• Title/Summary/Keyword: Clinical Metadata

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CDISC Transformer: a metadata-based transformation tool for clinical trial and research data into CDISC standards

  • Park, Yu-Rang;Kim, Hye-Hyeon;Seo, Hwa-Jeong;Kim, Ju-Han
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.10
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    • pp.1830-1840
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    • 2011
  • CDISC (Clinical Data Interchanging Standards Consortium) standards are to support the acquisition, exchange, submission and archival of clinical trial and research data. SDTM (Study Data Tabulation Model) for Case Report Forms (CRFs) was recommended for U.S. Food and Drug Administration (FDA) regulatory submissions since 2004. Although the SDTM Implementation Guide gives a standardized and predefined collection of submission metadata 'domains' containing extensive variable collections, transforming CRFs to SDTM files for FDA submission is still a very hard and time-consuming task. For addressing this issue, we developed metadata based SDTM mapping rules. Using these mapping rules, we also developed a semi-automatic tool, named CDISC Transformer, for transforming clinical trial data to CDISC standard compliant data. The performance of CDISC Transformer with or without MDR support was evaluated using CDISC blank CRF as the 'gold standard'. Both MDR and user inquiry-supported transformation substantially improved the accuracy of our transformation rules. CDISC Transformer will greatly reduce the workloads and enhance standardized data entry and integration for clinical trial and research in various healthcare domains.

Implementing Metadata-based Security Prototype System for Medical Data Warehouse (의료용 데이터 웨어하우스를 위한 메타데이터 기반의 보안 프로토타입 시스템 구현)

  • 김종호;김태훈;송해용;홍수희;박진두;민성우;이희석
    • Proceedings of the Korea Database Society Conference
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    • 1999.10a
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    • pp.113-118
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    • 1999
  • 본 연구는 통합병원정보시스템 (Integrated Hospital Information System) 에서 의료용 데이터 웨어하우스 (Medical Data Warehouse) 부분의 보안 프로토타입 시스템을 메타데이터 기반으로 설계하고 구현하는 데 주안점을 두었다. 특히, 의료용 데이터 웨어하우스 중에서도 임상 데이터 웨어하우스 (Clinical Data Warehouse) 에 초점을 두었으며 이에 대한 프로토타입은 ㅈ 병원에 적용되어서 개발되었다.

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A Design of Clinical Information Exchange Framework for Performance Improvement based on Lazy Response Model (지연 응답 모델에 기반한 성능 개선 진료정보 교류 프레임워크의 설계)

  • Lee, Se-Hoon;Shim, Woo-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.9
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    • pp.157-164
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    • 2012
  • Recently medical service environment, the clinical information exchange which contribute to medical safety, promotion of service quality and patient's convenience, efficiency of medical procedures and medical management is essential medical service model. But, practical exchange of clinical information which variation of information level, absence of standardization system, build of heterogeneous information systems is difficult in each medical institute. In this paper, We analyzed the related technical standardizations and the models of clinical information exchange. So, we designed the clinical information exchange system based on the ideal lazy response model which is aimed at vitalizations the exchange of clinical information under domestic law environment. In case of exchange the clinical information, we separate CDA document flow from metadata flow. As a experimental result we acquired 24% improved performance compared with existed system based on the lazy response model.

Standard Terminology System Referenced by 3D Human Body Model

  • Choi, Byung-Kwan;Lim, Ji-Hye
    • Journal of information and communication convergence engineering
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    • v.17 no.2
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    • pp.91-96
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    • 2019
  • In this study, a system to increase the expressiveness of existing standard terminology using three-dimensional (3D) data is designed. We analyze the existing medical terminology system by searching the reference literature and perform an expert group focus survey. A human body image is generated using a 3D modeling tool. Then, the anatomical position of the human body is mapped to the 3D coordinates' identification (ID) and metadata. We define the term to represent the 3D human body position in a total of 12 categories, including semantic terminology entity and semantic disorder. The Blender and 3ds Max programs are used to create the 3D model from medical imaging data. The generated 3D human body model is expressed by the ID of the coordinate type (x, y, and z axes) based on the anatomical position and mapped to the semantic entity including the meaning. We propose a system of standard terminology enabling integration and utilization of the 3D human body model, coordinates (ID), and metadata. In the future, through cooperation with the Electronic Health Record system, we will contribute to clinical research to generate higher-quality big data.

Building the Data Mart on Antibiotic Usage for Infection Control (감염관리를 위한 항생제 사용량 데이터마트의 구축)

  • Rheem, Insoo
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.4
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    • pp.348-354
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    • 2016
  • Data stored in hospital information systems has a great potential to improve adequacy assessment and quality management. Moreover, an establishment of a data warehouse has been known to improve quality management and to offer help to clinicians. This study constructed a data mart that can be used to analyze antibiotic usage as a part of systematic and effective data analysis of infection control information. Metadata was designed by using the XML DTD method after selecting components and evaluation measures for infection control. OLAP-a multidimensional analysis tool-for antibiotic usage analysis was developed by building a data mart through modeling. Experimental data were obtained from data on antibiotic usage at a university hospital in Cheonan area for one month in July of 1997. The major components of infection control metadata were antibiotic resistance information, antibiotic usage information, infection information, laboratory test information, patient information, and infection related costs. Among them, a data mart was constructed by designing a database to apply antibiotic usage information to a star schema. In addition, OLAP was demonstrated by calculating the statistics of antibiotic usage for one month. This study reports the development of a data mart on antibiotic usage for infection control through the implementation of XML and OLAP techniques. Building a conceptual, structured data mart would allow for a rapid delivery and diverse analysis of infection control information.

Design and Implementation of Automated Detection System of Personal Identification Information for Surgical Video De-Identification (수술 동영상의 비식별화를 위한 개인식별정보 자동 검출 시스템 설계 및 구현)

  • Cho, Youngtak;Ahn, Kiok
    • Convergence Security Journal
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    • v.19 no.5
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    • pp.75-84
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    • 2019
  • Recently, the value of video as an important data of medical information technology is increasing due to the feature of rich clinical information. On the other hand, video is also required to be de-identified as a medical image, but the existing methods are mainly specialized in the stereotyped data and still images, which makes it difficult to apply the existing methods to the video data. In this paper, we propose an automated system to index candidate elements of personal identification information on a frame basis to solve this problem. The proposed system performs indexing process using text and person detection after preprocessing by scene segmentation and color knowledge based method. The generated index information is provided as metadata according to the purpose of use. In order to verify the effectiveness of the proposed system, the indexing speed was measured using prototype implementation and real surgical video. As a result, the work speed was more than twice as fast as the playing time of the input video, and it was confirmed that the decision making was possible through the case of the production of surgical education contents.

Design and Implementation of CDA Based PACS for Optimized Metadata Extraction (최적화된 메타데이터 추출물 위한 CDA 기반의 의료영상전달시스템 설계 및 구현)

  • Kim Sun-Chil;Cho Hune;Kwak Yun-Sik;Kim Il-Kon;Kim Hwa-Sun
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.54 no.5
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    • pp.315-323
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    • 2005
  • The recent development of embodiment technology of the medical images makes most medical institutions introduce PACS in haste. However, while many older HIS and PACS systems are not yet capable of some of the integration, several new systems are moving rapidly in that direction. Typical PACS system architecture begins with the HIS since this is where the correct patient demographic information and in many cases the orders originate. So, PACS developed convenience of users and to satisfy user's demand because of financial limitations and administrator-oriented considerations in the process of development. Therefore, we have developed a CDA (Clinical Document Architecture) based PACS with HIS, by which we can search and refer to the patient's medical images and information with few restrictions of time and space for diagnosis and treatment. Target model of this research limited to 135 of hospital have 200 beds. We'll make more effort to develop the application which insures the better quality and information of medical images. Medical Image History manages the patient's image files and various medical informations like film chart in connection with time. This trial will contribute to the reduction of the financial loss caused by unnecessary devices and improve the quality in the medical services. The demand on the development of the program which refers to the medical data quickly and keeps them stable will be continued by the medical institute. This will satisfy the client's demand and improve the service to the patients in that the program will be modified from the standpoint of the users.