Japan is on the cusp of a revolution in digitization of its healthcare system. Regulations are changing quickly to bring the Japan up to date with SaaS based systems which allow fo collaboration between a wide variety of healthcare providers, university hospitals, National Medical Centers, Registries, Insurance providers and government agencies. 

As of 2024, EMR use in Japan varies widely based on the size of the medical instituions. More than 50% of small offices and clinics do not have an EMR system im place. Large hospitals typically have on-premis server-based systems, which are expensive to maintain, and carry a cyber security risk.