• The Korean Society of Law and Medicine
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• v.22 no.4
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• pp.117-157
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• 2021

This research reviewed the HIPAA/HITECH, 21st Century Cures Act, Common Law, and private Guidances from the perspectives in protecting and utilitizing the medical data, while implications were followed. First, the standards for protection and utilization are relatively clearly regulated through single law on personal medical information in the United States. The HIPAA has been introduced in 1996 as fundamental act on protection of medical data. Medical data was divided into personally identifiable information, non-identifying information, and limited dataset under HIPAA. Regulations on de-identification measures for medical information, objects for deletion of limited data sets, and agreement on prohibition of data re-identification were stipulated. Moreover, in the 21st Century Cures Act regulated mutual compatibility for data sharing, prohibition of data blocking, and strengthening of accessibility of data subjects. Common Law introduced comprehensive consent system and clearly stipulates procedures. Second, the regulatory system is relatively simplified and clearly stipulated in the United States. To be specific, the expert consensus and the safe harbor system were introduced as an anonymity measure for identifiable medical information, which clearly defines the process while increasing trust. Third, the protection of the rights of the data subject is specified, the duty of explanation is specified in detail, while the information right of the consumer (opt-out procedure) for identification information is specified. For instance, the HHS rule and FDA regulations recognize the comprehensive consent system for human research, but the consent procedure, method, and requirements are stipulated through the common rule. Fourth, in the case of the United States, a trust-based system is being used throughout the health and medical data legislation. To be specific, Limited Data Sets are allowed to use in condition to the researcher's agreement to prohibit re-identification, and de-identification or consent process is simplified under the system.

• Proceedings of the Korea Information Processing Society Conference
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• 2004.10a
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• pp.465-468
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• 2004

의료기기 산업은 시장규모와 생산규모에서 미국이 전 세계의 $40\%$ 이상을 차지하고 있어 국내외 모든 의료기기 제조업체에서는 미국시장진출을 목표로 꾸준히 노력하고 있는 실정이다. 그러나 의료기기는 인체에 직접 적용된다는 특성으로 인해 각 국가의 정부는 저마다 다른 엄격한 기준으로 자국내 시장진출을 규제하고 있으며 엄격한 관리제도를 유지하고 있다. 국내 최신의 전자 의료기기는 필수적으로 의료기기를 제어하기 위한 의료용 소프트웨어를 필요로 하므로 의료기기 산업의 발전은 의료용 소프트웨어 산업의 발전에 직결된다고 할 수 있다. 그러나 의료기기의 경우에는 인$\cdot$허가를 위한 제도 및 절차가 갖추어져 활용되고 있는 반면, 의료용 소프트웨어의 경우에는 적합한 평가기준이 마련되어 있지 못하여 제도 및 체계구축의 필요성이 대두되고 있다. 본 논문에서는 국제표준(ISO/IEC 12119, ISO/IEC 9126을 바탕으로 평가메트릭을 구축하여 의료용 소프트웨어의 정량적인 품질을 측정, 평가하여 품질측정의 결과를 토대로 품질을 인증하는 의료응용 소프트웨어 시험인증 지원도구를 설계 및 구현하였다.

• Journal of the Society of Disaster Information
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• v.7 no.2
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• pp.110-122
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• 2011

In this study, the disaster management and disaster medical improvement was described in underground space(specifically underground shopping center) in case of fire disaster occurred. Firstly, statue and system was discussed concerning building law, safety, fire services, refuge. The underground in Seoul management is classified as to space and form and management agent is different according to the type form. Because the difficulty of emergency rescue arises due to individual management system unified system needs to be established and improvement of facility management agent is necessary. For the patient to be transfer on the ground, corporation between command head quarter and emergency rescue team are essential. And disaster information and emergency medical information are also need to be considered. Therefore, effective countermeasures for emergency saving is urgent considering distribution of medical institution and medical treatment.

• Journal of the Korean hospital association
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• v.17 no.4 s.153
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• pp.23-27
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• 1988

• Journal of the Health Care and Life Science
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• v.8 no.2
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• pp.83-93
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• 2020

In this study, a practical model for health information management education using the EMR education system at universities for nurturing health care information managers was studied. Currently, there is no practical training course for health care information management in the standards for evaluation and certification of health care information management education introduced to strengthen the job competency of health care information managers. Accordingly, the program was constructed so that the practice program suggested as an educational environment in the Health and Medical Information Management Education Evaluation and Certification Manual can be practiced in the EMR education system. In addition, a practical model that can be performed according to the on-site practice guidelines for health and medical information management for each program was studied. Using the health care information management education EMR system, master data management, patient registration, doctor prescription, medical cost calculation, health insurance claim management, form management, discharge registration, cancer registration, unrecorded management, health care data management, health care statistics, A practice model was studied so that practice on information protection/security management can be performed. It will be possible to play a role as a health care information management expert by raising the quality level of health care information management education through systematic and standardized health care information management practice courses at universities. Accordingly, it is necessary to cultivate health care information management experts who develop and manage medical services based on medical data analysis through practical training of health care information managers.

• Convergence Security Journal
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• v.14 no.5
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• pp.57-64
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• 2014

Beginning in 2000, domestic large hospital based integrated health information system has been developed from order communication system to electronic medical record system. However, today's advanced medical information system is integrated with unit of the system because user needs is complex and various. And, the problem is authority management of health information system in complex systems of large size hospital. It is also a serious problem of private information exposure because of user's authority management defect. In this paper, we analyze the problems of past hospital information system and propose an efficient and appropriate management authority in operating environment. It also introduces the instances applied into a large hospital EMR system, developing proper authority management to match the characteristics of the integrated medical information system. The proposed system is based on solutions of authority management system suitable for integrated health information system, as well as the next generation of EMR.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2008.10a
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• pp.393-396
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• 2008

의료 분야의 정보화 움직임으로 인해 단순한 정보저장과 검색시스템에서 벗어나 지능화된 서비스를 제공해주는 시멘틱 웹 기반의 의료 시스템이 요구되고 있다. 이에 한의학 분야도 한의사의 진단을 보조할 수 있는 지식기반시스템에 대한 요구가 증대되고 있다. 온톨로지는 시멘틱 웹의 핵심적인 지식체계로 지식의 처리와 추론이 가능하므로 질의 및 논리 추론을 통하여 진단을 내리는 한의학 지식 데이터베이스 구축에 적합하다. 따라서 본 연구에서는 한의학 진단의 기반이 되는 환자의 질병, 증상, 원인, 처방 등의 관계를 온톨로지로 구축하여 한의학 분야의 지식을 표현하기 위한 기본 지식 체계를 제시하고 구축된 한의학 온톨로지를 기반으로 한의학 진단보조시스템을 개발한다. 구축 된 시스템은 한의사 진단을 보조하여 줄뿐만 아니라 한의학의 진단 결과를 객관적으로 점검할 수 있게 해준다. 또한, 진단보조시스템과 온톨로지 관리시스템을 결합함으로써 컴퓨터 비전문가에 의한 한의학 온톨로지의 확장 및 수정이 가능하도록 한다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2013.07a
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• pp.87-88
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• 2013

본 논문에서는 응급 환자가 발생하여 가까운 병원이나 대형 병원에 도착하기 전에 환자의 정보를 이용하여 응급처치가 가능하도록 한다. 그리고 응급 의료 기관에서는 환자 진료 준비를 사전에 갖출 수 있도록 하여 응급 환자 진료의 효율성을 높였다. 우리가 흔히 연락을 쉽게 할 수 있는 119번호를 이용하여 다양한 복합 응급 신고를 접수하고 있고, 유관기관과 통합적 대응 체계를 구축하는 효율적 응급의료서비스 새로운 전략을 제시하고자 한다.

• Proceedings of the Korea Information Processing Society Conference
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• 2005.05a
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• pp.1421-1424
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• 2005

본 논문은 통신 기술과 의료 센서 기술을 접목하여 일상생활에서 병원을 찾아가지 않고도 환자가 심전도, 호흡, 혈압 등을 측정 관리 할 수 있도록 한 헬스케어 시스템을 소개한다. 본 시스템을 통하여 환자 몸의 센서 데이터와 병원안의 시스템 사이에 체계적이 컴퓨팅 환경을 구축 할 수 있고, 더불어 환자가 자신의 상태의 효율적으로 관리할 수 있을 뿐 아니라 원격지의 의료진들이 환자의 상태를 모니터링 하고 응급상황 발생 시 그에 알맞은 최적의 의료 서비스의 제공이 가능해진다. 더불어, 웹을 통하여 진찰 및 치료를 제공 할 수 있도록 하여 인터넷이 가능한 곳이면 언제 어디서나 최적의 의료 서비스를 제공하고, 받을 수 있도록 하였다.

• Journal of Digital Convergence
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• v.18 no.6
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• pp.373-378
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• 2020

For improving interoperability of medical information, health level 7 has initiated the development of a next-generation framework for the exchange of medical information called the Fast health interoperability resources (FHIR). However, there was no attempt to exchange the medical three-dimensional (3D) image with clinical data via FHIR. Thus, we designed a new method. The 3D image to be made from computed tomography was converted to the javascript object notation (JSON) file format, and clinical data was added. We made a test FHIR server, and the client used the postman. The JSON file was attached to the body, and was then transmitted. The transmitted 3D image could be seen through a web browser, and attached clinical data was identified in the source code. This is the first attempt to exchange the medical 3D image. Additional researches will be needed to develop applications or FHIR resources that apply this method.