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Understanding Electronic Medical Record Sharing Services and the Role of HL7 FHIR

電子カルテ情報共有サービスの要!HL7 FHIRをわかりやすく解説 | メディコム

April 28, 2026

Summary

This article explains 'HL7 FHIR,' an international standard for safely exchanging patient information between medical institutions. FHIR acts as a common language allowing different vendor systems to communicate, positioning it as the core technology for both electronic medical record sharing services and standardized EHRs.

Details

The article focuses on 'HL7 FHIR' as a solution to data exchange challenges in healthcare. Developed by HL7 International, FHIR is an international standard designed to overcome difficulties caused by vendor-specific differences in electronic health records (EHR) and testing systems. Specifically, the Ministry of Health, Labour and Welfare's Electronic Medical Record Sharing Service utilizes this standard for sending and receiving '3 documents and 6 pieces of information' (including diagnoses, allergies, etc.). Furthermore, the standardized EHR being developed by the Digital Agency adopts FHIR as a core design principle. Compliance with HL7 FHIR is becoming mandatory due to several factors. These include the shift from paper/fax-based data exchange to electronic sharing in regional and doctor-clinic collaborations, and critically, the establishment of the 'Electronic Clinical Information Linkage System Improvement Addition' in the 2026 reimbursement revision. Achieving higher points requires a system structure that can utilize FHIR-compliant services. The article guides implementers on key selection criteria, such as checking vendor support for FHIR and utilizing available subsidy programs.

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