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  • Book
    Naoki Nakashima, editor.
    Summary: This book analyzes the development of medical big data projects in Japan. Japan is experiencing unprecedented population aging, and labor productivity has decreased accordingly. Big data analysis of the Japanese medical real-world database (RWD) has the potential to tackle this issue. To allow readers to gain an understanding of Japanese medical big data analysis, the book discusses the original Japanese system that generates medical RWDs in the hospital medical records system, the nationwide standardized health checkup system, and the public medical insurance system in Japan. After introducing four major big data projects in the healthcare–medical field in Japan, the book explains the importance of creating information standards to maintain data quality and to analyze medical big data. It enables readers to analyze which standards are installed in which RWDs, how the standards are maintained, and which issues are prevalent in Japan. This book also describes the ethical processes involved in big data projects involving medical RWDs in Japan.

    Contents:
    Part 1: Clinical Pathway
    Chapter 1. Real World Medical Data Clinical Pathway in Japan
    Chapter 2. Medical process analysis by using all-variance type outcome-oriented electronic clinical pathway data -Exploratory extracting critical indicator
    Chapter 3. Information and Data standard development for Clinical Pathways
    Part 2: Standard Code Mapping and Data Quality
    Chapter 4. Japan Laboratory Code (JLAC) 10
    Chapter 5. ICD-10 and ICD-11 in Japan
    Chapter 6. Standard codes for prescribing drugs use multiple code systems depending on their purpose
    Chapter 7. Data Quality Governance Experience at the MID-NET Project
    Part 3: Phenotyping
    Chapter 8. Phenotyping in Japan
    Chapter 9. Phenotyping of Administrative Claims Data
    Chapter 10. Phenotyping study using MID-NET database
    Chapter 11. Integration of phenotyping algorithms in Japan
    Part 4: Data Analysis on Real World Data
    Chapter 12. Analysis on Real-World Data: An Overview
    Chapter 13. Problems in Japanese real-world medical data analyses
    Part 5: Ethical Issues of Data Secondary Use in Japan
    Chapter 14. Ethical, Legal, and Social Issues Pertaining to the Use of Real-world Health Data in Japan
    Chapter 15. The Next-Generation Medical Infrastructure Law.
    Digital Access Springer 2022