Journal of Digital Contents Society (디지털콘텐츠학회 논문지)

Digital Contents Society (한국디지털콘텐츠학회)
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An Architecture and Software Process for the Convergence of Heterogeneous Medical Recording Contents

이질적인 의무기록 콘텐츠의 융합을 위한 시스템 아키텍처와 소프트웨어 프로세스

  • 김종호 (경성대학교 경영정보학과)
  • Received : 2011.10.05
  • Accepted : 2011.12.09
  • Published : 2011.12.31
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Abstract

Most of electronic medical record systems which have been built in Korean hospitals are based on source oriented medical record approach. These systems hardly satisfy diverse objectives owing to the innate imperfections in system architecture and development methodology. Thus, the hybrid of source oriented and problem oriented approach is highly desirable. The purpose of this study is to present an architecture and methodology required to construct hybrid electronic medical record system and to develop a prototype based on them. Analyzing the clinical processes and data requirements of problem oriented medical record approach we developed a software process model as weel as an architecture model which consists of legacy system, clinical data repository, problem list database, prospective plan database, user interface, and synchronization procedures.

다양한 의료서비스를 정형화되고 효율적인 방법으로 제공하기 위하여 최근 의료기관의 전자의무기록 시스템의 도입이 활발하다. 그러나 국내에서 개발된 대부분의 전자의무기록시스템은 자료수집원 기반의 방식으로 개발되어 왔다. 이러한 시스템들은 시스템 아키텍처와 소프트웨어 프로세스의 태생적인 한계로 인해 전자의무기록시스템의 도입이 추구하는 다양한 목표를 충족시키지 못하고 있다. 이러한 한계를 극복하기 위해 본 연구는 수집원 지향 방식으로 획득한 의무기록 콘텐츠와 문제지향 방식으로 획득한 의무기록 콘텐츠를 융합할 수 있는 시스템 아키텍처와 이러한 시스템을 구축하기 위한 최적화된 소프트 웨어 프로세스를 제시하였다. 이를 위해 문제지향식 의무기록 생성을 위한 진료 과정과 데이터 요구사항을 분석한 후 진료데이터저장소, 문제목록 데이터베이스, 동기화 모듈 등으로 구성되는 아키텍처와 나선형 소프트웨어 프로세스를 제시하고 프로토타입을 개발하였다.

Keywords

References

  1. Park RW, Shin SS, Choi YI, Ahn JO, Hwang SC. Computerized Physical Order Entry and Electronic Medical Record Systems in Korean Teaching and General Hospitals: Results of 2004 Survey. Journal of American Medical Informatics Association 2005;12(6);642-647. https://doi.org/10.1197/jamia.M1768
  2. Seo JW, Kim KH, Choi JW, Ha KS, Chin HJ, Kim JU, et al. Implementation of Electronic Medical Records at Seoul National University Hospital. Journal of Korean Society Medical Informatics 2006;12(3);213-225.
  3. Choi EY, Chang YS, Chin HJ, Chung EJ, Byeun NS, Yoo DH. et al. User's Satisfaction on the Electronic Medical Record System in Seoul National University Bundang Hospital. Journal of Korean Society Medical Informatics 2005;12(1);45-55.
  4. Hwang JI, Yu SJ, Chin HJ, Seo JW, Needs Assessment for Functionalities in Electronic Health Record Systems in General Hospitals. Journal of Korean Society Medical Informatics 2005;12(1);57-70.
  5. Weed LL. Medical records, medical education, and patient care, in the Problem-Oriented Record as a Basic Tool. Chicago:Year Book Medical Publishers;1969.
  6. Weed LL. Medical Records that guide and teach. New England Journal of Medicine 1968;278;593-600. https://doi.org/10.1056/NEJM196803142781105
  7. Min YI, Hong CG. Problem Oriented Medical Recording. Seoul:Daehan Medical Books;2006.
  8. Bu YK. Electronic Medical Record and Improvement of Quality in Medical Recording. Journal of Korean Society of Quality Assurance in Health Care 1997;4(1);32-35.
  9. Ho LM, McGhee SM, Hedley AJ, Leong JCY. The application of a computerized problem-oriented medical record system and its impact on patient care. International Journal of Medical Informatics 1999;55(1);47-59. https://doi.org/10.1016/S1386-5056(99)00019-2
  10. Bossen C. Evaluation of computerized problem-oriented medical record in a hospital department: Doesit supply daily clinical practice?. International Journal of Medical Informatics 2007;76(8);592-600. https://doi.org/10.1016/j.ijmedinf.2006.04.007
  11. Pressman RS. Software Engineering. Singapore:Mc Graw Hill;2005.
  12. Barroca L, Hall P (eds.). Software Architecture: Advances and Applications, New York:Addison-Wesley;2003.
  13. Shaw M, Garlan D. Software Architecture. New York:Prentice Hall;1996.
  14. Buschmann F. Pattern Oriented Software Architecture. New York:Wiley;1996.
  15. Payne TH, Graham G. Managing the Life Cycle of Electronic Clinical Documents. Journal of American Medical Informatics Association 2006;13(4);438-445. https://doi.org/10.1197/jamia.M1988
  16. Lee JH. The Development and Utilization of Clinical Indicators. Inje Medical Journal 2002;23(2);205-216.
  17. Schubart JR, Einbinder JS. Evaluation of a data warehouse in an academic health sciences center. International Journal of Medical Informatics 2000;60(3);319-333. https://doi.org/10.1016/S1386-5056(00)00126-X
  18. Doin RH, Alschuler L, Beebe C, Boyer S, Biron PV, Boyer SL, Essin D, Kimber E, Lincoln T, Mattison JE. HL7 Clinical Document Architecture. Journal of American Medical Informatics Association 2001;8(6);552-569. https://doi.org/10.1136/jamia.2001.0080552
  19. Doin RH, Alschuler L, Boyer S, Beebe C, Behlen FM, Biron PV, Shabo A. HL7 Clinical Document Architecture, Relase 2. Journal of American Medical Informatics Association 2006;13(1);30-39. https://doi.org/10.1197/jamia.M1888
  20. Gall W, Duftschmid G, Dorda W. Moving time window aggregates over patient histories. International Journal of Medical Informatics 2001;63(3);133-145. https://doi.org/10.1016/S1386-5056(01)00164-2
  21. Hazlemurst B, Frost HR, Sittig DF, Stevens VJ. MediClass: A System for Detecting and Classifying Encounter-based Clinical Events in Any Electronic Medical Record. Journal of American Medical Informatics Association 2005;12(5);517-529. https://doi.org/10.1197/jamia.M1771
  22. Goldberg A, Rubin KS. Succeeding with Objects: Decision Frameworks for Project Management. Massachusetts:Addison-Wesley;1995.