# Presentation: 513424

## Health Card Related Activities in Japan

**Masuyoshi Yachida**
**Ri****coh**** ****Co.**** ****Ltd**
**Japan **

## Topics

- Smart Card in Health Care Application
- Working Activities
- New Infrastructure for public use
- New resident registration law
- Digital Signature Law
- Contactless Smart Card
- Digital Medical Records
- Ministry of Health and Welfare’s announcement

## Health Care Application (1)

- National projects
- Health Insurance Card in Yatsushiro
- Health Insurance Agency (HIA)
- Smart card health insurance Card
- HIA have decided to use machine readable health insurance cards for each person.
- Health Card project in Himeji
- Ministry of Health and Welfare (MHW)
- Various medical information systems have been evaluated

## Health Care Application (2)

- Local government projects
- Ministry of Home Affair (MHA)
- More than 20 local government are evaluating residence cards that have health care application area.
- Secure network communication application
- Smart card is used for secret key management
- A lot of project  have used the systems
- Specification  is described in DICOM Supplement 31

## Other important projects (MITI)

- Multi application cards (Takikawa, Miki, Sumoto, and Goshiki)
- Combination of commercial and public services including health care application
- Interoperable health care area although different card manufactures and different area
- Smart Card Specification document in English is ready for deliver at <http://www.jicsap.com/stdwork/ic_contents.html>
- Wide area and multi purpose cards (Mashita county)
- Basic public service area and additional services
- Possible to add new service area in later

## G8 SP6 related topics in Japan

- We have the web pages which shows the Japanese activities
- <http://www.medis.or.jp>
- The G8 demonstration Software
- Evaluating the G8 interoperability specification
- US (VA) and Japan has exchange the cards
- The ministry of International Trade and Industry (MITI) and MHW are supporting the demonstration.

## Domestic Project Sites

- Takikawa

- ●

- ●

- ●

- ●

- ●

- Narita Airport

- Tokyo
- (Shinjyuku)

- Miki

- Goshiki

- ●  G8 Plot Project Sites

- ●  Interoperable domestic sites

- ●  National health care application sites

- ●

- Yatsushiro

- ●

- Himeji

- ●

- Sumoto

- ●

- Mashita

- ● Others

## New Information Infrastructure (1)

- New residence registration law (MHA) was established.
- Local governments are going to issue ID (smart) card to their residence.
- The cards will be useful for identification of the peoples in the cyber space, and be key to public services through networks.
- Only multi purpose card will be allowed.
- Personal identification information is mandatory.  But most of local government want to have health care applications on the card

## New Information Infrastructure (2)

- Contactless Smart Card
- MITI have a project for developing new multi purpose smart card.
- Other ministries are carefully watching the project.
- More than 70 companies establish a study group to discuss the requirement for the new generation smart card for public use.

## Recent improvements (1)

- The Ministry of Health and Welfare (MHW) has allowed digital medical records.
- Required security level in integrity, preservability, and viewability
- Requirement are shown at <http://www.medis.or.jp/e_mhw01.html>.
- The public nursing-are insurance system for ailing elderly people
- Started April ’00.
- MHW is discussing the use of smart card for nursing-care plans and the monthly deposit of each person.

## Recent Improvement (2)

- The Ministry of Justice(MJ), the Ministry of Posts and Telecommunication (MPT), and MITI are discussing how to realize the electric signature law.   In earliest,  we fill have the new law in April next year.
- Japanese Government is going to establish Government Public Key Infrastructure (GPKI)
- We need health care professional cards for the digital signatures.

## Conclusion

- Now we have a lot of health card project among the countries, health cards are not so popular.  But within a few years, lots of local government will issue resident card, and they will have health care application.
- On the G8 health card activity, we will do our best for the demonstration.