• 한국정보통신학회논문지
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• 제14권3호
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• pp.595-602
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• 2010

EMR(Electronic Medical Record)이란 종이문서 방식을 사용하는 의료차트 대신에 모니터로 출력되는 형식의 의료차트를 말한다. 현재 통용되는 EMR은 전문 의료인이 전문적인 용어 써놓은 양식이기 때문에, 그 의료기록의 실제 주인인 환자는 의료인의 부가적인 설명 없이는 자신의 자세한 증세는 물론 병명조차 정확히 확인하기 힘들다. 이에 환자에게 있어 매우 시간 소모적이고 노동집약적인 과정으로 환자가 의료인을 거쳐서 자신의 의료정보를 얻는 방식보다는 환자가 직접 그 정보를 얻는 방식이 필요하다. 따라서 본 연구는 EMR이 갖는 이러한 문제를 해결하기 위해 환자가 의료인을 거치지 않고 직접 자신의 의료정보를 얻기 위한 환자 접근행 EMR 응용 시스템의 비즈니스 모델을 제시한다.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2001년도 가을 학술발표논문집 Vol.28 No.2 (2)
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• pp.562-564
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• 2001

본 논문에서는 초.중등하교 종합정보관리시스템을 국가인적자원관리시스템으로 활용할 수 있다고 보고 전 국민의 건강정보관리에 이용할 방안을 모색하였다. 이를 위해 종합정보관리시스템의 학생건강기록부와 의사가 기록하는 전자의무기록부의 통합DB화를 강구하였다. 그 결과, 학교와 병원에서 공통으로 관리해야 할 건강정보들을 파악하였고, 수요자에게는 어떤 정보를 제공하여야 하는지가 밝혀졌다.

• International Journal of Contents
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• 제13권2호
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• pp.35-43
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• 2017

This study sought to measure the influence of HIMs' work environment changes on job stress, and to explore measures for improving job satisfaction among them. A total of 275 hospital HIMs' were surveyed using a structured questionnaire. Significant job stress impact variables were sorted out using a simple linear regression analysis. Then, through multiple linear regression analysis, multicollinearity was tested. Significant impact factors were identified from among the control variables, and job stress impact was measured. The survey revealed that in public hospitals where the EMR system has been implemented for a longer period, depression scores in HIMs' were increased. HIMs' job stress level was found to be affected by the following factors: computerization of their working environment, experience of depression, unemployment, and manpower reduction, as well as, their lifestyles, including leisure activities. The results of this study suggest that HIMs' job stress can be reduced through work environment improvement and improvement of their personal lifestyle habits.

• 여성건강간호학회지
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• 제17권3호
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• pp.275-284
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• 2011

Purpose: The purpose of this study was to identify nursing intervention performed by nurses on gynecological nursing units. Methods: The instrument in this study is based on the fifth edition of Nursing Interventions Classification (NIC) (2008). Data was collected by Electronic Medical record from August, 2010 to October, 2010 at one hospital and analyzed by using frequencies in the Microsoft Excel 2010 program. Results: Of a total of 82 NIC, domains of the nursing interventions showed higher percentages for physiological: basic (36.3%) and physiological: complex (34.5%). The classes of nursing interventions showed higher percentage for health system medication (12.1%), perioperative care (10.0%), and drug management (8.6%). The most frequently used top interventions were Discharge Planning. The thirty least used interventions was environmental management. Top thirty most frequently used interventions belonged to the domain of physiological: basic (37.9%), physiological: complex (31.1%), and behavioral (5.4%). Conclusion: These findings will help in the establishment of a standardized language for gynecological nursing units and enhance the quality of nursing care.

• 월간산업보건
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• 제7호통권243호
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• pp.74-75
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• 2008

• Child Health Nursing Research
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• 제22권1호
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• pp.29-36
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• 2016

Purpose: The purpose of this study was to identify international students' use of university health centers by individual characteristics and seasons. Methods: This was a retrospective descriptive study using data obtained from the electronic record system of one university health center. The study participants were international undergraduate students who registered for any of two semesters between March 1, 2014 and February 28, 2015 and visited the university health center during their registration period. Results: The most common reasons for visits were problems of head, eye, nose and throat systems, followed by respiratory system. Their visits mostly occurred in the fall and spring. The most frequently used services were distribution of oral medication followed by wound treatment. The number of visits per individual was statistically different by gender (u=-3.307, p=.001), but not by their major (${\chi}^2$=.543, p=0.762) or nationality (${\chi}^2$=5.518, p=.271). Conclusion: Further study is necessary to better define health needs and related factors for this unique population. The electronic record system provides great opportunities in development and application of need based health services for international students and for research in this area.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제4권7호
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• pp.277-282
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• 2015

건강정보의 교환, 통합, 공유, 검색의 표준을 개발하는 Health Level Seven(HL7)에서 발표된 표준들은 글로벌한 의료정보 서비스에 성공적으로 사용되고 있다. 그러나 V2.x Message와 V3 Clinical Document Architecture(CDA)는 습득하고 개발하는 데 많은 시간이 소요되는 문제점이 있다. 개선된 Fast Healthcare Interoperability Resources(FHIR)를 사용함으로써 이러한 문제점을 해결할 수 있는 방법인지 모색한다. 개인건강기록이 사회적인 관심을 끌고 있고, 스마트폰 보급률이 급격히 증가하는 점을 반영하여 스마트폰으로 접속 가능한 개인건강기록 프로파일링 시스템을 개발한다. Furore에서 개발한 FHIR Profile editor tools을 통해 profile의 생성, 변경의 개선점을 찾아본다. 이와 같은 시스템을 구축하기 위해서 Electronic Medical Record(EMR) 시스템과 Personal Healthcare Record(PHR) 시스템 간의 정보교류를 FHIR Open API로 구성한다. PHR 프로파일링 시스템에서는 이들 트랜잭션을 RESTful 서비스로 제공한다. 본 연구에서는 FHIR를 통해 PHR 프로파일링 시스템 개발의 효율성을 검증한다.

• 대한한의학회지
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• 제40권1호
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• pp.86-98
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• 2019

Objectives: This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy. Methods: 2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body. Results: During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females' (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%). Conclusions: As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.

• 정보과학회지
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• 제33권3호
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• pp.10-20
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• 2015

• 한국멀티미디어학회논문지
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• 제9권8호
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• pp.1054-1066
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• 2006

본 연구는 의료기관 간 정보공유를 위해 간호분류체계를 기반으로 임상문서구조(Clinical Document Architecture, CDA)의 생성과 새로운 패러다임의 병원정보시스템을 제안하였다. 간호정보 CDA는 간호진단, 간호중재 및 수행과 관련된 코딩시스템을 포함하였고 표준문서의 생성을 위해 CDA생성도구를 개발하였다. 본 연구의 목표는 개인의 필요한 간호정보를 간호전문가에게 실시간으로 제공하여 적정 간호를 제공하며 건강 증진을 도와 생산적인 삶의 질을 향상하는 것이다. 본 연구가 가지는 의의는 첫째, 국제 표준인 HL7 임상문서구조를 사용하기 위한 확장과 정제과정의 연구를 했으며, 둘째, 임상문서구조를 사용할 수 있는 웹 기반의 차세대 병원정보시스템의 구조를 제안하였다. 결론적으로, 임상문서구조에 대한 본 연구로 말미암아 평생전자의무기록(Electronic Health Record)과 임상데이터저장소(Clinical Data Repository)를 포함하여 다양한 보건의료기관 간 간호정보 공유의 기반이 될 것이다.