千年カルテプロジェクト：本格的日本版EHRと医療データの2次利用に向けて
EHR（Electronic Health Record）の始まりは1995年の医療情報共通規格（MML: Medical Markup Language）の検討開始にさかのぼることができる。2001年に，MMLをデータベース構造としたEHRが開発され，熊本，宮崎，東京，京都へ拡大していった（Dolphin Project）。その後，国家レベルでの医療情報管理の必要性が認識され，医療情報の2次利用のニーズとも相まって，2015年にDolphin Projectの国レベル版である「千年カルテプロジェクト」が始まった。2018年度までの4年間で接続病院を十分に増やし，2019年度から始まる医療情報...
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| Published in | Journal of information processing and management Vol. 60; no. 11; pp. 767 - 778 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
Tokyo
国立研究開発法人 科学技術振興機構
01.01.2018
Japan Science and Technology Agency |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-7298 1347-1597 |
| DOI | 10.1241/johokanri.60.767 |
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| Abstract | EHR（Electronic Health Record）の始まりは1995年の医療情報共通規格（MML: Medical Markup Language）の検討開始にさかのぼることができる。2001年に，MMLをデータベース構造としたEHRが開発され，熊本，宮崎，東京，京都へ拡大していった（Dolphin Project）。その後，国家レベルでの医療情報管理の必要性が認識され，医療情報の2次利用のニーズとも相まって，2015年にDolphin Projectの国レベル版である「千年カルテプロジェクト」が始まった。2018年度までの4年間で接続病院を十分に増やし，2019年度から始まる医療情報の2次利用に備える。2次利用の収益による補助金に依存しないEHR部門も含めた独立採算を目指している。 |
|---|---|
| AbstractList | EHR（Electronic Health Record）の始まりは1995年の医療情報共通規格（MML: Medical Markup Language）の検討開始にさかのぼることができる。2001年に，MMLをデータベース構造としたEHRが開発され，熊本，宮崎，東京，京都へ拡大していった（Dolphin Project）。その後，国家レベルでの医療情報管理の必要性が認識され，医療情報の2次利用のニーズとも相まって，2015年にDolphin Projectの国レベル版である「千年カルテプロジェクト」が始まった。2018年度までの4年間で接続病院を十分に増やし，2019年度から始まる医療情報の2次利用に備える。2次利用の収益による補助金に依存しないEHR部門も含めた独立採算を目指している。 The beginning of EHR (Electronic Health Record) can be traced back to the examination of the medical information common standard in 1995 (MML: Medical Markup Language). In 2001, EHR with database structure of MML was developed and expanded to Miyazaki, Kumamoto, Tokyo, Kyoto (Dolphin Project). After that, the necessity of medical information management at national level and the importance of secondary use of medical information came to be recognized. In 2015 the country level version of the Dolphin Project "The Millennial Medical Record Project" began. We will increase the number of connected hospitals in 4 years until 2018 and prepare for secondary use of medical information starting from 2019. We are aiming for independent profit including EHR department by revenue of secondary use of data without relying on government subsidies. |
| Author | 吉原, 博幸 |
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| References | 8) Karlsson, L. O.; Nilsson, S.; Charitakis, E.; Nilsson, L. Janzon, M. Clinical decision support for stroke prevention in atrial fibrillation (CDS-AF): A cluster randomized trial in the primary care setting, European Heart Journal. 2017, vol. 38, iss. suppl_1, ehx504.P3602. https://doi.org/10.1093/eurheartj/ehx504.P3602. 6) “健康診断結果報告書規格 Ver.1.0”. 日本HL7協会. http://www.hl7.jp/library/item/HL7J-CDA-006.pdf, (accessed 2017-11-30). 3) Li, J.-S.; Zhou, T.-S.; Chu, J.; Araki, K.; Yoshihara, H. Design and development of an international clinical data exchange system: The international layer function of the dolphin project. Journal of the American Medical Informatics Association. 2011, vol. 18, iss. 5, p. 683-689. 5) Kobayashi, S.; Bosca, D.; Kume, N.; Yoshihara, H. Reforming MML (Medical Markup Language) standard with Archetype Technology. Indian Journal of Medical Informatics. 2014, vol. 8, no. 2, p. 57-60. 1) Araki, K.; Ohashi, K.; Yamazaki, S.; Hirose, Y.; Yamashita, Y.; Yamamoto, R.; Minagawa, K.; Sakamoto, N.; Yoshihara, H. Medical markup language (MML) for XML-based hospital information interchange. Journal of Medical Systems. 2000, vol. 24, iss. 3, p. 195-211. 7) Park, S. et al. Impact of Electronic Acute Kidney Injury (AKI) alerts with automated nephrologist consultation on detection and severity of AKI: A quality improvement study. Am. J. Kidney Dis. 2018, vol. 71, iss. 1. p. 9-19. https://doi.org/10.1053/j.ajkd.2017.06.008. 4) Takemura, T.; Araki, K.; Arita, K.; Suzuki, T.; Okamoto, K.; Kume, N.; Kuroda, T.; Takada, A.; Yoshihara, H. Development of fundamental infrastructure for nationwide EHR in Japan. Journal of Medical Systems. 2011, vol. 36, iss. 4, p. 2213-2218. 2) Takada, A.; Guo, J.; Tanaka, K.; Sato, J.; Suzuki, M.; Suenaga, T.; Kikuchi, K.; Araki, K.; Yoshihara, H. Dolphin project: Cooperative regional clinical system centered on clinical information center. Journal of Medical Systems. 2005, vol. 29, iss. 4, p. 391-400. |
| References_xml | – reference: 2) Takada, A.; Guo, J.; Tanaka, K.; Sato, J.; Suzuki, M.; Suenaga, T.; Kikuchi, K.; Araki, K.; Yoshihara, H. Dolphin project: Cooperative regional clinical system centered on clinical information center. Journal of Medical Systems. 2005, vol. 29, iss. 4, p. 391-400. – reference: 5) Kobayashi, S.; Bosca, D.; Kume, N.; Yoshihara, H. Reforming MML (Medical Markup Language) standard with Archetype Technology. Indian Journal of Medical Informatics. 2014, vol. 8, no. 2, p. 57-60. – reference: 1) Araki, K.; Ohashi, K.; Yamazaki, S.; Hirose, Y.; Yamashita, Y.; Yamamoto, R.; Minagawa, K.; Sakamoto, N.; Yoshihara, H. Medical markup language (MML) for XML-based hospital information interchange. Journal of Medical Systems. 2000, vol. 24, iss. 3, p. 195-211. – reference: 4) Takemura, T.; Araki, K.; Arita, K.; Suzuki, T.; Okamoto, K.; Kume, N.; Kuroda, T.; Takada, A.; Yoshihara, H. Development of fundamental infrastructure for nationwide EHR in Japan. Journal of Medical Systems. 2011, vol. 36, iss. 4, p. 2213-2218. – reference: 8) Karlsson, L. O.; Nilsson, S.; Charitakis, E.; Nilsson, L. Janzon, M. Clinical decision support for stroke prevention in atrial fibrillation (CDS-AF): A cluster randomized trial in the primary care setting, European Heart Journal. 2017, vol. 38, iss. suppl_1, ehx504.P3602. https://doi.org/10.1093/eurheartj/ehx504.P3602. – reference: 7) Park, S. et al. Impact of Electronic Acute Kidney Injury (AKI) alerts with automated nephrologist consultation on detection and severity of AKI: A quality improvement study. Am. J. Kidney Dis. 2018, vol. 71, iss. 1. p. 9-19. https://doi.org/10.1053/j.ajkd.2017.06.008. – reference: 3) Li, J.-S.; Zhou, T.-S.; Chu, J.; Araki, K.; Yoshihara, H. Design and development of an international clinical data exchange system: The international layer function of the dolphin project. Journal of the American Medical Informatics Association. 2011, vol. 18, iss. 5, p. 683-689. – reference: 6) “健康診断結果報告書規格 Ver.1.0”. 日本HL7協会. http://www.hl7.jp/library/item/HL7J-CDA-006.pdf, (accessed 2017-11-30). |
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| Snippet | EHR（Electronic Health Record）の始まりは1995年の医療情報共通規格（MML: Medical Markup Language）の検討開始にさかのぼることができる。2001年に，MMLをデータベース... The beginning of EHR (Electronic Health Record) can be traced back to the examination of the medical information common standard in 1995 (MML: Medical Markup... |
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| SubjectTerms | 2次利用 Consumer health information EHR Electronic Health Record Electronic health records Information management カルテ開示 データ利用 医療データ 千年カルテプロジェクト 地域連携医療 |
| Title | 千年カルテプロジェクト：本格的日本版EHRと医療データの2次利用に向けて |
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