Status and Perspective of Hospital Information Systems in Japan

Abstract

Questionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.

Establishment of the MID‐NET® medical information database network as a reliable and valuable database for drug safety assessments in Japan

“…MID-NET ® adopts a common data model that stores a wide variety of hospital information system (HIS) data ( Figure 1) such as electronic medical records (EMRs), administrative claims data, and diagnosis procedure combination (DPC) data. 7,8 EMRs constitute a particularly important component of the MID-NET ® system and are standardized based on the message specifications of SS-MIX2. 7 EMRs include different types of information, such as patient identifiers, medical examination history data (including admission and discharge data), diagnostic orders data, discharge summary data, prescription orders/execution data, injection orders/execution data, and laboratory test data.…”