Friday, February 13, 2009  Cool Technology of the Week  I'm in
Japan this week and have had the opportunity to review the
clinical applications and infrastructure of information systems
in Tokyo hospitals (St. Luke's, Japan Federation for Cancer
Research, and Tokyo Medical University), Nagoya hospitals
(Nagoya University Hospital, Higashi Nagoya National Hospital)
and Kyoto Hospitals (Kyoto University Hospital).  A few
observations about clinical applications in Japan, which are my
cool technology of the week.  *The majority are client server,
except Tokyo Medical University which is web based using a Java
client. Nagoya University uses a Visual Basic client with a
Cache database server, similar to the Brigham and Women's
design. The reason for the client-server preference in Japan is
strict privacy and security regulation. There is great concern
that the web/HTTPS is not secure enough because of the
possibility of IP spoofing, man in the middle attacks and
attacks from the public internet. In the pilot HIE e