Fujitsu and Sapporo Medical University launch joint project to realize data portability in the healthcare field : Fujitsu Global

Fujitsu and Sapporo Medical University launch joint project to realize data portability in the healthcare field : Fujitsu Global

Fujitsu Limited, Sapporo Medical University

Tokyo and Sapporo, January 16, 2023

Fujitsu and Sapporo Medical University today announced the launch of a joint project starting in April 2023 to realize data portability (1) for patients’ healthcare data including electronic health records (EHRs) (2) and personal health records (PHRs) (3).

As part of the joint project, Fujitsu will develop a mobile app that enables users to view healthcare data on their iPhones (4) and a cloud-based healthcare data platform to manage patients’ health data. This project marks the first initiative in Japan to link electronic medical records with Apple’s Health app under Apple’s support.

EHR data stored on the newly developed external healthcare data platform will be converted to a format in accordance with JP Core (FHIR JP Core Implementation Guide Version 1.1.1) (5), the latest Japanese guideline under the next generation standards framework HL7 FHIR for health information exchange.

By empowering patients to access their medical data from anywhere at any time and play a more active role in managing their own health, the project aims to contribute to the provision of optimal medical care and services tailored to the health conditions of individual patients while simultaneously improving patient engagement (6).

Sapporo Medical University Hospital, the affiliated hospital of Sapporo Medical University, aims to introduce the system in April 2023.

Background

Japan currently faces increasing demographic pressures as it confronts the challenges posed by one of the oldest populations in the world. In addition to medical services, the usage of medical health data in patients’ individual health management represents an important issue both for patients and their families. To enable patients as well as medical providers to more easily manage medical data, many countries world-wide are implementing national standards under the HL7 FHIR (Fast Healthcare Interoperability Resource) framework designed to enable the rapid exchange of healthcare-related information, including medical records and other patient data. Many of these initiatives also increasingly promote the use of smartphone apps for health management.

In Japan, however, the scope of use of EHRs and other schemes that allow patients to manage health data on mobiles devices remains limited. To this end, in recent years the Japanese government and relevant ministries started to examine measures (7) to implement a framework whereby patients can manage both EHRs issued by medical institutions and their own vital data by themselves.

Fujitsu, which has been working to standardize EHRs and develop secure cloud technologies, and Sapporo Medical University, which has been working to improve the quality of advanced medical care in the Hokkaido area, launched a joint project using healthcare data at Sapporo Medical University Hospital to realize data portability in the healthcare field.

About the joint project

1. Overview

As part of their collaboration, Fujitsu and Sapporo Medical University aim to develop a cloud-based healthcare data platform to manage patient data and a system that enables patients to view their personal health information such as EHRs from anywhere at any time on their smartphones.

By storing patients’ EHRs and vital data on the healthcare data platform and providing access to the data, Sapporo Medical University Hospital aims to improve the quality of medical services based on a detailed understanding of patients’ health conditions.

Fujitsu will develop a smartphone app to access JP Core-compliant cloud-based EHRs issued by Sapporo Medical University Hospital, as well as a cloud-based healthcare data platform to manage patient data. On the app, patients will be able to choose whether they want to store their data externally and to decide about the scope of usage of their personal and healthcare data. In accordance with patients’ consent settings, Fujitsu will store information from patients’ EHRs and vital data measured by their iPhones or Apple Watches (4) in a healthcare data base.

Fujitsu will develop the new app using Apple’s “HealthKit” (4) framework and will receive Apple’s technical support within this initiative.

Using the new system, patients will be able to check past medical information they received from hospitals, including test results and medication prescriptions on the app as part of their individual health management.

2. Roles and responsibilities

Fujitsu

  • Construction of a scheme to convert medical data into HL7 FHIR format
  • Development and provision of smartphone app for patients to view EHRs
  • Establishment of a system for consent acquisition and management that enables patients to decide about the use of their healthcare data
  • Provision of healthcare data platform to manage EHRs, vital data, and other data

Sapporo Medical University Hospital

  • Assistance in development of system to convert medical data into HL7 FHIR format
  • Support of system design during app development from medical field viewpoint
  • Improvement of the quality of healthcare through the use of healthcare data in clinical practice
  • Examination of a new regional healthcare model using a healthcare data platform
  • Supervision of system design and operation of the new system in the hospital
  • Promotion of the new app to patients

Image 1: Overview of the initiativeImage 1: Overview of the initiative

Image 2: App screen image (in Japanese)Image 2: App screen image (in Japanese)

Future Plans

Moving forward, Fujitsu and Sapporo Medical University will examine additional ways to further utilize healthcare data and realize data portability, and plan to draw on data from multiple medical institutions to build a framework for advanced regional medical cooperation with medical institutions in Hokkaido in Japan.

Sapporo Medical University Hospital will promote the development of an environment for the utilization of healthcare data in clinical practice. As a core hospital for regional medical care in Hokkaido, it will further expand data collaboration among hospitals in Hokkaido and promote the provision of advanced medical care tailored to each patient based on more detailed PHRs. Sapporo Medical University further plans to use individual patients’ healthcare data in R&D of AI technology for diabetes treatment at its facilities and AI research previously conducted using EHRs. Sapporo Medical University anticipates that patients’ healthcare data (collected with patients’ consensus) can in future be used as useful information for selecting appropriate health treatments.

Fujitsu aims to provide comprehensive, personalized healthcare by combining a wide range of healthcare data with the latest digital technologies. Fujitsu will continue to promote “Healthy Living,” one of its key focus areas under its global business brand Fujitsu Uvance, to help create a world that enriches the life experience of everyone.


About Fujitsu

Fujitsu’s purpose is to make the world more sustainable by building trust in society through innovation. As the digital transformation partner of choice for customers in over 100 countries, our 124,000 employees work to resolve some of the greatest challenges facing humanity. Our range of services and solutions draw on five key technologies: Computing, Networks, AI, Data & Security, and Converging Technologies, which we bring together to deliver sustainability transformation. Fujitsu Limited (TSE:6702) reported consolidated revenues of 3.6 trillion yen (US$32 billion) for the fiscal year ended March 31, 2022 and remains the top digital services company in Japan by market share. Find out more: www.fujitsu.com.

About Sapporo Medical University

Sapporo Medical University aims to contribute to the improvement of the welfare of communities in Hokkaido as well as to the cultural development of Humanity by teaching the theory and practical application of medicine and health sciences, conducting in-depth research and fostering students’ intellect, morality and practical abilities.

Sapporo Medical University Hospital has facilities in 29 clinical divisions and 938 inpatient beds. It provides advanced, state-of-the-art medical care, such as emergency medical care, cancer treatment and regenerative medicine, and also plays a significant role as a medical institution that assists the development of local medical services and accepts patients from remote areas in Hokkaido in cases of disasters. Find out more: https://web.sapmed.ac.jp/e/index.html

Press Contacts

Fujitsu Limited
Public and Investor Relations Division

Inquiries


All company or product names mentioned herein are trademarks or registered trademarks of their respective owners. Information provided in this press release is accurate at time of publication and is subject to change without advance notice.


Date: 16 January, 2023

City: Tokyo and Sapporo, Japan

Company: Fujitsu Limited, Sapporo Medical University

Love Field shooter ‘perfect example’ of mental health treatment crisis

Love Field shooter ‘perfect example’ of mental health treatment crisis

Dallas County commissioners have been warned past month the county faced a disaster: A yearslong waitlist for beds at the state’s psychiatric hospitals prevented persons from receiving good mental wellbeing remedy.

Dallas County District Attorney John Creuzot claimed the lady who opened fireplace in Dallas Really like Subject airport this 7 days is a “perfect example” of the predicament he warned county commissioners about.

“There’s no way to know what an end result would have been on this, except that we are plagued with systemic complications for men and women like this, lower-amount offenders who are incompetent to stand trial,” explained Creuzot.

Portia Odufuwa, 37, faces a initial-degree felony charge of aggravated assault of a community servant. Law enforcement Chief Eddie García explained Odufuwa pointed a gun towards Dallas law enforcement Officer Ronald Cronin soon after he shouted commands for her to fall her weapon. Cronin shot Odufuwa in her decrease physique.

The Dallas Morning News not too long ago claimed Dallas County’s common hold out time for a condition psychiatric hospital mattress is extended than any other urban county in Texas, according to condition knowledge. Creuzot reported previously this thirty day period that the wait around moments can surpass the highest sentence of some misdemeanor rates, powerful prosecutors to dismiss scenarios.

Some mentally sick Dallas inmates are waiting two yrs to get into state hospitals

Odufuwa has cycled as a result of courts in Dallas and Collin counties in recent a long time and her mental health and fitness was regularly at the forefront of individuals instances. Past calendar year, she was arrested on a misdemeanor demand of pulling a fire alarm in Mesquite when there was not a fire. A Dallas choose ordered her to outpatient cure, indicating she was unveiled from jail and was intended to report for solutions like counseling. But she failed to demonstrate up, prompting her re-arrest. The decide in the long run dismissed the situation in November.

A law firm, Alison Grinter Allen, who does not characterize Odufuwa but reviewed the situation at The News’ ask for, claimed judges probably get outpatient treatment method for the reason that of lengthy hold out instances for inpatient treatment.

“It used to be the wait around for the clinic was two weeks and with a excellent clinic hold out, she could have been stabilized,” Allen said.

This July 25, 2022, booking photo provided by the Dallas County Jail shows Portia Odufuwa....
This July 25, 2022, booking image furnished by the Dallas County Jail exhibits Portia Odufuwa. Authorities say Odufuwa fired quite a few gunshots, apparently at the ceiling, inside of of Dallas’ Really like Field Airport on Monday, July 25, 2002, just before an officer shot and wounded her. (Dallas County Jail via AP)(Uncredited / Related Push)

‘Afraid for my life’

Odufuwa was arrested in April 2019 just after a financial institution theft in Wylie. She was identified incompetent and the case was dismissed in May possibly 2019.

Defendants who are discovered incompetent, that means they can not help in their individual defense or establish participants in the courtroom this sort of as the choose, could endure counseling and in some cases treatment to restore them to competency. Authorized proceedings pause right up until the human being is considered capable.

5 months later, in October 2019, Mesquite law enforcement arrested Odufuwa following she claimed she established a house on hearth and was “God’s prophet.” But mentally ill men and women gravitate towards hearth and are inclined to claiming responsibility for factors they didn’t do, Allen reported.

Check out: Law enforcement release video clip of taking pictures within Dallas Love Area

To commence with a case, prosecutors require proof a hearth was arson and that a distinct individual began it, Allen explained.

Creuzot explained to The News Odufuwa was not prosecuted because there was a deficiency of scientific proof.

Virtually a yr afterwards, in September 2020, her mother, Portia Timmons, used for a protective get. Odufuwa was not taking her medication for schizophrenia and bipolar problem, her mom wrote.

Experienced the protecting order been granted, she would have been prevented from possessing a weapon. But the weapon she utilized at Like Discipline was not registered to her, Dallas law enforcement mentioned. It is not clear how she bought the weapon. García, the city’s major cop, said Tuesday that Odufuwa has an exceptional targeted traffic warrant from New Mexico that prevented her from shopping for guns at least two occasions given that 2016.

Her household declined to be interviewed.

Timmons wrote she was “afraid for my life” in her application. Odufuwa advised Timmons she was not her mother, Timmons wrote.

“Today Portia Odufuwa reported that I was wearing her mother’s near (sic),” Timmons wrote. “She is not looking at [me] as her mother. She sees [me] as a spirit.”

The scenario was assigned to Choose Jill Renfro Willis’ court, but her business said Choose Rayburn Nall, a retired decide who at times presides over Collin County court circumstances at the request of sitting down judges, reviewed the situation whilst she was unavailable. He denied the protecting purchase, according to Willis’ workplace. Nall could not be reached Tuesday.

Point out regulation requires a locating that relatives violence has happened or is possible to take place for a protecting purchase to be granted. It is unclear what proof was introduced to the choose aside from Timmons’ application.

Surveillance footage highlights a Dallas police officer engaging with alleged shooter Portia...
Surveillance footage highlights a Dallas law enforcement officer participating with alleged shooter Portia Odufuwa during a push convention at Jack Evans Law enforcement Headquarters about the taking pictures at Love Industry airport in Dallas, Tuesday, July 26, 2022.(Elias Valverde II / Staff members Photographer)

Opportunity denied

On March 3, 2021, Athens law enforcement arrested Odufuwa and she confronted fees of resisting arrest and criminal trespass. Henderson County jail records display she was introduced April 15, 2021.

Times afterwards, Odufuwa was arrested for falsely pulling the hearth alarm in Mesquite on April 25, 2021. She was located incompetent June 3, 2021, and ordered to Parkland Hospital’s behavioral wellbeing solutions outpatient system. She was produced, possible to a boarding property or a relative’s home, Allen stated.

Woman who opened fireplace in Dallas Enjoy Field airport was denied gun sale twice

But it appears she fled the property, Allen reported, for the reason that court information display on June 11 a judge issued a warrant for her arrest. She was not re-arrested right up until Oct.

At this issue, prosecutors and the decide experienced to make a challenging conclusion, Allen reported.

Odufuwa already confirmed she was not going to be successful at outpatient procedure. She could have waited in jail until finally a place opened for cure. But the wait could past a long time, lengthier than the 180 days point out legislation enables a person to be confined for a misdemeanor case.

Or, the judge could drop her case. On Nov. 9, prosecutors requested Dallas County Choose Kristin Wade to dismiss the circumstance, and she did. Wade did not answer to a request for remark.

“They were mainly denied the prospect to mail her to the point out healthcare facility for the reason that of this backlog,” Allen said.

Odufuwa was again arrested in May of this year. She was accused of trespassing in Wylie. The standing of that circumstance is unclear.

Lew Sterrett Justice Center pictured in Dallas, Friday, July 8, 2022.
Lew Sterrett Justice Centre pictured in Dallas, Friday, July 8, 2022.(Elias Valverde II / Staff Photographer)

‘In a crisis’

The waitlist for state psychiatric hospitals is virtually 2,500 individuals prolonged, according to the Texas Health and fitness and Human Services Commission. A lot more than 950 people are ready for most stability beds, and a lot more than 1,500 are in line for non-greatest slots, per condition info.

On common, men and women put in about 511 times on the utmost stability waitlist and 232 days waiting around for non-most beds, in accordance to figures from September 2021 to June 2022. The hold out in Dallas County can be extended.

Shooter at Dallas Appreciate Industry the moment claimed she was ‘God’s prophet,’ wife of singer Chris Brown

“We’re sort of stymied by the fact that we cannot get men and women to the hospital,” Alyse Ferguson, chief attorney for the Collin County Mental Health and fitness Managed Counsel, claimed. The method assists men and women with psychological ailment stay out of the prison justice procedure and get into treatment.

In a June Dallas County Commissioners Court meeting, Commissioner John Wiley Cost gave a presentation about the escalating hold out moments for condition hospital admissions. Creuzot informed the courtroom right after the presentation that the populace of individuals identified to be incompetent has developed way too big to entirely count on dwindling point out clinic beds.

He said all those accused of misdemeanors hold out in jail, without the need of a trial or receiving assets established to be essential for competency restoration.

“This is exactly the type of trouble that I was telling them about — without currently being distinct about this girl — that we’re in a crisis,” Creuzot explained Tuesday. “She fits the class of what I was conversing about when I went to the commissioners that day.”

Rate, who oversees the county jail and behavioral overall health committees, explained Odufuwa’s tale is standard for a lot of with psychological health diagnoses and prison accusations.

About 400 Dallas County inmates are ready for a condition healthcare facility mattress, 72 of which are accused of misdemeanors. He stated he problems about all those individuals falling via the cracks, for the reason that they likely won’t be admitted into the state clinic right before the greatest time they could serve, if convicted, has handed. Class A misdemeanors have a optimum sentence of a year. Class B misdemeanors are confined to 180 days.

”You can test to get them get them into some of our plans,” he claimed. “But other than that, backs are against the wall. The regulation does not make it possible for us just to just keep on to continue to keep them.”

Felony defendants, Ferguson mentioned, never have a restriction on how a lot time they can sit in jail, and most will go to a point out hospital despite an excessive wait.

A 2017 review by the Cure Advocacy Heart, a nationwide nonprofit, graded Texas an “F” for initiatives to decrease recidivism among the individuals with significant psychological ailment who have dedicated main crimes. The report faults the point out for its “few meaningful safeguards in place to enable [them] to be successful in the neighborhood, irrespective of whether they are getting introduced from corrections options or discharged from hospitals.”

Elizabeth Sinclair Hancq, a co-author of the examine and the center’s director of research, named it a “revolving door” where by men and women with mental well being diagnoses get trapped in a loop of hospitalization, incarceration, then homelessness.

“When persons really do not get the treatment that they need to have, they often cycle in and out of these programs, and it is seriously a symptom of the absence of attention and gaps in our wellness care method that these folks slide by the cracks and then get trapped in the technique,” she reported.

Dallas Adore Subject bounces back to usual one working day right after shooting

‘Start all over’

Simply because Odufuwa’s prior instances ended up dismissed, a choose or jury hardly ever identified her guilt or innocence.

“Even if we could’ve snapped our fingers and made her proficient to stand trial, that does not imply she would not have been there that working day,” Creuzot stated. “We never know if she would have been found not guilty by reason of madness. We ended up unable to get that far since of the law.”

Creuzot declined to focus on details about Odufuwa’s healthcare historical past. His business will take care of the aggravated assault charge.

“Her system will get started all in excess of once more,” Creuzot stated.

Personnel writer Kelli Smith contributed to this report.