[2-G-1-05] 基幹病院 ⇔ 診療所 間の医療情報連携の現実と理想
Medical Information Exchange, Medical Practice Management, Patient Self-Determination Act
Medical information cooperation has been promoted between the core hospital and hospitals/clinics. Digital information provision from core hospital is prevalent, but what about from general hospitals and clinics? Capital investment and maintenance costs for it may be a heavy burden. On the other hand, the effort for conventional analog information provision is relatively large, and it does not match “work style reform”.
In particular, because the specifications of the medical information system are different among institutions, the issues of the security of the server that converts the output from the medical information system of each institution to a common format (SSMIX-2 etc.) and of the protection of personal information place limitations because of the technical and cost aspects. Furthermore, it may be impossible in principle to force companies at various levels to use a uniform data management system.
Fortunately, in dentistry, various types of information have been provided on medical management for patients. By modifying the contents of this document to show the current oral condition and treatment progress in a time series, it becomes possible to supplement the content of medical information provision forms and referral letters. Even a small-scale dental clinic could become an information provider by adding various test results such as image data to this document.
To carry out this idea in a functional, economical and labor-free manner, the patients, who receives the medical management documents, should present them to the doctor when visiting a medical institution for referring. If this document-managing system is implemented, the provision of information from dental clinic will be smooth, and the patient will be able to understand the contents of the medical management document, which will help to improve medical efficiency.
In particular, because the specifications of the medical information system are different among institutions, the issues of the security of the server that converts the output from the medical information system of each institution to a common format (SSMIX-2 etc.) and of the protection of personal information place limitations because of the technical and cost aspects. Furthermore, it may be impossible in principle to force companies at various levels to use a uniform data management system.
Fortunately, in dentistry, various types of information have been provided on medical management for patients. By modifying the contents of this document to show the current oral condition and treatment progress in a time series, it becomes possible to supplement the content of medical information provision forms and referral letters. Even a small-scale dental clinic could become an information provider by adding various test results such as image data to this document.
To carry out this idea in a functional, economical and labor-free manner, the patients, who receives the medical management documents, should present them to the doctor when visiting a medical institution for referring. If this document-managing system is implemented, the provision of information from dental clinic will be smooth, and the patient will be able to understand the contents of the medical management document, which will help to improve medical efficiency.