Report on Japanese Activities

Hidenori Shinoda

JIRA

9/29/2005

Budapest

Activities of IHE-J

• Connectathon – 23 vendors and 48 systems participated– Done between Feb. 22nd and 25th, 2005– For only Radiology Profiles

• Adopted JJ1017 ver.3.0 code– JJ1017 ver.3.0 was developed– Adopted this code to connectathon 2004 and demo– The code is very descriptive. It is 32 byte-coding s

ystem.

METI’s new project

• IT for regional healthcare alliance• Building a networked system to care cerebral stroke p

atients– Sharing medical data of a patient in a regional medical com

munity– From ambulatory care to nursing care at patient’s home– Remotely care patients on ambulances– XDS as infrastructure for sharing healthcare information

• Images will be the main information.• Lab test data, wave forms, text, etc.

– Telemedicine supported by real time video systems• Teleconsulting at surgical rooms• Teleradiology for image diagnosis• Remotely support nursing people at patient’s home

Node authentication system via smart card

Gateway

Application

Examination of qualificationRegistrationIssuing smart cardsSecure Connector

System User Smart Card Issuer

Healthcare Information System

Request of permission for connection

Request of permission for connection

Permission

Permission

Certificate Authority

Just for your information

• There are 9,034 hospitals in Japan. 5.5% of them have EMR systems. (20.9% of hospitals with more than 400 beds have EMR systems.) But, almost all of them are not interoperable.

• Ministry of Health, Welfare, and Labor wants EMR systems to be semantically interoperable.

• AS a first step to this, MHWL plans to reward health institutions which provide patients healthcare information burned onto CDR.