Yomiuri Shimbun 2024/11/29 05:00 The government has decided to start operating a new system in fiscal 2025 that will allow medical institutions to share electronic medical records of patients who use the My Number Health Insurance Card, which is integrated with the My Number card. This will make it possible to obtain detailed information, such as past test results, which cannot be confirmed using existing systems. The aim is to improve medical safety and efficiency. The new system is an “electronic medical record information sharing service” and will be managed by a corporation under the jurisdiction of the Ministry of Health, Labor and Welfare. Information on disease names, allergies, tests for infectious diseases and lifestyle-related diseases, health check results, and prescribed medications recorded in electronic medical records is collected from each medical institution and stored in a database. The data will be stored for a period of three months to five years. Medical institutions across the country must obtain patient consent to access the data. With the introduction of the new system, it will be possible to compare the symptoms of emergency patients with data to make diagnoses, and to compare the test results of first-time patients with past values to see changes in their condition. Allergy information helps to prescribe safe medications. The system also has the ability for medical institutions to send referral letters to other medical institutions. This eliminates the need for patients to obtain a referral letter. Currently, for patients who visit the hospital using their My Number health insurance card, there is a separate system that allows them to check information such as their past medical history and prescribed medications, with their consent. However, while they know what tests were taken, the information they can obtain is limited, such as not knowing the results. In order for medical institutions to connect to the new system, they will need to revise their electronic medical records. The Ministry of Health, Labour and Welfare is subsidizing part of the renovation costs in preparation for operation. Since the beginning of 2013, demonstration projects have been conducted at 10 locations across the country to examine safe and effective usage and issues. The aim is to have it fully operational within the same fiscal year. The government is moving towards a system based on the use of My Number health insurance cards, and will stop issuing new health insurance cards on the 2nd of next month. As of October, the utilization rate of My Number health insurance cards at medical institutions and pharmacies was low at just under 20%, making promoting their use a challenge.
>>1 What? They’re just starting now? I thought they were pushing for the Minority Health Insurance Card so aggressively because they already had that system in place.
Apparently there are people who share paper health insurance cards with other people, but if you use a My Number health insurance card, will that mean you’ll be going to the hospital every day?
Damn. I’ve been moving from hospital to hospital and getting sleeping pills in bulk to sell, but now it’s all gone. I was making over 500,000 yen a month just from that.
>>16 I hate it when the wives of my acquaintances work part-time as receptionists at a nearby hospital. Some people have diseases they don’t want others to know about, like infertility treatments.
Will abortion and STD history be shared? There will likely be more cases of delays in going to the hospital leading to serious problems. It must be tough for some people.
My grandparents often get the same stomach medicine prescribed by the cardiologist, gastroenterologist, and orthopedic surgeon, so I have a feeling that if we could just eliminate duplicate prescriptions, we could reduce waste by tens of billions of yen.
>>35 They do. When I collapsed last time, they immediately looked up my medical records from over 10 years ago. I guess they only do that with seriously ill patients. The medication is obvious in the prescription book. They’re just lying like they’re doing something revolutionary. Dentists don’t need past treatment history. Actually, only seriously ill patients need it.
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