• Title/Summary/Keyword: 전자 의무 기록

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A Study of Issuance of Medical Records Using AMOS (구조 방정식을 활용한 의무기록 사본 발급 특성에 관한 연구)

  • Ahn, Sang-Yoon;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.3
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    • pp.787-793
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    • 2008
  • This paper investigates the issuance of medical records of patients and caregivers who have obtained medical records from the Medical Record Information Center of "a university" in Daejeon from January through March in 2006. According to the structural equation, "the time zone for issuance of medical records" was -0.01 as a path coefficient against "how medical records are issued" and +0.86 against "ordinary characteristics." As shown above, privacy and confidentiality are what really matters in the management of medical records. Therefore, they must be protected regardless of whether the medical records are hard or electronic copies.

Designing and Implementing a PKI-based Safety Protocol for Electronic Medical Record Systems (공개키 기반의 안전한 전자의무기록에 관한 프로토콜 설계 및 구현)

  • Jin, Gang-Yoon;Jeong, Yoon-Su;Shin, Seung-Soo
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.243-250
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    • 2012
  • This study proposes new protocol protecting patients' personal record more safely as well as solving medical dispute smoothly by storing the record not into a computer server in hospitals but into the National Health Insurance Corporation computer server. The new protocol for electronic medical record is designed using RSA public key algorithm and DSA digital signature. In addition, electronic medical record systems are built up with more safety and reliability through certificate authority. The proposed medical information systems can strengthen trust between doctors and patients. If medical malpractice occurs, the systems can also provide evidence. Furthermore, the systems can be helpful to reduce medical accidents. The systems could be also utilized efficiently in various applied areas.

Study on the Awareness, Satisfaction and Job Stress of Nurses using EMR System (EMR System을 이용하는 간호사의 인식도, 만족도와 직무스트레스에 관한 연구)

  • Oh, Jae-Woo;Han, Jin-Sook;Moon, Young-Sook
    • Journal of Digital Convergence
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    • v.10 no.8
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    • pp.257-264
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    • 2012
  • This study was conducted to arrange the basic data for the ways to operate the effective nursing programs and reduce job stress by grasping the awareness, satisfaction and job stress of the nurses due to the introduction of EMR(EMR : Electronic Medical Record) system and clarifying the relationship among them. Methods: Of the hospitals which introduced EMR, the study was conducted for 356 nurses who used EMR in a university hospital in D city and the data was collected from June 1 to June 30. The collected data was analyzed with real number, percentage, T-test, ANOVA, and Pearson correlation coefficient. Results: The results of the study above, it could be certified that the higher the satisfaction and awareness of the users of EMR were, the more the job stress of them decreased. Therefore, the qualitative nursing should be provided to the patients by reducing job stress with the improvement of the awareness and satisfaction of the nurses of EMR, and shortening the time in keeping the records of patients, in order to enhance the satisfaction of EMR, there should be a proper management, such as a regular EMR education, and there must be the ways to reduce the job stress of the nurses and strengthen the satisfaction of EMR.

Automatic Electronic Medical Record Generation System using Speech Recognition and Natural Language Processing Deep Learning (음성인식과 자연어 처리 딥러닝을 통한 전자의무기록자동 생성 시스템)

  • Hyeon-kon Son;Gi-hwan Ryu
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.731-736
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    • 2023
  • Recently, the medical field has been applying mandatory Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) systems that computerize and manage medical records, and distributing them throughout the entire medical industry to utilize patients' past medical records for additional medical procedures. However, the conversations between medical professionals and patients that occur during general medical consultations and counseling sessions are not separately recorded or stored, so additional important patient information cannot be efficiently utilized. Therefore, we propose an electronic medical record system that uses speech recognition and natural language processing deep learning to store conversations between medical professionals and patients in text form, automatically extracts and summarizes important medical consultation information, and generates electronic medical records. The system acquires text information through the recognition process of medical professionals and patients' medical consultation content. The acquired text is then divided into multiple sentences, and the importance of multiple keywords included in the generated sentences is calculated. Based on the calculated importance, the system ranks multiple sentences and summarizes them to create the final electronic medical record data. The proposed system's performance is verified to be excellent through quantitative analysis.

Design and Implementation of Electronic Medical Record System Based on HL7-CDA for the Exchange of Clinical Information (임상 정보교환을 위한 HL7-CDA 기반의 전자의무기록 시스템의 설계 및 구현)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • 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.

Electronic medical record system using QR code (QR코드를 활용한 전자의무기록 시스템)

  • Ji Ho Park;Deok Gyu Lee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.05a
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    • pp.328-329
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    • 2023
  • 현재의 전자의무기록 시스템은 타 병원에서 진료를 볼 때, 중복 검사를 피하기 위해서는 기존 병원에서 검사 또는 진료 기록을 받아 제출해야 하는 번거로움이 있다. 이에 본 논문에서는 기존 시스템의 클라우드화를 통해 타 병원 진료 시 비용과 시간 단축이 예상되며, QR코드를 주민등록증 대신 사용하여서 주민등록번호 노출과 주민등록증 위변조를 통한 불법적인 활용이 불가하다고 생각한다.

Converting Paper and Image Formats of EMR to XML for Electronic Signature (EMR 서식 및 이미지 형식 기록의 전자인증을 위한 XML 변환)

  • Moon, Woo-Young;Kim, Byung-Ki
    • Proceedings of the Korea Information Processing Society Conference
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    • 2006.11a
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    • pp.629-632
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    • 2006
  • 최근 EMR(Electronic Medical Record, 전자의무기록)에 대한 관심이 높아지면서 EMR을 도입하는 병원이 늘어나는 추세이다. EMR은 법적 효력과 증거력의 보유하기 위하여 정부가 인정하는 공인 인증기관으로부터 인증서를 발급받아 전자서명법에 따라 암호화 및 기명날인하여 별도의 저장장치에 관리하도록 하고 있다. 이러한 일련의 과정에서 EMR 데이터를 XML 문서나 다른 형식의 문서로 변환하게 된다. 본 논문은 XML 스키마에 따른 문서 생성이 용이한 텍스트나 코드화된 의무기록 뿐만 아니라 각종서식, 이미지 및 검사지 등 다양한 형식 기록의 전자인증을 위해 XML 문서로 변환하는 연구이며, 특히 표준화되기 힘든 비정형 기록들에 대한 XML 문서 변환 방법을 제안하고 이를 구현하였다.

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A Study on the Procedure, Method of Search and Seizure for HIS (Hospital Information System) (의료정보시스템의 압수수색 절차와 방법에 대한 연구)

  • Kim, Taehoon;Lee, Sangjin
    • 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.

A Research about Anonymity Based Privacy Protection Scheme for EMR System (EMR System에 대한 익명성 기반 프라이버시 보호기법 연구)

  • Choi, Eunseok;Eun, Hasoo;Ubaidullah, Ubaidullah;Oh, Heekuck
    • 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.

An Association Rule Mining Approach to Extract Clinical Pathways from EMR (전자의무기록으로부터 진료경로 추출을 위한 연관규칙마이닝 접근 방법)

  • Bae, In-Ho;Kim, Jin-Sang;Choe, Sang-Yeol;Kim, Yoon-Nyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.577-580
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    • 2005
  • 본 논문에서는 임상의들의 진료데이터를 토대로 진료경로를 동적으로 생성하는 방법을 기술한다. 각 진료단계에서 추출된 규칙들을 토대로 진료경로를 생성하는데, 이를 위해 전자의무기록으로 구성된 임상 데이터를 기반으로 연관규칙마이닝을 이용하여 진료단계별 규칙을 추출하였다. 신뢰성 있는 진료경로의 추출이 이루어지면 의료 서비스의 질을 높이고, 병원 경영의 효율성 증대에 도움을 줄 수 있다.

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