
ToMMo MMWINTohoku Univ. Nerwork
Tohoku Univ. HIS
Tohoku Univ.TRI
National integration New industry creationin disaster area
5 years
3 years
10 years
Integrationof other
Japanese projects
Standardization Proposals will be
submitted
ISOISOWHOWHO
Standards for the Future Medicine
Other Japanese Regions Other Japanese Regions MI HighwaysMI Highways
Typical Construction by unified view point
J-MIPs: JapaneseMedical ICT Package
for Standardization
Tomorrow’s discussion issues
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What are the requirements to standardsin Disaster Medicine ?
in Future Medicine ?
How do we combine/utilize our standardsin Disaster Medicine ?
in Future Medicine ?
Thank You
12
Jun Nakaya
Tohoku University, School of Medicine
バイオバンク公開情報基盤バイオバンク公開情報基盤
公平な分配原則に基づいたセキュリティーに配慮したバイオ・バンク公開情報基盤
地域医療福祉連携情報基盤(みやぎモデル)地域医療福祉連携情報基盤(みやぎモデル)
災害に強く、利用者にとって役に立つ被災前より良い医療を実現しうる地域医療福祉連携情報基盤・情報収集基盤
メディカル・メガバンク解析保存情報基盤メディカル・メガバンク解析保存情報基盤
スーパーコンピュータ、オントロジー、分散クラウド、といった最新の技術レベルを結集した世界初の統合生命医療情報-解析・保存基盤
健診・コホート情報基盤健診・コホート情報基盤
被災者とその子供たちの未来に向けた健康管理とコホートデータ収集のための生命健康情報基盤
Ground ICT Design
4つの情報基盤を統合的に組み合わせた世界最高峰の
次世代生命医療情報基盤次世代生命医療情報基盤
収 集
解析 保存 公 開
健康管理追跡医療福祉
Ministry of Education, Culture, Sports, Science and Technology budget (ToMMo)
Ministry of Internal Affairs and Communications, Ministry of Health, Labor and Welfare budget (MMWIN) 71