xirapha.jp

What It Is

きりんカルテ is a Japan-based cloud electronic medical record service provided by WEMEX, positioned as a “free cloud-based electronicカルテ.” It is designed for physician-staffed, non-bed medical clinics, covering departments such as internal medicine, dermatology, ophthalmology, pediatrics, psychiatry, surgery, and obstetrics and gynecology. It does not support dentistry, acupuncture, osteopathic clinics, chiropractic/bodywork clinics, or clinics with inpatient beds.

Core Capabilities

The product is accessed through a browser and only requires a computer, an internet connection, and the latest version of Google Chrome. It works on both Windows and Mac; some features are also available on iPad and Surface. The system is integrated with a receipt computer system, with WebORCA built in or linked, so there is no need to purchase ORCA separately. Standard features include electronic medical records, appointment/reception management, a patient mobile appointment App, billing, home medical care, switching between private and insurance-covered medical services, consultation sets, templates, and medical record edit histories. For images and documents, it can import referral letters and images and link them to patient records, and it also supports integration with some outsourced test results and image archiving systems.

Pricing and Trial

Its biggest selling point is that it is free: the main content explicitly states that initial setup, maintenance, electronic medical records, ORCA, the appointment system, patient App, multifunction printer scan imports, home medical care, legal/regulatory updates, and version upgrades are all free. Related services such as カルテFRM are optional and may be paid. On-site support is provided by partners and may incur fees. The online demo lasts about 30 minutes to 1 hour, and a trial version is available after participation, but it cannot be used for real patient registration or レセプト claims.

Pros and Cons

Its strengths are that it covers the core clinic workflow and has an extremely low price barrier. Cloud deployment makes it convenient for multi-device use, off-site access, and home medical care. Google Cloud, regular backups, HTTPS encryption, and permission controls also provide basic security capabilities. Limitations include its tight coupling with Japan’s medical system and the ORCA ecosystem, an average implementation period of around 2.5 to 3 months, and the fact that many device integrations require Windows 10/11. Medical records cannot be used directly from smartphones, and self-service payment machines and insurance card readers are not currently supported.

Who It’s For and Access from China

It is best suited to non-bed medical clinics in Japan, especially institutions that want free integrated electronic medical records, レセプト claims, and appointment capabilities. For medical institutions in China, language, health insurance rules, ORCA dependency, and the compliance environment all present significant limitations. Access from mainland China is not stated in the main content, so it is considered unknown.