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Embedded Shared EHR in Web Referrals: Early Outcomes from the Yonago City Healthcare Platform
Kei Teramoto1, Satoru Sekine1, Kosuke Kagamiyama2
1Division of Medical Informatics Faculty of Medicine Tottori University.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Integrating electronic health records (EHR) with web scheduling improved clinician access. This shared EHR system saw 35.9% of referrals viewed and 26.6% of physicians accessing records.
Area of Science:
- Health Informatics
- Healthcare Management
- Digital Health
Background:
- Development of a shared electronic health record (EHR) system within the Yonago City Healthcare Platform.
- Integration of a web-based first-visit referral (web scheduling) application to enhance real-world viewing of patient data.
Purpose of the Study:
- To evaluate the early implementation outcomes of the integrated EHR and web scheduling system.
- To assess the impact of the platform on clinician access and utilization of shared electronic medical records.
Main Methods:
- The platform connected a web-based referral app with EMRs across four hospitals, granting viewing access to 150 facilities.
- Analysis of referral and access logs from March 16 to June 16, 2025.
- Primary outcome measures included EHR viewing within 30 days of referral and physician access frequency.
Main Results:
- A total of 695 referrals were submitted by 150 facilities during the study period.
- The EHR was accessed within 30 days for 250 referrals (35.9% viewing rate).
- Out of 713 physicians with EHR accounts, 190 (26.6%) accessed the system at least once.
Conclusions:
- The integration of EHR access with a web-based referral and booking system demonstrated a positive association with increased clinician engagement.
- Early outcomes suggest the platform facilitates improved data sharing and utilization among healthcare providers.
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