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

by Medley Inc.

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೔ϨηΛ಺แͨ͠ిࢠΧϧς l$-*/*$4Χϧςzͷٕज़ͱɺ ͦͷઌʹ͋Δ044จԽͷීٴ ୈճҩྍΦʔϓϯιʔειϑτ΢ΣΞڠٞձηϛφʔ 2018.10.20 @ KYOTO RESEARCH PARK

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

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ձ ࣾ ֓ ཁ C o m p a n y O v e r v i e w

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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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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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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 ֵ ਓ

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

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

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

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

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Doctor ҩྍैࣄऀ Creator ΤϯδχΞ σβΠφʔ

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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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ࠓ ޙ ͷ ల ๬ F u t u r e

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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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ҩྍY*5΁ͷ௅ઓ l044׆ಈΛ௨ͯ͠ҩྍ*5ͷൃలΛଅ͢z

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৽͍͠ҩྍମݧΛ૑଄͍ͨ͠ ΤϯδχΞઈࢍืूத ϝυϨʔ͸ίʔυΛॻ͚Δ͜ͱʹތΓΛ࣋ͪɺ ࣾձ΍पғͷਓͨͪʹରͯ͠ߩݙ͠Α͏ͱ͢ΔϗεϐλϦςΟΛ΋ͬͨɺ ΤϯδχΞͷํΛืूͯ͠·͢ גࣜձࣾϝυϨʔɹ࣍ੈ୅ʹੜ͖ΔਓͷҩྍͷͨΊʹ

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