1. Copyright 次世代 IC カードシステム研究会 C 1 Hiroshi Shimada NICSS JAPAN Social Security Card and e-P.O. box for secure and convenient ICT society Porvoo 12 @ Grosseto October 18, 2007

2. Copyright 次世代 IC カードシステム研究会 C 2 Current social status and forecast in Japan Japan is very rapidly becoming so called an aging society –Increase of average life span and decrease of birthrate 1.Declining birthrate ⇒ Decreasing worker population ⇒ Revenue shortages 2. Aging ⇒ Increase in social security costs 3. Keep a balance between satisfaction and financial resource.

3. Copyright 次世代 IC カードシステム研究会 C 3 IT structural reform strategy Issued in January, 2006 by Government of Japan Structural reform enforced by ICT as leverage Solution to the foreseeing social dilemma Focus on Healthcare and e-Government –Healthcare Construction of National database for EBH, EBM and personal EHR Supporting home medical treatment and consultant using ICT etc. –e-Government Establishment of GPMO, PMOs to optimize the total e-Government Establishment of IT governance etc.

4. Copyright 次世代 IC カードシステム研究会 C 4 Promotion of IT in Healthcare Introduction of personal healthcare record system (EHR) to enable retrospective examinations (personal benefits) and to establish a preventive medicine (public benefits) Home healthcare using digital TVs Medical cost settlements will be 100% paperless by 2010  Estimated saving of administration cost is 1400M US$/year  Next IT investment

5. Copyright 次世代 IC カードシステム研究会 C 5 New pension management system plan (Announcement from The government party) Introduction of Social Security Card A card having roles of a pension booklet, health insurance card, and nursing care insurance card etc. Considering the health insurance card for example, the number of card is 110 million for people of age 10 or older. Facial photo is attached if required as photo identification card Allows you to check your own pension record safely and promptly anytime not only from the contact window at the office, but also from PC in your home. Linkage with the resident registration network Security is ensured so that no one can steel another persons' record. It is planned that Social Security Cards start to be delivered in 2011.

6. Copyright 次世代 IC カードシステム研究会 C 6 Introduction of e-P.O. (Post Office) box (1) Purpose –Disclosure of information on a person to the person by administrative and social security-related organization Background –Proposed in the IT Strategy Headquarters of Dec. 2006. –Described in the Priority plan 2007, Large-boned policy of the government. –The support body will be established newly in the IT Strategy Headquarters; Cooperation by the Cabinet Secretariat, Ministry of Internal Affairs and Communications, and Ministry of Health, Labor and Welfare. –Basic policy will be decided in 2007, environmental arrangement will be made in 2008, and the e-P.O. Box will be implemented in 2010.

7. Copyright 次世代 IC カードシステム研究会 C 7 Open a personal account in the cyberspace for every Japanese resident Just like a bank account, Smart card will be used for a secure and easy access  Good for the social acceptance Convergence  all services provided through the portal –e-Government services; One stop service –Social security status check; national pension, health insurance, employment insurance etc. –Healthcare; EHR for better preventive medicine Introduction of e-P.O. box (2)

8. Copyright 次世代 IC カードシステム研究会 C 8 Concept of Bank account Bank Account Access card Local Gov. CompanyWater Electricity Electricity charges Water charges Salary Tax payment Access to the bank account ◆ Account Information - Deposit - payment - Balance People control the money flows through the bank account User

9. Copyright 次世代 IC カードシステム研究会 C 9 Nation ・ Municipality ・ Electric Administration Insurer ・ Government-managed health insurance ・ Health Insurance Society Pension ・ Employee pension etc. Medical institution × × ： Identity verification methods (Card, Pension booklet etc.) are inconsistent. × × ： Places to obtain information are inconsistent. × × ： Service windows are inconsistent. × ： × ： Lifelong health information control etc. is not possible. Complicated system linkage is required to realize one-stop service. Many cards are required to use medical institutions. Moving Job change Where to go and what to do!? Health Insurance card Pension booklet Resident Registration Card Clinic card People 年 金 手 帳 社会保険庁 年 金 手 帳 社会保険庁 健康保険被保険者証 記号 □□ 番号 □ □ □ □ □ □ □ 氏名 日本 太郎 生年月日 昭和 XX 年 XX 月 XX 日 資格取得年月日平成 XX 年 XX 月 XX 日 事業所所在地 ○○ 県 ○○ 市 ○○ 町 1-2-3 事業所名称 ○○○○ 株式会社 保険者所在地 ○○ 県 ○○ 市 ○○ 町 ○○1-2-3 保険者番号・名称 ＸＸＸＸＸＸＸＸ ○○ 健康保険組合 交 付 平成 XX 年 XX 月 XX 日 有効期限 平成 XX 年 XX 月 XX 日 住民基本台帳カード △△市 XXXX 年 XX 月 XX 日まで有効 生年月日 昭和 XX 年 X 月 X 日 氏 名 日本 太郎 住 所 △△市 ○○ 区 ○1-2-3 Where should I go next?? ○○ 県 ○○ 市 ○○ 町３－２－３ ＸＸ－ＸＸＸＸ－ＸＸＸＸ 診察券 ○○ 眼科 ○○ 県 ○○ 市 ○○ 町２－２－３ ＸＸ－ＸＸＸＸ－ＸＸＸＸ ×× 診療所 ○○ 病院 ○○ 県 ○○ 市 ○○ 町１－２－３ ＸＸ－ＸＸＸＸ－ＸＸＸＸ Current way to manage own information Retirement Receipt of pension

10. Copyright 次世代 IC カードシステム研究会 C 10 Medical institution ・ Total benefit amount ・ Total burden charge ・ Insured person qualification ・ Medical check record ！ ○ ○ ： Identity verification using a single card. ○ ○ ： Manage important information by yourself ○ ○ ： Unification of diagnosis result and medical check result ○ ： ○ ： Lifelong health information control etc. is possible. （ Electronic information personal account ） Each people can have its own “e- P.O. box", if so required, to manage its own pension information and health information together. One-stop service for administrative paperwork etc is possible through this “e-P.O. box". Nation/Municipality ・ Electric Administration Insurer Pension ・ Employee pension etc. Pension information ・ Insurance subscription record ・ Benefit amount ・ Burden charge Health information ・ Diagnosis result ・ Medical check result Insurance information ・ Insurance qualification ・ Employment insurance fee ・ Nursing care insurance fee Convenient!!!! Easy to understand!! Various certificates ・ Residence certificate ・ Seal certificate ・ Tax payment certificate People Account Card e-P.O. box e-P.O. Box realizes convenience ・ Government-managed health insurance ・ Health Insurance Society Confidential Communication by Encryption

11. Copyright 次世代 IC カードシステム研究会 C 11 Key issues for social acceptance Bank account for cash flow 1.Service provider is well trusted by holders 2.Account status could be checked by the holder at anytime 3.Use of the account is under the holder’s control e-P.O.Box for information flow –Just like the bank account + Additional functions –Additional functions: One stop service for e-Gov., Navigation of public services, Letter box to send and receive confidential mails, Validity check of digital signature –Loose connections to the back offices

12. Copyright 次世代 IC カードシステム研究会 C 12 Issuance of New eID card Card issuance center City Resident Process of card issuance ① Application ② Request Dig. Sig. On-line Auth. LDS of e-Passport would be recorded New eID with facial photo ③ Issuance

13. Copyright 次世代 IC カードシステム研究会 C 13 Use of the e-P.O.Box for health insurance New e-ID Health insurer ③ On-line check of health insurance ④ Response Hospital health insur- ance e-P.O. Box ② Encrypted Health insurance information ① Application

14. Copyright 次世代 IC カードシステム研究会 C 14 Conclusion It is necessary to study, ASAP, introducing the e-P.O. box which has combination with new e-ID card. - All messages through this box are standardized, digitally signed and encrypted - Access to this box could be made by eID just like bank account - Life event such as employment, retirement, graduation, move, drives a navigation of administrative procedures -Other data such as EHR could be downloaded at the user’s choice It is recommended to have the resident registration card and social security card coexist and to support access to the e-P.O. box by those cards as new e-ID Card through the use of public personal authentication service. Such a system should be studied in which personal information, upon a request by that person in the standard description format, is provided to the e-P.O. box of that person, and the sender of the information bears the cost.

15. Copyright 次世代 IC カードシステム研究会 C 15 NICSS: info@nicss.or.jp If you have any question or opinions regarding the contents of this presentation, please contact the addresses below: shimada.hiro-01@jp.fujitsu.com NICSS NICSS (The N ext generation I c C ard S ystem S tudy group)