• Journal of Korean Society of Archives and Records Management
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• v.21 no.1
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• pp.1-18
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• 2021

Korea's public institutions produce mandatory production records under the "Public Records Management Act" and submit statistics on production status to the National Archives of Korea every year. However, there is a difference between the actual status of compulsory records produced by local governments and the status statistics submitted to the Archives. Based on this, an improvement plan was proposed after identifying problems with the production management system of the production obligation records. In particular, the scope of the production obligation records is ambiguous, and the person in charge lacks an understanding of the specific scope. In addition, only certain work-oriented records are being produced. As such, the improvement plan shall clearly determine the target of the local government's production obligation records, and the person in charge of the affairs shall understand it and implement an ordinance on the production and management of the local government's production obligation records.

• Proceedings of the Korea Information Processing Society Conference
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• 2013.11a
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• pp.868-870
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• 2013

전자의무기록(Electronic Medical Record, EMR) 시스템은 기존에 수기로 작성하던 의무기록을 디지털화 한 것이다. 이는 다양한 장점이 있지만 의료인이 관리 도메인을 통해 환자의 정보를 세밀하게 수집할 수 있는 환자 개인의 프라이버시 침해 문제가 발생하게 된다. 즉, 관계자에 의해 의도적인 유출이 발생하거나 의료정보의 거래, 복제 등 위험성이 존재한다. 특히 일부 의료정보는 고용 차별이나 사회적 차별 등 환자에게 정신적 고통을 안겨줄 수 있다. 이러한 프라이버시 침해는 유전성 질환 유전자를 가진 사람에게 유전적 요인에 근거하는 고용 차별이 발생할 수 있다. 관련연구에서는 환자의 임상적(Clinical) 또는 유전적(Genomic) 정보가 자신의 신원과 연계되어 있다면 프라이버시 침해가 발생할 수 있음을 나타낸다. 이러한 프라이버시 문제로 인해 EMR 시스템에 기반을 둔 전자건강기록(Electronic Health Record, EHR) 시스템 또한 개인 프라이버시 침해의 위험이 존재하게 된다. 따라서 의료정보의 프라이버시 보호를 위해 부당한 고용 차별 보험 차별 사회적 차별로 연결될 수 있는 개인 의료정보의 유출방지, 타인에게 알려지고 싶지 않은 개인 의료정보가 무단으로 거래되지 않는 것을 보장해야 한다. 이를 위해 본 논문에서는 의무기록의 익명화를 통해 환자와 의무기록 간의 관계를 제거하는 여러 방법들을 소개한다.

• Journal of Korean Society of Archives and Records Management
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• v.20 no.3
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• pp.55-76
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• 2020

Although most medical institutions in Korea use electronic medical records (EMR), there are many problems in the management and preservation of records when such medical institutions are closed. Records of closed medical institutions need to be systematically managed; however, the rate of closed medical institutions transferring records to public health centers is significantly low. Given that each medical institution has a different system and format, public health centers often cannot access records. In addition, there are no management standards that suit the reality of public health centers and the specificity of EMR. Recently, a strengthened Medical Law has been passed wherein records of closed medical institutions should be kept by health centers; therefore, this study focused on drawing up measures for efficient records management by public health centers. To this end, the relevant laws and management status were identified and an interview was conducted. After analyzing the problems, improvement plans in institutional, technical, and administrative aspects were proposed.

• Journal of Digital Convergence
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• v.10 no.2
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• pp.193-200
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• 2012

The existing EMR method placing computer servers in hospitals could expose patients' personal information to hospital officers and people for wrong purposes. In addition, if medical malpractice occurs, the possibility of distorting medical records might be higher because patients' medical records are stored in hospitals. This study provides an electronic medical record with a security system to solve patients' information disclosure. The electronic medical record system could be utilized as an important information when medical malpractice occurs. This system can provide higher security services certifying patients safely and efficiently as well as protecting patients' personal information.

• The KIPS Transactions:PartC
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• v.18C no.6
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• pp.379-388
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• 2011

Ensuring the security of medical records is becoming an increasingly important problem as modern technology is integrated into existing medical services. As a consequence of the adoption of EMR(Electronic Medical Records) in the health care sector, it is becoming more and more common for a health professional to edit and view a patient's record. In order to protect the patient's privacy, a secure authentication model to access the electronic medical records system must be used. A traditional identity based digital certificate for the authenticity of EMR has private key management and key escrow of a user's private key. In order to protect the EMR, The traditional authentication system is based on the digital certificate. The identity based digital certificate has many disadvantages, for example, the private key can be forgotten or stolen, and can be easily escrow of the private key. Nowadays, authentication model using fingerprint recognition technology for EMR has become more prevalent because of the advantages over digital certificate -based authentication model. Because identity-based fingerprint recognition can eliminate disadvantages of identity-based digital certificate, the proposed authentication model provide high security for access control in EMR.

• Journal of Digital Forensics
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• v.12 no.3
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• pp.83-96
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• 2018

Electronic medical records in the hospital information system are the important evidence related to the crime and are subject to search and seizure. In the case of a large general hospital, it is possible to search for seizures through cooperation of the staff, but it is impossible in small hospitals. The investigation agency copies the database of electronic medical records and then selects relevant content. This approach has an issue of excessive search and seizure. In this paper, we propose field selection procedures and methods for electronic medical records while ensuring integrity, reproducibility, and chain of custody. Currently, it is necessary to study the procedures and methods of search and seizure of medical information system so that it can respond to next changing cloud hospital information system.

• Progress in Medical Physics
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• v.20 no.3
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• pp.167-173
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• 2009

As the radiotherapy technique development, the needs for using of medical electronic chart in the department of radiation oncology is growing. However, the complexity of affairs of radiation oncology make it difficult to develop a electronic medical chart. In this study, we introduce the electronic medical chart developed by domestic hospital. The function and example of electronic medical chart designed as radiation treatment progress was showed and the future study was presented.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.33 no.5B
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• pp.379-385
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• 2008

For the sharing and exchange of information between medical clinics, the clinical document has to be built on a standardized protocol such as a HL7-CDA. But it is difficult to exchange information between medical clinics because clinical document such as electronic medical record that include text and image, have different structure of document and type of expression. In this paper, we propose the electronic medical record system based on HL7-CDA that can share and exchange clinical information between medical institute. For this purpose, we have to design the schema of the clinical document architecture after we select the essential items of medical record and define templates. The proposed system can minimize integrating process and save parsing time when clinical information exchange and refer, by converting electronic medical record to base64 encoding scheme and integrate it in a XML document.

• Journal of Digital Convergence
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• v.11 no.6
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• pp.213-219
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• 2013

The purpose of this study is to suggest a plan for which Medical Record Technician, who has main task as efficient creation and management of medical information, is changed successfully to health information manager in IT-based medical environment. According to this research objective, it carried out an analysis on future model(To-be) for being changed into health information manger in addition to analysis of the current situation for task as medical record technician. The subject materials of analyzing the present status included 1) state-exam subjects for medical record technician 2) qualification examination subjects for health information manger 3) analytical data of the current task for domestically medical record technicians 4) symposiums and educational topics for the recent 3 years in Korean Medical Record Association. Future-model(To-be) data included 'HIM Professional Roles in E-HIM (R)' suggested by AHIMA(American Health Information Management Association). Through a comparative analysis of these materials, a role of being needed currently medical record technicians' new entry was analyzed to be Business change manager, IT training specialist, Consumer advocate, Clinical alerts and reminders manager, and Enterprise application specialist.

• Proceedings of the Society of Korea Industrial and System Engineering Conference
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• 2002.05a
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• pp.259-264
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• 2002

전자의무기록은 환자의 완전하고 정확한 자료와 다양한 의학지식에 기초한 기억보조와 의사결정보조 도구를 위한 것이다. 본 연구에서는 전자의무기록을 최초로 3차원 그래픽스를 이용하여 환자가 통증부위를 정확하게 표현할 수 있게 한다. 3차원의 입력정보를 70370개의 셀로 표현함으로써 효율적으로 저장하고 분석할 수 있게 한다. 또한, 본 연구에서 개발한 통증진단시스템은 재활의학과에(의학에)서 정의하고 있는 169가지의 근육통 패턴들을 지식기반으로 저장하여 환자의 통증부위를 효율적으로 비교하고 유사도를 계산하여 진단한다.