• Title/Summary/Keyword: 전자 의무 기록

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Efficient certificate management system design and implementation on the use of medical solutions (의료솔루션 사용과 관련된 효율적인 인증서 관리 시스템 설계 및 구현)

  • Lee, Hyo Seung;Oh, Jae Chul
    • Smart Media Journal
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    • v.5 no.1
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    • pp.114-121
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    • 2016
  • Currently, different medical institutions have been carrying out the e-healthcare system project. The system includes electronic medical record and prescription delivery system, and, the Medical Treatment law permits electronic signature for medical record management, which reduced the relevant costs and enabled sharing medical record. And medical solution using online certificates is expanding its application. In that light, the role of certificates became more important than ever. However, in contrast to active effort made to manage personal certificates, certificates related to medical solutions and other types of work are not being managed properly. Most work-related certificates are saved in office computers, which makes them vulnerable to various security threats. Although certificate servers can be used as a solution to this problem, hospitals must build the server separately and, therefore, small and medium-size hospitals can be reluctant to bear the burden. This study proposed a way to design and implement an effective and secure certificate management system by save the certificate file as a BLOB, using existing resources without needing to build a separate certificate server, at minimized costs.

The Case Study of EMR System Implementation (EMR시스템 구축 사례연구: 조선대학교 병원)

  • Choi, Kwangseok;Koo, Chulmo;Lee, Daeyong
    • Information Systems Review
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    • v.15 no.2
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    • pp.41-58
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    • 2013
  • The purpose of the present study is to theoretically assess IT Implementation Model of Cooper and Zmud (1990) in a hospital IS use context. A case study was applied to analogical study by interview from several end-users of the information systems at a university hospital. This study presented an EMR(Electronic Medical Record) systems how is initially implemented at an initial stage, continually adopted, adapted, accepted at an adoption stage, and finally rountinized and infused into an organization. Our study also elaborated IT Implementation Model as defining EMR development and its impact on nature of IS use in a hospital. This case study explained the characteristics of EMR and hospital organization context conceptually.

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A Case Study on Electronic Records Management Systems of Korean Government Agencies (행정기관의 자료관시스템 기능 분석: 사례연구를 중심으로)

  • Kim, Yeon-Jung;Lee, Yoon-Joo;Lee, Ji-Yeon;Suh, Hye-Ran;Seo, Eun-Gyeung
    • Proceedings of the Korean Society for Information Management Conference
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    • 2004.08a
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    • pp.215-224
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    • 2004
  • 2000년대에 들어오면서 전자정부 구현의 일환으로 중앙부처를 중심으로 전자문서관리시스템의 사용이 의무화되었다. 2004년 '공공기관의 기록물관리에 관한 법률'에서 공공기관으로 규정된 국내의 모든 기관에서 전자문서시스템을 사용하기 시작하였고, 다가오는 2005년부터 자료관시스템의 도입이 의무화됨에 따라 국내의 공공기관에서 전자문서관리시스템의 사용은 더욱 확산될 전망이다 본 연구에서는 자료관시스템의 효율적인 도입 및 운영에 대한 구체적인 방안을 제시하기 위하여 먼저 미국, 영국, 캐나다, 호주, 일본 등의 국가에서 이미 시행되고 있는 관련 시스템과 2003년 8원 정부기록보존소에서 제시한 '행정기관의 자료관시스템 규격'및 이를 근거로 하여 행정자치부로부터 인증 받은17개의 자료관시스템에 대해 살펴보았다. 또한 인증 받은 시스템을 도입하여 사용 중에 있는 4 군데의 시범 기관의 운영 사례를 시스템 자체의 문제점, 운영상의 문제점, 관리상의 문재점 등에 초점을 맞추어 살펴봄으로써 현행 자료관시스템 규격의 개선점 및 자료관시스템 운영에 있어서의 필수적인요건을 제시하였다.

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Monitoring System of Telemedicine using Internet (인터넷을 이용한 화상 의료 진단시스템)

  • 이상열;김석현;여지환;황병곤
    • Proceedings of the Korea Society for Industrial Systems Conference
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    • 1999.12a
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    • pp.453-461
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    • 1999
  • 최근 인터넷의 보급 및 확대가 의료 환경에 중요한 변화를 가져오고 있다 인터넷이 단순히 전세계의 정보를 얻는 단계에서 벗어나 의료의 중요한 부분이라고 할 수 있는 환자의 진단과 처방을 실시할 수 있는 원격진료 시스템까지 확대되어 이용되어지고 있다. 원격 진료 시스템이란 최근 부각되고 있는 멀티미디어 시스템인 오디오, 비디오 및 문자정보를 통신을 통하여 의료의 제공, 진단, 자문, 치료, 의료의 정보전달 등을 하는 행위이다. 원격진료 시스템은 화상진료, 전자의무기록, 특정인 호출 시스템으로 구성되어 있다.

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Expanding User Types for Utilizing Certified e-Document Authorities (공인전자문서보관소의 이용 활성화를 위한 사용자 유형 확대방안)

  • Song, Byoungho
    • The Korean Journal of Archival Studies
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    • no.30
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    • pp.175-204
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    • 2011
  • Electronic records are generated not only in public sector but also in private sector. Records will be used across the public-private boundary. The Certified e-Document Authorities(CeDAs) may keep electronic documents in private sector for preservation and evidence, like the official Record Management Systems for Public sector. A CeDA is the Trusted Third Party (TTP) as a business to be entrusted and proof interchanging documents between parties. This CeDA system could be sustainable only if the CeDA earn the enough sales through enough uses. And yet, all the eight CeDA companies have not had enough users. How to utilize CeDAs is one of the hot issues in this area. In this paper, We analyze the threat to trustworthiness of CeDA due to payment of only one party among others, and describe the difficulty in use of CeDA for an individual user. These things make CeDAs cannot have enough users. To do address these, We expand the boundary of relevant parties for a document, present a delegate-establishing option under a joint name, show the needs of identifying and notifying minimum relevant parties, and suggest the proxy parties to help the individual users.

Design and Implementation of medical information model based on the xml (XML 기반에서의 진료정보표현 모델 설계 및 구현)

  • 박애숙;강성수;김완규;김홍준
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.11a
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    • pp.115-119
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    • 2002
  • In the recent you, as the development of computer network and web, the amount of electric document exchange is dramatically increased through B2B, B2C, electric bid and et cetera. The medical world also needs to share and exchange good information for medical treatment like H2C(hospital to hospital), H2C(hospital to company). In this paper, we design medical information model using DTD and inplement medical information support system based on xml and xslt.

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A Study of Comparing the Paper-Based Medical Record with the Electronic Medical Record on the Level of Medical Record Completeness and the Accordance (종이의무기록과 전자의무기록의 기재 충실도 및 일치도 비교 연구 : 의사의 입원.퇴원기록지와 간호사의 입원.퇴원간호정보기록지를 중심으로)

  • Shin, A-Mi;Jung, Sun-Ju;Lee, In-Hee;Son, Chang-Sic;Park, Hee-Joon;Kim, Yoon-Nyun;Youn, Kyung-Il
    • Korea Journal of Hospital Management
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    • v.15 no.1
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    • pp.1-12
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    • 2010
  • This study was tried to evaluate the level of completeness and the accordance in electronic medical records by comparing paper-based medical record in doctor's admission records, discharge summary, and nursing information records. Medical records of inpatients of neurology department that the 100 paper-based medical records in 2004 and 100 electronic medical records in 2006 were targeted. Existence of record items and doctor-nurse record accordance were evaluated in doctor's admission record, discharge summary, admission nursing information record, and discharge nursing information record. There were not any differences between electronic medical records and paper-based medical records in doctor's admission record and discharge summary. Electronic medical records had less missing records than paper-based medical records in admission and discharge nursing information records. Electronic medical records showed higher accordance than the paper-based medical record in doctor-nurse record generally, but there were statistically differences in only medication, allergy, smoking, and drinking (p<0.05). In this study, it was verified that the quality of electronic medical records are better than paper-based records in nursing information record and doctor-nurse record agreement.

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A Medical Integration Framework based on XML for efficient exchange and sharing of Electronic Health Record using HL7 (The LEX System : HL7을 사용하는 전자의무기록의 효율적인 교환과 공유를 위한 XML기반 통합의료환경의 구축)

  • Lee, Min-Kyung;Cheong, Jae-Heon;Chun, Jong-Hoon;Yoo, Soo-Young;Kim, Bo-Young;Choi, Jin-Wook
    • The KIPS Transactions:PartD
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    • v.9D no.5
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    • pp.769-778
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    • 2002
  • The LEX system is a XML-based framework for medical information consolidation. The Lex makes it possible for heterogeneous HISs(Hospital Information Systems) exchange and share HL7 messages by storing the messages into a single Central Clinical Database. In this paper, we propose a HL7 message server independently interoperable from existing HIS to generate HL7 messages, and design an XML database schema suitable for storing and manipulating such data. We also propose a new DTD for efficient transformation of HL7 messages to XML documents for storage saving as well as supporting patient-oriented information retrieval.

Convergence Study of Psychosocial Characteristics and Factors Relating on Internet Addiction in Patients with Internet Addiction (인터넷 중독 임상군의 심리사회적 특성과 인터넷 중독 영향요인에 대한 융합 연구)

  • Song, Yul-Mai;Kim, Sunah
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.337-346
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    • 2018
  • The purpose of this study was to identify the characteristics and the attributes related to Internet use in patients with Internet addiction. This study is a descriptive secondary analysis study, at Internet addiction clinics used the data of 63 patients diagnosed with Internet addiction. Data were obtained from Internet addiction clinic Electronic Medical Records(EMR), there was included the Korean Internet addiction scale(K-scale), Beck Anxiety Inventory(BAI), Beck Depression Inventory(BDI), Barratt Impulsivity scale(BIS), Conners ADHD Rating Scale(CAARS), Lubben Social Network Scale(LSNS). K-scale had significantly correlations with Internet use time per day, anxiety, impulsivity, Attention deficit Hyperactivity Disorder(ADHD) symptom. In stepwise multiple regression, factors significantly affecting ADHD symptom (${\beta}=.37$), Internet use time per day(${\beta}=.29$), Impulsivity(${\beta}=.25$), which accounted for 44% of the variance. Results indicate that patients with Internet addiction had psychological difficulties and suggest that children with ADHD needed to intervention for appropriate internet use.

An Empirical Study of User Perceptions on EMR Standardization Leading Medical & IT Convergence (의료·IT융합을 이끄는 EMR 표준화에 대한 이용자 인식 연구)

  • Lee, Ji-Eun;Nah, Suk-Gyu
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.111-118
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    • 2015
  • Electronic Medical Record(EMR) is medical record that has been saved electronically onto a computer. The standardization activities for EMR is actively underway as it may not only improve the overall quality of the medical services but as the value of medical big data (medical & IT convergence area) is being considered very important. One of the most important issues is ensuring the necessary and effectiveness of EMR standardization to the stakeholder. Researchers did an empirical study to find out how the doctors perceived the EMR standardization from both technical and economical perspective. The results of the empirical analyses showed that system quality and an economical value had a positive effect on perceived usefulness and intention to adopt EMR standardization, yet interoperability have only affected the perceived usefulness. Additionally, the economical value seemed to be the most important variable in forming a consensus in the need of EMR standardization.