• 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.

• The Korean Society of Law and Medicine
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• v.23 no.2
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• pp.171-209
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• 2022

There were also many medical-related rulings in 2021, among which the rulings reviewed in this paper are as follows. The first relates to a case in which the medical record, which is the primary judgment data regarding the presence or absence of medical negligence, has been modified. The court judged whether there was negligence on the basis of the first written medical record without considering the contents of the medical record that was later modified. Next, the ruling on the case of asking for liability for damages for prescription of anti-obesity drugs recognized negligence related to prescription, but denied liability for property damage by denying a causal relationship, and recognized only alimony for violation of the duty of explanation. The a full-bench ruling on the scope of subrogation of the National Health Insurance Corporation, which subrogates the claims for compensation for medical expenses against the perpetrator of the patient, changed the existing precedent that had taken the 'deduction method after offsetting negligence' and judged it as 'the method of offsetting negligence after deduction'. In addition, in the ruling on whether or not there was negligence, the court was not bound by the medical record appraisal result. Lastly, in relation to the National Health Insurance Service's disposition of reimbursement for medical care benefit costs, we reviewed the ruling that discretion should be exercised even when a non-medical person makes a refund to a medical institution opened by a non-medical person. And we also reviewed the ruling that the scope of reimbursement for medical institutions jointly using facilities and manpower specifically should be determined.

• The Journal of the Korea Contents Association
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• v.20 no.12
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• pp.635-645
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• 2020

An "OpenNote" can be defined as the sharing of medical records between patient and doctors by online, and is a new trial to allow patients to access their medical records any time. To identify the need for the introduction of OpenNotes, which is expanding medical recrods, this study has researched the awareness and attitude towards medical records and OpenNotes among hospital workers in charge of part of medical servises. One of the results in this study is that recognizing his or her own records can impact his or her understanding his or her health status. Also, the subjects who were participated in this study generally agreed with the usefulness of the OpenNote and were willing to participate in the OpenNote. Meanwhile the subjects are admitting counterfeiting the medical records or falsifying them. The conclusion has been shown that patient-doctor sharing of medical records could help patients better understand their health information and encourage their self-care. When patients can access their own medical records easily, Unnecessary misunderstandings and distrust of records between patients and medical staff can be markedly reduced then it can help to build up the trust in a doctor-patient relationship. Considering not only the health utility of OpenNotes but also the impact on the trust of doctors, the pilot project of OpneNotes for experimental verification is proposed.

• Proceedings of the Korea Information Processing Society Conference
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• 2002.11b
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• pp.953-956
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• 2002

인증서기반의 전자서명은 의사의 처방전을 전자문서 형태로 병원의 해당부서로 전달하거나 진료기록의 경우 내용이 임의로 수정되거나 변조되는 것을 방지한다. 전자서명은 내용을 증명하고 처방전을 기록한 의사의 신원을 확인한다. 아직 병원에서 약국까지의 처방전 이용에 전자서명을 이용하고 있는 경우는 없고 병원 자체적인 문서전달 수단으로 전자서명을 활용하는 데 그치고 있다. 그러나 머지않아 의료 전분야에 걸쳐 전자서명이 활성화될 것으로 전망하고 있다. 본 논문에서는 신뢰할 수 있는 의료정보 시스템을 보장하기 위하여 의료정보 시스템에 진자서명 적용 모델을 제안하고자 한다. 제안하는 모델은 의사의 처방전과 진료기록에 대하여 문서형태에 전자서명을 관리하여 판독성과 무결성을 보장한다.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.512-522
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• 2016

The purpose of this study was to investigate general population's awareness and attitudes toward medical records and an 'Open Notes' system which allows the general public to access their medical records anytime on the hospital website. This study also examines the possibility of making the 'Open Notes' system available to Korean medical community and the general public. The results of this study shows that the general population usually used internet for health information. They obtained their medical records from the hospital mostly for the purpose of submitting to insurance company. They also believed that medical records that hospital and doctors provided might be forged or falsified. The majority of them responded that they could trust their doctors and hospitals more if they could have access to their own medical records anytime. Most of the respondents agreed that the Open Notes system would be beneficial for the general public and that it should be implemented in Korea. And they would be willing to participate in the Open Notes system if it is introduced. In conclusion, if the Open Notes system which emphasizes transparency in medical records is introduced, it could enhance the trust between doctor and patient. The trust doctor-patient relation would make patients more likely to comply and be satisfied with doctors.

• The Korean Society of Law and Medicine
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• v.21 no.2
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• pp.75-103
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• 2020

There is a growing voice that medical information should be shared because it can prepare for genetic diseases or cancer by analyzing and utilizing medical information in big data or artificial intelligence to develop medical technology and improve patient care. The utilization and protection of patients' personal information are the same as two sides of the same coin. Medical institutions or medical personnel should take extra caution in handling personal information with high environmental distinct characteristics and sensitivity, which is different from general information processors. In general, the patient's personal information is processed by medical personnel or medical institutions through the processes of collection, creation, and destruction. Still, the use of terms related to personal information in the Medical Service Act is jumbled, or the scope of application is unclear, so it relies on the interpretation of precedents. For the medical personnel or the founder of the medical institution, in the case of infringement of Article 24(4), it cannot be regarded that it means only medical treatment information among personal information, whether or not it should be treated the same as the personal information under Article 23, because the sensitive information of patients is recorded, saved, and stored in electronic medical records. Although the prohibition of information leakage under Article 19 of the Medical Service Act has a revision; 'secret' that was learned in business was revised to 'information', but only the name was changed, and the benefit and protection of the law is the same as the 'secret' of the criminal law, such that the patient's right to self-determination of personal information is not protected. The Privacy Law and the Local Health Act consider the benefit and protection of the law in 'information learned in business' as the right to self-determination of personal information and stipulate the same penalties for personal information infringement such as leakage, forgery, alteration, and damage. The privacy regulations of the Medical Service Act require that the terms be adjusted uniformly because the jumbled use of terms can confuse information subjects, information processors, and shows certain limitations on the protection of personal information because the contents or scope of the regulations of the Medical Service Law for special corporations and the Privacy Law may cause confusion in interpretation. The patient's personal information is sensitive and must be safely protected in its use and processing. Personal information must be processed in accordance with the protection principle of Privacy Law, and the rights such as privacy, freedom, personal rights, and the right to self-determination of personal information of patients or guardians, the information subject, must be guaranteed.