{"id":721,"date":"2023-01-18T16:44:55","date_gmt":"2023-01-18T07:44:55","guid":{"rendered":"https:\/\/cloudsecurityalliance.jp\/newblog\/?p=721"},"modified":"2023-01-18T16:44:55","modified_gmt":"2023-01-18T07:44:55","slug":"healthcare-interoperability","status":"publish","type":"post","link":"https:\/\/cloudsecurityalliance.jp\/newblog\/2023\/01\/18\/healthcare-interoperability\/","title":{"rendered":"\u30d0\u30a4\u30aa\uff0f\u533b\u7642\u30c7\u30fc\u30bf\u306e\u76f8\u4e92\u904b\u7528\u6027\u3068\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30a8\u30f3\u30b8\u30cb\u30a2\u30ea\u30f3\u30b0\u6280\u8853\uff08\u524d\u7de8\uff09"},"content":{"rendered":"<p>\u7c73\u56fd\u306e\u30d0\u30a4\u30aa\uff0f\u533b\u7642\u9818\u57df\u3067\u306f\u3001\u30af\u30e9\u30a6\u30c9\u30b5\u30fc\u30d3\u30b9\u306e\u5229\u7528\u304c\u62e1\u5927\u3059\u308b\u3068\u3068\u3082\u306b\u3001\u69d8\u3005\u306a\u6a5f\u5668\u3084\u30b7\u30b9\u30c6\u30e0\u304b\u3089\u96c6\u7d04\u3055\u308c\u308b\u30c7\u30fc\u30bf\u306e\u5229\u6d3b\u7528\u3084\u30ea\u30b9\u30af\u7ba1\u7406\u306b\u304a\u3051\u308b\u524d\u63d0\u6761\u4ef6\u3068\u3057\u3066\u3001\u76f8\u4e92\u904b\u7528\u6027\u306e\u6a19\u6e96\u5316\u52d5\u5411\u306b\u6ce8\u76ee\u304c\u96c6\u307e\u3063\u3066\u3044\u308b\u3002<\/p>\n<h4>CSA\u304c\u533b\u7642\u30c7\u30fc\u30bf\u306e\u76f8\u4e92\u904b\u7528\u6027\u306b\u95a2\u3059\u308b\u30ec\u30dd\u30fc\u30c8\u3092\u516c\u958b<\/h4>\n<p>\u30af\u30e9\u30a6\u30c9\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a2\u30e9\u30a4\u30a2\u30f3\u30b9\uff08CSA\uff09\u306e\u30d8\u30eb\u30b9\u30fb\u30a4\u30f3\u30d5\u30a9\u30e1\u30fc\u30b7\u30e7\u30f3\u30fb\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u30fb\u30ef\u30fc\u30ad\u30f3\u30b0\u30b0\u30eb\u30fc\u30d7\uff08HIM-WG\uff09\u306f\u30012022\u5e749\u670826\u65e5\u306b\u300c\u533b\u7642\u306e\u76f8\u4e92\u904b\u7528\u6027\u300d\uff08<a href=\"https:\/\/cloudsecurityalliance.org\/artifacts\/healthcare-interoperability\/\">https:\/\/cloudsecurityalliance.org\/artifacts\/healthcare-interoperability\/<\/a>\uff09\u3092\u516c\u958b\u3057\u3066\u3044\u308b\u3002\u300c\u76f8\u4e92\u904b\u7528\u6027\uff08Interoperability\uff09\u300d\u3068\u3044\u3046\u8a00\u8449\u306f\u3001\u533b\u7642IT\u30b7\u30b9\u30c6\u30e0\u304c\u76f8\u4e92\u306b\u7d99\u304e\u76ee\u306a\u304f\u30c7\u30fc\u30bf\u3092\u4ea4\u63db\u3059\u308b\u5834\u5408\u306b\u53c2\u7167\u3055\u308c\u308b\u3002\u53d7\u3051\u53d6\u3063\u305f\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\uff08EHR\uff09\u304c\u8aad\u307f\u53d6\u308a\u53ef\u80fd\u3067\u53d7\u3051\u5165\u308c\u3089\u308c\u308b\u3053\u3068\u3092\u8a8d\u8b58\u3057\u305f\u3068\u3053\u308d\u3067\u3001\u6a19\u6e96\u5316\u3055\u308c\u305f\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3092\u5229\u7528\u3057\u3066\u60c5\u5831\u3092\u79fb\u8ee2\u3055\u305b\u308b\u6642\u3001\u76f8\u4e92\u904b\u7528\u6027\u304c\u767a\u751f\u3059\u308b\u3002\u672c\u6587\u66f8\u3067\u306f\u3001\u5171\u6709\u3059\u308b\u30c7\u30fc\u30bf\u304c\u3001\u53d7\u3051\u53d6\u308b\u5074\u306e\u533b\u7642\u6a5f\u95a2\u306b\u3068\u3063\u3066\u3001\u6b63\u78ba\u306b\u30c7\u30fc\u30bf\u3092\u8868\u73fe\u3059\u308b\u30b3\u30f3\u30c6\u30f3\u30c4\u3068\u30b3\u30f3\u30c6\u30ad\u30b9\u30c8\u306b\u3064\u3044\u3066\u306e\u5341\u5206\u306a\u8a55\u4fa1\u3092\u6709\u3059\u308b\u3053\u3068\u3092\u76ee\u6a19\u3068\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u30c7\u30fc\u30bf\u306f\u3001\u6b63\u78ba\u306a\u60a3\u8005\u30b1\u30a2\u3060\u3051\u3067\u306a\u304f\u60a3\u8005\u5b89\u5168\u306b\u3068\u3063\u3066\u3082\u3001\u975e\u5e38\u306b\u6709\u76ca\u3067\u3042\u308b\u3002<\/p>\n<p>\u300c\u533b\u7642\u306e\u76f8\u4e92\u904b\u7528\u6027\u300d\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u69cb\u6210\u306b\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u8b1d\u8f9e<\/li>\n<li>\u8981\u7d04<\/li>\n<li>\u30a4\u30f3\u30c8\u30ed\u30c0\u30af\u30b7\u30e7\u30f3<\/li>\n<li>\u76f8\u4e92\u904b\u7528\u6027<\/li>\n<li>\u76f8\u4e92\u904b\u7528\u6027\u306e\u73fe\u72b6<\/li>\n<li>\u30af\u30e9\u30a6\u30c9\u306b\u304a\u3051\u308b\u76f8\u4e92\u904b\u7528\u6027<\/li>\n<li>\u4eca\u5f8c\u306e\u9032\u3081\u65b9<\/li>\n<li>\u7d50\u8ad6<\/li>\n<li>\u53c2\u8003\u6587\u732e<\/li>\n<\/ul>\n<p>CSA-HIM WG\u306f\u3001\u76f8\u4e92\u904b\u7528\u6027\u306b\u3064\u3044\u3066\u3002\u300c\u60c5\u5831\u3092\u4ea4\u63db\u3057\u3001\u4ea4\u63db\u3057\u305f\u60c5\u5831\u3092\u5229\u7528\u3059\u308b\u305f\u3081\u306e2\u3064\u4ee5\u4e0a\u306e\u30b7\u30b9\u30c6\u30e0\u307e\u305f\u306f\u30b3\u30f3\u30dd\u30fc\u30cd\u30f3\u30c8\u306e\u80fd\u529b\u300d\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u308b\u3002\u8a00\u3044\u63db\u3048\u308b\u3068\u3001\u76f8\u4e92\u904b\u7528\u6027\u306f\u3001\u7570\u306a\u308b\u30bf\u30a4\u30d7\u306e\u60c5\u5831\u901a\u4fe1\u6280\u8853\uff08ICT\uff09\u30b7\u30b9\u30c6\u30e0\u304c\u3001\u8aad\u307f\u53d6\u308a\u53ef\u80fd\u3067\u4f7f\u3048\u308b\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3067\u3001\u30c7\u30fc\u30bf\u3092\u6b63\u78ba\u306b\u3001\u52b9\u7387\u7684\u306b\u3001\u4e00\u8cab\u3057\u3066\u4ea4\u63db\u3059\u308b\u80fd\u529b\u3067\u3042\u308b\u3002\u3053\u306e\u6587\u66f8\u3067\u306f\u3001\u76f8\u4e92\u904b\u7528\u6027\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e4\u3064\u306e\u30ec\u30d9\u30eb\u3092\u63d0\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n<ol>\n<li>\u57fa\u790e\u7684\uff08\u30ec\u30d9\u30eb1\uff09\uff1a\u30b7\u30b9\u30c6\u30e0\u307e\u305f\u306f\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u304c\u3001\u5b89\u5168\u306b\u30c7\u30fc\u30bf\u3092\u4f1d\u9054\u3057\u3001\u4ed6\u304b\u3089\u306e\u30c7\u30fc\u30bf\u3092\u53d7\u3051\u53d6\u308b\u305f\u3081\u306e\u76f8\u4e92\u63a5\u7d9a\u6027\u3092\u5b9a\u7fa9\u3059\u308b<\/li>\n<li>\u69cb\u9020\u7684\uff08\u30ec\u30d9\u30eb2\uff09\uff1a\u89e3\u91c8\u306e\u305f\u3081\u306e\u30c7\u30fc\u30bf\u30d5\u30a3\u30fc\u30eb\u30c9\u306e\u30ec\u30d9\u30eb\u306a\u3069\u3001\u30c7\u30fc\u30bf\u4ea4\u63db\u306e\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3001\u69cb\u6587\u3001\u7d44\u7e54\u3092\u5b9a\u7fa9\u3059\u308b<\/li>\n<li>\u610f\u5473\u7684\uff08\u30ec\u30d9\u30eb3\uff09\uff1a\u516c\u306b\u5165\u624b\u53ef\u80fd\u306a\u5024\u8a2d\u5b9a\u3084\u30b3\u30fc\u30c7\u30a3\u30f3\u30b0\u306e\u8a9e\u5f59\u304b\u3089\u306e\u6a19\u6e96\u5316\u3055\u308c\u305f\u5b9a\u7fa9\u3092\u6301\u3064\u30c7\u30fc\u30bf\u8981\u7d20\u306e\u5229\u7528\u306a\u3069\u3001\u5171\u901a\u306e\u57fa\u672c\u7684\u30e2\u30c7\u30eb\u3084\u30c7\u30fc\u30bf\u306e\u6210\u6587\u5316\u306e\u305f\u3081\u306b\u63d0\u4f9b\u3057\u3001\u7406\u89e3\u306e\u5171\u6709\u3084\u30e6\u30fc\u30b6\u30fc\u306b\u5bfe\u3059\u308b\u610f\u5473\u3092\u63d0\u4f9b\u3059\u308b<\/li>\n<li>\u7d44\u7e54\u7684\uff08\u30ec\u30d9\u30eb4\uff09\uff1a\u7d44\u7e54\u3084\u4e3b\u4f53\u3001\u500b\u4eba\u306e\u5185\u90e8\u3084\u76f8\u4e92\u9593\u306e\u3001\u5b89\u5168\u3067\u3001\u7d99\u304e\u76ee\u306e\u306a\u3044\u3001\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u30c7\u30fc\u30bf\u901a\u4fe1\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306e\u30ac\u30d0\u30ca\u30f3\u30b9\u3084\u30dd\u30ea\u30b7\u30fc\u3001\u793e\u4f1a\u7684\u3001\u6cd5\u7684\u3001\u7d44\u7e54\u7684\u306a\u8003\u616e\u4e8b\u9805\u3092\u542b\u3080<\/li>\n<\/ol>\n<p>\u96fb\u8a71\u306b\u5339\u6575\u3059\u308b\u3088\u3046\u306a\u30ec\u30d9\u30eb\u306e\u7dcf\u5408\u904b\u7528\u6027\u304c\u533b\u7642\u306b\u9069\u7528\u3067\u304d\u308c\u3070\u3001\u8ab0\u304c\u6a5f\u5668\u3084\u30b7\u30b9\u30c6\u30e0\u3092\u4f5c\u3063\u305f\u304b\u3001\u3069\u3053\u306b\u8a2d\u7f6e\u3055\u308c\u3066\u3044\u308b\u304b\u306b\u95a2\u308f\u3089\u305a\u3001\u533b\u7642\u6a5f\u95a2\u304c\u3084\u308a\u3068\u308a\u3067\u304d\u308b\u6a5f\u80fd\u3092\u6301\u3064\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u52a0\u3048\u3066\u3001\u533b\u7642\u6a5f\u5668\u304b\u3089\u306e\u30c7\u30fc\u30bf\u3092\u76f4\u63a5EHR\u306b\u3068\u308a\u3053\u3080\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u3001\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3084\u60a3\u8005\u5b89\u5168\u306b\u69d8\u3005\u306a\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n<p>\u300c\u533b\u7642\u306e\u76f8\u4e92\u904b\u7528\u6027\u300d\u3067\u306f\u3001EHR\u306e\u30e6\u30fc\u30b9\u30b1\u30fc\u30b9\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u4e8b\u4f8b\u3092\u6319\u3052\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u533b\u7642\u6a5f\u95a2\u306f\u3001\u7570\u306a\u308bEHR\u3092\u5229\u7528\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u4ed6\u306e\u533b\u7642\u6a5f\u95a2\u306b\u8a18\u9332\u3092\u9001\u4ed8\u3059\u308b\u6a5f\u80fd\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u30c7\u30fc\u30bf\u306e\u69cb\u9020\u3068\u5b8c\u5168\u6027\u3092\u7dad\u6301\u3057\u306a\u304c\u3089\u3001\u3053\u306e\u7a2e\u306e\u8ee2\u9001\u3092\u9042\u884c\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/li>\n<li>\u5916\u90e8\u30bd\u30fc\u30b9\u304b\u3089\u306eEHR\u30b3\u30d4\u30fc\u306e\u8981\u6c42\u3068\u3001\u30aa\u30ea\u30b8\u30ca\u30eb\u306e\u8a73\u7d30\u3092\u4fdd\u6301\u3059\u308b\u3088\u3046\u306a\u6a19\u6e96\u7684\u306a\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u306b\u3088\u308b\u8a18\u9332\u306e\u8fd4\u5374\u3002<\/li>\n<li>\u6a19\u6e96\u7684\u306a\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u306b\u3088\u308bHIE\u3078\u306e\u60c5\u5831\u63d0\u4f9b\u306b\u3088\u308a\u3001\u533b\u7642\u6a5f\u95a2\u304c\u4ed6\u306e\u533b\u7642\u6a5f\u95a2\u304b\u3089\u306e\u60a3\u8005\u8a18\u9332\u306e\u95b2\u89a7\u3092\u53ef\u80fd\u306b\u3059\u308b\u3002\u3053\u308c\u306b\u306f\u3001\u60a3\u8005\u306e\u75c5\u6b74\u3092\u6709\u3059\u308b\u533b\u7642\u6a5f\u95a2\u304c\u542b\u307e\u308c\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6539\u5584\u306b\u304a\u3051\u308b\u91cd\u8981\u306a\u8981\u56e0\u3068\u306a\u308b\u3002<\/li>\n<\/ul>\n<h4>\u7c73\u56fd\u653f\u5e9c\u306b\u3088\u308b\u533b\u7642\u30c7\u30fc\u30bf\u306e\u76f8\u4e92\u904b\u7528\u6027\u6a19\u6e96\u5316\u63a8\u9032\u7b56<\/h4>\n<p>\u306a\u304a\u3001\u7c73\u56fd\u4fdd\u5065\u798f\u7949\u7701\uff08HHS\uff09\u306f\u3001\u75c5\u9662\u306e\u533b\u7642\u60c5\u5831\u3078\u306e\u30a2\u30af\u30bb\u30b9\u5411\u4e0a\u3092\u901a\u3058\u3067\u60a3\u8005\u306b\u6a29\u9650\u3092\u4ed8\u4e0e\u3059\u308b\u3068\u3068\u3082\u306b\u60a3\u8005\u306e\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u6539\u5584\u3057\u3001\u4f9b\u7d66\u8005\u304c\u7c21\u5358\u306b\u60a3\u8005\u3068\u306e\u6642\u9593\u3092\u8cbb\u3084\u305b\u308b\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u300c\u76f8\u4e92\u904b\u7528\u6027\u306e\u4fc3\u9032\uff08Promoting Interoperability\uff09\u300d\u30eb\u30fc\u30eb\u306e\u6a19\u6e96\u5316\u3092\u63a8\u9032\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u305d\u306e\u4e00\u74b0\u3068\u3057\u3066HHS\u306f\u30012020\u5e743\u67089\u65e5\u3001\u300c\u56fd\u5bb6\u533b\u7642IT\u8abf\u6574\u5ba4\uff08ONC\uff0921\u4e16\u7d00\u6cbb\u7642\u6cd5\u6700\u7d42\u898f\u5247\uff08ONC\u898f\u5247\uff09\u300d \uff08<a href=\"https:\/\/www.hhs.gov\/about\/news\/2020\/03\/09\/hhs-finalizes-historic-rules-to-provide-patients-more-control-of-their-health-data.html\">https:\/\/www.hhs.gov\/about\/news\/2020\/03\/09\/hhs-finalizes-historic-rules-to-provide-patients-more-control-of-their-health-data.html<\/a>\uff09\u3068\u300c\u30e1\u30c7\u30a3\u30b1\u30a2\u30fb\u30e1\u30c7\u30a3\u30b1\u30a4\u30c9\u30fb\u30b5\u30fc\u30d3\u30b9\u30fb\u30bb\u30f3\u30bf\u30fc\uff08CMS\uff09\u76f8\u4e92\u904b\u7528\u6027\u304a\u3088\u3073\u60a3\u8005\u30a2\u30af\u30bb\u30b9\u6700\u7d42\u898f\u5247\uff08CMS\u898f\u5247\uff09\u300d \uff08<a href=\"https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Interoperability\/index\">https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Interoperability\/index<\/a>\uff09\u3092\u516c\u8868\u3057\u3066\u3044\u308b\u3002ONC\u898f\u5247\u3067\u306f\u3001\u56fd\u969bHL7\u5354\u4f1a\u304c\u7b56\u5b9a\u3057\u305f\u96fb\u5b50\u4fdd\u5065\u533b\u7642\u60c5\u5831\u306e\u76f8\u4e92\u904b\u7528\u6027\u306b\u95a2\u308f\u308b\u6a19\u6e96\u898f\u683c\u3067\u3042\u308bHL7 FHIR\uff08Fast Healthcare Interoperability Resources)4.0.1\u7248\u3092\u63a1\u7528\u3057\u3001\u8a8d\u8a3c\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\u6280\u8853\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u4e00\u90e8\u3067\u3042\u308b\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u30fb\u30d7\u30ed\u30b0\u30e9\u30df\u30f3\u30b0\u30fb\u30a4\u30f3\u30bf\u30d5\u30a7\u30fc\u30b9\uff08API\uff09\u306e\u5229\u7528\u3092\u652f\u63f4\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u60a3\u8005\u304c\u3001\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u3092\u5229\u7528\u3057\u306a\u304c\u3089\u3001\u533b\u5e2b\u306eEHR\u304b\u3089\u3001\u91cd\u8981\u306a\u533b\u7642\u60c5\u5831\u306b\u30a2\u30af\u30bb\u30b9\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3059\u308b\u3068\u3057\u3066\u3044\u308b\u3002\u307e\u305f\u3001CMS\u898f\u5247\u3067\u306f\u3001\u898f\u5236\u5bfe\u8c61\u3068\u306a\u308b\u3059\u3079\u3066\u306e\u4fdd\u967a\u8005\u304c\u3001\u60a3\u8005\u30a2\u30af\u30bb\u30b9API\u7d4c\u7531\u3067\u8acb\u6c42\u30fb\u7167\u5408\u30c7\u30fc\u30bf\u306e\u60a3\u8005\u306b\u3088\u308b\u5229\u7528\uff08PHR\uff09\u3092\u53ef\u80fd\u306b\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u60a3\u8005\u304c\u5fc5\u8981\u306a\u6642\u306b\u5fc5\u8981\u306a\u65b9\u6cd5\u3067PHR\u3092\u5229\u7528\u3057\u306a\u304c\u3089\u3001\u533b\u7642\u306b\u304a\u3051\u308b\u3088\u308a\u3088\u3044\u610f\u601d\u6c7a\u5b9a\u8005\u3084\u77e5\u8b58\u306b\u57fa\u3065\u304f\u30d1\u30fc\u30c8\u30ca\u30fc\u3068\u306a\u308b\u3053\u3068\u3092\u4fc3\u9032\u3059\u308b\u3068\u3057\u3066\u3044\u308b\u3002\u4e00\u822c\u306e\u30c7\u30b8\u30bf\u30eb\u30d8\u30eb\u30b9\u30b9\u30bf\u30fc\u30c8\u30a2\u30c3\u30d7\u4f01\u696d\u3067\u3082\u3001HL7 FHIR \u30d9\u30fc\u30b9\u3067\u96fb\u5b50\u533b\u7642\u8a18\u9332\uff08EMR\uff1aElectric Medical Record\uff09\u3084EHR\u3068\u30c7\u30fc\u30bf\u9023\u643a\u3059\u308c\u3070\u3001\u7d4c\u6e08\u30a4\u30f3\u30bb\u30f3\u30c6\u30a3\u30d6\u306e\u6069\u6075\u3092\u53d7\u3051\u3089\u308c\u308b\u3053\u3068\u304b\u3089\u3001\u76f8\u4e92\u904b\u7528\u6027\u6a19\u6e96\u5316\u306e\u52a0\u901f\u8981\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306a\u52d5\u304d\u3068\u4e26\u884c\u3057\u3066\u3001ONC\u306f\u30012020\u5e7410\u670830\u65e5\u3001\u300c2020-2025\u5e74\u9023\u90a6\u533b\u7642IT\u6226\u7565\u8a08\u753b\u300d\uff08<a href=\"https:\/\/www.healthit.gov\/topic\/2020-2025-federal-health-it-strategic-plan\">https:\/\/www.healthit.gov\/topic\/2020-2025-federal-health-it-strategic-plan<\/a>\uff09 \u3092\u516c\u8868\u3057\u3066\u3044\u308b\u30022020-2025\u5e74\u8a08\u753b\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30d3\u30b8\u30e7\u30f3\u3068\u30df\u30c3\u30b7\u30e7\u30f3\u3092\u63b2\u3052\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u30d3\u30b8\u30e7\u30f3\uff1a\u60c5\u5831\u3092\u5229\u7528\u3057\u3066\u3001\u500b\u4eba\u3092\u95a2\u4e0e\u3055\u305b\u3001\u8cbb\u7528\u3092\u4f4e\u6e1b\u3057\u3001\u9ad8\u3044\u54c1\u8cea\u306e\u30b1\u30a2\u3092\u63d0\u4f9b\u3057\u3001\u500b\u4eba\u304a\u3088\u3073\u5168\u4f4f\u6c11\u306e\u5065\u5eb7\u3092\u5411\u4e0a\u3055\u305b\u308b\u5065\u5eb7\u30b7\u30b9\u30c6\u30e0<\/li>\n<li>\u30df\u30c3\u30b7\u30e7\u30f3\uff1a\u305d\u308c\u304c\u6700\u3082\u91cd\u8981\u306a\u6642\u3084\u5834\u6240\u3067\u3001\u30a2\u30af\u30bb\u30b9\u53ef\u80fd\u306a\u6280\u8853\u30fb\u5065\u5eb7\u60c5\u5831\u3092\u5229\u7528\u3057\u3066\u3001\u500b\u4eba\u3084\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306e\u5065\u5eb7\u3068\u30a6\u30a7\u30eb\u30d3\u30fc\u30a4\u30f3\u30b0\u3092\u5411\u4e0a\u3055\u305b\u308b<\/li>\n<\/ul>\n<p>\u305d\u306e\u4e0a\u3067\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u76ee\u6a19\u304a\u3088\u3073\u76ee\u7684\u304b\u3089\u6210\u308b\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u63d0\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u76ee\u6a191\uff1a\u4fdd\u5065\u3068\u30a6\u30a7\u30eb\u30cd\u30b9\u3092\u4fc3\u9032\u3059\u308b<\/p>\n<p style=\"padding-left: 30px;\">\u76ee\u76841a\uff1a\u500b\u4eba\u306e\u5229\u7528\u53ef\u80fd\u306a\u4fdd\u5065\u60c5\u5831\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u5411\u4e0a\u3055\u305b\u308b<br \/>\n\u76ee\u76841b\uff1a\u533b\u7642IT\u3092\u901a\u3058\u3066\u5065\u5eb7\u3067\u5b89\u5168\u306a\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\u3092\u9032\u5316\u3055\u305b\u308b<br \/>\n\u76ee\u76841c\uff1a\u4fdd\u5065\u3068\u798f\u7949\u30b5\u30fc\u30d3\u30b9\u306e\u60c5\u5831\u3092\u7d71\u5408\u3059\u308b<\/p>\n<p>\u76ee\u6a192\uff1a\u30b1\u30a2\u306e\u63d0\u4f9b\u3068\u7d4c\u9a13\u3092\u5f37\u5316\u3059\u308b<\/p>\n<p style=\"padding-left: 30px;\">\u76ee\u76842a\uff1a\u533b\u7642IT\u3092\u6d3b\u7528\u3057\u3066\u81e8\u5e8a\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\u3092\u5411\u4e0a\u3055\u305b\u3001\u5b89\u5168\u3067\u9ad8\u54c1\u8cea\u306e\u30b1\u30a2\u3092\u4fc3\u9032\u3059\u308b<br \/>\n\u76ee\u76842b\uff1a\u533b\u7642IT\u3092\u5229\u7528\u3057\u3066\u3001\u30a2\u30af\u30bb\u30b9\u3092\u62e1\u5f35\u3057\u3001\u60a3\u8005\u3092\u30b1\u30a2\u306b\u3064\u306a\u3050<br \/>\n\u76ee\u76842c\uff1a\u533b\u7642\u306b\u304a\u3051\u308b\u7af6\u4e89\u3001\u900f\u660e\u6027\u3001\u8ca0\u62c5\u53ef\u80fd\u6027\u3092\u80b2\u3080<br \/>\n\u76ee\u76842d\uff1a\u63d0\u4f9b\u8005\u306b\u304a\u3051\u308b\u898f\u5236\u3084\u7ba1\u7406\u306e\u8ca0\u62c5\u3092\u4f4e\u6e1b\u3059\u308b<br \/>\n\u76ee\u76842e\uff1a\u533b\u7642IT\u30ea\u30bd\u30fc\u30b9\u306e\u52b9\u7387\u7684\u7ba1\u7406\u3068\u3001\u81ea\u4fe1\u3092\u6301\u3063\u3066\u533b\u7642IT\u3092\u5229\u7528\u3057\u305f\u56fd\u5168\u4f53\u306e\u52b4\u50cd\u529b\u3092\u53ef\u80fd\u306b\u3059\u308b<\/p>\n<p>\u76ee\u6a193\uff1a\u7814\u7a76\u3068\u30a4\u30ce\u30d9\u30fc\u30b7\u30e7\u30f3\u3092\u52a0\u901f\u3055\u305b\u308b\u305f\u3081\u306b\u30bb\u30ad\u30e5\u30a2\u306a\u30c7\u30fc\u30bf\u99c6\u52d5\u578b\u30a8\u30b3\u30b7\u30b9\u30c6\u30e0\u3092\u69cb\u7bc9\u3059\u308b<\/p>\n<p style=\"padding-left: 30px;\">\u76ee\u76843a\uff1a\u500b\u4eba\u304a\u3088\u3073\u4eba\u53e3\u30ec\u30d9\u30eb\u306e\u4fdd\u5065\u30c7\u30fc\u30bf\u79fb\u8ee2\u3092\u9032\u5316\u3055\u305b\u308b<br \/>\n\u76ee\u76843b\uff1a\u500b\u4eba\u304a\u3088\u3073\u4eba\u53e3\u30ec\u30d9\u30eb\u3067\u533b\u7642IT\u3068\u30c7\u30fc\u30bf\u3092\u5229\u7528\u3057\u305f\u7814\u7a76\u3068\u5206\u6790\u3092\u652f\u63f4\u3059\u308b<\/p>\n<p>\u76ee\u6a194\uff1a\u533b\u7642\u3092\u5065\u5eb7\u30c7\u30fc\u30bf\u3068\u3064\u306a\u3050<\/p>\n<p style=\"padding-left: 30px;\">\u76ee\u76844a\uff1a\u533b\u7642IT\u6a5f\u80fd\u306e\u958b\u767a\u3068\u5229\u7528\u3092\u9032\u5316\u3055\u305b\u308b<br \/>\n\u76ee\u76844b\uff1a\u30c7\u30fc\u30bf\u5171\u6709\u3078\u306e\u671f\u5f85\u3092\u5275\u51fa\u3059\u308b<br \/>\n\u76ee\u76844c\uff1a\u6280\u8853\u3068\u901a\u4fe1\u306e\u30a4\u30f3\u30d5\u30e9\u30b9\u30c8\u30e9\u30af\u30c1\u30e3\u3092\u5f37\u5316\u3059\u308b<br \/>\n\u76ee\u76844d\uff1a\u500b\u4eba\u306e\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u3092\u4fdd\u8b77\u3059\u308b\u30bb\u30ad\u30e5\u30a2\u306a\u4fdd\u5065\u60c5\u5831\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\u3092\u4fc3\u9032\u3059\u308b<\/p>\n<h4>\u30d0\u30a4\u30aa\uff0f\u533b\u7642R&amp;D\u3067\u91cd\u8996\u3055\u308c\u308bAPI\u3068\u76f8\u4e92\u904b\u7528\u6027\u306e\u6a19\u6e96\u5316<\/h4>\n<p>ONC\u306f\u3001\u533b\u7642IT\u6226\u7565\u8a08\u753b\u306e\u4e00\u74b0\u3068\u3057\u3066\u3001\u30d0\u30a4\u30aa\uff0f\u533b\u7642R&amp;D \u9818\u57df\u306b\u304a\u3051\u308bAPI\u306e\u958b\u767a\u30fb\u6a19\u6e96\u5316\u3078\u306e\u53d6\u7d44\u3092\u30ea\u30fc\u30c9\u3057\u306a\u304c\u3089\u3001\u96fb\u5b50\u5065\u5eb7\u60c5\u5831\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3084\u4ea4\u63db\u3001\u5229\u7528\u306e\u8ca0\u8377\u3092\u4f4e\u6e1b\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30b9\u30c6\u30fc\u30af\u30db\u30eb\u30c0\u30fc\u5411\u3051\u5831\u544a\u66f8\u3092\u516c\u8868\u3057\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u300c\u79d1\u5b66\u7684\u767a\u898b\u306b\u5411\u3051\u3066\u52a0\u901f\u3059\u308bAPI\uff1a\u6d88\u8cbb\u8005\u306e\u8996\u70b9\u300d\uff082020\u5e7411\u6708\uff09\uff08<a href=\"https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2020-11\/Accelerating_APIs_Consumer_Perspective.pdf\">https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2020-11\/Accelerating_APIs_Consumer_Perspective.pdf<\/a>\uff09<\/li>\n<li>\u300c\u79d1\u5b66\u7684\u767a\u898b\u306b\u5411\u3051\u3066\u52a0\u901f\u3059\u308bAPI\uff1a\u7814\u7a76\u8005\u306e\u8996\u70b9\u300d\uff082021\u5e743\u6708\uff09\uff08<a href=\"https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2021-03\/Accelerating-APIs-For-Scientific-Discovery-Researcher-Perspectives.pdf\">https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2021-03\/Accelerating-APIs-For-Scientific-Discovery-Researcher-Perspectives.pdf<\/a>\uff09<\/li>\n<li>\u300c\u79d1\u5b66\u7684\u767a\u898b\u306b\u5411\u3051\u3066\u52a0\u901f\u3059\u308bAPI\uff1a\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u958b\u767a\u8005\u3068\u30c7\u30fc\u30bf\u30a4\u30f3\u30b0\u30ec\u30fc\u30bf\u30fc\u306e\u8996\u70b9\u300d\uff082022\u5e743\u6708\uff09\uff08<a href=\"https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2022-06\/App-Developer-and-Integrator-Perspectives.pdf\">https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2022-06\/App-Developer-and-Integrator-Perspectives.pdf<\/a>\uff09<\/li>\n<li>\u300c\u79d1\u5b66\u7684\u767a\u898b\u306b\u5411\u3051\u3066\u52a0\u901f\u3059\u308bAPI\uff1a\u533b\u7642\u6a5f\u95a2\u306e\u8996\u70b9\u300d\uff082022\u5e746\u6708\uff09\uff08<a href=\"https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2022-08\/Accelerating_APIs_Provider_Perspective.pdf\">https:\/\/www.healthit.gov\/sites\/default\/files\/page\/2022-08\/Accelerating_APIs_Provider_Perspective.pdf<\/a>\uff09<\/li>\n<\/ul>\n<p>\u5404\u5831\u544a\u66f8\u3068\u3082\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u70b9\u306b\u6ce8\u76ee\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u6a19\u6e96\u5316\u3055\u308c\u305fAPI\u3068\u30d8\u30eb\u30b9\u30b1\u30a2\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u306b\u5bfe\u3059\u308b\u7406\u89e3\u3068\u5229\u7528\u3092\u52a0\u901f\u3055\u305b\u308b\u3068\u3057\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u500b\u4eba\u304c\u3001API\u3067\u53ef\u80fd\u306b\u306a\u308b\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u5229\u7528\u3057\u3066\u3001\u30bb\u30ad\u30e5\u30a2\u306b\u81ea\u5206\u306eEHR\u30c7\u30fc\u30bf\u306b\u30a2\u30af\u30bb\u30b9\u3067\u304d\u308b\u304b<\/li>\n<li>\u3069\u306e\u3088\u3046\u306b\u3057\u3066API\u304c\u3001\u7814\u7a76\u8005\u306e\u305f\u3081\u306b\u4fdd\u5065\u533b\u7642\u30c7\u30fc\u30bf\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u6539\u5584\u3059\u308b\u304b<\/li>\n<li>\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u30c7\u30fc\u30bf\u30a2\u30b0\u30ea\u30b2\u30fc\u30bf\u30fc\u3084\u30c7\u30fc\u30bf\u30a4\u30f3\u30c6\u30b0\u30ec\u30fc\u30bf\u30fc\u3001\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u958b\u767a\u8005\u304c\u3001API\u3092\u901a\u3057\u3066\u5e02\u5834\u306b\u304a\u3051\u308b\u30a4\u30ce\u30d9\u30fc\u30b7\u30e7\u30f3\u3084\u7af6\u4e89\u3092\u727d\u5f15\u3067\u304d\u308b\u304b<\/li>\n<li>\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u533b\u7642\u6a5f\u95a2\u304c\u3001API\u3092\u5229\u7528\u3057\u3066\u3055\u3089\u306b\u30b1\u30a2\u3092\u652f\u63f4\u3067\u304d\u308b\u304b<\/li>\n<\/ul>\n<p>\u305f\u3068\u3048\u3070\u3001\u300c\u79d1\u5b66\u7684\u767a\u898b\u306b\u5411\u3051\u3066\u52a0\u901f\u3059\u308bAPI\uff1a\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u958b\u767a\u8005\u3068\u30c7\u30fc\u30bf\u30a4\u30f3\u30b0\u30ec\u30fc\u30bf\u30fc\u306e\u8996\u70b9\u300d\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u69cb\u6210\u3068\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n<ul>\n<li>\u30a4\u30f3\u30c8\u30ed\u30c0\u30af\u30b7\u30e7\u30f3\n<ul>\n<li>\u3088\u308a\u5927\u304d\u306a\u76f8\u4e92\u904b\u7528\u6027\u3078\u306e\u30b7\u30d5\u30c8<\/li>\n<li>\u624b\u6cd5<\/li>\n<\/ul>\n<\/li>\n<li>\u8abf\u67fb\u7d50\u679c\n<ul>\n<li>\u63a1\u7528\u3068\u5229\u7528\u306e\u73fe\u72b6\n<ul>\n<li>\u6a19\u6e96\u5316\u3055\u308c\u305fAPI\u5229\u7528\u306e\u52d5\u6a5f\u3065\u3051\u8981\u56e0<\/li>\n<li>\u62e1\u5f35\u3055\u308c\u305f\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u3068\u30e6\u30fc\u30b9\u30b1\u30fc\u30b9<\/li>\n<li>\u30e2\u30d0\u30a4\u30eb\u30d7\u30e9\u30c3\u30c8\u30d5\u30a9\u30fc\u30e0\u7d71\u5408<\/li>\n<li>\u958b\u767a\u8005\u30c4\u30fc\u30eb\u3068\u30ea\u30bd\u30fc\u30b9<\/li>\n<\/ul>\n<\/li>\n<li>\u5c55\u958b\u3068\u7d71\u5408\u306e\u8ab2\u984c\n<ul>\n<li>\u5c55\u958b\u3068\u691c\u8a3c\u30b5\u30f3\u30c9\u30dc\u30c3\u30af\u30b9<\/li>\n<li>\u72ec\u81eaAPI\u3068\u30ab\u30b9\u30bf\u30e0\u7d71\u5408<\/li>\n<li>\u30c7\u30fc\u30bf\u30de\u30c3\u30d4\u30f3\u30b0\u3068\u30c7\u30fc\u30bf\u306e\u5b8c\u5168\u6027<\/li>\n<\/ul>\n<\/li>\n<li>API\u30d7\u30ed\u30bb\u30b9\u5411\u4e0a\u306e\u6a5f\u4f1a\n<ul>\n<li>\u96c6\u4e2d\u578b\u30c4\u30fc\u30eb\u3068\u30ea\u30bd\u30fc\u30b9<\/li>\n<li>\u696d\u754c\u6559\u80b2\u3068\u9023\u643a<\/li>\n<li>\u533b\u7642\u7d44\u7e54\u5411\u3051\u30ac\u30a4\u30c0\u30f3\u30b9<\/li>\n<\/ul>\n<\/li>\n<li>\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u3068\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u306e\u8003\u616e\u4e8b\u9805\n<ul>\n<li>\u7c92\u5ea6\u306e\u7d30\u304b\u3044\u30b3\u30f3\u30bb\u30f3\u30c8\u3068\u30ef\u30fc\u30af\u30d5\u30ed\u30fc<\/li>\n<li>\u30c7\u30fc\u30bf\u30ac\u30d0\u30ca\u30f3\u30b9<\/li>\n<li>\u30c7\u30fc\u30bf\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30ea\u30b9\u30af\u3068\u8cac\u52d9<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>\u7d50\u8ad6<\/li>\n<li>\u53c2\u8003\u6587\u732e<\/li>\n<\/ul>\n<p>CSA-HIM WG\u3082\u3001API\u5229\u7528\u3092\u30d0\u30a4\u30aa\uff0f\u533b\u7642\u30c7\u30fc\u30bf\u306e\u76f8\u4e92\u904b\u7528\u6027\u306e\u4e2d\u6838\u306b\u636e\u3048\u3066\u3044\u308b\u3002API\u306f\u3001\u7570\u306a\u308b\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u304b\u3089\u3001\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u6a5f\u80fd\u3084\u30c7\u30fc\u30bf\u306b\u30a2\u30af\u30bb\u30b9\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3059\u308b\u30a8\u30f3\u30c8\u30ea\u30fc\u30dd\u30a4\u30f3\u30c8\u3067\u3042\u308b\u3002HL7 FHIR\u306b\u306f\u3001\u5b8c\u74a7\u306a\u76f8\u4e92\u904b\u7528\u6027\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u3092\u69cb\u7bc9\u3059\u308b\u305f\u3081\u306b\u62e1\u5f35\u3055\u308c\u305fWeb\u6a19\u6e96\u898f\u683c\u3068\u73fe\u4ee3\u7684\u306a\u60c5\u5831\u4ea4\u63db\u306b\u57fa\u3065\u304fAPI\u5411\u3051\u306e\u4ed5\u69d8\u304c\u542b\u307e\u308c\u308b\u3002API\u3068EHR\u306e\u7d71\u5408\u4ef6\u6570\u306f\u5897\u52a0\u50be\u5411\u306b\u3042\u308b\u304c\u3001FHIR\u30c7\u30fc\u30bf\u4ea4\u63db\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308bAPI\u306e\u5272\u5408\u306f\u6a2a\u3070\u3044\u50be\u5411\u306b\u3042\u308b\u3002\u30a2\u30d7\u30ea\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u4e2d\u306b\u306f\u3001\u30c7\u30fc\u30bf\u4ea4\u63db\u898f\u683c\u5411\u3051\u652f\u63f4\u6a5f\u80fd\u3092\u5229\u7528\u30fb\u8a18\u8ff0\u3057\u3066\u3044\u306a\u3044\u3082\u306e\u304c\u3042\u308b\u70b9\u304c\u3001\u3053\u306e\u8981\u56e0\u3068\u8003\u3048\u3089\u308c\u308b\u3002\u52a0\u3048\u3066\u3001FHIR\u30ea\u30bd\u30fc\u30b9\u306f\u3001\u7279\u5b9a\u306e\u30c7\u30fc\u30bf\u8981\u7d20\u306e\u4ea4\u63db\u3092\u4fc3\u9032\u3059\u308b\u306b\u3068\u3069\u307e\u3063\u3066\u304a\u308a\u3001FHIR\u30b5\u30dd\u30fc\u30c8\u306e\u30d0\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u306b\u5bc4\u4e0e\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u7279\u306b\u3001\u521d\u671f\u30d0\u30fc\u30b8\u30e7\u30f3\u306eFHIR\u6a19\u6e96\u898f\u683c\u306b\u3053\u308c\u304c\u5f53\u3066\u306f\u307e\u308b\u3002FHIR\u30ea\u30bd\u30fc\u30b9\u304a\u3088\u3073\u30b5\u30dd\u30fc\u30c8\u3055\u308c\u305f\u30c7\u30fc\u30bf\u8981\u7d20\u306e\u6570\u304c\u5897\u3048\u308c\u3070\u3001FHIR\u5411\u3051\u306e\u30b5\u30dd\u30fc\u30c8\u3082\u6210\u9577\u3059\u308b\u3068\u307f\u3066\u3044\u308b\u3002<\/p>\n<p>\u305f\u3060\u3057\u3001EHR\u3068\u6bd4\u8f03\u3057\u3066\u533b\u7642\u6a5f\u5668\u306e\u5834\u5408\u3001\u4e8b\u60c5\u304c\u7570\u306a\u3063\u3066\u304f\u308b\u3002\u904e\u53bb10\u5e74\u9593\u591a\u304f\u306e\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u304c\u63a8\u9032\u3055\u308c\u3001\u6a19\u6e96\u898f\u683c\u304c\u69cb\u7bc9\u3055\u308c\u3001\u88fd\u54c1\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u3082\u751f\u7523\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u81e8\u5e8a\u73fe\u5834\u306e\u533b\u7642\u6a5f\u5668\u306fEHR\u3068\u901a\u4fe1\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u76f8\u4e92\u9593\u3067\u4ea4\u63db\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u76f8\u4e92\u904b\u7528\u6027\u304c\u3088\u308a\u8907\u96d1\u306b\u306a\u3063\u3066\u3044\u308b\u3002\u76f8\u4e92\u904b\u7528\u6027\u306b\u3088\u3063\u3066\u30b1\u30a2\u304c\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u53cd\u9762\u3001\u30c7\u30fc\u30bf\u3092\u751f\u6210\u3059\u308b\u5404\u6a5f\u5668\u3084EHR\u30b7\u30b9\u30c6\u30e0\u3068\u306e\u9593\u3092\u52b9\u7387\u7684\u306b\u3084\u308a\u3068\u308a\u3067\u304d\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u306e\u3067\u3001\u6ce8\u610f\u304c\u5fc5\u8981\u3060\u3002<\/p>\n<h4>\u533b\u7642\u30af\u30e9\u30a6\u30c9\u306e\u666e\u53ca\u304cAPI\u3084\u76f8\u4e92\u904b\u7528\u6027\u306b\u53ca\u307c\u3059\u5f71\u97ff\u3068\u8ab2\u984c<\/h4>\n<p>\u3055\u3089\u306b\u3001\u30d0\u30a4\u30aa\uff0f\u533b\u7642\u5206\u91ce\u306b\u304a\u3051\u308b\u30af\u30e9\u30a6\u30c9\u30b3\u30f3\u30d4\u30e5\u30fc\u30c6\u30a3\u30f3\u30b0\u306e\u5c0e\u5165\u306b\u3088\u3063\u3066\u3001\u30c7\u30fc\u30bf\u3092\u4f9b\u7d66\u3057\u3001\u5229\u7528\u53ef\u80fd\u306a\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3067\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u53ef\u80fd\u306b\u306a\u3063\u3066\u304d\u305f\u3002\u533b\u7642\u6a5f\u95a2\u306f\u3001\u533b\u7642\u7523\u696d\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u30c7\u30fc\u30bf\u5206\u6790\u3067\u5229\u7528\u3059\u308b\u5927\u5bb9\u91cf\u30c7\u30fc\u30bf\u3092\u4fdd\u5b58\u30fb\u52a0\u5de5\u30fb\u5171\u6709\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n<p>\u305f\u3060\u3057\u3001\u5730\u7406\u7684\u306b\u5206\u6563\u3057\u305f\u5834\u6240\u306b\u3042\u308b\u69d8\u3005\u306a\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3044\u3066\u3001\u7570\u306a\u308b\u30bd\u30fc\u30b9\u304b\u3089\u8907\u6570\u306e\u30c7\u30fc\u30bf\u30bf\u30a4\u30d7\u3092\u6709\u3059\u308b\u533b\u7642\u30c7\u30fc\u30bf\u3092\u30af\u30e9\u30a6\u30c9\u4e0a\u306b\u96c6\u7d04\u3059\u308b\u3068\u3001\u76f8\u4e92\u904b\u7528\u6027\u306e\u3042\u308b\u30b7\u30b9\u30c6\u30e0\u3092\u69cb\u7bc9\u3059\u308b\u3053\u3068\u304c\u307e\u3059\u307e\u3059\u96e3\u3057\u304f\u306a\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u8ab2\u984c\u3092\u89e3\u6c7a\u3059\u308b\u305f\u3081\u306b\u3001\u30af\u30e9\u30a6\u30c9\u30b5\u30fc\u30d3\u30b9\u30d7\u30ed\u30d0\u30a4\u30c0\u30fc\u5074\u3082\u3001FHIR\u5411\u3051API\u3068\u306e\u76f8\u4e92\u904b\u7528\u6027\u78ba\u4fdd\u306b\u5411\u3051\u3066\u53d6\u7d44\u3093\u3067\u3044\u308b\u3002\u307e\u305f\u3001\u30af\u30e9\u30a6\u30c9\u306f\u3001\u81e8\u5e8a\u60c5\u5831\u3068\u3068\u3082\u306b\u3001\u533b\u7528\u753b\u50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