1.Community-Based Personal Health Records (PHR) in Kobe City 2.Mobile Application for COVID-19 Contact Tracing in Japan 3.Landscape of Telemedicine-related Startups in Japan 4.Future Digital Strategy of the Japanese Government 5.“Next Normal” Infrastructure for for Micro Health Services in Remote Settings 6.Security/Privacy on “Next Normal” Infrastructure

1. Secure Distributed Cloud Platform for
Micro Health Services in Remote Settings
- Japan‘s expertise –
SEPTEMBER 4, 2020
EIJI SASAHARA, PHD., MBA
HEALTHCARE CLOUD INITIATIVE, NPO

2. @Taipei in 2017 @Hyderabad in 2019
2

3. @esasahara
3

4. AGENDA
1. Community-Based Personal Health Records (PHR) in Kobe
City
2. Mobile Application for COVID-19 Contact Tracing in Japan
3. Landscape of Telemedicine-related Startups in Japan
4. Future Digital Strategy of the Japanese Government
5. “Next Normal” Infrastructure for for Micro Health
Services in Remote Settings
6. Security/Privacy on “Next Normal” Infrastructure
4

5. 1. Community-Based Personal Health Records (PHR)
“MY CONDITION KOBE” managed by Kobe City Government
(Feb. 19, 2019)
●Developers
-RIKEN-Kobe
-Link and Communication
-Fujitsu
●Targets: -Citizens
-Corporate Employees
●Data Collection
-Health-related Data
-Foods, Physical Exercises, etc.
5
Source: Kobe City Government, “MY CONDITION KOBE”
(https://www.city.kobe.lg.jp/documents/14259/2019021913860101.pdf)

6. 1. Community-Based Personal Health Records (PHR)
(Cont.)
●Healthy Life Consultation Utilizing ICT:
Behavior Change is the key
6
Source: Kobe City Government, “MY CONDITION KOBE” (https://www.facebook.com/kobe.kkclub/)
• Gamification
• Digital Storytelling
• Social Distancing
• AR/VR, etc.

7. 2. Mobile Application for COVID-19 Contact
Tracing in Japan
The Ministry of Health, Labor, and Welfare (MHLW):
COCOA (COVID-19 Contact-Confirming Application)
●Available on iOS/Android OS
Smartphones
●Adopting Apple/Google API
for Exposure Notification Framework
●Using Microsoft Azure
7
Source: The Ministry of Health, Labor, and Welfare, “(COCOA) COVID-19 Contact-Confirming Application”, June 22, 2020
(https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/cocoa_00138.html)

8. 2. Mobile Application for COVID-19 Contact
Tracing in Japan (Cont.)
●Source Code of COCOA on GitHub: cocoa-mhlw/cocoa
8
Source: GitHub: cocoa-mhlw/cocoa (https://github.com/cocoa-mhlw/cocoa)

9. 3. Landscape of Telemedicine-related Startups in Japan
in Japan
9
Source: Healthcare Cloud Initiative, NPO, May 2020
Company Solutions Company’s URL
Integrity
Healthcare
Online Consultation Systems and Disease
Management Systems for Healthcare Providers
https://www.integrity-
healthcare.co.jp/
Welby Web-based COVID-19 Check and Information
Sharing Tools for Healthcare Providers &
Corporate Customers
https://welby.jp/
MRT/Optim Online Medicine Services for Healthcare
Providers
https://www.pocketdoct
or.jp/
MICIN Online Medicine Services for Healthcare
Providers/ Pharmacies/ Pharmaceutical & CRO
https://micin.jp/
MedPeer Online Consultation Tools for Healthcare
Providers and Online Drug Consultation Tools for
Pharmacies
https://medpeer.co.jp/
Medley Online Medicine Application for Healthcare
Providers
https://www.medley.jp/

10. 3. Landscape of Telemedicine-related
Startups in Japan (Cont.)
●COVID-19 and Telemedicine: Opportunities & Challenges
10
Focus Sector Market Driver Recent
Development
Opprtunities Challenges
Healthcare -Deregulations to
Keep Social
Distance under
COVID-19 Crisis
-Development of
Medical IoT
Technologies
-Online Doctor
Consultation
Tools via Mobile
Cloud
-Integrated
Medical &
Nursing Care for
Aging
Communities
-Medical IoT
(IT/OT
Convergence)
-Manual &Paper
Based Clinical
Processes
-Luck of Medical
Security Experts
Source: Healthcare Cloud Initiative, NPO, September 2020

11. 4. Future Digital Strategy of the Japanese Government
From “Society 4.0” to “Society 5.0”
●Integration of Information Tech (IT) and Operational Tech (OT)
11
Source: Cabinet Office,
Government of Japan
“Society 5.0”
(https://www8.cao.go
.jp/cstp/english/socie
ty5_0/index.html)

12. 4. Future Digital Strategy of the Japanese Government
(Cont.)
From “Smart City” to “Super City”
●API-driven Data Exchange Infrastructure on National Strategic
Special Zones
12
Source: Cabinet Office,
“Super city and Data
Exchange Infrastructure”,
Apr 17, 2019
(https://www.kantei.go.jp
/jp/singi/tiiki/kokusentoc
/dai39/shiryou3_2.pdf)
Service
Applications By Industry
Digital Data
City OS
By Organization

13. 5. “Next Normal” Infrastructure for for Micro Health
Services in Remote Settings
“Fog Computing” Model by U.S.NIST
●Cloud (IT-Driven)
●Fog (IT/OT-Integrated)
●Smart End Devices
(OT-Driven)
Source: U.S. National Institute of Standards and
Technology (NIST), “NIST SP 500-325, Fog
Computing Conceptual Model”, Mar.19, 2018
(https://nvlpubs.nist.gov/nistpubs/SpecialPublica
tions/NIST.SP.500-325.pdf)

14. 5. “Next Normal” Infrastructure for for Micro Health
Services in Remote Settings (Cont.)
(Use Case on Healthcare)
Soraia Oueida et al., “An Edge
Computing Based Smart
Healthcare Framework for
Resource Management”,
Dec.6, 2018
(Sensors 2018, 18, 4307; doi:
10.3390/s18124307
Source: Sensors 2018, 18, 4307;
doi:10.3390/s18124307, Dec. 6, 2018

15. 6. Security/Privacy on “Next Normal” Infrastructure
Application Container Technology Model by U.S. NIST
15
Source: NIST “SP 800-190: Application Container Security Guide”, Sep. 2017
(https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-190.pdf)

16. 6. Security/Privacy on “Next Normal” Infrastructure
(Cont.)
Security/Privacy on API-driven Cloud Architecture
16
-Application Security
-Identity/Access
Management
-Data Protection
-Infrastructure
Security
Source：National Institute of Standards and Technology (NIST) ,
“SP 800-210: General Access Control Guidance for Cloud Systems”, (July 31, 2020)
（https://csrc.nist.gov/publications/detail/sp/800-210/final）