| 特集名 | 透析医療における情報技術の進歩・展開 | |
|---|---|---|
| 題名 | 災害時透析患者情報の管理（1）個人向け健康医療福祉履歴管理システム | |
| 発刊年月 | 2017年 08月 | |
| 著者 | 戸田 尚宏 | 京都大学大学院医学研究科腎臓内科学 |
| 著者 | 西岡 敬祐 | 京都大学大学院医学研究科腎臓内科学／大阪赤十字病院腎臓内科 |
| 著者 | 北岡 有喜 | 国立病院機構京都医療センター医療情報部 |
| 著者 | 柳田 素子 | 京都大学大学院医学研究科腎臓内科学 |
| 著者 | 塚本 達雄 | 京都大学大学院医学研究科腎臓内科学／田附興風会医学研究所北野病院腎臓内科 |
| 【 要旨 】 | 災害時における医療情報喪失防止対策は喫緊の課題であり，われわれは災害対策ツールとしてPHR (personal health record)「ポケットカルテ®」を用いた電子版透析手帳を開発している． 「ポケットカルテ」透析手帳は当初個人にて透析情報の入力を行うシステムであった．しかし，情報刷新や誤入力などの問題があり，電子化された透析情報を自動的にPHRへ自動送信できる仕組みが必要と考え，透析部門システムから透析情報を直接転送する方法を考案した．治療開始前に患者が情報開示請求のかわりとなる診察券を提示し，透析終了時に透析情報がサーバーへ自動転送され，PHRに取り込まれる．治療情報は自動的に更新され，インターネット環境があればどこでも閲覧することができる． PHRを用いることで透析情報が患者自身で管理可能となり，災害対策や連携診療の際の病院間の情報交換ツールとして有用である． |
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| Theme | Advance and evolution of information technology in dialysis therapy | |
|---|---|---|
| Title | Management of dialysis information using PHR (personal health records) preparing for disasters | |
| Author | Naohiro Toda | Department of Nephrology, Kyoto University Graduate School of Medicine |
| Author | Keisuke Nishioka | Department of Nephrology, Kyoto University Graduate School of Medicine / Department of Nephrology, Osaka red Cross hospital |
| Author | Yuki Kitaoka | Department of medical informatics, National hospital organization Kyoto Medical Center |
| Author | Motoko Yanagita | Department of Nephrology, Kyoto University Graduate School of Medicine |
| Author | Tatsuo Tsukamoto | Department of Nephrology, Kitano hospital |
| [ Summary ] | Introduction : Management of medical information in natural disasters is an urgent issue especially for dialysis patients. Natural disasters disrupt infrastructures and lead to devastating outcomes for dialysis patients. Indeed, in the Great East Japan Earthquake, many hemodialysis patients were forced to have dialysis therapy at different dialysis units without any detailed or updated information. To solve those problems, we must try to develop electronic patient records to save medical information. State of progress : We apply personal health record (PHR) techniques, focusing on digital dialysis information, which has been already been stored in a dialysis management system. Information gathered may be used to develop automatic transfer systems. After dialysis sessions, all patients' records are saved to the management system, which can be transferred automatically to a cloud server via the internet. Patients read a QR code which indicates the saved site, get their own medical information, and save it on their own portable devises such as mobile phones. Reading the QR code or recognition of patient registration cards requires requesting disclosure information. At that point we may update patient information even in chaotic conditions. Conclusion : By using this tool to transfer dialysis information, patients canmanage their own dialysis information. In addition, we may utilize data collected in a cloud server to improve health care for secondary uses. Further developments are required to improve this system not only to prepare for disasters but also for the routine transfer and sharing of medical records. |
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