Japan Journal of Medical Informatics
Online ISSN : 2188-8469
Print ISSN : 0289-8055
ISSN-L : 0289-8055
Short Notes
Authenticity, Visual Readability, and Storage Property of Electronic Medical Record for Clinic and Utilization of Electronic Signature and Time Stamp
R SetoS Kaihara
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2007 Volume 27 Issue 5 Pages 425-430

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Abstract
 We conducted a questionnaire survey of 26 vendors to obtain concrete methods for electronic medical records (EMRs) such that clinics can secure authenticity, visual readability, and storage property and received answers from 11 companies. The study revealed the presence of some EMRs that could not preserve authenticity. For example, some database could be manipulated without being traced. Thus, this indicates that the data could be tampered with in the EMR. In addition, some EMRs could not leave the data during the period defined by the law.
 There were a few EMRs that adopted electronic signature and a time stamp to solve such problems. The time stamp is more effective than electronic signature for assuring “verification possibilities” based on characteristics of clinics. However, it is difficult to establish such procedures in clinics because of numerous problems associated with its usability. Therefore, a reliable third party should provide a structure for depositing data of clinical records.
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© 2007 Japan Association for Medical Informatics
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