• 보건의료생명과학 논문지
• /
• 제11권2호
• /
• pp.173-180
• /
• 2023

본 연구는 2022년 전자의무기록시스템 관리포털에서 인증을 받은 전국의 상급종합병원, 종합병원 의료기관 종사자들을 대상으로 전자의무기록 인증 후 의료기관의 의료정보관리, 정보이용에 대한 업무변화에 관한 인식도와 EMR 시스템 기능성에 대한 인식을 조사하였다. 검증을 통해 향후 인증제 발전 및 전자의무기록 인증제도의 단, 장기적인 발전을 도모하기 위해 수행되었다. 구조화된 설문지를 이용해 총 1,189명의 응답 자료를 최종 분석에 사용하였으며, 특히 EMR 인증 후 인증제도 인식 및 시스템 기능성에 대한 직종별 인식 차이는 평균분석과 ANOVA를 실시해 검증을 적용하였다. 분석결과 전자의무기록 인증제는 의료기관 종사자들에게 긍정적인 업무변화와 인식에 영향을 주는 것을 확인했고, 전자의무기록 시스템 인증 후 다각적인 측면(내부 인식, 시스템 기능성, 상호운용성, 보안성, 추진목적)에서 운영 효과를 보였다. 향후 본 연구결과를 바탕으로 소통적인 후속 연구의 필요를 보인다.

• 한국인터넷방송통신학회논문지
• /
• 제14권4호
• /
• pp.133-139
• /
• 2014

요즈음, 원격 처방전 및 원격 진료가 시범적으로 운영되고 있다. 그러나 대부분의 원격지 병원에서 환자 생체 데이터를 암호화 하지 않고 전송하는 경우, 해커가 환자 처방전 데이터를 해킹해서 처방전 약물을 바꾸면 환자는 심각한 장애를 받을 수 있다. 따라서, 본 논문에서는, 이러한 문제점을 해결하기 위해 원격 처방전과 의료 정보시스템에 환자의 비밀번호, 개인 식별 정보, 바이오 정보 등을 암호화하는 알고리즘과 안전한 보안 구현 방안이 제시되었다.

• 약학회지
• /
• 제50권3호
• /
• pp.204-207
• /
• 2006

A total of 398 strains of Staphylococcus aureus (99), coagulase-negative staphylococci (CNS) (99), enterococci (100), Streptococcus pyogenes (18) and Streptococcus agalatiae (82) were in Korean tertiary hospital from Dec. 2004 to Mar, 2005. When minimal inhibitory concentrations (MIC), phenotypes and genotypes were determined, 70% of S. aureus, 65.7% of CNS, 78% of enterococci and 37.8% of S. agalatiae were resistant to erythromycin and 95.7% of erythromycin-resistant (EMR) S. aureus, 92.3% of EMR CNS and all of EMR enterococci and S. agalatiae had erm of the methylase gene or msr(A) of the efflux gene.

• 디지털산업정보학회논문지
• /
• 제5권3호
• /
• pp.127-133
• /
• 2009

The pre-existing medical treatment was done in person between doctors and patients. EMR (Electronic Medical Record) System computerizing medical history of patients has been proceed and has raised concerns in terms of violation of human right for private information. Which integrates "Identification information" containing patients' personal details as well as "Medical records" such as the medical history of patients and computerizes all the records processed in hospital. Therefore, all medical information should be protected from misuse and abuse since it is very important for every patient. Particularly the right to privacy of medical record for each patient should be surely secured. Medical record means what doctors put down during the medical examination of patients. In this paper, we applies fingerprint identification to EMR system login to raise the quality of personal identification when user access to EMR System. The system implemented in this paper consists of embedded module to carry out fingerprint identification, web server and web site. Existing carries out it in client. And the confidence of hospital service is improved because login is forbidden without fingerprint identification success.

• 대한예방한의학회지
• /
• 제17권2호
• /
• pp.179-187
• /
• 2013

Objectives : In many cases, patient's symptoms have been recorded on EMR in natural language instead of medical terminologies. It is possible to build a database by analyzing the symptoms of Korean Medicine(KM) that indicates patient's symptoms in natural language. Using the database, when doctors record patient's symptoms on EMR in natural language, conversely it'll be also possible to extract the symptoms of KM from those natural language. The database will enhance the value of EMR as a medical data. Methods : In this study, we aimed to make data structure of the terminologies that represent the symptoms of KM. The data structure is combinations of smallest unit in natural language. We made the database by analyzing morpheme of the natural language to express the symptoms of KM. Results & Conclusions : By classifying the natural language in 15 features, we made the structure of concept and the data available for morphological analysis.

• 한국재료학회지
• /
• 제14권12호
• /
• pp.857-862
• /
• 2004

Production of titanium powder directly from tantalum oxides ($TiO_2$) pellet through an electronically mediated reaction (EMR) by calciothermic reduction has been investigated. Feed material ($TiO_2\;pellet$) and reductant (Ca-Ni alloy) were charged into electronically isolated locations in a molten calcium chloride ($CaCl_2$) bath at $950^{\circ}C$. The current flow through an external circuit between the feed (cathode) and reductant (anode) locations was monitored during the reduction of $TiO_2$. The current approximately 3.2A was measured during the reaction in the external circuit connecting cathode and anode location. After the reduction experiment, pure titanium powder with low nickel content was obtained even though Ca-Ni alloy was used as a reductant. These results demonstrate that titanium powder can be produced without direct physical contact between the feed and reductant. In certain experimental conditions, pure titanium powder with approximately $99.5\;mass\%$ purity was successfully obtained.

• 대한기관식도과학회지
• /
• 제17권1호
• /
• pp.23-28
• /
• 2011

Diagnosis of early esophageal cancer has become more frequent as a result of improved endoscopic technology, surveillance programmes, and increasing experience and awareness on the part of endoscopists. In early esophageal cancer, squamous cell carcinoma and early adenocarcinoma must be managed differently because they have different origins, pathogenesis. and clinical characteristics. The current treatment options vary widely, from extended resection with lymphadenectomy to endoscopic mucosal resection (EMR) or ablation. None of these treatment options can be recommended universally. Instead, an individualized strategy should be based on the depth of tumor infiltration into the mucosa or submucosa, the presence or absence of lymph node metastases, the multicentricity of tumor growth, the length of the segment of intestinal metaplasia, and comorbidities of the patient. EMR has become increasingly important, both as a diagnostic tool for the staging of esophageal carcinomas and as a method of carrying out definitive treatment when the cancer meets certain criteria in which the risk of lymph-node metastasis is negligible. EMR may be sufficient in a subset of patients who have m1 or m2 squamous cell carcinoma and in patients who have isolated foci of high-grade intraepithelial neoplasia or mucosal cancer.

• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2018년도 추계학술대회
• /
• pp.114-115
• /
• 2018

본 논문에서는 클라우드 환경에서 빅데이터를 비용 효율적으로 분석하기 위한 기법을 연구한다. 전자의무기록의 클라우드 저장이 최근 가능해짐에 따라 중소병원에서의 클라우드 기반 빅데이터 분석 요구가 증가하고 있다. 이에 본 논문에서는 대중적으로 많이 사용되고 있는 아마존 EMR 프레임워크를 분석하고, EMR 환경에서 비용 효율적으로 빅데이터를 분석하기 위한 비용 모델을 제안한다. 제안한 기법을 적용하면 클러스터 비용 대비 처리시간이 가장 효율적인 클러스터 규모를 계산할 수 있으므로, 보다 적은 비용으로 빅데이터 분석을 효과적으로 처리할 수 있다.

• Journal of Information Technology Applications and Management
• /
• 제12권2호
• /
• pp.129-143
• /
• 2005

In recent years, two major streams in medical information systems are：1) system integration among OCS(Order Communication System), EMR(Electronic Medical Record), PACS(Picture Archiving and Communication System), and ERP(Enterprise Resource Planning) and 2) system integration through medical collaboration between East and West medical service providers. One of the characteristics which differentiate the Korean medical industry from the western medical industry is the East-West medical collaboration. In many respects there are many differences between East and West medical treatment. Although East and West medical treatment have developed from different medical philosophies and standards, we assume that the better medical care can be provided by integrating their medical procedures effectively. The two possible approaches to the integration of East and West medical information systems are suggested in this paper：One is loosely coupled model and the other is tightly coupled model. EMR improves the quality of medical record which reflects the quality of clinical practice. It provides more efficient and convenient way of input, retrieval, storage, communication and management of medical data. We abstracted the standard medical procedures from the two medical procedures performed in Daejeon Oriental Hospital and Hehwa Clinic at Daejeon University and also abstracted database schema by analyzing the characteristics of information needed in East-West medical collaboration. Our EMR is composed of two types of data：one is structured data and the other is unstructured data, which are formalized by SOAP(Subjective, Objective, Assessment, Plan) format. Currently the integrated system is implemented and operated successfully for six months.

• Genomics & Informatics
• /
• 제11권4호
• /
• pp.186-190
• /
• 2013

The advances in electronic medical records (EMRs) and bioinformatics (BI) represent two significant trends in healthcare. The widespread adoption of EMR systems and the completion of the Human Genome Project developed the technologies for data acquisition, analysis, and visualization in two different domains. The massive amount of data from both clinical and biology domains is expected to provide personalized, preventive, and predictive healthcare services in the near future. The integrated use of EMR and BI data needs to consider four key informatics areas: data modeling, analytics, standardization, and privacy. Bioclinical data warehouses integrating heterogeneous patient-related clinical or omics data should be considered. The representative standardization effort by the Clinical Bioinformatics Ontology (CBO) aims to provide uniquely identified concepts to include molecular pathology terminologies. Since individual genome data are easily used to predict current and future health status, different safeguards to ensure confidentiality should be considered. In this paper, we focused on the informatics aspects of integrating the EMR community and BI community by identifying opportunities, challenges, and approaches to provide the best possible care service for our patients and the population.