A critical path trial of regional digital coordination using the medical information sharing system “EkisaiNet”.

Abstract

The EkisaiNet medical information sharing system has been running since 2002. It is our hope that the use of this system will be expanded and will contribute to improve patient care through better sharing of medical information in the Nagoya area. EkisaiNet provides access to personal data, medical treatment orders, and diagnostic examination results. Security of data and system availability are critical issues in the health care field, and after trying several alternatives, the system uses PKI-USB+SSL-VPN, which provide satisfactory security with acceptable cost and reliability. However, other impediments still remain to the seamless coordination of regional alliances, and EkisaiNet is expected to play a role in solving these problems. In this report we propose using EkisaiNet to coordinate regional alliances in the adoption of a “critical path”.