• Title/Summary/Keyword: Electronic Health Record

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Development of an Information Security Standard for Protecting Health Information in u-Health Environment (u-Health 환경에서의 정보보호 수준제고를 위한 보안 표준 개발)

  • Kim, Dong-Soo;Kim, Min-Soo
    • IE interfaces
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    • v.20 no.2
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    • pp.177-185
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    • 2007
  • e-Business in healthcare sector has been called e-Health, which is evolving into u-Health with advances of ubiquitous technologies. Seamless information sharing among health organizations is being discussed in many nations including USA, UK, Australia and Korea. Efforts for establishing the electronic health record (EHR) system and a nation-wide information sharing environment are called NHII (National Health Information Infrastructure) initiatives. With the advent of u-Health and progress of health information systems, information security issues in healthcare sector have become a very significant problem. In this paper, we analyze several issues on health information security occurring in u-Health environment and develop an information security standard for protecting health information. It is expected that the standard proposed in this work could be established as a national standard after sufficient reviews by information security experts, stakeholders in healthcare sector, and health professionals. Health organizations can establish comprehensive information security systems and protect health information more effectively using the standard. The result of this paper also contributes to relieving worries about privacy and security of individually identifiable health information brought by NHII implementation and u-Health systems.

Security Requirements of Personal Health Service (개인건강서비스를 위한 보안 요구사항)

  • Kim, Sang-Kon;Hwang, Hee-Joung
    • Journal of IKEEE
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    • v.19 no.4
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    • pp.548-556
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    • 2015
  • When the variety of personal health services are provided in the ICBM(IoT, Cloud, Bigdata, and Mobile) environment, the security requirements of personal health service(PHS) including privacy issues is proposed in this paper. Because it is expected that the services related to personal health are provided in the cloud environment, the security requirements of a cloud environment is firstly investigated and then security threats including direct and indirect threats in a cloud environment are analyzed in terms of the security of PHS. In addition, the security requirements of PHS is developed based on the security requirements of electronic medical record(EMR) for medical service in this paper, then the validity of the proposed security requirements is shown by the relation between security requirements of cloud environment and PHS to indicate that a security requriement is supported by several security requirements of PHS.

Patient Information Transfer System Using OAuth 2.0 Delegation Token (OAuth 2.0 위임 Token을 이용한 환자정보 전달 시스템)

  • Park, Jungsoo;Jung, Souhwan
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.6
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    • pp.1103-1113
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    • 2020
  • Hospitals store and manage personal and health information through the electronic medical record (EMR). However, vulnerabilities and threats are increasing with the provision of various services for information sharing in hospitals. Therefore, in this paper, we propose a model to prevent personal information leakage due to the transmission of patient information in EMR. A method for granting permission to securely receive and transmit patient information from hospitals where patient medical records are stored is proposed using OAuth authorization tokens. A protocol was proposed to enable secure information delivery by applying and delivering the record access restrictions desired by the patient to the OAuth Token. OAuth Delegation Token can be delivered by writing the authority, scope, and time of destruction to view patient information.This prevents the illegal collection of patient information and prevents the leakage of personal information that may occur during the delivery process.

A Study on the Health Information Management Practice Program Model for EMR Certification System Education -Focus on Patient Information Management- (EMR 인증제 교육을 위한 보건의료정보관리 실습 프로그램 모델 연구 -환자정보관리 중심-)

  • Choi, Joon-Young
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.1-9
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    • 2021
  • In this study, a model in which certification standards were added to the health information management practice program was studied and presented in order to understand the EMR certification standards implemented by the Korea Health and Medical Information Service. In the practice program, the certification standard function for patient information management was added to the health information management education system to practice and understand patient information management that corresponds to the functional standard of the EMR certification system. The EMR certification standard practice program for patient information management is composed of the following certification standards. registration number and personal information management, treatment reservation schedule management, personal information revision history management, identification of people with the same name, integrated management of multiple registration numbers, patient search by identification information, patient search by health care type, surgical procedure consent record and inquiry, record/inquiry of consent form for personal information use, display of life-sustaining medical decision information, registration/inquiry of external medical institution documents, registration and inquiry of external examination results. In this way, by operating and practicing the functions of the health information system according to the certification standards, it is possible to understand and practice the certification standards and details of patient information management in the functional area of the certification standards. In addition, since the function of the EMR certification standard can be checked, it will be possible to improve the management ability of the electronic medical record system of the health information manager in the medical institution.

EMR System and Patient Medical Information Protection (전자의무기록(EMR)의 활용과 환자정보보호)

  • Jeun, Youngl-Ju
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.213-224
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    • 2013
  • The purpose of this study is to find out the most successful way for the protection of medical information focusing on the electronic medical record(EMR). In this study, every aspect of the EMR is reviewed in terms of the hospital management. In particular, definitions, major functions, strengths and weaknesses of the EMR are considered. This study also examines the general development of the EMR as well as the current situation of applying the EMR. Important issues such as the protection of patient Medical information, informed consent, and the customer-oriented hospital information system are discussed and interpreted in light of the introduction of the EMR into the area of the hospital management. Finally, in this paper Protection of medical information by major Issues on Patient medical information.

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.

A Medical Integration Framework based on XML for efficient exchange and sharing of Electronic Health Record using HL7 (The LEX System : HL7을 사용하는 전자의무기록의 효율적인 교환과 공유를 위한 XML기반 통합의료환경의 구축)

  • Lee, Min-Kyung;Cheong, Jae-Heon;Chun, Jong-Hoon;Yoo, Soo-Young;Kim, Bo-Young;Choi, Jin-Wook
    • The KIPS Transactions:PartD
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    • v.9D no.5
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    • pp.769-778
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    • 2002
  • The LEX system is a XML-based framework for medical information consolidation. The Lex makes it possible for heterogeneous HISs(Hospital Information Systems) exchange and share HL7 messages by storing the messages into a single Central Clinical Database. In this paper, we propose a HL7 message server independently interoperable from existing HIS to generate HL7 messages, and design an XML database schema suitable for storing and manipulating such data. We also propose a new DTD for efficient transformation of HL7 messages to XML documents for storage saving as well as supporting patient-oriented information retrieval.

Research on the Domestic and Foreign Legislation about Secondary Use Protection for Personal Health Information (개인건강정보의 2차이용 보호에 관한 국내외 법안 연구)

  • Park, Han-Na;Jung, Boo-Geum;Lee, Dong-Hoon;Chung, Kyo-Il
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.20 no.6
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    • pp.251-260
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    • 2010
  • Through the convergence of medical services and the IT technique, the patient's personal health information computerization has been rapidly spread with propagation of electronic medical record(EHR). In addition, by entering u-health, the demand of the secondary use for public health, medical research, and medical service using electronic patient health care records are increasing. The personal health information secondary uses for the development of academic medical area and service, are very good thing. But, carelessly to use personal health information, the patient privacy would be damaged. However, there are not yet systematic studies about secondary use of personal health information. Therefore, in this paper, we analyze the difference of the internal and external bill for personal medical data secondary use and propose the direction of the medical service development and preservation of the individual's privacy.

An Analysis of 2012 Korean Youth Health Risk Behavior On-line Survey Data for Exploring Physical Health Determinants of High School Students (고등학생의 신체적 건강 영향요인 규명을 위한 청소년 건강행태 온라인조사 자료 분석)

  • Lee, Hong-Jik
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.1
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    • pp.117-124
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    • 2015
  • This study explored the determinant variables of physical health of the high school students in Korea. Specifically, it explored how the sociodemographic characteristics factor, school factor, delinquent behaviors factor of the students affect their physical health using the 2012 Korean Youth Health Risk Behavior On-line Survey. Using the case of 36,889, this study conducted frequency analysis, t-test, F-test, and multiple regression analysis. As the result of total multiple regression analysis, gender, father's educational level, sibling(s), economic status, grade, academic record, problem drinking, drug use were statistically significant determinant variables of physical health of the high school students in Korea. Also, it delivered some implications for enhancing their physical health.

Identifying Usability Level and Factors Affecting Electronic Nursing Record Systems: A Multi-institutional Time-motion Approach (전자간호기록 시스템의 사용성 수준 및 관련 요인 분석: Time-motion 방법 적용을 통한 다기관 접근)

  • Cho, Insook;Choi, Won-Ja;Choi, WoanHeui;Hyun, Misuk;Park, Yeonok;Lee, Yoona;Cho, Euiyoung;Hwang, Okhee
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.523-532
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    • 2015
  • Purpose: The usability, user satisfaction, and impact of electronic nursing record (ENR) systems were investigated. Methods: This mixed-method research was performed as a time-motion (TM) study and a survey which were carried out at six hospitals between August and November 2013. The TM study involved 108 nurses from medical, surgical, and intensive care units at each hospital, plus an additional 48 nurses who served as nonparticipating observers. In the survey, 1879 volunteer nurses completed the Impact of ENR Systems Scale, the System Usability Scale, and a global satisfaction scale. Qualitative and quantitative analyses were performed. Results: The mean scores for the ENR impact, system usability, and satisfaction were 4.28 (out of 6), 58.62 (out of 100), and 74.31 (out of 100), respectively, and they differed significantly between hospitals (F=43.43, p<.001, F=53.08 and p<.001, and F=29.13 and p<.001, respectively). A workflow fragmentation assessment revealed different patterns of ENR system use among the included hospitals. Three user characteristics-educational background, practice period, and experience of using paper records-significantly affected the system usability and satisfaction scores. Conclusion: The system quality varied widely among the ENR systems. The generally low-to-moderate levels of system usability and user satisfaction suggest many opportunities for improvement.