• Title/Summary/Keyword: Electronic Health Record

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Study for Improvement of the Doctor's Satisfaction and Completeness of the Medical Record in the EMR System (전자의무기록(EMR) 시스템하에서 의사의 만족도와 의무기록정보의 기재 충실도 향상 방안)

  • Park, Un-Je
    • Korea Journal of Hospital Management
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    • v.16 no.2
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    • pp.19-30
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    • 2011
  • This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

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Personal Health Record/Electronic Medical Record Data Trading Model for Medical My Data Environments (마이데이터 환경에서 개인의 전자 건강/의료 데이터 활용을 위한 데이터 거래모델)

  • Oh, Hyeon-Taek;Yang, Jin-Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.3
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    • pp.250-261
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    • 2020
  • Today, data subjects should be considered to utilize various personal data. To support this paradigm, the concept of "My Data" has proposed and has realized in various industrial sectors, including medial sectors. Based on the concept of the medical My Data, this paper proposes a personal health record (PHR) and an electronic medical record (EMR) data trading model. Particularly, this paper proposes a system model to support the medical My Data environment and relevant procedure among stakeholders for PHR/EMR data trading that ensures the rights of data subjects. Based on the proposed system model, this paper also proposes various mathematical models to analyze the behavior of stakeholders and shows the feasibility of the proposed data trading model that satisfies the requirements of both data subjects and data consumers.

Improvement Plan of the Korean Electronic Medical Record (우리나라 전자의무기록의 개선방안)

  • Choi, Chan-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.11-21
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    • 2014
  • The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

Accountable Attribute-based Encryption with Public Auditing and User Revocation in the Personal Health Record System

  • Zhang, Wei;Wu, Yi;Xiong, Hu;Qin, Zhiguang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.302-322
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    • 2021
  • In the system of ciphertext policy attribute-based encryption (CP-ABE), only when the attributes of data user meets the access structure established by the encrypter, the data user can perform decryption operation. So CP-ABE has been widely used in personal health record system (PHR). However, the problem of key abuse consists in the CP-ABE system. The semi-trusted authority or the authorized user to access the system may disclose the key because of personal interests, resulting in illegal users accessing the system. Consequently, aiming at two kinds of existing key abuse problems: (1) semi-trusted authority redistributes keys to unauthorized users, (2) authorized users disclose keys to unauthorized users, we put forward a CP-ABE scheme that has authority accountability, user traceability and supports arbitrary monotonous access structures. Specifically, we employ an auditor to make a fair ruling on the malicious behavior of users. Besides, to solve the problem of user leaving from the system, we use an indirect revocation method based on trust tree to implement user revocation. Compared with other existing schemes, we found that our solution achieved user revocation at an acceptable time cost. In addition, our scheme is proved to be fully secure in the standard model.

Study on the Categorical Structure Standardization for Representation of 3D Human Body Position System

  • Choi, Byung-Kwan;Choi, Eun-A;Nam, Moon-Hee
    • Journal of information and communication convergence engineering
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    • v.18 no.4
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    • pp.260-266
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    • 2020
  • This study presents the categorical structure for ther epresentation of a 3D human body position system in the WD stage after NP approval by the International Organization for Standardization (ISO), analyzes the needs of electronic medical record users and establishes future implementation plans for expanding its use in Korea. Research was conducted on the needs of doctors, nurses, health and medical information managers, and radiology departments, which are the main stakeholders of electronic medical records. The overall requirements for electronic medical records were derived from the results, and the requirements for each stage of use of electronic medical records were analyzed. Based on the results of the study, the study proposes plans to expand the use of the categorical structure for the representation of the 3D human body position system, and also aims to establish a standard system for health and medical terminology in Korea and contribute to the development of health and medical information standards through international standardization.

A study on the recognition of medical institution workers and the development of the certification system after electronic medical record certification (전자의무기록 인증 후 의료기관 종사자 인식과 인증제 발전을 위한 연구)

  • Cho-Yeal Park
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.173-180
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    • 2023
  • In this study, senior general hospital, general hospital medical institutions certified by the Electronic Medical Record System Management Portal in 2021 were surveyed on the recognition of changes in medical information management and EMR system functionality. Through verification, it was implemented to promote future development of the certification system and long-term development of the electronic mandatory record certification system. A total of 1,189 respondents were used for final analysis using structured questionnaires, and in particular, differences in recognition of certification systems and system functionality after EMR certification were verified by conducting average analysis and ANOVA. As a result of analysis, the electronic mandatory record certification system was confirmed to affect positive work changes and perceptions on medical institution workers, and after certification of the electronic mandatory record system, it showed operational effects in many ways. Based on the results of this study in the future, communication follow-up research is needed.

Designing and Implementing a PKI-based Safety Protocol for Electronic Medical Record Systems (공개키 기반의 안전한 전자의무기록에 관한 프로토콜 설계 및 구현)

  • Jin, Gang-Yoon;Jeong, Yoon-Su;Shin, Seung-Soo
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.243-250
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    • 2012
  • This study proposes new protocol protecting patients' personal record more safely as well as solving medical dispute smoothly by storing the record not into a computer server in hospitals but into the National Health Insurance Corporation computer server. The new protocol for electronic medical record is designed using RSA public key algorithm and DSA digital signature. In addition, electronic medical record systems are built up with more safety and reliability through certificate authority. The proposed medical information systems can strengthen trust between doctors and patients. If medical malpractice occurs, the systems can also provide evidence. Furthermore, the systems can be helpful to reduce medical accidents. The systems could be also utilized efficiently in various applied areas.

A Study on the Health Screening Solution by Using Electronic Medical Record (전자의무기록을 활용한 건강검진 솔루션에 관한 연구)

  • Lee, Hyo-Seung;Oh, Jae-Chul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.7
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    • pp.825-830
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    • 2015
  • The Electronic Medical Record(: EMR) is to store medical data not in the form of document, but in the data storage. Such EMR can not only solve various problems of document use such as storage/arrangement of and securing space for document, but also make it possible to provide customized-treatment based on large quantity of customer data, so that hospitals can reduce the management cost and also improve the work efficiency. Customers also can receive the great quality of medical service. Owing to such strengths, the EMR has been rapidly introduced and applied to many hospitals and clinics since 1990s. In case of the current health screening system, however, paper forms used for health screening is also stored, on top of EMR. There would be various reasons why it is stored in the form of document. While the EMR used in hospitals is comprised of a unit program performing medical record, the health screening system is comprised of a unit program performing logics related to health screening. For this reason, it might be unavoidable for the health screening system to store document forms. If the EMR function is applied to the health screening system, it is expected to be able to operate more efficient health screening solution.

Development of an Electronic Document for DNR Informed Consent based on the Electronic Medical Record System (전자의무기록 기반의 심폐소생술금지 동의서의 전자서식 개발)

  • Park, Ji-Kyeong
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.99-111
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    • 2016
  • Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.

Secured Different Disciplinaries in Electronic Medical Record based on Watermarking and Consortium Blockchain Technology

  • Mohananthini, N.;Ananth, C.;Parvees, M.Y. Mohamed
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.3
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    • pp.947-971
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    • 2022
  • The Electronic Medical Record (EMR) is a valuable source of medical data intelligence in e-health systems. The watermarking techniques have been used to authenticate the owner and protect the EMR from illegal copying. The existing distributive strategies, successfully operated to secure the EMR, are found to be inadequate. Blockchain technology, mainly, is employed by a sharing database that allows the digital crypto-currency. It rapidly leads to the magnified expectations acme. In this excitement, the use of consortium adopting the technology based on Blockchain, in the EMR structure, is found improving. This type of consortium adds an immutable share with a translucent record of the entire business and it is accomplished with responsibility, along with faith and transparency. The combination of watermarking and Blockchain technology provides a singular chance to promote a secured, trustworthy electronic documents administration to share with the e-records system. The authors, in this article, present their views on consortium Blockchain technology which is incorporated in the EMR system. The ledger, used for the distribution of the block structure, has team healthcare models based on dissimilar multiple image watermarking techniques.