Internet (Smart) Healthcare System
Urmonbekov Diyor
Masters Programme Year 2,Graduate School of Media and Governance, Keio University

This research is mainly concentrated on the development of Smart IC Card and IC card
reader connected to the Internet, which maintains electronic (digital) medical records of thepatient through a systematized collection of electronically-stored health information in adigital format. When necessary, these records can be shared across different healthcareorganizations, including hospitals, clinics, and pharmacies. Smart IC Card may include arange of data, including demographics, medical history, national insurance, medication andallergies, immunization status, laboratory test results, radiology images (x-ray), vital signs,
personal statistics like age and weight (combining with “My Number” system), and billinginformation.
Smart IC Card will be designed to store data accurately and to capture the state of a patient
across time. It will eliminate the need to track down a patient's previous medical records andassist in ensuring data is accurate and legible. It can also reduce the risk of data replication as
there will be only one modifiable file, which means the file will be more likely up to date,
and that will decrease the risk of lost paperwork.
Due to the digital information being recorded to this Smart IC Card, it will be significantly
effective when extracting medical data for the examination of possible trends and long-termchanges in a patient. As future research and further development of this project, the data of
medical records in this card can then be efficiently and anonymously used for
epidemiological analysis at the national level or population-based studies when this Smart IC
Card data is securely connected to an internet cloud system and widely adopted by the Uzbek
government in the future.
In Uzbekistan and Japan, most hospitals and clinics still use a paper-based system for thereception desk which means it takes time, and paperwork is not suitable for the patient when
he or she feels not good. It reduces time-consuming, no paperwork, and the most important
one is no guarantee if a fire accident or a strong earthquake happens in their office orstorehouse. They can’t find patients’ health history records once some accident happens. Butfor the IC card, we can install it local set which not connected to the internet then later we canimprove it if a ministry of health in Uzbekistan and Japan permits to use it in local clinics.
Why in Japan is because I went to several clinics in Japan, and I filled out a sheet for myhealth diagnose then doctor will write it on his PC, but If I don’t go to his clinic after someyear I can’t see and find my health history record for my next health diagnose in different
clinic. I think it is imperative for our society to save our time and avoiding paperwork. I cannot always provide sufficiently accurate information such as my height, weight, past medical
conditions or specific medical conditions of my family members, etc. I thought hospitals inUzbekistan have a similar issue. Once, when I went to a doctor in the capital city, the doctor
asked me to bring all my past medical records from local GP because it was necessary for
him to put the correct diagnosis, so I had to go back to my hometown to get all my records
such as immunization record, previous blood test results, etc.

1Here is one good example to support my idea. When the patient is 45 years old, Smart IC
Card can contain 45 years information about patient`s health condition. For further
examination of a patient`s health condition, past data will be incredibly useful for doctors.
Besides, by implementing this kind of Smart IC Card, doctors at any hospital will be able toaccess patient`s past medical records where those records would be critical components forbetter examination of health conditions and will help to identify the illness background andthis Smart IC Card will be usable in any hospital where card reader is installed and securely
protected where patients can have options to access via using PIN core, finger scan or facialrecognition.
Doctors could analyse patient data from an electronic health record to predict, detect, andpotentially prevent adverse events. This can include discharge and transfer orders, pharmacyorders, radiology results, laboratory results, and any other data from ancillary services orprovider notes. This Smart IC Card could also alert doctors when a patient with HIV or any
potential illnesses, who did not receive care in over a specified period. Therefore, Smart ICCard could also potentially reduce the number of missed critical opportunities and regularcheck-ups.
Through this Smart IC Card, doctors will be able to view the patient's full chart, which will
cut down on guessing histories, seeing multiple specialists and may even allow better care inemergencies. It will also provide better access to test results and offer evidence-based
recommendations for better medical services in Japan and Uzbekistan.

A Smart Healthcare System can be combined and works
with Cloud Computing in the future for academic purposes.

2How does it relate to CCRC’s research themes?
I think my research is relatively connected to all themes within various sectors such as
security risks natural disaster, cyber and physical infra in connected age as well as how togovern both the technology and society in next decades.
Theme 1 - The society and self-connected through the cyberspace and physical space as welland the emergence of "thinking" machines collectively network on a network. The century
where we live is an age for a "Digital Age," which we work on digitalization rather thanmanual and systematic principles of the working flow which means that E-Healthcare systemshould be implemented in every single state within 10 years to reduce of the disease which
can spread fast and easy nation to nation, person to self. On the other hand, the project is apart of social security system which is about insurance and the next generation of social
principles to govern technology and society under the secure and trustworthy umbrella interms of improving the healthcare system.
Theme 2 - virtual and physical infrastructural society under connected age, which is a highrisk of the treats by cyberspace rather than physical, means that a Smart IC card needs a highsecurity data protection platform and maintenance in terms of keeping people' trust and makethem convinced that the system is still safe even after 10 years or later. My project is basedon IoT, AI, and Cyber Civil which needs to work on security issues, such as privacy,technical and understanding of cyber civilization concept in our society in terms of making
better people' life and healthcare system in the nations. I think only the government of Japan
can handle and combine with a "My Number" system, which is more secure and reliable forthe people in Japan. In Uzbekistan, I think high tech and modern devices for the datacollection and share with other clinics and hospitals via IC card at the first step, and next step
will be based on a network called a "Cyber Space."
Theme 3 - Cyber Civilization Risks and Resilience which the most critical point and more
relatively on my project is because of the risk management on data protection and preventionof natural disasters such as earthquake, flood, typhoons, tsunamis, etc. In Uzbekistan andother developing countries, we see many natural disasters which lead to loss of patients'
health record documents and can be the primary cause of spreading viruses, infections after
the treatment and medication. My notion is that the system can be a sole cure and solved by
the E-Healthcare System which will make people happy with no harsh illness in local areasand prevention of the future dangerous diseases such as Ebola, Zika, etc.

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