Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Methods of Documentation VII: EMR

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...

Methods of Documentation II: POMR

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

Habitat Fragmentation

Habitat Fragmentation

Habitat fragmentation describes the division of a more extensive, continuous habitat into smaller, discontinuous areas. Human activities such as land conversion, as well as slower geological processes leading to changes in the physical environment, are the two leading causes of habitat fragmentation. The fragmentation process typically follows the same steps: perforation, dissection, fragmentation, shrinkage, and attrition.

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

The Phragmoplast

The Phragmoplast

Cell division is essential for organismal growth and development. In animal cells, the central spindle and its associated proteins form the midbody, a structure that has an essential role in cytokinesis. In plants, the central spindle, along with the microtubules, actin, and other cell components, matures into the phragmoplast, which is necessary for cytokinesis. Unlike the stationary midbody, the phragmoplast expands centrifugally, eventually leading to the formation of the new cell wall.
The...

Methods of Documentation I: Source-Oriented Records

Methods of Documentation I: Source-Oriented Records

Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Artificial intelligence-driven oocyte scores are associated with early morphokinetics and embryo outcomes after intracytoplasmic sperm injection.

Reproductive biomedicine online·2026

Same author

CART for ascites accumulation and dialysis difficulty after hepatic cyst fenestration and bilateral nephrectomy in ADPKD: a case report.

CEN case reports·2026

Same author

Serum presepsin level reflects macrophage activation and hemophagocytosis in bone marrow.

PloS one·2026

Same author

Efficacy of venous supercharged reverse sural artery flap for reconstruction of severe limb trauma: comparative study including high-risk patients.

Injury·2025

Same author

Evaluation of Pseudonymization of Japanese Progress Notes by LLM.

Studies in health technology and informatics·2025

Same author

Standardization of Clinical Progress Notes in Japan with FHIR.

Studies in health technology and informatics·2025

Search research articles

Related Experiment Video

Updated: Jul 4, 2026

Cloud-Based Phrase Mining and Analysis of User-Defined Phrase-Category Association in Biomedical Publications

Cloud-Based Phrase Mining and Analysis of User-Defined Phrase-Category Association in Biomedical Publications

Published on: February 23, 2019

Bridging Fragmented PHR Ecosystems Through a Unified Document Terminology.

Eizen Kimura¹, Tsubasa Takahashi², Saori Sawada²

¹Department of Medical Informatics, Medical School of Ehime University, Japan.

Studies in Health Technology and Informatics

|July 3, 2026

Summary

Japan's fragmented personal health record (PHR) system was improved using FHIR Storage for data exchange. A new naming method enables automated document identification, enhancing health data portability and interoperability.

Keywords:

Data Interoperability FHIR Personal Health Record Terminology

More Related Videos

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

Related Experiment Videos

Last Updated: Jul 4, 2026

Cloud-Based Phrase Mining and Analysis of User-Defined Phrase-Category Association in Biomedical Publications

Cloud-Based Phrase Mining and Analysis of User-Defined Phrase-Category Association in Biomedical Publications

Published on: February 23, 2019

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

Area of Science:

Health Informatics
Digital Health
Interoperability Standards

Background:

The Japanese personal health record (PHR) ecosystem is characterized by fragmentation among private vendors.
This fragmentation impedes seamless health data exchange and portability.
Lack of standardized metadata for health documents exacerbates these challenges.

Purpose of the Study:

To address the challenges of data fragmentation in Japan's PHR landscape.
To implement a standardized method for health data exchange using FHIR Storage.
To improve automated document identification and routing within the PHR system.

Main Methods:

Adoption of Fast Healthcare Interoperability Resources (FHIR) Storage for health data exchange.
Identification and analysis of 30 distinct health document types within the PHR system.
Development and implementation of a FHIR CodeSystem naming convention for programmatic document identification.

Main Results:

FHIR Storage was successfully adopted to facilitate health data exchange.
Half of the identified document types lacked essential schema and versioning metadata.
A FHIR CodeSystem naming method was established, enabling automated document type recognition.
The study identified the need for a central metadata registry for automated routing.

Conclusions:

The PHOENICS project demonstrated the feasibility of using FHIR Storage to improve health data interoperability in Japan.
Standardized metadata and a central registry are crucial for automated document routing and efficient PHR system management.
Addressing metadata gaps is essential for enhancing the portability and usability of personal health records.