Development of Perinatal Management System using Medical Optical Memory Card

在过去的10年里，在香川医学院的围产中心，我们开发并引进了一个计算机化的围产信息系统。在我们的产科门诊部，我们还采用了使用光学存储卡的计算机化数据存储系统。该系统可将产科护理的各种重要参数存储在临床数据库中。日本政府在过去50年里推出了一本记录母亲和孩子健康状况的小册子，即所谓的“母亲和孩子的健康护照”。在日本，许多孕妇在出生时回到父母家接受帮助，并由母亲或家人照顾是一种习俗。有了这张幻灯片上的护照，孕妇可以前往日本的任何医疗机构，并准确地传递有关她怀孕的信息。这一系统可能是世界上第一个，现在被认为是世界上最低的围产期死亡率（5.2/1000，1992）的最重要因素之一。该项目的目的是将围产期信息以标准化格式记录在光学存储卡上，并实现在全日本甚至全世界通用的系统。截至目前，我院及其他8家医院共发放光卡约400张。光卡数据的永久性和稳定性问题尚未发现，但光卡的使用仍有许多技术和社会问题需要解决。然而，我们认为，事态发展必须朝着我们概述的方向发展。

Over the past 10 years, in the perinatal center at Kagawa Medical School, we developed and introduced a computerized perinatal information system. In our outpatient clinic for maternity care, we have also introduced a computerized data storing system using optical memory card. With this system, all kinds of important parameters for maternity care can be stored in the clinical data base. The Japanese government has introduced a booklet for recording the health of the mother and child, so called "mother and child's health passport" in the past 50 years.In Japan, it is the custom of many pregnant women to return to their parent's home to be helped at birth and to be cared for by their mother or family member. With this passport, shown in this slide, a pregnant woman can move to any medical facilities in Japan and the information concerning her pregnancy can be accurately passed on. This system may be a first in the world and now regarded as one of the most important contributing factors to the lowest perinatal mortality rate(5.2/1000,1992)in the world. The purpose of this project is to record the perinatal information in a standardized format on the optical memory card and to realize a common use system in all Japan or even in the world. Up to this time, about 400 optical cards were districuted to the pregnant women in our hospital and other 8 hospitals. No trouble concerning the permanecy and stability of the data in the optical card were found. There are still many technical and social problems that needed to be solved in the future with regard to the use of optical cards. However, we believe that developments will have to go in the directions we have outlined.