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http://dx.doi.org/10.5391/JKIIS.2012.22.4.507

Development of a Management Tool of CCD/CCR-centric Standard Clinical Document  

Lee, In-Keun (경북대학교 의료정보학과)
Cho, Hune (경북대학교 의료정보학과)
Kim, Hwa-Sun (대구한의대학교 IT의료산업학과)
Publication Information
Journal of the Korean Institute of Intelligent Systems / v.22, no.4, 2012 , pp. 507-514 More about this Journal
Abstract
XML-based standards such as CCD(Continuity of Care Document) and CCR(Continuity of Care Record) have been developed for representation, integration, and exchange of personal health record(PHR), and various of researches on PHR based on the standards have been conducted. These researches have developed and used CCD/CCR parsers each with their own different ways, but it can be hard to develop and update the parsers because of the structural complexity of the standards. Moreover, inter-exchange between CCD and CCR documents in the PHR-related medical information systems should be possible for the interoperability of the systems. Therefore, we proposed a designing method to develop the tools treating XML-based CCD/CCR documents. And we implemented CCD/CCR parser based on the proposed method and developed a converter from CCD to CCR using the parsers. To confirm the usefulness of the developed tool, we performed an experiment of creating CCD documents using the personal health data gathered from chronically ill patients in Kyungpook National University Hospital and of converting from the CCD documents to CCR documents.
Keywords
Personal Health Record; Continuity of Care Record; Continuity of Care Document; CCD-CCR Converter; Interoperability;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
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1 ASTM International, Available: http://www.astm.org, June 10, 2012.
2 ASTM International, "ASTM Standard E2369-05e1, Standard Specification for Continuity of Care Record (CCR)," 2005.
3 Helath Sevel Seven Inc., "HL7 Implementation Guide: CDA Relase 2 - Continuity of Care Document (CCD)," 2007.
4 S.H. Han, M.H. Lee, S.G. Kim, J.Y. Jeong, B.N. Lee, M.S. Choi, I.K. Kim, W.S Park, K. Ha, E. Cho, Y. Kim, and J.B. Bae, "Implementation of Medical Information Exchange System Based on EHR Standard," Health Information Research, vol. 16, no. 4, pp. 281-289, 2010.   DOI
5 오택군, 이연, 신숭선, 김경배, 배해영, "데이터스트림 처리 시스템에 기반한 연속적인 헬스케어 데이터 관리 시스템 설계," 제35회 한국정보처리학회 춘계학술대회 논문집, 제18권, 1호, pp. 1218-1221, 2011.   과학기술학회마을
6 W. Liao and M.P. Bowman, "A CCR-Relational Converter for Enhancing eHealth Interoperability," The 2011 International Conference on e-Learning, e-Business, Enterprise Information Systems, and e-Government, 2011.
7 J.H. Sutanto and H.L. Seldon, "Translation between HL7 v2.5 and CCR Message formats," 2011 IEEE Conference on Open Systems (ICOS2011) , pp.25-28, 2011.
8 Google Health, Available: http://health.google.com, April 1, 2012.
9 Microsoft healthVault, Available: "http://www.healthvault.com, June 10, 2012.
10 Microsoft HealthVault, "Health Information", Available: https://account.healthvault.com/help/en-US/Content/Topics/HealthInformation.htm, June 10, 2012.
11 CCR Validator, Available: http://sourceforge.net/projects/ccrvalidator, [Accessed: June 13, 2012]
12 F. Trotter and D. Uhlman, Getting to Meaningful Use and Beyond: A Guide for IT Staff in Health Care, O'Reilly Media, 2010.
13 김화선, 조훈, 이인근, "의료정보 표준에 기반한 EHR 플랫폼의 설계 및 개발," 한국 지능시스템학회 논문지, 제21권, 4호, pp. 456-462, 2011.   과학기술학회마을   DOI
14 이인근, 김화선, 조훈, "건강정보 교환 표준에 기반한 유비쿼터스 헬스케어 시스템 개발," 한국 지능시스템학회, 제22권, 3호, pp. 273-280, 2012.   과학기술학회마을   DOI
15 "Object Identifier Repository", Available: http://www.oid-info.com, June 13, 2012.
16 "SNOMED CT", Available: http://www.ihtsdo.org, June 13, 2012.
17 "Logical Observation Identifiers Names and Codes ", Available: http://loinc.org, June 13, 2012.
18 International Telecommunication Union. "Implementing e-Health in Developing Countries: Guidance and Principles," Available: http://www.itu.int/ITU-D/cyb/app/docs/e-Health_prefinal_15092008.PDF, June 1, 2012.
19 박찬용, 임준호, 박수준, 김승환, "유헬스케어 표준화 기술 동향," 전자통신동향분석, 제25권, 4호, pp. 48-59, 2010.   과학기술학회마을
20 식품의약품안전청 의료기기본부, 홈헬스케어 의료기기 표준화 가이드라인, 식품의약품안전청, 2007.
21 신수용, 정천기, "의료정보의 향후전망: 병원 주도의 개인건강기록 구축," 대한의사협회지, 제52권, 11호, pp. 1115-1121, 2009.
22 H.-Y. Kao and D.-M. Liou, "Research on Applying the Continuity Care Document to Generate a Medical Record with Entry Level," in Proceedings of International Conference on Computer, Electrical, and Systems Science, and Engineering, pp. 318-322, 2010.
23 T. Benson, Principles of Health Interoperability HL7 and SNOMED, Spinger, 2009.
24 J. Lahteenmaki, J. Leppänen, and H. Kaijanranta, "Interoperability of Personal Health Records," 31st Annual International Conference of the IEEE EMBS, pp. 1726-1729, 2009.
25 Health Level Seven International, Available: http://www.hl7.org, April 14, 2012.
26 W.A. Yasnoff, Personal Health Records: The Essential Missing Element in 21st Century Healthcare, Healthcare Information and Man, 2009.