A System Test of Widely Distributing Electronic Patient Record Network for Diabetes Mellitus Based on Public Key Infrastructure

Abstract

 We developed a widely distributing electronic patient record network system for diabetes mellitus based on public key infrastructure using HL7 version3 RIM as a message exchange protocol. The system consists of a general-purpose database, a patient basic information management system, a user recognition system, a clinical record certification system, a electronic patient record system for diabetes mellitus and a data converting system from existing two data bases. We conducted a system operation test for three months in 47 medical institutes in Fukuoka city. There were no major troubles in the system function and the network communication. The questionnaire to the medical staffs and the patients showed that the medical staffs have a high expectation in the system to increase medical service efficiency and quality. The large majority of the patients favorably accepted the system.