Yamada Clinic, located in Ikeda City, Osaka Prefecture, is a medical facility specializing in internal medicine and cardiology that offers services in English and provides parking. The clinic provides general treatment for internal medicine conditions and makes referrals to specialized medical facilities when necessary. The clinic places particular emphasis on the diagnosis and treatment of cardiovascular diseases and also offers diabetes treatment within a certain scope. In terms of medical care, the clinic participates in care insurance services by preparing attending physician statements and collaborating with various care providers. It has established cooperative systems with visiting care providers, playing a role in supporting home-based treatment. Additionally, the clinic is engaged in preventive medicine, including conducting some regular vaccinations commissioned by Ikeda City. The clinic supports electronic prescriptions and refill prescriptions, actively promoting healthcare DX. In examination rooms where physicians provide care, medical information obtained through systems such as online eligibility verification is utilized, and initiatives related to healthcare DX are being implemented, including promoting My Number insurance cards and considering the introduction of electronic medical record information sharing services. The clinic actively uses generic drugs and has established systems to provide patients with sufficient explanations when medications change due to supply conditions. Furthermore, from the perspective of promoting healthcare transparency and providing information to patients, the clinic issues free detailed statements showing medical fee calculation items when issuing receipts, and calculates base-up evaluation fees (I) to work on improving staff待遇.