In 2015, the Japan Disaster Relief (JDR) Medical Team developed the JDR Medical Mission Operating System (MOS), a comprehensive EMT Information Communication Tool (ICT). This system was utilized during the 2019 Mozambique Cyclone and the 2023 Türkiye Earthquake.

To report key achievements and lessons learned from implementing the JDR-MOS.

The review involved analyzing training materials and mission reports.

The MOS implementation significantly enhanced reporting capabilities to the EMTCC and JDR headquarters in Tokyo. The MOS contributed to the development of Japan’s national EMT standard reporting template J-SPEED, and the WHO EMT Minimum Data Set (MDS). Challenges included training team members who work in hospitals all over Japan, also securing resources for periodic system updates. Some team members preferred paper-based operations, believing they saved time and potentially allowed for more patients to be treated. Paper template also were regarded to facilitate quick information sharing compared to digital screens.

The introduction of ICT through the MOS substantially improved reporting capabilities but faced technical challenges in training, maintenance, and information sharing compared to paper-based systems. The benefits of ICT can be maximized through collaborative development and implementation of EMT ICT standards. This can be applied either nationally and internationally. Based on these achievements and lessons learned, JDR is now upgrading MOS to a next-generation strategic ICT system.