Transforming acute care
AI-native EMR.
Data entry, clinical research, hospital management, and development.
Four revolutions bring overwhelming efficiency and value to the acute-care front line.
Four revolutions. One platform.
More than a system refresh, it redefines the very operational structure of acute care.
Voice input, automated documentation, and clinical decision support dramatically cut entry time
Standardization, element extraction, and automated registry submission reduce the burden of research participation
Reimbursement support, management-indicator visualization, and a contribution to talent acquisition
AI-agent-led development on a cloud EMR platform
Real screens, running on the front line.
The design follows the rhythm of clinical work. Take a look at four key screens.
AI works quietly in the background of clinical care.
We show three key AI behaviors, together with their real-world behavior and accuracy metrics.
A healthcare-specialized model recognizes disease names, drug names, and figures with high accuracy, and speaker separation automatically distinguishes physician from patient.
Converts referral letters, medication notebooks, and test results into structured JSON, with confidence scores that streamline the physician's final review.
Generates drafts linked to the supporting evidence in the chart, covering discharge summaries, referral letters, and medical certificates.
Revolution in data entry
Structured voice charting
AI speech recognition and automatic structuring of charts dramatically reduce entry time.
Versatile data integration
OCR and API integration automatically import data from diverse sources such as referral letters and test results.
Automated medical document generation
AI automatically generates high-quality medical documents such as discharge summaries, medical certificates, and referral letters.
Clinical decision support
Provides real-time AI-driven clinical decision support (CDSS).
Revolution in data analysis & clinical research
Full standardization of labs and vitals
Full standardization enables cross-facility comparison and large-scale data analysis.
Use of disease-specific standardized data
Standardized data is defined per disease area and applied instantly to CDSS and clinical research.
Element extraction from unstructured text
AI automatically extracts clinical elements from free text and uses them as structured data.
Automated registry & trial data submission
AI automates registry and clinical-trial data submission, reducing the burden of research participation.
Revolution in hospital management
Connection with regional and emergency data
Connects with regional and emergency-services data to map patient inflow and regional healthcare dynamics.
Support for optimal reimbursement coding
Based on standardized clinical data, AI supports optimal DPC and medical-fee coding.
Visualization of management indicators
Visualizes management indicators on a dashboard and automates claims checking with AI.
Contributes to attracting top talent
An ideal charting environment and research infrastructure help attract outstanding medical talent.
Revolution in development
AI agents lead development
AI leads the development process, dramatically improving development speed and quality.
Self-service customization of documents and ledgers
On-site staff can customize documents and ledgers themselves.
Cloud EMR with world-class security
A cloud-based EMR platform built with world-class security.
Compared with legacy EMRs
We compare the features of our AI-native EMR against legacy and general-purpose cloud systems.
| Feature | Sakigake Prime | Legacy EMR | General-purpose cloud EMR |
|---|---|---|---|
| Data entry | |||
| Structured voice charting | |||
| OCR / external API integration | |||
| Automated documents (discharge / referral / certificate) | |||
| Clinical decision support (CDSS) | |||
| Analysis & research | |||
| Lab & vital standardization | |||
| Disease-specific standardized data | |||
| Unstructured-text element extraction | |||
| Registry / trial auto-submission | |||
| Management & operations | |||
| DPC & medical-fee coding support | |||
| Management-indicator dashboard | |||
| Platform | |||
| Cloud-native | |||
| Multi-device (PC / tablet / smartphone) | |||
| Compliant with the 3-Ministry / 2-Guideline standards | |||
| Continuous updates (monthly) | |||
World-class security, built into the EMR.
When you handle AI and medical data, security is not an option but a prerequisite.
TLS 1.3 in transit / AES-256 at rest. Medical data is stored exclusively in domestic data centers.
Role-based access control (RBAC) plus multi-factor authentication, biometrics, and IP restrictions as standard.
All chart access and edits are recorded in tamper-proof logs, retained for 7 years with real-time anomaly detection.
Multi-region redundancy. RPO 5 min / RTO 30 min. SLA 99.95%.
Auditing of prompts and outputs, differential verification of model updates, and masking of PHI before it reaches the AI.
BCP/DR drills are conducted twice a year, with an offline mode enabling continued care during disasters.
Pricing plans
We propose the optimal plan based on your deployment scale and requirements.
Initial implementation cost
* Varies depending on departmental system integration and various initial setup requirements.
Monthly maintenance fee
* Varies depending on the support arrangement. We will prepare a quote for you.
Why not transform
acute care with an AI-native EMR?
Feel free to contact us for a demo request or to discuss implementation.
Covered operations & departments
Physicians / Clinical Care
EMR documentation for outpatient / inpatient / home-visit care, order entry, and AI assistance
Nursing Department
Nursing records, nursing acuity, care plans, pressure ulcers, nutrition, order acknowledgment, and administration
Pharmacy Department
Prescription and medication guidance orders / external dispensing system integration (in design)
Rehabilitation Department
PT / OT / ST scheduling, records, functional assessment, and fee calculation (prescriptions handled in the EMR)
Nutrition Department
Nutrition management (screening through monitoring) and nutrition guidance orders
Patient Safety / Infection Control
Incident reports (multi-stage approval and aggregation) and medical teams (NST/ICT)
Medical Affairs / Billing
ORCA (Japanese billing system) integration, fee calculation checks, and accounting / billing (standalone-capable)
Bed / Admission-Discharge Management
Ward-map D&D bed assignment and admission / transfer / discharge (ADT) workflows
Laboratory / Examination Department
Specimen, microbiology, endoscopy, and imaging exam orders, a results viewer, and outsourcing management
Management Planning / Administration
Management dashboards, KPIs, patient-acquisition analysis, facility standards, inventory / equipment, and BCP
Human Resources / General Affairs
Staff accounts and employment lifecycle, shift management, org charts, and permissions
Information Systems
Institution and master-data management, device / asset registers, audit logs, and implementation PM
Patient / Regional Coordination
Patient-facing PHR, web booking / questionnaires, a partner portal, and regional medical coordination (planned)
Research / Data Utilization
Research DWH: datasets, dashboards, AI charts, and pseudonymization
Feature catalog
EMR / Clinical Records
Physicians / Clinical Departments
- SOAP ChartUnified view of past charts, nursing records, and orders with type badges
- Chart Templates / Documentation SetsBoilerplate-text recall with AI assistance
- Voice-Input Chart DraftingAutomatic generation from speech with structured formatting applied
- Structured ER RecordsEmergency-department documentation via two-stage voice input
- Assessment FormsAssignment, completion, and aggregation of templates and assessment sets
- AI Discharge-Summary DraftingAI generates a draft with a single button
- AI Assistant PanelAgentic AI that gathers and summarizes patient data across the record
Patient Management / Reception / Appointments
Outpatient / Medical Affairs
- Patient Search / RegistrationPatient demographic management that retains history
- Outpatient ReceptionSame-day check-in linked to outpatient status
- Appointment ManagementSlots, templates, and acceptance of public web-booking requests
- Expiration AlertsNotifies of expiring insurance cards and the like on the home screen
- Patient CalendarLists orders and schedules on a per-patient basis
Order Entry
Physicians / All Departments
- Unified Order EntryAI natural-language input, DO (repeat) prescriptions, set expansion, and fee-calculation checks
- Prescription OrdersOral, as-needed, and topical medications (linked to the dosage master with RP grouping)
- Injection / Continuous Infusion ManagementInjection orders and administration records for continuous infusions
- Procedure OrdersIssuing procedure and proxy procedure orders
- Examination OrdersOrder entry for specimen, microbiology, and endoscopy examinations
- Imaging Exam OrdersModality selection plus a safety-check UI for contrast media, implanted metal, and radiation exposure
- Rehabilitation PrescriptionBy diagnosis, with automatic fee-cap calculation and Anderson criteria checks
- Nutrition Guidance OrdersSpecial-diet categories, prescribed nutrient amounts, and a booking-calendar approach
- Medication Guidance OrdersPurpose tags with boilerplate text, pharmacist proxy entry, and history management
- Out-of-Pocket Item OrdersOrder entry for non-insured items
Nursing Operations
Nursing Department
- Ward DashboardOverview of inpatients by ward, scheduled admissions, and today's schedule
- Flow Sheet / Temperature ChartA hub screen for reviewing vitals and records on a per-patient basis
- Nursing RecordsSupports switching between progress-note, SOAP, and focus formats
- Nursing Acuity AssessmentAssesses severity and medical/nursing acuity using A/B/C items
- Nursing Care PlansPlanning and evaluation on a per-admission basis
- Pressure Ulcer ManagementRisk assessment, care planning, progress records, and care evaluation
- Nutrition ManagementScreening through monitoring and discharge evaluation
- Medical Device ManagementRegistration and management of medical devices attached to patients
- Nursing Order Acknowledgment / AdministrationOrder acknowledgment, assignment of responsible staff, and administration recording
- Injection Three-Point VerificationBarcode matching of patient, medication, and administering staff
- Patient ScheduleA multi-patient timeline grid
- Assignment BoardA patient-assignment board per shift (D&D)
- Nursing SummaryStructured-field entry with an approval/rejection workflow (some extensions in development)
Bed / Admission-Discharge Management (ADT)
Wards / Bed Management
- Ward MapEnriched bed cards, status icons, and D&D bed assignment
- Admission / Discharge / Transfer ManagementExecutes admission, transfer, and discharge using a time-axis episode model
- Admission Request OrderAn initial-admission workflow from request to medical-affairs confirmation to admission acceptance
- Pending Order PortalCard display of admission, transfer, and discharge requests with D&D confirmation
- Discharge Planning ManagementA discharge-execution modal and a scheduled-discharge list
Rehabilitation Department
PT / OT / ST
- Rehab Booking CalendarSame-day / weekly schedules in per-therapist columns
- Rehab Patient DetailFour tabs for prescription, clinical record, order history, and assessment plan
- Functional Assessment / PlanningFunctional assessments such as FIM and BI, with implementation plans
- Fee Registration / Alerts / StatisticsWarnings for fee caps and deadline overruns, with volume aggregation
Documents / Forms
Clinical / Medical Affairs
- Document Creation / ManagementTemplate generation, import, and scan upload
- Form PDF LayoutPrint-layout templates and PDF output via pdfme
- OCR Template ImportOCR extraction and import of paper-document layouts
- Japanese-Era Date VariablesJapanese-era (wareki) utilities for document templates
Patient Safety / Organizational Operations
Patient Safety / Administration / HR
- Incident ReportsExpanded fields, up to three-stage multi-level approval/rejection, PDF, and aggregate analysis
- Medical Team ManagementA member register tied to add-on fees and facility standards such as NST and ICT
- Staff Account ManagementRegistration, employment lifecycle, and permission management
- Org Chart / Shift ManagementOrganization tree, concurrent posts, and work-shift creation
- Facility Standards / Institution InformationManagement of notifications, buildings, and clinical departments
- Inventory / Medical Device RegisterStock-in/out records and inspection/calibration history
- BCP ManagementManagement of business continuity plans and drills
- In-House Manuals / CommitteesManagement of manual documents and in-house committees
- Audit Trail LogRecords write operations across all modules
Management Analytics
Management Planning
- Management DashboardVisualization of management metrics
- Management KPIsManagement and visualization of KPIs
- Patient-Acquisition AnalysisMonth-over-month comparison, six-month trends, by department, and by age group
- Hospital Function AnalysisAnalysis of hospital functions
Master Data / System Administration
Information Systems
- Institution ManagementCreation, editing, and ORCA connection setup (certificates / sync / connection test)
- Fee-Schedule Master ImportSSK procedures, drugs, designated materials, and diagnoses (CSV import)
- Various Master-Data ManagementONS dosages, JLAC labs, JJ1017 imaging, and nursing masters
- Implementation Project ManagementImplementation PM for institutions and task templates
- API Key / Webhook ManagementIssuance of external-integration keys and management of delivery destinations
External Integration (ORCA / API)
Medical Affairs / External Systems
- ORCA (Nichi-Rese) IntegrationSynchronization of patients, reception, appointments, diagnoses, admissions/discharges, and procedures
- Cost-Order IntegrationSubmit → Confirm → send → retry for procedures
- Webhook Delivery PlatformSubscription management, test sends, and re-delivery
- Master Search APIHistorical-version lookup of procedures, drugs, and dosages
- LINE IntegrationLINE Messaging API reception and linking to PHR users
Patient / Regional Coordination
Patient-Facing / Regional Coordination
- Patient-Facing PHRAppointments, questionnaire responses, visit-history viewing, and profile management
- Public Web BookingLogin-free provisional booking via per-organization public URLs
- Patient LINE IntegrationAccount linking and appointment-reminder notifications
- Partner PortalAPI-specification distribution for partner companies with passkey authentication
Research Data Utilization (DWH)
Research / Management
- Dataset CatalogA semantic layer of 13 types including patients, prescriptions, examinations, and admissions
- Chart BuilderBuild charts with field D&D, aggregation, and filters
- AI Chart GenerationGenerates chart specifications from natural-language prompts
- DashboardsGrid editing and in-organization sharing
- Data Exploration / CSV ExtractionRow-level exploration and download history (with auditing)
- Pseudonymization / Anonymization PoliciesResearch-ID conversion, age-group rounding, and small-cell suppression
- Research Project ManagementAccess-permission management and research-project registration
Additional features
- Pharmacy department systemin-house dispensing operations and external dispensing-system integration API
- Outsourced clinical-laboratory integration APIspecimen, bacteriology, and pathology vendors
- Document system extensionsAI medical certificates and FHIR transmission
- Transfer request ordersrequest workflows for ward transfer, department transfer, and diet changes
- Regional medical-coordination appreferral and back-referral, information exchange with regional coordination platforms
- Integration of imaging exam orders with RIS / examination-department booking systems
Frequently asked questions
Can acute-care hospitals really use a cloud EHR?
It is designed around availability, redundancy, and operation during outages or offline. Once you confirm SLA, integration, and security requirements, cloud is a realistic option even for acute care.
What do voice input and generative AI do?
Structured voice charting and auto-drafting of medical documents aim to cut record-keeping time, on the premise that clinicians review and finalize the content.
Can we migrate from an on-premise system?
We plan a staged migration that avoids downtime for ward operations, after defining the scope of data to carry over. Contact us for specifics.
How is security and 3-Ministry/2-Guideline compliance handled?
Encryption in transit and at rest, access control, and audit logs are designed toward 3-Ministry/2-Guideline compliance. Please confirm the latest status with us.
How much does it cost to adopt?
It depends on hospital size and system configuration. We provide an individual estimate after understanding your requirements — please get in touch.