Name

CSI

Legal name

株式会社シーエスアイ

Website

https://csiinc.co.jp

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

101–250 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Sapporo

HQ country

Japan

HQ region

Asia

Offices4 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Medical System Development Sales: Sale of proprietary medical information systems including electronic medical record systems, primarily the MI・RA・Is series. Includes on-premises and cloud deployment options with perpetual licensing and subscription models.
2. Commissioned System Development: Custom software development services for healthcare and general industries, working with specifications provided by clients. Provides system integration and implementation support.
3. Cloud Services: Subscription-based cloud EMR services (MI・RA・Is/QS, MI・RA・Is V for Cloud) with monthly fees covering software access, data center hosting, and technical support.
4. SaaS Services: Web-based services including Doctor Connect (reservation/questionnaire system) with monthly subscription fees, and AI document creation tools.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

CSI develops and sells electronic medical record (EMR) systems for Japanese healthcare institutions, centered on the proprietary MI・RA・Is product series. The company offers both on-premises and cloud-based deployment options, along with complementary products including mobile EMR access, AI-powered document creation, regional medical information sharing networks, and patient-facing web services. Revenue is generated through software licensing, subscription-based cloud services, and commissioned custom system development primarily for hospitals and clinics across Japan.

Product overview

CSI provides a comprehensive electronic medical record (EMR) ecosystem centered on the MI-RA-Is series, which serves as the core platform with multiple product tiers and add-on modules. The flagship MI-RA-Is V serves general hospitals with options for chronic/psychiatric wards (V Mix), small-scale facilities (V Lite), and cloud deployment (V for Cloud). The MI-RA-Is/QS provides a cloud-only EMR solution for smaller medical institutions. Supporting products include Doctor Connect for appointment booking and consultation management, ID-Link for regional medical information sharing, mobile solutions (MI-RA-Is Palm, スマホDEカルテ, MI-RA-Is SMS), AI assistance tools (MI-RA-Is +AI, かかりんDX問診), and patient-facing applications (からだメモ, ドクターメモ). The product architecture combines on-premises and cloud deployment options with extensive third-party integrations including medical imaging systems (PACS/DICOM), vital sign devices, and national health information infrastructure.

Differentiator

Problem solved

Functional benefit

Brands

• MI・RA・Is: Electronic medical record system series for healthcare institutions
• MI・RA・Is V
• MI・RA・Is/QS
• MI・RA・Is +AI
• MI・RA・Is V for Cloud
• ドクターコネクト
• ID-Link
• かかりん

Products and services

• MI・RA・Is V (ミライズ ファイブ) Flagship electronic medical record (EMR) system for general hospitals built on three core concepts: medical safety, work efficiency improvement, and management support. Features include drug/allergy interaction checks, infection control, workflow management, multi-vendor connectivity, and optional cloud deployment.
• MI・RA・Is/QS (ミライズ/キュエス) Cloud-based electronic medical record service designed for small-scale medical institutions (clinics and small hospitals). Four key features: Security (various security measures), Safety (stable system based on MI-RA-Is/AZ), Simple (easy-to-use interface), and Small (essential functions for small facilities). Reduces initial costs and eliminates server management burden.
• MI・RA・Is V for Cloud
• Doctor Connect (ドクターコネクト) WEB-based appointment booking, pre-visit questionnaire, and treatment management service. Enables patients to book appointments, complete medical questionnaires, and track treatment progress via smartphone. Integrates with MI・RA・Is electronic medical records for seamless information sharing between medical institutions and patients.
• ID-Link Regional medical information sharing network service that enables healthcare facilities to share patient medical information including prescriptions, examinations, images, and documents. Supports regional comprehensive care system with DICOM image viewing and document sharing capabilities via secure VPN connections.
• MI・RA・Is +AI (ミライズ プラスエーアイ) AI-powered document creation tool for electronic medical records that assists with generating medical documents such as referral letters and discharge summaries. Operates in on-premises environment without internet connection for enhanced security. Uses generative AI to draft documents from patient clinical records that physicians can review and edit.
• Kakarin (かかりん) Patient communication service connecting medical institutions with patients and families. Includes online appointment booking, reminder notifications, email guidance, and electronic medical record integration for viewing prescription history and test results.
• MI・RA・Is Palm Mobile portal application that consolidates various smartphone applications for MI・RA・Is EMR system. Features SSO (single sign-on), biometric authentication, and launcher functionality for managing multiple MI・RA・Is mobile applications including EMR viewer, secure messaging, and safety verification.

Quantifiable outcome

• 900+ domestic installations for MI・RA・Is series
• +3 more outcomes

Named customers11 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

AI capability7 records

Feature8 records

Partnerships

16 partnerships are on record, tiered minor and core.

• 株式会社RUTILEAminorStrategic or Co-development Partner · 1 May 2024Collaboration for AI business development using non-verbal information (behavior, silence, facial expression changes) in healthcare and wellness fields. Goal is developing AI systems that enhance human capabilities in medical settings.
• あいち小児保健医療総合センターminorStrategic or Co-development Partner · 1 May 2024Collaboration on oral immunotherapy management system using Doctor Connect PHR service. Center provides expertise and supervision for developing treatment management functionality.
• あざがみクリニックminorStrategic or Co-development Partner · 1 September 2023Pilot demonstration site for からだメモ (patient health management app) and ドクターメモ (doctor memo app) PHR services. Clinic provides feedback for UX improvement before nationwide launch.
• 聖マリアンナ医科大学minorStrategic or Co-development Partner · 1 December 2021Collaboration on neonatal medical care support system development as part of JST (Japan Science and Technology Agency) SDG research program. CSI provides interface improvement and business design for system practicalization.
• 株式会社イーエムシステムズ (EM Systems)coreStrategic or Co-development Partner · 1 December 2020Continued collaboration to launch EHR (Electronic Health Record) linkage service between hospitals and insurance pharmacies. First implementation at Omuta Tenrei Hospital in Fukuoka with surrounding pharmacies starting January 2021.
• 株式会社イーエムシステムズ (EM Systems)coreStrategic or Co-development Partner · 1 November 2018Joint development of hospital-pharmacy EHR linkage service enabling prescription and dispensing information sharing between hospitals and pharmacies. Connected data centers allow electronic sharing of prescription information and dispensing details for improved patient safety and workflow efficiency.
• 株式会社医用工学研究所minorStrategic or Co-development Partner · 1 December 2017Collaboration for development and sales of CLISTA! Lite data warehouse system for small and medium hospitals. Leverages CSI's customer base with IOR's DWH technology for hospital business intelligence solutions.
• 日本，微软株式会社 (Microsoft Japan)coreTechnology or Integration · 1 April 2016CSI's cloud-based EMR services (MI・RA・Is/PX For Cloud, MI・RA・Is/AZ For Cloud) run on Microsoft Azure platform. Selected Azure for its high security level, reliability, and suitability for medical information systems.
• 日本電気株式会社 (NEC)coreChannel Partner/ Reseller/ DistributorNEC Group serves as a major sales distribution partner for CSI's MI・RA・Is EMR systems. CSI exhibits at major exhibitions within NEC booth space. The partnership leverages NEC's extensive healthcare customer base and sales infrastructure for nationwide distribution.
• NECソリューションイノベータ株式会社coreChannel Partner/ Reseller/ DistributorPart of NEC Group providing system integration and solution services for CSI's medical information systems.
• NECフィールディング株式会社minorChannel Partner/ Reseller/ DistributorNEC Group company providing field service and maintenance support for medical systems.
• 日本事務器株式会社minorChannel Partner/ Reseller/ DistributorRegional sales partner for medical information systems.
• PHC株式会社minorChannel Partner/ Reseller/ DistributorSales partner for medical information systems.
• 株式会社NTTデータminorChannel Partner/ Reseller/ DistributorNTT Data provides medical system integration services and distributes CSI products through its healthcare IT solutions portfolio.
• 東芝情報システム株式会社minorChannel Partner/ Reseller/ DistributorRegional sales partner for medical information systems.
• 株式会社エスイーシーcoreTechnology or IntegrationProvides ID-Link regional medical information sharing service. CSI products integrate with ID-Link to enable cross-facility medical information viewing including prescriptions, examinations, images, and documents.

Scale indicators9 records

Recent moves8 records

Expansion highlights6 records

Emerging players

• Epic Systems: Epic is the dominant US-based EMR vendor expanding into Japan and large Asian academic medical centers; while it serves a higher-end segment, it competes with CSI for university hospitals and represents the global cloud-first benchmark.
• Oracle Health (formerly Cerner): Oracle Health is a global EMR/clinical workflow vendor with growing Japanese footprint, competing with CSI in larger hospital environments with international-standard interoperability requirements.
• EM Systems (Co-developed partner / pharmacy EMR): EM Systems is a strategic co-development partner of CSI for hospital-pharmacy EHR linkage but independently develops pharmacy-side EMR and dispensing systems, making it a partial competitor in the medication workflow niche.

Regional players

• SYSNEXT Corporation: SYSNEXT provides Japanese medical information systems (HAPPY ACT, HOPE series heritage) including EMR and nursing solutions to a comparable mid-sized hospital customer base within Japan.

Direct peers

• Software Service Inc. (SSI - e-Karte): SSI develops e-Karte, one of the major Japanese EMR systems with comparable #1/#2 market share and similar feature set, including order entry, nursing, and DWH modules sold to mid-sized general hospitals.
• PHC Corporation (formerly Panasonic Healthcare): PHC offers MEDI-21 and related EMR/medical information systems for Japanese healthcare institutions, competing in both hospital and clinic segments with overlapping feature sets.
• Fujitsu (HOPE/EGMAIN-GX series): Fujitsu's HOPE/EGMAIN series is the leading Japanese EMR system, directly competing with CSI's MI・RA・Is for the same hospital segment, particularly general and university hospitals, through similar on-premises/cloud deployment models.
• NEC (NEC Group - Medical Solutions): NEC is both CSI's largest distribution partner and a direct competitor in the Japanese EMR market through its MegasOak and related medical information systems serving the same mid-to-large hospital customers.
• NTT Data (Healthcare Solutions): NTT Data distributes CSI products through partnership but also competes directly with its own e-HealthOne and related EMR/regional coordination platforms serving Japanese hospitals and healthcare networks.
• Canon Medical Solutions (Forcs): Canon Medical offers Forcs EMR solutions for Japanese healthcare institutions, with comparable on-premises deployment, pharmacy/nursing integration, and a similar target customer base in mid-sized hospitals.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key highlights8 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CSI