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What is Information Return? The New Trend of Data Monetization with FHIR

情報返却とは?医療データ収益化の新潮流と実務ガイド|ヘルスインタビュー コラム - AIBTRUST

May 7, 2026AIBTRUST

Summary

'Information Return,' which involves structuring clinical data using the international standard FHIR and returning it to the patient's smartphone, is gaining attention. Unlike conventional paper/PDF operations, this mechanism enables secondary use and research provision, becoming a new source of auxiliary revenue for medical institutions.

Details

This article explains 'Information Return,' the process of structuring clinical data using FHIR and providing it directly to the patient. While traditional methods rely on verbal communication or manual re-entry from paper/PDFs, FHIR allows mechanical transfer between systems, enabling use in research and clinical trials. The trend is driven by two factors: the shift towards patient autonomy promoted by MHLW's PHR policy, and the growing demand for Real World Data (RWD). Implementation requires not only FHIR standardization but also 'Dynamic Consent,' which obtains consent for specific uses at the time of use, and a record foundation like blockchain to track revenue. For medical institutions, this is positioned as a pillar of auxiliary revenue, incorporating patient return models. Key practical considerations include ensuring data compliance with FHIR standards, appropriate granularity in consent management, and seamless integration from electronic health records (EHRs).

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