Development of a Long-Term Clinical Database for Implemented the Electronic Medical Record System

Abstract

 We know the data of hospital information system is very important for various researches. However, the hospital information systems in Japan usually did not have the function to accumulate and analyze long-term patient data for clinical research or hospital administration, since most of these systems were developed only for the daily operation of the hospital. We believed it very important to create a database system of clinical as well as administrative patients’ data, which can be used to perform comprehensive search and analysis. The system, which we call the “long-term clinical database” in the National Center for Child Health and Development, was successfully developed and its applications were presented. Recently, the concept of EBM (Evidence-Based Medicine) is generally being emphasized. We think this concept will be achieved through this “long-term clinical database.” In the future, if the database systems in Japanese hospitals are standardized, we can get unified clinical data from multiple.