Protection and utilization of medical records -To build a national health record database

2019 Fiscal Year Final Research Report

• Project/Area Number: 17K03508
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: New fields of law
• Research Institution: Yamaguchi Prefectural University
• Principal Investigator: MASUNARI Naomi 山口県立大学, 看護栄養学部, 教授 (80538843)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Keywords: 診療情報 / 二次利用 / プライバシー / オプトアウト / 公益

Outline of Final Research Achievements

If medical providers and patients can share information such as electronic medical records that had been individually held by medical institutions such as hospitals and pharmacies so far, it can contribute to the health and welfare of patients, and statistics. And it can also be the basis for secondary use such as research.
While the progress of information technology has led to the development of legal systems to facilitate the analysis and distribution of information in various fields, with the progress of information and communication technology that no one can anticipate, reconsideration of privacy rights is required. Therefore, by examining the situation in countries that have led the world in utilizing medical information, we searched for the direction of Japan's efforts. With the development of laws, the importance of trust from society has emerged.

Free Research Field

医事法

Academic Significance and Societal Importance of the Research Achievements

国レベルの国民医療データベースが構築され、データの高水準の安全管理が可能となれば、医療提供者は患者の健康状態の概要を得ることができる。それにより、患者は重複するまたは余分なもしくは不要な検査や治療を回避することができる。
当該システムを通じて、患者は、自己の電子処方箋や診療記録を閲覧でき、情報開示のための患者の同意、開示に対する拒否、同意および拒否の撤回、リビングウィル、臓器提供に関する自己の意思表示が可能となる。さらに、自己の医療情報の開示を監視する、またはデータが開示されている医療提供者を追跡することができ、患者の自己情報コントロール権の行使が可能となる。