Browse > Article
http://dx.doi.org/10.5391/JKIIS.2011.21.4.456

Design and Development of an EHR Platform Based on Medical Informatics Standards  

Kim, Hwa-Sun (대구한의대학교 IT의료산업학과)
Cho, Hune (경북대학교 의료정보학과)
Lee, In-Keun (경북대학교 의료정보학과)
Publication Information
Journal of the Korean Institute of Intelligent Systems / v.21, no.4, 2011 , pp. 456-462 More about this Journal
Abstract
As the ARRA enacted recently in the United States, the interest in EHR systems have been increased in the field of medical industry. The passage of the ARRA presents a program that provides incentives to office-based physicians and hospitals adapting the EHR systems to guarantee interoperability with various medical standards. Thanks to the incentive program, a great number of EHR systems have been developed and lots of office-based physicians and hospitals have adapted the EHR systems certified by CCHIT. Keeping pace with the rapid changes in the market of healthcare, some enterprises try to push in to the United States healthcare market based on the experience acquired by developing EHR systems for hospitals in Korea. However, the developed system must be customized because of the different medical environment between Korea and the United States. In this paper, therefore, we design and develop an integrated EHR platform to guarantee the interoperability between different medical information systems based on medical standard technologies. In the developed platform, an integrated system has been composed by integrating various basic techniques such as data transmission standards and its methods, medical standard terminologies and its usage, and knowledge management for medical decision-making support. Moreover, medical data can be processed electronically by adapting an HL7 interface engine and the terminologies for exchanging medical information and the standardization of medical information. We develop SeniCare, an EHR system for supporting ambulatory care of the office-based physicians, based on the platform, and we verify the usability of the platform by confirming whether SeniCare satisfies the criteria of "meaningful use" issued by CMS or not.
Keywords
electronic health record system; medical information standard; meaningful use; interoperability;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Medical Informatics Platform for Telehealth Development Center, "SeniCare", Available: http://medinfo.knu.ac.kr/senicare, [Accessed: May 13, 2011]
2 J. Kim, H. Jung, and D.W. Bates, "History and Trends of Personal Health Record Research in PubMed," Healthcare Informatics Research, vol. 17, no. 1, pp. 3-17, 2011.   DOI   ScienceOn
3 이인근, 김화선, 조훈, "표준 의학 용어체계의 매핑을 위한 시스템의 설계 및 개발," 한국지능시스템학회 논문지, 제21권, 2호, pp.237-243, 2011.   과학기술학회마을   DOI
4 "Clinical Document Architecture", Available: http://hl7book.net/index.php?title=CDA, [Accessed: May 6, 2011]
5 "ABC", Available: http://www.abccodes.com/ali/products_services/pro_description.asp, [Accessed: November 5, 2010]
6 "North American Nursing Diagnosis Association", Available: http://www.nanda.org, [Accessed: November 5, 2010]
7 "Nursing Interventions Classification", Available: http://www.nursing.uiowa.edu/excellence/nursing_knowledge/clinical_effectiveness/nic.htm, [Accessed: November 5, 2010]
8 "Nursing Outcomes Classification", Available: http://www.nursing.uiowa.edu/excellence/nursing_knowledge/clinical_effectiveness/noc.htm, [Accessed: November 5, 2010]
9 M.C. Weinstein and H.V. Fineberg, Clinical Decision Analysis, W.B. Saunders Company, 1980.
10 M. Johnson, G. Bulechek, H. Butcher, J.M. Dochterman, M. Maas, S. Moorhead, and E. Swanson, NANDA, NOC, and NIC Linkages, Mosby, 2006.
11 T. Tran, H.S. Kim, H. Cho. "A Development of HL7 Middleware for Medical Device Communication," In Proceedings of SERA'2007, pp. 485-492, 2007.
12 "CMS-1500", Available: https://www.cms.gov/ElectronicBillingEDITrans/16_1500.asp, [Accessed: November 5, 2010]
13 Health Information Management Systems Society, "HIMSS Online Buyer's Guide", Avaliable: http://onlinebuy ersguide.himss.org/index.asp?F_Pavilion=Y, 2011, [Accessed: May 13, 2011]
14 The Office of the National Coordinator for Health Information Technology, "Certified Health IT Product List", Available: http://onc-chpl.force.com/ehrcert/EHRProductSearch, [Accessed: May 13, 2011]
15 S.H. Han, M.H. Lee, S.G. Kim, J.Y. Jeong, B.N. Lee, "Implementation of Medical Information Exchange System Based on EHR Standard," Healthcare Informatics Research, vol. 16, no. 4, pp.281-289, 2010.   DOI
16 H.H. Kim, K.-W. Cho, H.S. Kim, J.-S. Kim, J.H. Kim, S.P. Han, C.B. Park, S. Kim, Y.M. Chae, "New Integrated Information System for Pusan National University Hospital," Healthcare Informatics Research, vol. 17, no. 1, pp.67-75, 2011.   DOI
17 H.J. Ryu, W.S. Kim, J.H. Lee, S.W. Min, S.J. Kim, Y.S. Lee, Y.H. Lee, S.W. Nam, G.S. Eo, S.G. Seo, M.H. Nam, "Asan Medical Information System for Healthcare Quality Improvement," Healthcare Informatics Research, vol. 16, no. 3, pp.191-197, 2010.   DOI
18 "Health Level 7", Available: http://www.hl7.org, [Accessed: May 13, 2011]
19 "Digital Imaging and Communications in Medicine", Available: http://medical.nema.org, [Accessed: May 13, 2011]
20 "Systematized Nomenclature of Medicine-Clinical Terms", Available: http://www.ihtsdo.org, [Accessed: May 13, 2011]
21 "International Classification of Diseases", Available: http://www.who.int/classifications/icd/en, [Accessed: May 13, 2011]
22 "Current Procedural Terminology", Available: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt.page, [Accessed: May 13, 2011]
23 "Logical Observation Identifiers Names and Codes", http://loinc.org, [Accessed: November 5, 2010]
24 곽연식, 조훈, 김인숙, 김종효, 민원기, 의료정보학의 입문, 비아이티 출판사, 2000.
25 김용욱, Essential Elements of EHR System(v1.0), 군자출판사, 2006.
26 Health Information Management Systems Society, "22nd Annual HIMSS Leadership Survery," Available: http://www.himss.org/2011survey/healthcareCIO_final.asp, 2011, [Accessed: May 9, 2011]
27 Centers for Medicare & Medicaid Services, "Medicare and Medicaid Programs; Electronic Health Record Incentive Program", Avaliable: http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf, 2010, [Accessed: May 13, 2011]
28 Centers for Medicare & Medicaid Services, "CMS EHR Meaningful Use Overview", Available: https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp#TopOfPage, 2011, [Accessed: May 13, 2011]
29 The Office of the National Coordinator for Health Information Technology, "Establishment of the Permanent Certification Program for Health Information Technology", Available: http://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdf, 2011, [Accessed: May 13, 2011]
30 Walter H. Henricks, "Meaningful use of electronic health records and its relevance to laboratories and pathologists," Journal of pathology informatics, vol. 3, No. 7, 2011.