• Title/Summary/Keyword: 환자인증

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Adoption of CDA(Clinical Document Architecture) for reporting laboratory results (검사실 정보 교류를 위한 임상문서표준규격의 적용)

  • Song, Joon-Hyun;Kim, Il-Kon;Lee, Sung-Hyun;Do, Hyoung-O;Yeah, Jung-Hoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06b
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    • pp.21-26
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    • 2007
  • HITSP(Healthcare Information Technology Standards Panel)은 헬스 케어 관련 산업의 상호 운용성을 위해 일반적으로 수용되고 유용한 표준들을 선별하여 표준 세트를 제공하는 것을 목적으로 한다. HITSP에서는 평생전자건강진료정보(EHR, Electronic Health Record)의 활성화를 위해 첫 번째 해결해야 할 영역으로 검사실 결과 정보 교류를 정하였다. 이에 본 논문에서는 검사실 결과 정보 교류를 위한 방법으로 HITSP에서 제시하는 HL7 버전 2.x 메시지와 CDA 방법 중 인증(authentication) 처리가 가능하고 영속성(persistence)이 있는 CDA 방법을 선택하였다. 또한 CDA를 작성하고 처리하는 방법을 제시하고, 더 나아가 평생전자건강진료정보(EHR)를 위해 CDA를 적용하여 검사실 결과 정보를 교류하여 보았다. 이에 병원과 EHR 시스템의 상호 운용성이 높아져 진료 과정의 효율성을 높일 수 있었고 환자와 의료진에게 양질의 검사 결과 정보를 제공할 수 있었다.

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The Effect of Satisfaction Among Convalescent Hospital Staff Members on Patient Safety and Quality of Care After Medical Institution Certification (의료기관 인증 후 요양병원 종사자의 만족도가 환자의 안전과 질 향상에 미치는 영향)

  • Jeong, Yeon-Ja;Choi, Senog-Woo;Park, Jong;Han, Mi-Ah
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.39-51
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    • 2019
  • Objectives: This study aimed to investigate the effect of satisfaction among convalescent hospital staff members on patient safety and quality of care after the certification of the medical institution. Methods: A survey was conducted on seven convalescent hospitals in Gwangju, South Jeolla Province, and North Jeolla Province, which were certified as medical institutions for convalescent hospitals by the end of May 2017, The study period lasted from July 24, 2017 to August 22, 2017. Results: There was a statistically significant correlation between staff member satisfaction and patient safety and quality of care (r = 0.586, p<0.001). Regression analysis showed that staff member satisfaction (${\beta}=0.531$, p<0.001) had a statistically significant effect on patient safety and quality of care and showed 46.9% explanatory power. Conclusions: The satisfaction of the convalescent hospital staff after the certification of the medical institution positively affected patient safety and quality of care.

A Study on the Practice Model for Practical Education for Health and Medical Information Management (보건의료정보관리 실습교육을 위한 실습모델 연구)

  • Choi, Joon-Young
    • 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.

Design and Implementation of Medical Information System using QR Code (QR 코드를 이용한 의료정보 시스템 설계 및 구현)

  • Lee, Sung-Gwon;Jeong, Chang-Won;Joo, Su-Chong
    • Journal of Internet Computing and Services
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    • v.16 no.2
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    • pp.109-115
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    • 2015
  • The new medical device technologies for bio-signal information and medical information which developed in various forms have been increasing. Information gathering techniques and the increasing of the bio-signal information device are being used as the main information of the medical service in everyday life. Hence, there is increasing in utilization of the various bio-signals, but it has a problem that does not account for security reasons. Furthermore, the medical image information and bio-signal of the patient in medical field is generated by the individual device, that make the situation cannot be managed and integrated. In order to solve that problem, in this paper we integrated the QR code signal associated with the medial image information including the finding of the doctor and the bio-signal information. bio-signal. System implementation environment for medical imaging devices and bio-signal acquisition was configured through bio-signal measurement, smart device and PC. For the ROI extraction of bio-signal and the receiving of image information that transfer from the medical equipment or bio-signal measurement, .NET Framework was used to operate the QR server module on Window Server 2008 operating system. The main function of the QR server module is to parse the DICOM file generated from the medical imaging device and extract the identified ROI information to store and manage in the database. Additionally, EMR, patient health information such as OCS, extracted ROI information needed for basic information and emergency situation is managed by QR code. QR code and ROI management and the bio-signal information file also store and manage depending on the size of receiving the bio-singnal information case with a PID (patient identification) to be used by the bio-signal device. If the receiving of information is not less than the maximum size to be converted into a QR code, the QR code and the URL information can access the bio-signal information through the server. Likewise, .Net Framework is installed to provide the information in the form of the QR code, so the client can check and find the relevant information through PC and android-based smart device. Finally, the existing medical imaging information, bio-signal information and the health information of the patient are integrated over the result of executing the application service in order to provide a medical information service which is suitable in medical field.

A Case Study on the Validity of Dental Communication Curriculum of a Dental Hygiene Department (일개 대학 치위생학과의 치과의료커뮤니케이션 교육 과정 타당성에 관한 사례연구)

  • Choi, Yong-Keum;Bae, Soo-Myoung;Shin, Bo-Mi;Son, Jung-Hui;Park, Deok-Young;Choi, Jin-Sun
    • Journal of dental hygiene science
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    • v.17 no.4
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    • pp.306-314
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    • 2017
  • The purpose of this study was to examine the validity of the content of an educational curriculum by understanding the opinions of experts in the development of weekly educational content for dental communication or communication-related subjects. It was composed of educational content on how to communicate with patients by cultivating a professional attitude through basic contents and a self-understanding of communication. Three experts were asked to evaluate the feasibility of educational contents and their appropriateness in order to evaluate the criteria for certification as a dental hygienist. The validity of the weekly educational contents and the period of education were awarded 4 points out of a maximum of 5 points; overall, the curriculum was evaluated to be valid and to be acceptable for use as criteria for certification evaluation. On the other hand, it was confirmed that not only should the contents be made appropriate for the grade level, but it should be complemented so that theoretical and practical learning can be achieved in a gradual and interrelated manner rather than as a one-time curriculum. Therefore, the result of this study can be considered for use as background data for curriculum development, and for standardization of the communication course in the dental hygiene department.

Molecular epidemiological study of measles virus throughout an imported epidemic outbreak in Gyeonggi-do in 2014 (2014년 경기지역에서 발생한 해외유입 홍역 바이러스의 분자역학적 특성 분석)

  • Yun, Hee-Jeong;Park, Po-Hyun;Hwang, Sun-Il;Huh, Jeong-Weon;Nam, Soo-Jung;Yong, Kum-Chan;Yoon, Mi-Hye
    • Korean Journal of Microbiology
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    • v.53 no.1
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    • pp.1-8
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    • 2017
  • Measles virus is a highly contagious, exanthematic virus, preventable by the use of an effective live-attenuated vaccine. However, measles virus remains endemic in many area of the world causing nearly 200,000 deaths per year and still a major cause of child mortality, mostly in developing countries. In March 2014, Republic of Korea was certified as a 'national measles elimination' by the WHO as a result of a high-quality case-based surveillance system and population immunity, which was achieved by a high vaccination rate (>95.0% since 1996). But, since the beginning of 2014, the Gyeonggi province has experienced a resurgence of measles cases. In this study, we investigated the characteristics of measles viruses isolated from confirmed measles in Gyeonggi province during January 1, 2014 ~ July 31, 2014, 60 isolates were obtained from 72 confirmed measles specimens. Genotypic distributions and genetic diversities of isolated measles virus were analyzed by sequencing of nucleoprotein (N) gene. 58 (96.7%) imported cases were identified. The predominant genotype was B3, which reflects the circulating measles virus in adjacent countries. The sequences of nucleoprotein (N) gene of isolated MeV were showed that the strains characterized showed the highest degree of identity (99%) with the Philippine related strains in 2013-2014. Therefore, infected traveler returning from the Philippines transmitted secondary infection in Korea.

A Study of The Secure Mobile Healthcare System for Medical Grid Devices (메디컬 그리드 장치를 위한 안전한 모바일 헬스케어 시스템에 관한 연구)

  • Choi, Gyoo-Seok
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.8 no.6
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    • pp.89-95
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    • 2008
  • The introduction of wireless information technology gives rise to new mobile services in all kinds of areas of out daily life. Mobile healthcare system is a production of composite ICT (Information and Communication Technology) which focused on signal sensing, processing, and communication in wireless environment. The mobile and wireless revolution promises not only expanded access to patient health information, but also improved patient care. In this paper, we describe a surrogate host based mobile healthcare information system which utilized Grid computing for real-time ECG signal processing. The surrogate host provides seamless interface between mobile device and Medical Grid portal. The security extension of GSI (Grid Security Infrastructure) allows mobile users to access Grid portal in a secure and convenient manner. The presented system architecture can be used as a secure enterprise mobile healthcare system for hospital physicians.

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Blind Watermarking Using by Multi-wavelet Transform and Binary Image (다중 웨이블릿 변환과 이진영상을 이용한 Blind 워터마킹)

  • Kim, Tae-Ho;Park, Mu-Hun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • v.9 no.1
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    • pp.413-416
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    • 2005
  • Developement of computer and digitalizing of medical implement are being caused digitalizing of medical image. Medical Images are being managed more by PACS. In this situation comes out many problem about ownership, the right of properity of the medical images and notice wheather the data are modified. Digital watermarking can solve this problem. The proposed schemes have a two weak point that Non-blind method need a original image and Blind method use gaussian watermarking. In this paper, we propose a blind watermarking using binary image in order to easily recognize result of watermark This proposed scheme using wavelet transform and Circular Input method that input in medium-band of frequency domain.

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The Watermarking Method Using by Binary Image (이진영상을 이용한 워터마킹 기법)

  • Lim Hyun-Jin;Lee Seung-Kyu;Kim Tea-Ho;Park Mu-Hun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.163-166
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    • 2006
  • The field of medical images has been digitalized as the development of computer and the digitalization of the medical instruments. As a result it causes a lot of problems such as an illegal copy related to medical images and property right of the medical images. Therefore, digital watermarking is used for discrimination whether the data are modified or not. It is also used to protect both the property right of medical images and the private life of many patients. The proposed theories, the Non-blind and the Blind method, have two problems. One is needed an original image and the other is using a gaussian watermarking. This paper proposes the new Blind Watermarking using binary images in order to easily recognize the results of watermark. This algorithm is described that an watermark of a binary image is wavelet-transformed, and then a transformed watermark is inserted in medium-band of frequency domains of original image by the Circular Input method. The propose method presented the good performance of over 0.97 in NC.

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A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Prosopagnosia after Ischemic Stroke (동측 반맹과 안면실인증을 호소하는 뇌경색 환자 한방복합치료 1례)

  • Kim, Geun Young;Park, Hojung;Lee, Yu Jin;Cho, Ki-Ho;Moon, Sang-Kwan;Jung, Woo-Sang;Kwon, Seungwon;Jin, Chul
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.22 no.1
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    • pp.21-30
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    • 2021
  • ■ Background Patients with posterior cerebral artery infarction could complain of visual field defects or prosopagnosia that does not recognize a person's face. However, there has been no standardized treatment for these symptoms. ■ Case report A 57-year-old male patient complained homonymous hemianopia and prosopagnosia after posterior cerebral artery infarction. After combined Korean medicine treatment for 49 days, subjective visual field was improved and the discomfort associated with visual field defect and the disability of recognizing people was decreased. Evaluations were took place by assessing visual field using Automated Perimetry and Confrontation visual field exam. Discomfort caused by visual field defects or prosopagnosia was evaluated by visual analog scale. The patient was treated with acupuncture, moxibustion, and herbal medications. ■ Conclusion The present case report suggests that combined Korean medicine treatment might be effective to resolution of homonymous hemianopia and prosopagnosia after stroke.