The “Akita Heart-full Net” started operation as a cooperative community medical network in April 2014. It was established jointly by Akita Prefecture and Akita Medical Association and is run by the latter. Problems experienced in its operation have been addressed, and a duplex system was introduced so that many medical institutions can now easily join the system. Functions in relation to participating clinics especially have been enhanced. The new functions, “unloader” and “portal window”, were included so that clinics can used the system whether or not they the use electronic health records or standardized data. A seamless system that does not distinguish between flagship hospitals and clinics enables information exchange and sharing. This will further enable a cooperative system for clinical practice to be established based on free access to information about referred patients and the use of the community medical care cooperation pass. To contribute further to medical care in Akita Prefecture, we plan to extend the system further so that it functions as a collaborative network, covering a wide area and involving different professionals, with a focus on home medical care within the context of integrated community care.

A 47-year-old woman with body temperature 35.6 ℃ took the 3rd COVID-19 vaccine shot at our clinic on Day 1. Since she felt chills and suffered from genital bleeding on Day 3, she visited our clinic to take a gynecological examination. Her temperature was 37.1 ℃ at that time. On Day 15, she suffered sustained symptoms of chills and general fatigue, and she went to another internal medicine clinic to take a medical care. However, her condition was unexplained and she was referred to a general hospital. On Day 16, she came to our clinic to confirm results of the gynecological examination. Her symptoms persisted even though the data showed no problems, so we prescribed her saikokeishikankyoto (SAKK) for only 3 days. On Day 19, SAKK dramatically improved her symptoms. On Day 37, her temperature was 36.2 ℃ without any symptoms.