BHI upholds the highest standards in scholarly publishing and welcomes manuscript submissions from members and non-members of Japan Association for Medical Informatics based anywhere in the world.

Before submitting a manuscript to the journal, authors must ensure that they have read and complied with the journal’s policies. The journal reserves the right to reject without review, or retract, any manuscript that the Editor-in-Chief believes may not comply with these policies.

The responsibilities of the journal’s authors, editors, reviewers and publisher regarding research and publication ethics are described in full below.

Submission of a manuscript to the journal implies that all authors: have approved it, warrant it is factual, have agreed to its submission, and have the right to publish it.

Originality

Submission to the journal implies that the manuscript is original work, has not been previously published (in part or in whole, in any language), is not in press, and
is not under consideration for publication elsewhere.

The journal uses Crossref’s Similarity Check plagiarism software to screen manuscripts for unoriginal content. By submitting a manuscript to the journal, authors
agree to this screening. Any manuscript with an unacceptable level of unoriginal material may be rejected or retracted at the Editor-in-Chief’s discretion.

Authors must inform the editors if any related manuscripts are under consideration, in press or published elsewhere. The availability of a manuscript on a publicly
accessible preprint server does not constitute prior publication.

If authors choose to submit their manuscript elsewhere before a final decision has been made on its suitability for publication in the journal, they should first
withdraw it from the journal.

Research ethics

Authors of manuscripts describing research involving human participants, human materials or human data, must demonstrate that the work was carried out in accordance with the principles embodied in the Declaration of Helsinki, its revisions, and any guidelines approved by authors’ institutions.
A statement detailing this, including the name of the ethics committee and the reference number where appropriate, must appear in all manuscripts reporting such research.

Where relevant, authors must describe the procedures for obtaining informed consent from participants or provide an explanation if consent was waived (for example, in studies using anonymized or de-identified data), in accordance with institutional and national guidelines.

Authors of manuscripts describing experiments involving animals or materials derived from animals must demonstrate that the work was carried out in accordance with institutional and national guidelines for animal care and use.

Manuscripts may be rejected if the Editor considers that the research has not been carried out within an appropriate ethical framework. In rare cases, the Editor may contact the ethics committee for further information.

Clinical trial registration

The journal adheres to the International Committee of Medical Journal Editors (ICMJE) policy on Clinical Trials Registration, which requires that all clinical trials are registered in a public trials registry at or before the time of first patient enrollment as a condition of consideration for publication. Manuscripts describing clinical trials must include the registration number of the trial and the name of the trial registry.

Reporting guidelines

The journal requires authors to follow the EQUATOR Network’s Reporting Guidelines for health research. For studies in medical informatics, authors should consult additional relevant guidelines, such as:
PRISMA for systematic reviews and meta-analyses.
CONSORT-EHEALTH for web-based and mobile health interventions.
CONSORT-AI and SPIRIT AI for AI intervention trials.
STARE-HI for health informatics evaluation studies.
TRIPOD+AI (or TRIPOD) for prediction model development and validation.
SQUIRE for quality improvement studies.
STROBE for observational studies.

Data Availability

For all empirical studies, authors must include a "Data Availability Statement" section in their manuscript detailing where the data supporting their findings can be found.

Authors are encouraged to make their data and materials publicly available in community-recognized repositories. If data are publicly available, accession numbers or DOIs must be provided.

All data sets should be made available to editors and reviewers during the peer review process upon request, unless legal, ethical, or contractual restrictions prevent disclosure. In such cases, explain these restrictions in the "Data Availability Statement".

Authorship

Submission to the journal implies that all authors have seen and approved the author list. Changes to the author list after manuscript submission – such as the insertion or removal of author names, or a rearrangement of author order – must be approved by all authors and the editor. In principle, the journal permits a maximum of two authors to be designated as co-first authors, provided that their equal contribution is clearly indicated in the manuscript. Changes of authorship by adding or deleting authors, and/or changes in corresponding author, and/or changes in the sequence of authors are not permitted after acceptance of a manuscript.

Authors should consider ICMJE Recommendations on ‘Defining the Role of Authors and Contributors’. The ICMJE recommends that authorship is based on four criteria: making a substantial contribution to the conception or design of the work, or the acquisition, analysis or interpretation of data for the work; drafting the manuscript or revising it critically for important intellectual content; approving the final version of the manuscript for publication; and agreeing to be held accountable for all aspects of the work.

Any contributor who has met all four criteria should be an author on the manuscript. Contributors who do not meet all four criteria should not be authors of the manuscript but may be included in the Acknowledgments section instead.

Given that Artificial Intelligence (AI) tools such as Large Language Models (LLMs) and various openly available services cannot meet the requirements above, they cannot be listed as an author of a manuscript.

Data falsification, data fabrication and image integrity

Authors must not falsify or fabricate data. Authors may digitally manipulate or process images, but only if the adjustments are kept to a minimum, are applied to the entire image, meet community standards, and are clearly described in the manuscript. All images in a manuscript must accurately reflect the original data on which they are based. Authors must not move, remove, add or enhance individual parts of an image. The editors reserve the right to request original, unprocessed images from the authors. Failure to provide requested images may result in a manuscript being rejected or retracted.

Use of Artificial Intelligence (AI) tools

As per Committee on Publication Ethics (COPE) guidance, authors must disclose any use of generative artificial intelligence (AI) tools (also known as Large Language Models or LLMs) in a suitable part of the manuscript. This includes, but is not limited to, using AI tools to collect or analyse data, produce or amend images or graphics used in the manuscript, or write all or part of the manuscript. Authors must describe which tools they used and how the tools were used. In general, the use of generative AI tools is allowed only where that use is an integral part of the research design or methods. Other use will be reviewed on a case-by-case basis. In all cases, authors remain responsible for all the content of their submitted manuscript.

Authors should be aware that there are ongoing concerns about the copyright status of any AI-generated content. Authors must adhere to the instructions in the ‘Reproducing copyrighted material’ section of this document and comply with relevant statutory and other copyright laws.

It is acceptable to use generative and non-generative AI tools to improve the readability of a manuscript, such as through spelling and grammar checking. However, authors are still required have the final manuscript reviewed by a native English speaker even after AI-assisted refinement.

Reviewers and Editors must not upload unpublished manuscripts to any AI tool or service. Doing so would breach privacy and confidentiality provisions, as described elsewhere in this document. There are also potential copyright issues if unpublished material is uploaded to a third-party service.

Reproducing copyrighted material

If a manuscript includes material that is not under the authors’ own copyright, the authors must obtain permission from the copyright holder(s) to reproduce it.

If a manuscript includes previously published material, the authors must obtain permission from the copyright owners and the publisher of the original work to reproduce it. The authors must cite the original work in their manuscript.

Copies of all reproduction permissions must be included with the manuscript when it is first submitted.

Author conflicts of interest

In the interests of transparency, the journal requires all authors to declare any competing or conflicts of interest in relation to their submitted manuscript. A conflict of interest exists when there are actual, perceived or potential circumstances that could influence an author’s ability to conduct or report research impartially. Potential conflicts include (but are not limited to) competing commercial or financial interests, commercial affiliations, consulting roles, or ownership of stock or equity. Manuscripts must be compliant with the ICMJE standards on this matter.

Authors should list all funding sources for their work in the Funding section of their manuscript.

Confidentiality

The journal maintains the confidentiality of all unpublished manuscripts. By submitting their manuscript to the journal, the authors warrant that they will keep all correspondence about their manuscript (from the Editorial Office, Editors and Reviewers) strictly confidential.

Preprints

To support the wide dissemination of research, the journal encourages authors to post their research manuscripts on community-recognized preprint servers, either before or alongside submission to the journal. This policy applies only to the original version of a manuscript that describes primary research. Any version of a manuscript that has been revised in response to reviewers’ comments, accepted for publication or published in the journal should not be posted on a preprint server. Instead, forward links to the published manuscript may be posted on the preprint server.

Authors should retain copyright in their work when posting to a preprint server.

Self-archiving (Green Open Access) policy

Self-archiving, also known as Green Open Access, enables authors to deposit a copy of their manuscript in an online repository. The journal encourages authors to upload their article to an institutional or public repository immediately after publication in the journal.

Long-term digital archiving

J-STAGE preserves its full digital library, including the journal, with Portico in a dark archive (see https://www.portico.org/publishers/jstage/). In the event that the material becomes unavailable at J-STAGE, it will be released and made available by Portico.