Theme | Advance and evolution of information technology in dialysis therapy | |
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Title | Management of dialysis information using PHR (personal health records) preparing for disasters | |
Publish Date | 2017/08 | |
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. |