Development of a Medical Information Exchange Infrastructure for Advanced Regional Health Information Sharing

DOI
  • Tanaka K
    Department of Planning, Information and Management, The University of Tokyo Hospital
  • Yamamoto R
    Interfaculty Initiative In Information Studies, Graduate School of the University of Tokyo
  • Watanabe H
    Department of Planning, Information and Management, The University of Tokyo Hospital
  • Hoshimoto H
    Division of Hospital Administrative Management, Hospital Bureau, Ibaraki Prefectural Government
  • Tsuchiya F
    Department of Pharmacy, International University of Health and Welfare Hospital
  • Akiyama M
    Todai Policy Alternatives Research Institute, The University of Tokyo
  • Ohe K
    Graduate School of Medicine and Faculty of Medicine, The University of Tokyo

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Other Title
  • 地域医療高度情報連携を目的とした診療情報交換基盤の開発

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Abstract

This paper describes the development of a medical information exchange system based on PKI. Using the developed secure relay system, medical institutions can transmit and receive encrypted medical information with secure MIME format, and only destination institution can decrypt the target information. This encrypted message exchanging is based on a developed public key directory service of medical institutions. In addition, we developed a function of storing medical information for emergency medical care on the system. For both exchanging and storing medical information, operations must be performed in the patient's agreement, so we also developed a status monitoring and controlling capability by patients of their own medical information on the system. The developed public key directory service is necessary for wide-area PKI based applications among medical institutions.

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