• The Korean Society of Law and Medicine
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• v.21 no.3
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• pp.3-33
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• 2020

Telemedicine can be defined as "medical activities performed remotely by medical personnel using information and communication technology." So far, many scholars in Korea have understood that only telemedicine between medical personnel is allowed and telemedicine between medical personnel and patients is prohibited based on Article 34 of Medical Service Act. However, Article 34 is only a restriction on the performing place of medical profession, not a prohibition on telemedicine itself. And, there are no regulations prohibiting telemedicine under the korean medical law. So, it is difficult to say that telemedicine is generally prohibited under the korean medical law, apart from the health insurance medical treatment benefit standards. However, there is controversy in interpretation regarding the meaning of "direct diagnosis" in Articles 17 and 17-2 of Medical Service Act. The Constitutional Court of Korea interpreted this as "face-to-face diagnosis", while the Supreme Court of Korea interpreted it as "self diagnosis". In light of the dictionary meaning of 'direct' and the interpretation of related medical law regulations, I think the Supreme Court's interpretation is valid. Although "direct diagnosis" does not mean "face-to-face diagnosis", the concept of "diagnosis" implies "principle of face-to-face diagnosis". In addition, "non-face-to-face diagnosis" are only allowed to supplement "face-to-face diagnosis", so the problems caused by "non-face-to-face diagnosis" can be fully overcome. In the end, the limit of telemedicine is how faithful the diagnosis was.

• Journal of Korea Multimedia Society
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• v.14 no.2
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• pp.295-306
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• 2011

The existing emergency medical systems are unable to obtain accurate clinical information, so most of the specialized first aid is being done within the hospital. In this paper, designed medical information transfer structure based on medical information standards HL7 for accurate first aid is proposed. The designed system can share clinical information and emergency medical information in terms of standard HL7 messages. Therefore, the correct first aid is available in steps taken by the hospital. In addition, the system of this paper has been implemented based on the OSGi service platform for the efficient integration with other health-related services.

• Journal of the Korea Society of Computer and Information
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• v.27 no.4
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• pp.61-77
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• 2022

The purpose of this study is to explain intention to use untact medical diagnosis and consultation services. We carried out the analysis of the survey data using Smart PLS 3.0 to test the hypotheses how the expected benefit variables and perceived risk variables of untact medical diagnosis and consultation services affect intention to use. According to the empirical analysis results, this study confirmed that quality of telemedicine service had a significant effects on perceived usefulness, Perceived Easy of Use. And accessibility had a significant effects on perceived easy of use, cost saving and expected benefits had a significant effects on use Intention of untact medical diagnosis and consultation services. Performance risk and service risk had a significant effect on medical risk. And medical risk had a significant negative(-) effects on use Intention of untact medical diagnosis and consultation services. This study has its meaning because it found out that it deals structurally and expansively with use intention of untact medical diagnosis and consultation services through positive and negative factors.

• The Korean Society of Law and Medicine
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• v.21 no.2
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• pp.3-33
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• 2020

Until recently the German and the South Korean medical associations reacted cautiously to the introduction of telemedicine between doctor and patient which is exclusively on the platform conducted. But the General Assembly of German Physicians voted to lift the ban on remote treatment with the amendment to Section 7 (4) MBO-Ä(Medical Association's Professional Code of Conduct) in 2018 and the situation has been fundamentally changed in Germany. From then until now 16 of 17 rural medical associations have changed their professional code to allow telemedicine. In addition the legislature started to prepare the basis for the introduction of the electronic health card (eGK) and the telematics infrastructure. So far, various laws such as Medicinal Products Act, Drug Advertisement Act and Social Code have been changed to support legalization of telemedicine and digitalization of health care. Unlike in Germany, the social circumstances such as excessive centralization of the big hospitals in Seoul and the resulting concern of small medical practices for profitability are the main obstacles to the introduction of telemedicine. However the German approach how to legalise the telemedicine and to prepare for legal and technical infrastructure is also interesting in South Korea. The discussions for and against the changes in the law and the telematics infrastructure attempted by the German government for several years indicate that not only lifting the ban on remote treatment, but also harmonization of all the related legal system could guarantee successful implementation of telemedicine.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2007.10a
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• pp.469-472
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• 2007

The telemedicine system provide an efficient means to monitor the status of health and measure bio-information even though the limitation of distance and time. The telemedicine system can be divided into two categories. The first one is Remote Support Service which can monitor the patient including home environments and give those diagnosis information to medical office. and the other one is Alarm Service that can be used for tile emergency status. For the convenience of the patient we will design and implement portable healthcare device and the telemedicine system under the wireless ZigBee network environments.

• The Journal of the Korea Contents Association
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• v.9 no.8
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• pp.158-165
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• 2009

Counselling between a patient and a doctor is crucial in telemedicine. In order for the doctor to examine the patient accurately, it needs an auscultation, at least. Currently, some video conference systems are implemented but it is hard to use them in the case of an cardiac disorder, because the patients suffering from cardiac disorder cannot be examined by a stethoscope over Internet. To solve this problem, the remote counselling service has to support real time transmission of the heart sound of the patient. In this paper, we present a remote counselling system with stethoscope. We also design and implement the system in order for health monitor to connect the patient with his attending physician for the environment of u-healthcare service. The proposed system supports a mobility for doctor and patient by exchanging IP addresses at an user authentication protocol. The system implemented by this paper can be used for cardiac patients in remote clinical setting in the future.

• Proceedings of the Korea Information Processing Society Conference
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• 2001.10b
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• pp.1197-1200
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• 2001

본 논문에서는 원격지에 있는 사용자가 좀 더 쉽고 효율적으로 자가진단을 하고 진료를 받기 위한 의료정보시스템을 구현하였다. 사용자는 자가진단 프로그램을 통하여 난청 진단을 한 수 있고 진단 결과값을 DB에 저장한다. 그 결과 값을 가지고 사용자는 전문의에게 진단을 요청 할 수 있으며 전문의의 처방에 따라 교육을 받아 치료를 할 수 있다. 교육을 받은 결과 값은 다시 전문의에게 보여지고 전문의는 사용자의 교육 성과에 따라 어떤 교육이 필요한가를 사용자에게 알려 줄 수 있다. 본 시스템은 Web을 통한 인터페이스로 사용자는 원격진단을 쉽게 받을 수 있고 자신이 받은 진단에 대해서 전문의와 효율적인 의사소통이 이루어지므로 난청 치료에 도움이 된다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2006.05a
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• pp.243-246
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• 2006

본 논문은 골밀도 진단시스템의 원격 진료를 위한 시스템구축에 관한 논문이다. GRE VPN을 이용하여 프로세싱 자원 소모를 줄였으며, 귀중한 IP 주소를 효율적으로 이용할 수 있도록 구성하였다. GRE 터널링을 사용함으로써 네트워크의 기밀성을 유지하였고 Source 자체가 공개된 LINUX를 낮은 사양의 H/W에 포팅 하여 저가격을 실현함으로써 원격의료망을 작은 예산으로 구축할 수 있는 시스템을 제시하였다.

• Proceedings of the Korea Information Processing Society Conference
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• 2005.05a
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• pp.1181-1184
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• 2005

다양한 분야에서 무선 인터넷 서비스의 가능성이 거론되고 있는 요즘, 무선 인터넷을 통한 의료 정보 서비스 또한 관심을 모으고 있다. 모바일 기기를 이용한 의료정보 시스템은 기존 Desktop PC가 가지는 이동성의 제한이라는 단점을 극복하여 이동이 빈번한 의료 정보 사용자에게 정보 이용의 편의성과 신속성을 제공할 것으로 기대된다. 그러나 무선인터넷을 기반으로 하는 모바일 기기는 지속적인 하드웨어의 발전에도 불구하고 정보 처리의 효율성, 무선 네트워크의 불안전성, 보안등의 문제가 지적되고 있다. 의료 정보는 환자의 지극히 개인적인 정보를 취급하는 것으로 환자, 관계 의료진 이외의 사람에게 노출되는 것은 위험스러운 일이라 할 수 있다. 이러한 의료 정보가 진료의 편의성과 신속성, 업무의 효율성을 위하여 모바일 시스템으로 진화하는 경우, 무선 인터넷의 특성에 의한 보안 위협에 노출되게 된다. 따라서 본 논문에서는 모바일 원격 의료 정보 시스템을 구현하는 경우 발생할 수 있는 보안 위협에 대처할 수 있는 모바일 인증 시스템을 제안하고 구현하였다. 제안된 시스템은 모바일 원격 의료 정보 시스템의 환자 정보 보호를 위한 적절한 대안이 될 것으로 기대된다.

• Proceedings of the Korean Information Science Society Conference
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• 2006.06a
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• pp.367-369
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• 2006

정보통신 및 무선 통신기기의 발달과 더불어 원격지에서 환자를 진단하고 치료하는 원격 진료 시스템에 관한 연구가 전 세계적으로 활발히 진행 중이다. 특히 서로 다른 기관으로부터의 분산된 의료 정보들 간의 통신을 위해서는 데이터를 통할시키는 것이 급선무다. 본 연구는 분산된 이질적인 의료 정보의 효과적인 관리를 위해 통합 메타데이터 카탈로그를 통한 검색 엔진을 설계하는데 중점을 두었다. 이를 통해 각 병원 데이터 형식의 일괄적인 변환 없이도 통찰 검색 환경을 사용할 수 있으며, 향후 시스템 개발에 있어서도 확장성이 용이하다.