Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan
Government policies in the United States and the European Union promote standardization and value creation in the use of FAIR (findability, accessibility, interoperability, and reusability) data, which can enhance trust in digital health systems and is crucial for their success. Trust is...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-12-01
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| Series: | Interactive Journal of Medical Research |
| Online Access: | https://www.i-jmr.org/2024/1/e57332 |
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| author | Yoshihiko Izumida Takashi Omura Masahiro Fujiwara Shoko Nukaya Akio Yoneyama Sow Boubacar Shinichiro Yabe Rika Noguchi Shima Nakayama Wataru Muraoka Yuki Okuno Sho Miyashita Yurika Ishihara Yuto Moriwaki Ryoji Otani Junichiro Adachi Kenichiro Tanabe Yoshihisa Yamano Yasushi Takai Masaru Honjo |
| author_facet | Yoshihiko Izumida Takashi Omura Masahiro Fujiwara Shoko Nukaya Akio Yoneyama Sow Boubacar Shinichiro Yabe Rika Noguchi Shima Nakayama Wataru Muraoka Yuki Okuno Sho Miyashita Yurika Ishihara Yuto Moriwaki Ryoji Otani Junichiro Adachi Kenichiro Tanabe Yoshihisa Yamano Yasushi Takai Masaru Honjo |
| author_sort | Yoshihiko Izumida |
| collection | DOAJ |
| description |
Government policies in the United States and the European Union promote standardization and value creation in the use of FAIR (findability, accessibility, interoperability, and reusability) data, which can enhance trust in digital health systems and is crucial for their success. Trust is built through elements such as FAIR data access, interoperability, and improved communication, which are essential for fostering innovation in digital health technologies. This Viewpoint aims to report on exploratory research demonstrating the feasibility of testing a patient-centric data flow model facilitating semantic interoperability on precision medical information. In this global trend, the interoperable interface called Sync for Science-J (S4S-J) for linking electronic medical records (EMRs) and personal health records was launched as part of the Basic Policy for Economic and Fiscal Management and Reform in Japan. S4S-J controls data distribution consisting of EMR and patient-generated health data and converts this information into QR codes that can be scanned by mobile apps. This system facilitates data sharing based on personal information beliefs and unlocks siloed Internet of Things systems with a privacy preference manager. In line with Japanese information handling practices, the development of a mobile cloud network will lower barriers to entry and enable accelerated data sharing. To ensure cross-compatibility and compliance with future international data standardization, S4S-J conforms to the Health Level 7 Fast Health Care Interoperability Resources standard and uses the international standardized logical observation identifiers names and codes (LOINC) to redefine medical terms used in different terminology standards in different medical fields. It is developed as an applied standard in medical information intended for industry, health care services, and research through secondary use of data. A multicenter collaborative study was initiated to investigate the effectiveness of this system; this was a registered, multicenter, randomized controlled clinical trial, the EMBRACE study of the mobile health app M♡Link for hyperglycemic disorders in pregnancy, which implements an EMR–personal health record interoperable interface via S4S-J. Nevertheless, the aforementioned new challenges, the pivotal Health Level 7 Fast Health Care Interoperability Resources system, and LOINC data mapping were successfully implemented. Moreover, the preliminary input of EMR-integrated patient-generated health data was successfully shared between authorized medical facilities and health care providers in accordance with the patients’ preferences. The patient-centric data flow of the S4S-J in Japan is expected to guarantee the right to data portability, which promotes the maximum benefit of use by patients themselves, which in turn contributes to the promotion of open science. |
| format | Article |
| id | doaj-art-7f53fb89514b49459ff1ca7d1a6a0f25 |
| institution | Kabale University |
| issn | 1929-073X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Interactive Journal of Medical Research |
| spelling | doaj-art-7f53fb89514b49459ff1ca7d1a6a0f252024-12-23T20:01:01ZengJMIR PublicationsInteractive Journal of Medical Research1929-073X2024-12-0113e5733210.2196/57332Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in JapanYoshihiko Izumidahttps://orcid.org/0000-0001-8403-0036Takashi Omurahttps://orcid.org/0009-0002-7398-092XMasahiro Fujiwarahttps://orcid.org/0009-0006-6529-4777Shoko Nukayahttps://orcid.org/0009-0002-5902-2311Akio Yoneyamahttps://orcid.org/0000-0002-8737-2266Sow Boubacarhttps://orcid.org/0009-0005-6098-1511Shinichiro Yabehttps://orcid.org/0000-0003-0249-5177Rika Noguchihttps://orcid.org/0009-0001-8064-5321Shima Nakayamahttps://orcid.org/0009-0002-7950-6102Wataru Muraokahttps://orcid.org/0009-0004-6786-2323Yuki Okunohttps://orcid.org/0009-0005-9887-2804Sho Miyashitahttps://orcid.org/0009-0008-4860-6569Yurika Ishiharahttps://orcid.org/0009-0008-6282-5186Yuto Moriwakihttps://orcid.org/0009-0008-9776-8126Ryoji Otanihttps://orcid.org/0009-0003-4307-8318Junichiro Adachihttps://orcid.org/0009-0002-7898-8939Kenichiro Tanabehttps://orcid.org/0000-0001-6271-2490Yoshihisa Yamanohttps://orcid.org/0000-0001-7527-0345Yasushi Takaihttps://orcid.org/0000-0002-3872-8481Masaru Honjohttps://orcid.org/0000-0001-7004-6504 Government policies in the United States and the European Union promote standardization and value creation in the use of FAIR (findability, accessibility, interoperability, and reusability) data, which can enhance trust in digital health systems and is crucial for their success. Trust is built through elements such as FAIR data access, interoperability, and improved communication, which are essential for fostering innovation in digital health technologies. This Viewpoint aims to report on exploratory research demonstrating the feasibility of testing a patient-centric data flow model facilitating semantic interoperability on precision medical information. In this global trend, the interoperable interface called Sync for Science-J (S4S-J) for linking electronic medical records (EMRs) and personal health records was launched as part of the Basic Policy for Economic and Fiscal Management and Reform in Japan. S4S-J controls data distribution consisting of EMR and patient-generated health data and converts this information into QR codes that can be scanned by mobile apps. This system facilitates data sharing based on personal information beliefs and unlocks siloed Internet of Things systems with a privacy preference manager. In line with Japanese information handling practices, the development of a mobile cloud network will lower barriers to entry and enable accelerated data sharing. To ensure cross-compatibility and compliance with future international data standardization, S4S-J conforms to the Health Level 7 Fast Health Care Interoperability Resources standard and uses the international standardized logical observation identifiers names and codes (LOINC) to redefine medical terms used in different terminology standards in different medical fields. It is developed as an applied standard in medical information intended for industry, health care services, and research through secondary use of data. A multicenter collaborative study was initiated to investigate the effectiveness of this system; this was a registered, multicenter, randomized controlled clinical trial, the EMBRACE study of the mobile health app M♡Link for hyperglycemic disorders in pregnancy, which implements an EMR–personal health record interoperable interface via S4S-J. Nevertheless, the aforementioned new challenges, the pivotal Health Level 7 Fast Health Care Interoperability Resources system, and LOINC data mapping were successfully implemented. Moreover, the preliminary input of EMR-integrated patient-generated health data was successfully shared between authorized medical facilities and health care providers in accordance with the patients’ preferences. The patient-centric data flow of the S4S-J in Japan is expected to guarantee the right to data portability, which promotes the maximum benefit of use by patients themselves, which in turn contributes to the promotion of open science.https://www.i-jmr.org/2024/1/e57332 |
| spellingShingle | Yoshihiko Izumida Takashi Omura Masahiro Fujiwara Shoko Nukaya Akio Yoneyama Sow Boubacar Shinichiro Yabe Rika Noguchi Shima Nakayama Wataru Muraoka Yuki Okuno Sho Miyashita Yurika Ishihara Yuto Moriwaki Ryoji Otani Junichiro Adachi Kenichiro Tanabe Yoshihisa Yamano Yasushi Takai Masaru Honjo Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan Interactive Journal of Medical Research |
| title | Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan |
| title_full | Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan |
| title_fullStr | Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan |
| title_full_unstemmed | Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan |
| title_short | Patient-Centric Approach to Personalized Electronic Medical Records via QR Code in Japan |
| title_sort | patient centric approach to personalized electronic medical records via qr code in japan |
| url | https://www.i-jmr.org/2024/1/e57332 |
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