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Health Information Exchange Usage in Japan: Content Analysis of Audit Logs
Among the numerous innovations, the health information exchange (HIE) stands out as a remarkable tool for revolutionizing the health care sector by facilitating electronic data sharing among health care providers [1]. Currently, at least 200 HIEs are operating in Japan [2]. The most common feature of an HIE in Japan is on-demand viewing or searching for medical data from other institutions [3,4], also known as a query-based exchange or query-based HIE [1,5,6].
JMIR Med Inform 2025;13:e65575
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For accounts that were able to use the HIE on all days in FY2021/22, we used 365 as the number of days that the account could use the HIE. We then calculated the ratio of days of HIE use by each hospital doctor. The ratio of days of HIE use was defined as follows:
We calculated the man-days for monthly HIE use by each institution for each month and aggregated them by facility type.
JMIR Med Inform 2024;12:e56263
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However, despite the potential benefits of HIE, such as improved coordination, reduced costs, and enhanced patient safety, insufficient participation of clinicians in data exchange networks can lead to incomplete HIE databases and reduce the overall value of HIE. In addition, the use of HIE mechanisms presents several challenges. Privacy concerns and the risk of data breaches are 2 important barriers to electronic data sharing in the United States.
Interact J Med Res 2023;12:e42685
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Digital Health Solutions and State of Interoperability: Landscape Analysis of Sierra Leone
hie
JMIR Form Res 2022;6(6):e29930
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