• Title/Summary/Keyword: Computer-based Patient Record System

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CDSS enabled PHR system for chronic disease patients (만성 질병환자를 위한 CDSS를 적용한 PHR 시스템)

  • Hussain, Maqbool;Khan, Wajahat Ali;Afzal, Muhammad;Ali, Taqdir;Lee, Sungyoung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2012.11a
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    • pp.1321-1322
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    • 2012
  • With the advance of Information Technology (IT) and dynamic requirements, diverse application services have been provided for end users. With huge volume of these services and information, users are required to acquire customized services that provide personalized information and decision at particular extent of time. The case is more appealing in healthcare, where patients wish to have access to their medical record where they have control and provided with recommendation on the medical information. PHR (Personal Health Record) is most prevailing initiative that gives secure access on patient record at anytime and anywhere. PHR should also incorporate decision support to help patients in self-management of their diseases. Available PHR system incorporates basic recommendations based on patient routine data. We have proposed decision support service called "Smart CDSS" that provides recommendations on PHR data for diabetic patients. Smart CDSS follows HL7 vMR (Virtual Medical Record) to help in integration with diverse application including PHR. PHR shares patient data with Smart CDSS through standard interfaces that pass through Adaptability Engine (AE). AE transforms the PHR CCR/CCD (Continuity of Care Record/Document) into standard HL7 vMR format. Smart CDSS produces recommendation on PHR datasets based on diabetic knowledge base represented in shareable HL7 Arden Syntax format. The Smart CDSS service is deployed on public cloud over MS Azure environment and PHR is maintaining on private cloud. The system has been evaluated for recommendation for 100 diabetic patients from Saint's Mary Hospital. The recommendations were compared with physicians' guidelines which complement the self-management of the patient.

A Study on the CPR Security System (CPR 시큐리티 시스템에 관한 연구)

  • Kim, Seok-Soo
    • Convergence Security Journal
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    • v.6 no.1
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    • pp.75-82
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    • 2006
  • This paper proposes CPR(Computer-based patient record) system that is utilized in Ubiquitous environment, establish security policy by analyzing security limitation of system and design suitable security system in CPR system. The present study designed a CPR system and, for the development of a security system, established security policies for the CPR system through analyzing the operating environment and vulnerability in security and designed a security system implementing the policies. The security system supporting CPR system is composed of authentication system, XML documentation and encryption of medical information and network security system.

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Design of SPMR using URN based UCI with RFID (RFID와 UCI 기반의 URN을 활용한 SPMR 설계)

  • Jang, Doc-Sung
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.2 s.46
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    • pp.291-297
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    • 2007
  • Linking patient's medical records throughout country is required to get patient's accurate information which is helpful for doctor to diagnosis patient's symptoms more exactly. With shortening of time and preventing of retest, patient can be survived or alleviate suffering. Purpose of this paper is to design combined identification system linking patient's RFID card with medical digitalized Chart to share patient's information between the hospitals. With research and review of pre-studied related identification system, standardization, and UCI-RFID linkage study, SPMR(sharing patient's medical record) has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain. SPMR(sharing patient's medical record) which will take information needed and pay for information usage to related hospitals has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain.

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Building an Ontology for Structured Data Entry of Signs and Symptoms in Oriental Medicine (Protege를 이용한 한의학의 구조화된 증상 입력을 위한 온톨로지 개발)

  • Park Kyung Mo;Lim Hee Sook;Park Jong Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.5
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    • pp.1151-1156
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    • 2003
  • To obtain both of the fast and complete data entry and the acquisition of reusable data in a Computer-based Patient Record system (CPR), we are building the ontology that is used by the entry supporting agents. Our application domain is Traditional Chinese Medicine. As the tool for the implementation, we used protege 2000 which is ontology building tool and provides frame knowledge representation language. In this paper, the construction methodology of our ontology is reported.

Building an Ontology for Structured Diagnosis Data Entry of Educating Underachieving Students (구조화된 학습부진아 진단 자료의 입력을 위한 온톨로지 개발)

  • Ha, Tai-Hyun;Baek, Hyeon-Gi
    • Journal of Digital Convergence
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    • v.3 no.1
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    • pp.183-194
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    • 2005
  • This study is aimed at building up an Ontology to solve the discrepancy of terminologies between teachers and students by showing, through Ontology, the knowledge for diagnosis of underachieving students. Also this study makes it possible to infer the diagnosis based on information of these underachieving students. In addition, while a general Underachieving Students diagnosis system shows special diagnosis, this Ontology system helps users obtain correct concepts through this knowledge based system, and suggest building an Ontology to extend unclear conceptual knowledge to clearer ones.

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A Study on Design of Agent based Nursing Records System in Attending System (에이전트기반 개방병원 간호기록시스템 설계에 관한 연구)

  • Kim, Kyoung-Hwan
    • Journal of Intelligence and Information Systems
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    • v.16 no.2
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    • pp.73-94
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    • 2010
  • The attending system is a medical system that allows doctors in clinics to use the extra equipment in hospitals-beds, laboratory, operating room, etc-for their patient's care under a contract between the doctors and hospitals. Therefore, the system is very beneficial in terms of the efficiency of the usage of medical resources. However, it is necessary to develop a strong support system to strengthen its weaknesses and supplement its merits. If doctors use hospital beds under the attending system of hospitals, they would be able to check a patient's condition often and provide them with nursing care services. However, the current attending system lacks delivery and assistance support. Thus, for the successful performance of the attending system, a networking system should be developed to facilitate communication between the doctors and nurses. In particular, the nursing records in the attending system could help doctors monitor the patient's condition and provision of nursing care services. A nursing record is the formal documentation associated with nursing care. It is merely a data repository that helps nurses to track their activities; nursing records thus represent a resource of primary information that can be reused. In order to maximize their usefulness, nursing records have been introduced as part of computerized patient records. However, nursing records are internal data that are not disclosed by hospitals. Moreover, the lack of standardization of the record list makes it difficult to share nursing records. Under the attending system, nurses would want to minimize the amount of effort they have to put in for the maintenance of additional records. Hence, they would try to maintain the current level of nursing records in the form of record lists and record attributes, while doctors would require more detailed and real-time information about their patients in order to monitor their condition. Therefore, this study developed a system for assisting in the maintenance and sharing of the nursing records under the attending system. In contrast to previous research on the functionality of computer-based nursing records, we have emphasized the practical usefulness of nursing records from the viewpoint of the actual implementation of the attending system. We suggested that nurses could design a nursing record dictionary for their convenience, and that doctors and nurses could confirm the definitions that they looked up in the dictionary through negotiations with intelligent agents. Such an agent-based system could facilitate networking among medical institutes. Multi-agent systems are a widely accepted paradigm for the distribution and sharing of computation workloads in the scientific community. Agent-based systems have been developed with differences in functional cooperation, coordination, and negotiation. To increase such communication, a framework for a multi-agent based system is proposed in this study. The agent-based approach is useful for developing a system that promotes trade-offs between transactions involving multiple attributes. A brief summary of our contributions follows. First, we propose an efficient and accurate utility representation and acquisition mechanism based on a preference scale while minimizing user interactions with the agent. Trade-offs between various transaction attributes can also be easily computed. Second, by providing a multi-attribute negotiation framework based on the attribute utility evaluation mechanism, we allow both the doctors in charge and nurses to negotiate over various transaction attributes in the nursing record lists that are defined by the latter. Third, we have designed the architecture of the nursing record management server and a system of agents that provides support to the doctors and nurses with regard to the framework and mechanisms proposed above. A formal protocol has also been developed to create and control the communication required for negotiations. We verified the realization of the system by developing a web-based prototype. The system was implemented using ASP and IIS5.1.

Development of Electronic Medical Record System Using XML (XML을 이용한 전자의무기록시스템 개발)

  • Kang, Byeong-Do;Jung, Suk-Ho
    • The KIPS Transactions:PartD
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    • v.9D no.6
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    • pp.1127-1136
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    • 2002
  • In the medical field. the desire of the hospital information system based on the advanced computer technology has been increased because hospital staffs wanted to provide better medical services to their patients by using it. So, the electronic medical records have emerged to share and exchange medical and healthcare information stored in database. In this paper. we developed an electronic medical record system using XML. This system includes four modules : data repository. document structure manager, document writter and XML automatic generator. For the purpose of evaluating the usability of the electronic medical records of our system, we also applied it to out-patient medical records in the department of orthopedic surgery.

Implementation of reporting system for continuity of care document based on web service (Web Service 기반의 휴대용 건강 요약지 보고 시스템 구현)

  • Kim, Jong-Wook;Jeon, So-Hye;Lim, Chung-Mook;Park, Sun-Young;Kim, Nam-Hyun
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.402-404
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    • 2009
  • The development of health information technology enables people to access, view and acquire personal health record. But still, there have been a number of obstacles such as the absence of the standard to realize the ideal Personal Health Record(PHR) system. In this study, we proposed the service model that serves periodic Health Record Summary which is made by a medical specialist to people who are in the busy lives. Healthcare data from EMR in a hospital including people generate themselves at home is sent to a physician to make a medical opinion, and then it is changed into Health Level 7 Continuity of Care Document(CCD) format for interoperability. After a physician writes his opinion about patient's health condition, it will send to people by email. People who receive the health record summary data by email can save them into a USB device to view own PHR and medical comments of a physician through a computer. It will help people managing their own health condition with an opinion of a medical specialist.

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A Security Labeling Scheme for Privacy Protection in Personal Health Record System (개인건강기록 시스템에서 개인 프라이버시 보호를 위한 보안 레이블 기법)

  • Yi, Myung-Kyu;Yoo, Done-sik;Whangbo, Taeg-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.6
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    • pp.173-180
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    • 2015
  • The advent of personal healthcare record(PHR) technology has been changing the uses as well as the paradigm of internet services, and emphasizing the importance of services being personalization. But the problem of user's privacy infringement and leaking user's sensitive medical information is increasing with the fusion of PHR technology and healthcare. In this paper, we propose a security labeling scheme for privacy protection in PHR system. In the proposed scheme, PHR data can be labeled also manually based on patient's request or the security labelling rules. The proposed scheme can be used to control access, specify protective measures, and determine additional handling restrictions required by a communications security policy.

Development of the Home-Based Prenatal Care System via Information Superhighway (초고속 통신망을 이용한 재택산전간호관리 시스템 개발)

  • 김정은;박현애
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.774-789
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    • 1995
  • Due to the rapid socioeconomic development and the introduction of the national health insurance system the general population's need for health care and utilization of health care services have increased dramatically. As a result of this change. Korea is experiencing a shortage of health care facilities and health manpower, and this leads long wailing line at doctor's offices. One of the solutions of this problem could be home health care system for those who have minor health related problems. With this background, this study was conducted to look at the feasibility of a home-based prenatal care system using information superhighway and nursing informatics specialists. With the home-based prenatal care system, the pregnant woman checks her blood pressure, tests her urine for sugar and protein, and measures her body weight at home and sends the information to a hospital computer via the information networks such as public telephone line and information superhighway. Nursing informatics specialist at the hospital will go through each patient record and screen those who have abnormal values and notify them to see a doctor as soon as possible. Besides telemonitoring features, the proposed system will include tole-education capabilities for the patients so that patient can learn whatever they need to know ragarding the prenatal care via information networks. If this system develops and operates, patient can save time in terms of travel to and from the hospital and waiting time in the hospital. And the health care institute can utilize its resource more efficiently.

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