KEY POINTSMedley develops AI-native cloud electronic medical record system MALL Cloud for hospitals and inpatient clinicsMALL Cloud aligns with Japanese health ministry standards for integrated cloud migration of records, billing and departmental systemsPhased rollout targets January 2027, with pilot hospitals and clinics recruited ahead of launch
Medley develops the AI-native cloud electronic medical record system, MALL Cloud. Note: Japanese text in the original image from press release has been translated into English by our editorial team.
Medley Inc.
TOKYO, Aug. 13 – Medley Inc. is developing an AI-native, cloud-native electronic medical record system for hospitals and clinics with beds that complies with standards set by Japan’s health ministry, the company said on August 13, targeting a phased rollout from January 2027.
The new product, tentatively named MALL Cloud, is being developed for hospitals and inpatient clinics under Medley’s MALL electronic medical record brand. The company plans to recruit pilot users from hospitals and clinics with beds to support early implementation and verification before the service launch, including from the beta version stage.
MALL Cloud will retain the basic functions and user workflow of Medley’s existing on-premise MALL system to make migration smoother for current users, while enabling faster development and updates through an AI-native architecture. Planned features include integrated handling of Medley’s in-house departmental systems for drugs, nutrition, laboratory testing and dialysis on the same screen, broader connectivity with testing devices, medical billing, imaging systems and peripheral equipment, and generative AI support for medical document preparation.
Medley’s existing MALL system has been used for about 20 years, with roughly 250 medical facilities adopting the system and a continuation rate of 98% as of March 2026. In addition to MALL, the company also offers specialized electronic medical record systems under the names MALL Psychiatry, MALL Jushin and MALL Dialysis.
The development comes as Japan pushes medical digitalization under a roadmap on healthcare DX, or digital transformation, approved in June 2023. The government aims to introduce electronic medical records at all medical institutions by 2030. A revised law enacted in December 2025 also stipulates the digitization of information in medical institutions’ operations, including the use of cloud-related technologies, to achieve a 100% electronic medical record adoption rate by Dec. 31, 2030.
As part of that policy, the health ministry has indicated that hospital information systems should shift away from conventional on-premise setups toward integrated cloud-based systems covering electronic medical records, receipt computers and departmental systems. In Japan, receipt computers are systems used to process insurance claims under the country’s public healthcare reimbursement system.
The health ministry’s cloud-native electronic medical record framework requires systems to run in public cloud environments that meet information security standards, rather than relying on servers operated inside medical institutions. Medley said it decided to develop a standards-compliant option as hospitals and inpatient clinics consider replacing or introducing electronic medical record systems under the government’s cloud migration direction.
The company is also participating as a member of a council led by the Digital Agency and the health ministry on renewing hospital information systems while discussions on institutional design continue.
Medley, established on June 5, 2009 and headquartered in Tokyo, operates technology businesses in healthcare and related fields, including the JobMedley medical and nursing care recruitment platform and medical platform services centered on MEDLEY AI CLOUD and the melmo app.