• Title/Summary/Keyword: EMR system

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A trial of Drug use Evaluation of oral levofloxacin in the Hospitalized Patients (입원환자의 경구용 levofloxacin 약물 사용 평가)

  • Ro, Eun-Sook;Park, Yun-Hee;Bang, Eun-Mi;Kim, Won-Kyu;Lim, Keum-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.2
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    • pp.105-109
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    • 2009
  • In July 2008, The National Police Hospital has developed the CPOE system(Computerized Physician Order Entry system) which links the medicine master and introduced the new program for the injectable antimicrobial agents. After introducing new system, we wanted to check the management of oral antimicrobial agents. Because new system has limitation that new system control only the use of the injectable antimicrobial agents. So we tried to evaluate the use of oral levofloxacin, which was chosen by a medical specialist of the infection. We retrospectively analyzed the appropriateness of oral levofloxacin through EMR(Electric Medical Record) of 72 inpatients who received oral levofloxacin in National Police Hospital in December 2008. We applied the modified ASHP(American Society of Health- System Pharmacists) DUE(Drug Use Evaluation) criteria, which is composed of justification of drug use, critical indicators, complications and outcome measures. Acceptable cases of use of levofloxacin were 67(93.01%) and 57cases(79.2%) showed good outcome. However critical indicators were not performed very well. We want to suggest the new system for the management of the medical therapeutics by the pharmacist in charge.

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Development of Efficient Order Communication and Pharmacy Supporting System for Traditional Korean Medicine (효율적인 한의 처방조제지원시스템 개발)

  • Kim, Chul;Kim, Sang-Kyun;Jang, Hyun-Chul;Kim, An-Na;Kim, Ik-Tae;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.16 no.3
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    • pp.127-133
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    • 2010
  • The purpose of this study is to develop the order communication system for Traditional Korean Medicine(TKM) which can support prescribing decisions and provide the toxicological information. The relative vulnerability of the infrastructure of TKM has made us start the study. We carried out the benchmarking for TKM charting solution firstly, and then designed the intelligent search and supporting method for prescription decisions. We developed of the medical herbs database and the web-based order communication program which can be used in medical field actually. This system supplies a various functions to oriental medical doctors such as management for prescription history, search for herb's effects, generating prescriptions, inventory management, alerting of toxicity and taboo, guideline for taking medicine, and so on. The design and implementation process has been described in this research. We expect that this system will play an important role in electronic medical record(EMR) or electronic health record(EHR) binding diagnosis and management functions.

Reducing the waiting time of parkinson's patients in outpatient pharmacy by improving EMR and workflow (외래약국에서 파킨슨병 환자 투약대기시간 단축을 위한 전산 및 업무 흐름 개선)

  • Choi, Dan-Hee;Yim, Ji-Yoon;Lee, Yong-Hwa
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.28-40
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    • 2014
  • Objectives: Prescriptions for Parkinson's can be dispensed at the outpatient pharmacy. In general, the treatment of Parkinson's disease requires a multitude of drugs, sometimes taken 4 to 6 times a day at specific times as prescribed by the medical practitioner. Said "time-specific therapy" is one of the major reasons of dispensing delay observed at the outpatient pharmacy. Because our establishment lacked a computerized system to support time-specific prescriptions, they were not recognized electronically. They had to be issued and dispensed manually, which required a greater amount of time than the automated process. To solve the problem, a new sig code was developed to handle time-specific prescriptions with a comprehensive automated dispensing system to support it. This study aims to create electronic programs and streamline the process to increase dispensing performance. And thus, ensure greater patient safety and dispensing accuracy within a shorter dispensing time and also increase employee satisfaction through a decreased workload. Methods: After identifying the problems caused by non-electronic prescriptions an automated system that allowed the issuance of time-specific prescriptions was developed. A new sig code was created that could be recognized by the Pharmacy electronic medical program, the label printer to group medications by administration times and the Automatic Tablet Counter(ATC) to count the grouped drugs accordingly. Result: With the new sig code, the practitioner became able to electronically select the times of drug administration while issuing the prescription. This 'time-specific prescription' can now be recognized by the pharmacy electronic medical program, the label printer and the ATC like any other prescription. Conclusion: The developed program started operating on September 2013. Although not all Parkinson's patients have been issued with the new electronic 'time-specific prescription', the overall dispensing process has become more streamlined and accurate. As the medical team continues to integrate the new system in their practice an additional decrease of the dispensing time is predicted. Future program upgrades and other new time-saving approaches are scheduled, which are expected to further increase the service quality of our outpatient pharmacy.

The Effect of the Telemedicine Service System Application for the Patients with Hypertension at Community Health Practitioner Posts in Gangwon Province (강원도 보건진료소 고혈압 환자의 원격관리시스템 적용 효과)

  • Kwon, Myung Soon;Noh, Ghee-Young;Choi, Jounghwa
    • Korean Journal of Health Education and Promotion
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    • v.31 no.2
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    • pp.55-64
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    • 2014
  • Objectives: This study is to identify the effects of utilizing a telemedicine service system on patients with hypertension at home in rural areas. Methods: The study was designed to be a retrospective case-control study. The subjects of this study were 152patients with hypertension who were managed by community health practitioner posts; using telemedicine service system group (n=76), usual care group (n=76). The data was collected through EMR (electric medical record) from September to December, 2013, and analyzed by descriptive statistics of $x^2$/t-test and ANCOVA. Results: The analysis showed that telemedicine service system was an effective way to deal with body weight (F=4.723, p=.031) and BMI (F=5.225, p=.024). Conclusions: This study provides evidence for utilizing the telemedicine service system based on information technology as intervention method in the hypertension management.

Implementation of Intelligence Electronic Acupuncture System based on WEB (WEB 기반 지능형 전자침 시스템 구현)

  • Park, Hyun-Sook;Hong, You-Sik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.3
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    • pp.93-100
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    • 2018
  • The electronic acupuncture has the advantage of treating the patient with acupuncture by simultaneously analyzing the patient's physical condition and treatment condition. In this paper, it is proposed and developed an electronic acupuncture algorithm embedded in a multi pad. Especially, it is implemented the control algorithm using the optimal electronic dipstick calculation, sensing pad and DSP system for the patient's body condition. Moreover, in this paper, it is developed SW and HW prototypes that can receive personal information by patient and can receive multi-array type electronc needle guiding procedure based on WEB.

Development of Tire Lateral Force Monitoring System Using SKFMEC (SKFMEC를 이용한 차량의 타이어 횡력 감지시스템 개발)

  • Kim, Jun-Yeong;Heo, Geon-Su
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.24 no.7 s.178
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    • pp.1871-1877
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    • 2000
  • Longitudinal and lateral forces acting at tire are known to be closely related to the tractive ability, braking characteristics, handling stability and maneuverability of ground vehicles. However, it is not feasible in the operating vehicles to measure the tire forces directly because of high cost of sensors, limitations in sensor technology, interference with the tire rotation and harsh environment. In this paper, in order to develop tire force monitoring system, a new vehicle dynamics monitoring model is proposed including the roll motion. Based on the monitoring model, tire force monitoring system is designed to estimate the lateral tire force acting at each tire. A newly proposed SKFMEC (Scaled Kalman Filter with Model Emr Compensator) method is developed utilizing the conventional EKF (Extended Kalman Filter) method. Tire force estimation performance of the SKFMEC method is evaluated in the Matlab simulations where true tire force data is generated from a 14 DOF vehicle model with a combined-slip Magic Formula tire model.

Image-Centric Integrated Data Model of Medical Information by Diseases: Two Case Studies for AMI and Ischemic Stroke

  • Lee, Meeyeon;Park, Ye-Seul;Lee, Jung-Won
    • Journal of Information Processing Systems
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    • v.12 no.4
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    • pp.741-753
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    • 2016
  • In the medical fields, many efforts have been made to develop and improve Hospital Information System (HIS) including Electronic Medical Record (EMR), Order Communication System (OCS), and Picture Archiving and Communication System (PACS). However, materials generated and used in medical fields have various types and forms. The current HISs separately store and manage them by different systems, even though they relate to each other and contain redundant data. These systems are not helpful particularly in emergency where medical experts cannot check all of clinical materials in the golden time. Therefore, in this paper, we propose a process to build an integrated data model for medical information currently stored in various HISs. The proposed data model integrates vast information by focusing on medical images since they are most important materials for the diagnosis and treatment. Moreover, the model is disease-specific to consider that medical information and clinical materials including images are different by diseases. Two case studies show the feasibility and the usefulness of our proposed data model by building models about two diseases, acute myocardial infarction (AMI) and ischemic stroke.

Artificial Intelligence Game System "AlGGAGO" (알까기 인공지능 시스템 "알까고")

  • Lee, Keon-Ho;Yoon, Won-Tak;Park, Jin-Soo;Park, Doo-Soon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.932-935
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    • 2017
  • 최근 인공지능은 딥러닝, 기계학습 등 인공지능 기술이 발전되면서 기술 상용화가 가시화되고 있다. 이에 따라 인공지능분야는 다른 산업의 핵심 기술로 급부상과 함께 여러 글로벌 기업들이 적극적 투자를 실시하고 있는 추세이다. 이렇게 인공지능 기술이 발전하면서 인공지능 기반 기술 개발에서 타산업의 핵심기술로 프레임이 변화 되고 있으며 차세대 ICT 핵심 기술로 인식이 확산되고 있다. 따라서 본 논문에서는 이러한 인공지능 방법중 지도 학습의 의사 결정 트리 알고리즘을 사용하여 AWS(Amazone Web Service) EMR 서버에서 이를 알까기에 적용하여 알까고 게임 시스템을 구현하였다.

Selection of Clinical Records and Development of Data Management Program for Stroke Clinic Research (중풍 임상 연구를 위한 항목 선정 및 정보관리 프로그램 개발)

  • Moon, Jin-Seok;Choi, Sun-Mi;Cho, Ki-Ho;Yoon, Yoo-Sik
    • Korean Journal of Oriental Medicine
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    • v.11 no.1
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    • pp.109-118
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    • 2005
  • In a field of oriental medicine, it is necessary to collect systemically clinical data and integrate. Input data items was decided, then categorized by the modules through discussion of the institute and hospitals. Items are information of patient, history, aspects of occurrence, pattern identification, prescriptions of herbal medicine, the results of biochemical serum examination, blood cell count, urine analysis, CT, MRI, Chest PA, EKG etc. Factors in oriental medicine are Sasang constitution, Stroke-Pattern-Identification(china), differentiation of cold and heat syndrome. This tool was constructed by using Microsoft-Access 2000 and Microsoft Visual Basic 6.0. Furthermore this web-based system could be applied to multi-center clinical investigation.

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Development of Personal Health Profiling System Based on FHIR(Fast Healthcare Interoperability Resources) (FHIR 기반의 개인건강기록 관리 시스템 개발)

  • Kim, Young-Sik;Kim, Il Kon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.11a
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    • pp.360-362
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    • 2014
  • Health Level Seven(HL7)에서 V2.x, V3 보다 향상된 FHIR(Fast Healthcare Interoperabilty Resources)를 표준을 개발하고 있고, 이를 채택한 솔루션 개발이 활발하고, 각 국가 의료환경에서의 검증이 필요하다. 현재 미국에서 성공적으로 널리 사용되는 V2.x Message와 V3 Clinical Document Architecture(CDA)가 존재 하지만, 이 기술 표준들을 개발하고 사용하는데 긴 시간 투자의 문제점이 있다. 현재 V4로 불리우는 개선된 FHIR를 사용함으로 이러한 문제점을 해결할 방법인지 확인한다. 개인건강기록 관리 또한 사회적인 관심을 끌고 있고, 스마트폰 보급률이 급격히 증가하는 함을 반영하여 개인건강기록 관리 시스템을 스마트폰으로 접속 가능한 시스템으로 개발한다. 이를 구축하기 위해서는 Electronic Medical Record(EMR) 시스템과 Personal Health Profiling(PHP) 시스템간의 정보교류를 FHIR Open API로 구성한다. PHP 시스템에서는 이들 트랜잭션을 RESTful 서비스로 제공한다. 본 연구에서는 FHIR기반의 PHP 시스템을 통해 개인건강관리 시스템의 효율성을 검증하고자 한다.