The Amended Act on the Protection of Personal Information (Amended PIPA) requires medical information to be handled more securely. In large medical institutions, most medical information is stored in medical information systems. If the designed systems satisfy all the needs of using the medical information, there is no need to export clinical information from these systems. However, export of data is necessary for various purposes including research, public health and regional cooperation. Therefore, we investigated, constructed and evaluated a clinical information export environment in compliance with the Amended PIPA. Requirements for the export environment are as follows. 1. Only the data administrator can save or export data. 2. Depending on the type of data and the purpose of use, differences in criteria are established. 3. A correspondence table for pseudonymization is managed. The constructed export environment consists of the following elements:1. a server-based computing (SBC) environment, 2. a file transfer system, and 3. an image export system. By operating and evaluating the constructed export environment, we verified that the environment permits export of clinical information in compliance with the Amended PIPA.
