NEXT Stage ER Series, a data platform for Emergency Medicine made in Japan is changing the operation in hospitals in Malaysia

TXP Medical Co. Ltd. (hereinafter referred to as TXP Medical), a company that develops and provides NEXT Stage ER (NSER), a data platform for emergency medicine, has been running a pilot project in Malaysia since August 2022.
This project has been selected by Japan External Trade Organization (JETRO) as the "DX Project in Emergency Medicine at Tertiary Care Hospitals in Malaysia."※1
The project aims to verify the usefulness of improving the quality of operations in emergency medicine in Malaysia using our NSER series, from prehospital care to in-hospital one.
Four hospitals in Malaysia are participating in the project, and they are using our three products, NSER mobile, NSER, and TXP Self Assessment System.
Paramedics use "NSER mobile" to record patient information in an ambulance. The data in the ambulance is transferred to "NSER" in an emergency department in a hospital.
“NEXT Stage ER” is a patient information recording and management system specialized for emergency rooms. The patient information will be shared among medical staff, and the data can be utilized for research.
"TXP Self Assessment System" is a patient interview system in which the data inputted by a patient, and the input data can be linked with NSER. The data in NSER will be linked with the one in electronic medical records in hospitals which will achieve the seamless linkage of the whole data through prehospital and in-hospital settings. These systems are expected to streamline the operation of prehospital care achieving high-quality data collection.

Paramedics can smoothly input patient information in an ambulance using NSER mobile's OCR and voice input functions.

TXP Medical is a Japanese healthcare IT startup established in August 2017. We have been working out for improving patient experience and boosting the productivity of healthcare professionals in emergency departments in hospitals through enhancing digital transformation with AI-based technologies. Tomohiro Sono, an emergency and critical care physician and the founder, developed this IT system.
In Japan, many hospitals and emergency medical services started to put our solution in place, which has reduced the massive amount of paper-based work in emergency rooms and ambulances. We introduced our system to more than 30% of all the university hospitals and emergency care centers in Japan. The data has also shown that the use of NSER effectively reduces both, work hours for medical staff and the time for emergency transport of a patient.※2


To achieve our mission, “save lives with medical data,” we need to contribute to improving the quality of emergency medicine all over the world. As a first step to achieve this, we started this project in Malaysia exporting and localizing our products, the NSER series. However, before starting the project we were not so sure whether the NSER series would be accepted overseas, where cultures and lifestyles differ from Japan. Also, there was no visibility whether the optical character recognition (OCR) technology and voice input functions incorporated in the products would work in local languages. We spent about four months developing and localizing the products through meetings and on-site surveys collaborating with the hospitals. After this development process, we finally began the trial with the NSER series in four hospitals (Universiti Sains Malaysia, Sultan Ahmad Shah Medical Center (UIA), etc.) in December 2022.
The OCR function we developed, which has been widely accepted in the ambulance services in Japan, has been confirmed to be very effective in the ones in Malaysia. It’s proven to be useful for capturing information from ID cards even though Malaysian people have longer names compared to Japanese ones. We never end our effort to improve the system through this trial by closely listening to the feedback from the hospitals.

Patients enter their information using TXP Self Assessment System by themselves which can reduce the data-entering work for medical staff.

This successful progress in the Malaysian project proves the effectiveness and potential for further expansion of the "NSER series" toward other ASEAN countries.
We will further improve our products and will continue to contribute to strengthening economic and industrial cooperation between Japan and ASEAN countries.

※1. TXP Medical's Malaysian Project Selected for the "Third ASEAN-Japan Asian DX Promotion Project" by the Ministry of Economy, Trade and Industry and the Japan External Trade Organization (JETRO)

※2. Experimental Implementation of NSER Mobile App for Efficient Real-Time Sharing of Prehospital Patient Information With Emergency Departments: Interrupted Time-Series Analysis (JMIR Form Res. 2022;6(7):e37301.


NSER mobile

NSER mobile is an AI-based smartphone application for paramedics that realizes the quick information recording of an emergency patient using voice inputs and OCR functions. The product is designed to support the operations in ambulance services facilitating information exchange between the ones and hospitals.
The service was launched in 2020 and is currently used by 12 local governments in Japan.


NEXT Stage ER is a data platform system specialized for emergency medicine. It realizes efficient recording of patient information, sharing of information among medical staff, and data collection for research in busy clinical settings.
The product is designed to cover several situations frequently seen in the emergency departments, including information sharing with ambulance services, triage, and referral of patients to other hospitals. The entered data can also be linked to electronic medical records in hospitals.
Furthermore, this system will facilitate the accumulation of structured text data to perform better quality of clinical research.


TXP Self Assessment System

Self Assessment System is a system where patients can input their demographic and medical information on their smartphones. Hospital staff can import those data into the electronic medical chart via NSER.
The system can reduce the time required for collecting patient information for medical staff as patients can enter their medical conditions and other information into the system by themselves while waiting for the consultation by doctors.

Yuta Iwamoto, the Overseas Business Department Manager and Project Leader, who is promoting overseas projects including this project, presented the results of our company's pilot study using our products in Malaysia and Indonesia at the National EMS Conference 2023, organized by the largest association for emergency medical personnel in Malaysia, on May 10. Additionally, he is scheduled to speak as a panelist at the 40th Joint Meeting of the Japan-Malaysia Economic Association, which will be held in Tokyo on the 25th of this month.

Dr. Yuta Iwamoto's Key Experiences (Selected Highlights):
1. Jan 2022 - Present: Expert, Business Development Department, TXP Medical Co. Ltd.
2. Jan 2017 - Dec 2021: Project Medical Referent etc., Médecins Sans Frontières (MSF) in multiple countries.
3. Feb 2019 - Mar 2019: Expert in Emergency Medicine, Japan International Cooperation Agency (JICA).
4. Oct 2018: Medical Doctor, Association of Medical Doctors of Asia (AMDA) Emergency Relief mission, Indonesia.
5. May 2017 - Aug 2017: Intern, World Health Organization Headquarters, Switzerland.
6. Dec 2015 - Mar 2016: Medical Affiliate, San Lazaro Hospital, The Philippines.
7. Apr 2014 - Sep 2015: Physician, Teikyo University Hospital, Japan.
These selected experiences represent Dr. Yuta Iwamoto's significant contributions and influence in various international medical roles and organizations.