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日レセを内包した電子カルテ「CLINICSカルテ」の技術と、その先にあるOSS文化の普及

Medley Inc.
October 20, 2018

 日レセを内包した電子カルテ「CLINICSカルテ」の技術と、その先にあるOSS文化の普及

第14回医療オープンソースソフトウェア協議会セミナー
https://moss.connpass.com/event/95685/

ORCAを内包した電子カルテ「CLINICSカルテ」の技術と、その先にあるOSS文化の
普及(平山宗介、株式会社メドレー)

Medley Inc.

October 20, 2018
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  1. ೔ϨηΛ಺แͨ͠ిࢠΧϧς
    l$-*/*$4Χϧςzͷٕज़ͱɺ
    ͦͷઌʹ͋Δ044จԽͷීٴ



    ୈճҩྍΦʔϓϯιʔειϑτ΢ΣΞڠٞձηϛφʔ
    2018.10.20 @ KYOTO RESEARCH PARK

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  2. ฏࢁफհ
    ü  ೔ཱܥେख4*FS
    ü  ະ౿ιϑτ΢ΣΞ૑଄ࣄۀ
    ü  άϦʔגࣜձࣾ
    ü  גࣜձࣾϛϩάϑϦʔϥϯε
    ü  גࣜձࣾϦϒηϯε
    ü  גࣜձࣾϝυϨʔ
    औక໾$50։ൃຊ෦௕

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  3. ձ ࣾ ֓ ཁ
    C o m p a n y O v e r v i e w

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  4. Medley, Inc.
    ҩྍϔϧεέΞ෼໺ͷ
    ՝୊Λղܾ͢Δ
    גࣜձࣾϝυϨʔ
    ୍ޱߒฏ
    ୅දऔక໾ࣾ௕

    ೥ੜ·Εɻ೥ถࠃ๏ਓ
    (FNFJOTDIBGU *ODΛ૑ۀɻࠃ಺֎ͷ
    ࣄۀձࣾٴͼௐࠪձࣾɾίϯαϧ
    ςΟϯάձࣾͷґཔΛड͚ͯͷࢢ৔
    ௐࠪ౷ܭௐࠪɺ৽঎඼ͷίϯηϓτ
    ։ൃ΍ࢢ৔ࢀೖͷࢧԉʹܞΘΔɻݸ
    ਓతͳҩྍମݧ͔Βҩྍ΁ͷ՝୊ҙ
    ࣝΛڧΊɺࣄۀৡ౉ޙɺ೥݄
    גࣜձࣾϝυϨʔΛ૑ۀɻ࠷ߴܦӦ
    ੹೚ऀɻ
    ๛ా߶Ұ࿠
    ୅දऔక໾ҩࢣ

    ೥ੜ·Εɻ౦ژେֶҩֶ෦ଔ
    ۀɻ੟ྴ඿দපӃɺ/55౦೔ຊؔ
    ౦පӃͰͷݚमΛܦͯ౉ถɻถࠃҩ
    ࢣ໔ڐΛऔಘ͠ɺখࣇ೴ͷݚڀʹै
    ࣄ͢Δɻ೥ΑΓϚοΩϯ
    θʔɾΞϯυɾΧϯύχʔʹͯओʹ
    ϔϧεέΞۀքͷاۀ΁ͷίϯαϧ
    ςΟϯάʹैࣄɻ೥݄ʹϝ
    υϨʔʹࢀՃ͠ɺ୅දऔక໾ҩࢣʹ
    ब೚ɻҩྍ৘ใఏڙʹؔ͢Δҙࢥܾ
    ఆͷ࠷ߴ੹೚ऀɻ
    ઃཱɿ೥݄೔ɹैۀһ਺ɿ໊ ඇৗۈؚΉ
    ɹ

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  5. ҩࢣ͕ͨͪͭ͘ΔΦϯϥΠϯҩྍࣄయ
    ʮ.&%-&:ʯ
    ਖ਼͍͠ҩྍ৘ใΛఏڙ͠ɺೲಘͰ͖ΔҩྍΛ໨ࢦ͢
    ਓΛ௒͑Δҩࢣ͕ͨͪͭ͘ΔɺΦϯϥΠϯҩྍࣄయ
    ҩྍհޢͷٻਓαΠτ
    ʮδϣϒϝυϨʔʯ
    ೲಘͷ͍͘ब৬ɾ෮৬ɾస৬Λࢧԉ͢Δ
    શࠃ໿ສ݅ͷٻਓΛތΔɺ೔ຊ࠷େڃͷҩྍհޢٻਓαΠτ
    ΦϯϥΠϯ਍ྍΞϓϦ
    ʮ$-*/*$4ʯ
    εϚϗ΍1$Ͱ਍࡯Λड͚ͯɺ
    ༀ΍ॲํͤΜ΋ࣗ୐Ͱड͚औΕΔΦϯϥΠϯ਍ྍΞϓϦ
    հޢࢪઃͷݕࡧαΠτ
    ʮհޢͷ΄ΜͶʯ
    ޙչ͠ͳ͍հޢࢪઃબͼΛ࣮ݱ
    ສਓΛ௒͑ΔޱίϛͰ୳ͤΔɺհޢࢪઃͷݕࡧαΠτ
    SERVICE

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  6. ҩࢣ͕ͨͪͭ͘ΔΦϯϥΠϯҩྍࣄయ
    ʮ.&%-&:ʯ
    ਖ਼͍͠ҩྍ৘ใΛఏڙ͠ɺೲಘͰ͖ΔҩྍΛ໨ࢦ͢
    ਓΛ௒͑Δҩࢣ͕ͨͪͭ͘ΔɺΦϯϥΠϯҩྍࣄయ
    ҩྍհޢͷٻਓαΠτ
    ʮδϣϒϝυϨʔʯ
    ೲಘͷ͍͘ब৬ɾ෮৬ɾస৬Λࢧԉ͢Δ
    શࠃ໿ສ݅ͷٻਓΛތΔɺ೔ຊ࠷େڃͷҩྍհޢٻਓαΠτ
    ΦϯϥΠϯ਍ྍΞϓϦ
    ʮ$-*/*$4ʯ
    εϚϗ΍1$Ͱ਍࡯Λड͚ͯɺ
    ༀ΍ॲํͤΜ΋ࣗ୐Ͱड͚औΕΔΦϯϥΠϯ਍ྍΞϓϦ
    հޢࢪઃͷݕࡧαΠτ
    ʮհޢͷ΄ΜͶʯ
    ޙչ͠ͳ͍հޢࢪઃબͼΛ࣮ݱ
    ສਓΛ௒͑ΔޱίϛͰ୳ͤΔɺհޢࢪઃͷݕࡧαΠτ
    ਍ྍϓϩηεͷޮ཰Խ
    ҩྍհޢͷਓࡐෆ଍ͷղফ
    ࢪઃ৘ใͷಁ໌Խ
    SERVICE
    ҩྍϦςϥγʔͷ޲্

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  7. ച্ߴͱैۀһͷ৳ͼ
    0
    500
    1000
    1500
    2000
    2500
    3000
    3500
    4000











    ച্ߴ ैۀһ਺
    ೥݄
    ౦ژ౎ߓ۠ʹ
    גࣜձࣾϝυϨʔΛઃཱ
    ೥݄
    ҩྍհޢͷٻਓαΠτ
    ʮδϣϒϝυϨʔʯ։࢝
    ೥݄ ౦ژ౎ौ୩۠ʹҠస
    ೥݄
    ୅දऔక໾ҩࢣʹ
    ๛ా߶Ұ࿠͕ब೚
    ΦϯϥΠϯҩྍࣄయ
    ʮ.&%-&:ʯ։࢝
    ೥݄ ౦ژ౎ߓ۠ʹҠస
    ೥݄
    ϓϥνφϑΝΫτϦʔגࣜձࣾΛ
    ࢠձࣾԽ
    հޢࢪઃͷݕࡧαΠτ
    ʮհޢͷ΄ΜͶʯ։࢝
    ೥݄
    ΦϯϥΠϯ਍ྍΞϓϦ
    ʮ$-*/*$4ʯ։࢝
    Ԋ ֵ


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  8. < ҩ ྍ γ ε ς Ϝ ࣄ ۀ >
    $ - * / * $ 4
    C L I N I C S

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  9. ΦϯϥΠϯ਍ྍΞϓϦʮ$-*/*$4 ΫϦχΫε
    ʯ
    1
    ͍࣌ؒͭͰ΋Մೳͳ
    ਍࡯༧໿
    2
    ҩࢣͱͷ৘ใڞ༗Λ༰қʹ͢Δ
    ΦϯϥΠϯ໰਍
    3
    ௨Ӄͷෛ୲ΛݮΒ͢
    ΦϯϥΠϯ਍࡯
    4
    ͔ΜͨΜΧʔυܾࡁ
    ༀɾॲํͤΜ΋ࣗ୐ʹಧ͘
    εϚϗ΍1$Ͱ਍࡯Λड͚ͯɺༀ΍ॲํͤΜ΋ࣗ୐Ͱड͚औΕΔ
    ҩྍαʔϏεͰ͢ ೥݄։࢝
    ɻैདྷͷ௨ӃମݧΛ޲্͞
    ͤΔ΄͔ɺ๩͍͠ํɺපӃ΁௨͏ͷ͕ࠔ೉ͳํͷܧଓతͳ࣏ྍ
    Λࢧԉ͢Δ͜ͱΛ໨ࢦ͍ͯ͠·͢ɻ

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  10. l  ʮ཭ౡɺ΁͖஍ͷױऀʯ͸ʮྫࣔʯʹ͗ͣ͢ɺԕִ਍ྍͷ
    ର৅Λɺ཭ౡ΍΁͖஍ͷױऀʹݶΔඞཁ͸ͳ͍
    l  ࠨͷผදʹࣔͨ͠ʮର৅ʯҎ֎ͷ࣬ױ΋ԕִ਍ྍͷର৅ʹ
    ͳΓಘΔ͜ͱɺ͓Αͼผදʹࣔͨ͠ʮ಺༰ʯҎ֎ͷ਍ྍ಺
    ༰΋ڐ͞ΕΔ
    l  ௚઀ͷର໘਍ྍΛߦ্ͬͨͰɺԕִ਍ྍΛߦΘͳ͚Ε͹ͳ
    Βͳ͍΋ͷͰ͸ͳ͍ɺ͢ͳΘͪɺ௚઀ͷର໘਍ྍΛࣄલʹ
    ߦ͏͜ͱ͕ඞͣ͠΋ԕִ਍ྍͷલఏ৚݅ͱ͸ͳΒͳ͍
    2015.8.10
    ްੜ࿑ಇল͔Βͷ
    ࣄ຿࿈བྷͰԕִ਍ྍ͕
    ࣮࣭ղې͞ΕΔ
    എܠްੜ࿑ಇলʹΑΔԕִ਍ྍղऍͷ؇࿨

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  11. ๺ւಓ͔Βԭೄ·Ͱ
    ෯޿͍਍ྍՊͰಋೖ
    ೥݄࣌఺Ͱͷܖ໿ҩྍػؔ਺Ҏ্
    ಋೖ਺ࠃ಺/P γʔυɾϓϥϯχϯάࣾௐ΂

    ΞϨϧΪʔՊ Ұൠ಺Պ ܗ੒֎Պɾඒ༰֎Պ ݺٵ
    ث಺Պ ࣖඓҺ޴Պ ॥؀ث಺Պ খࣇՊ ফԽثՊ ফ
    Խث֎Պ ফԽث಺Պ ৺ྍ಺Պ ਆܦ಺Պ ੔ܗ֎Պ
    ਫ਼ਆՊ ਫ਼ਆՊɾ৺ྍ಺Պ ૯߹৺ྍ಺Պ ୅ँɾ಺
    ෼ൻ಺Պ ౶೘ප ಺Պ ൻ೘ثՊ ൽෘՊFUD
    ಋೖҩྍػؔͷ֦େ

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  12. View Slide

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  14. ࢪઃج४Λຬͨ͢ಧग़ҩྍػؔʹ͓͍ͯܧଓతʹର໘਍ྍΛ࣮
    ࢪ্ͨ͠Ͱಛఆ؅ཧྉ౳ɼࡏ୐࣌ҩֶ૯߹؅ཧྉɼਫ਼ਆՊࡏ୐
    ױऀࢧԉ؅ཧྉΛࢉఆ͍ͯ͠Δॳ਍Ҏ֎ͷױऀʹରͯ͠৘ใ௨
    ৴ػثΛ༻͍ͨ਍࡯ΛߦͬͨࡍʹɼҰఆͷ৚݅Λຬͨ͢৔߹ʹ
    ݶΓࢉఆՄ
    ฏ੒೥౓ͷ
    ਍ྍใुվఆʹͯ
    lΦϯϥΠϯ਍ྍྉz͕৽ઃ
    ΦϯϥΠϯ਍ྍྉ఺
    ࢪઃج४Λຬͨ͢ಧग़ҩྍػؔʹ͓͍ͯܧଓతʹର໘਍ྍΛ࣮
    ࢪ্ͨ͠Ͱಛఆ؅ཧྉ౳Λࢉఆ͍ͯ͠Δॳ਍Ҏ֎ͷױऀʹର͠
    ͯ৘ใ௨৴ػثΛ༻͍ͯྍཆ্ඞཁͳ؅ཧΛߦͬͨࡍʹɼҰఆ
    ͷ৚݅Λຬͨ͢৔߹ʹݶΓࢉఆՄ
    ΦϯϥΠϯҩֶ؅ཧྉ఺
    ฏ੒೥౓਍ྍใुվఆ ೥݄೔ࠂ஌

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  15. ೔ϨηΛ಺แͨ͠
    ױऀͱͭͳ͕ΔΫϥ΢υిࢠΧϧς
    http://clinics.medley.life/karte
    ೥݄ΑΓఏڙ։࢝

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  21. $-*/*$4Y044
    C L I N I C S x O S S

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  22. ҩྍITͷະདྷʹ޲͚ͯऔΓ૊Ή͜ͱ
    https://developer.medley.jp/entry/2018/05/01
    ߴ͍ೳྗΛ΋ͪϓϩμΫτʹͩ͜ΘΓΛ΋ͬͯ
    ։ൃΛ͖ͯͨ͠Α͏ͳਓ͕ѹ౗తʹগͳ͍͜ͱ
    ͕ɺҩྍITʹ͓͚Δ՝୊Ͱ͋Δͱࢲ͸ࢥ͍ͬͯ
    ·͢ɻ

    ए͘༏लͳΫϦΤΠλʔ͕ͨͪҩྍITͷੈքʹ
    ࢀՃ͠ɺ༷ʑͳऔΓ૊ΈΛ͢Δ͜ͱͰɺۀք಺
    ͷ॥؀͕ਐΈɺ݁Ռͱͯ͠ۀքͷਐԽʹ΋ͭͳ
    ͕Δ΋ͷͱߟ͍͑ͯ·͢ɻ·ͣ͸զʑ͕ੵۃత
    ʹٕज़ΛΦʔϓϯʹ͍ͯ͘͜͠ͱͰɺͦͷྲྀΕ
    ͷى఺Λ͍͖͍ͭͬͯͨ͘ͱࢥ͍·͢ɻ

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  23. 044จԽͷීٴʹΉ͚ͯ
    D i f f u s i o n o f O S S C u l t u r e

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  24. ҩྍ*5ʹ͓͚Δ՝୊
    ແ਺ʹ͋Δඪ४Խ͕จॻ্ͰͷఏҊʹ͓ΘΓɺٕज़Ϩϕϧʹ·Ͱঢ՚Ͱ͖ͣʹӡ༻ʹͷͤΒΕͣʹࢡԽ͠ɺ
    ͞Βʹͦͷඪ४ԽʹΑΓ଍ΛͻͬͺΒΕ͍ͯΔ
    "ඪ४Խཚཱ໰୊
    ඪ४Խ΍ΨΠυϥΠϯʹରͯ͠ɺڧ੍΋͘͠͸؂ࠪΛ͢Δ࢓૊Έ͕ͳ͍ͨΊʹɺ༷ʑͳن֨ͷಠࣗγες
    Ϝ͕ཚཱ͢Δঢ়گʹͳ͍ͬͯΔ
    #ిࢠΧϧςΛؚΉҩྍγεςϜ΁ͷ؂ࠪ໰୊
    σβΠϯΛ௨ͯ͠6*ઃܭͷ੍໿Λͭ͘Γɺܧଓతʹӡ༻͠΍͍͢ϓϩμΫτʹ࢓্͛Δ͜ͱz
    σβΠϯݴޠγεςϜΛೖΕͨΒίϛϡχέʔγϣϯίετ͕͙ͬͱԼ͕ͬͨ࿩.FEMFZ%FWFMPQFS#MPH


    lిࢠΧϧςγεςϜʹ͍ͭͯʮ಺෦؂ࠪ୅ߦαʔϏεʯΛ։࢝͠·ͨ͠z
    ిࢠΧϧςγεςϜʹ͍ͭͯʮ಺෦؂ࠪ୅ߦαʔϏεʯΛ։࢝͠·ͨ͠c෱Ԭ03$"ϕϯμʔձ


    ˞ݸਓతͳҙݟͰ͢

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  25. ҩྍ*5ʹ͓͚Δ՝୊
    ࣌୅ʹଈͨ͠ద੾ͳٕज़ɺͳΒͼʹಛఆͷϓϥοτϑΥʔϜʹґଘ͠ͳ͍ٕज़Λબఆ͢Δඞཁੑ͕͋Δ
    $ςΫϊϩδʔͷਐԽ͔Βִ཭͞Ε͍ͯΔ໰୊
    ΧελϚΠζʹؔ͢Δѱ͍ଆ໘ʹର͢Δۀքཧղ͕๡͘͠ɺͦΕʹΑΓ։ൃඅ͕๲େʹ๲ΒΈଓ͚ͯ͠
    ·͍ͬͯΔɻ·ͨɺൃ஫ଆͷߟ͑ํͱ։ൃଆͷߟ͑ํͱͷؒʹେ͖ͳน͕ଘࡏ͍ͯ͠Δ͜ͱʹΑΓɺͦͷ
    ྲྀΕ͕৑௕͞Ε͍ͯΔ
    %ΧελϚΠζલఏͷۀք׳श໰୊
    lϑΝΠϧϚωʔδϝϯτγεςϜͷϑΥϧμʔɾϑΝΠϧߏ଄ͦͷ΋ͷΛར༻ͯ͠؅ཧΛߦ͏΋ͷͰɺʜ
    8JOEPXTܥ04Λར༻͢ΔલఏͰ࡞੒͞Ε͍ͯΔz
    44.*9ඪ४ԽετϨʔδߏ੒ͷઆ໌ͱߏஙΨΠυϥΠϯ7FSD


    γεςϜΛඪ४Խύοέʔδ͢Δ͜ͱʹΑΓɺ௿Ձ֨׌ͭద੾ͳΧελϚΠζੑΛ࣮ݱ͍ͯ͠·͢ɻҰൠ
    తͳΧελϚΠζ͸γεςϜΛෳࡶԽ͠ߴίετʹ͢Δ͚ͩͰͳ͘੬ऑੑ΍ෆ۩߹ͷϦεΫΛট͖·͢
    '"2਍ྍ༧໿γεςϜʛΫϦχοΫड਍Λ༏͘͢͠Δʰ.&%*$"-1"44ʱ

    ˞ݸਓతͳҙݟͰ͢

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  27. "A strong focus on implementation“
    – fast and easy to implement (multiple developers have had simple interfaces working in a single day)

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  28. l 0 4 4 Λ ௨ ͠ ͯ
    ҩ ྍ * 5 ͷ ൃ ల Λ ଅ ͠ ͨ ͍ z

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  39. Doctor
    ҩྍैࣄऀ
    Creator
    ΤϯδχΞ
    σβΠφʔ

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  40. Doctor / Business
    BCGˠϝυϨʔ
    ౡ༞հ
    ઒ా༟ඒ
    Doctor
    ް࿑লˠϝυϨʔ
    Ԃా།
    Doctor
    ྟচҩˠϝυϨʔ
    ాதਗ਼
    Engineer
    CyberAgentˠϝυϨʔ
    લా๜৫
    Designer
    ϦϒηϯεˠϝυϨʔ
    ༗അܚ
    Engineer
    freeeˠϝυϨʔ

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  41. ࠓ ޙ ͷ ల ๬
    F u t u r e

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  42. ױ ऀ ͷ ҩ ྍ ৘ ใ ͷ ڞ ༗ Խ Λ ς ʔ Ϛ ͱ ͠ ͯ ɺ
    ࣄ ۀ ऀ ͱ ױ ऀ ૒ ํ ʹ ͱ ͬ ͯ ޮ ཰ ੑ ͷ ߴ ͍
    ҩ ྍ ϓ ϥ ο τ ϑ Υ ʔ Ϝ Λ ࡞ ͬ ͯ ͍ ͘ ͜ ͱ ͕
    ج ຊ ઓ ུ Ͱ ͢ ɻ
    ҩྍϓϥοτϑΥʔϜͷߏங

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  43. ҩྍY*5΁ͷ௅ઓ
    l044׆ಈΛ௨ͯ͠ҩྍ*5ͷൃలΛଅ͢z

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  44. ৽͍͠ҩྍମݧΛ૑଄͍ͨ͠
    ΤϯδχΞઈࢍืूத
    ϝυϨʔ͸ίʔυΛॻ͚Δ͜ͱʹތΓΛ࣋ͪɺ
    ࣾձ΍पғͷਓͨͪʹରͯ͠ߩݙ͠Α͏ͱ͢ΔϗεϐλϦςΟΛ΋ͬͨɺ
    ΤϯδχΞͷํΛืूͯ͠·͢


    גࣜձࣾϝυϨʔɹ࣍ੈ୅ʹੜ͖ΔਓͷҩྍͷͨΊʹ

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  45. ҩ ྍ ϔ ϧ ε έ Ξ ෼ ໺ ͷ ՝ ୊ Λ ղ ܾ ͢ Δ
    http://www.medley.jp

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