• 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.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.3
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• pp.595-602
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• 2010

EMR(Electronic Medical Record) is being broadly used in general medical institution, but it could be more efficient and convenient if patients could use it themselves. Because present EMR is the formula written by medical experts with professional words, the patient can not identify his detailed symptoms and even the name of disease. Otherwise, the patient should have many efforts for obtaining his medical records. To solve this problem, this study developed Patient-Accessible EMR system, which was founded as one of patient-centric medical services, and it shows that the patient can take his medical information without medical experts.

• The Journal of the Korea Contents Association
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• v.5 no.6
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• pp.120-128
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• 2005

One of the most secure ways of maintaining the confidentiality and integrity of electronic information is to use electronic signatures. So, in this paper, we developed guideline on electronic signatures for EMR(electronic medical record) based on the Medical Law and the Electronic Signature Act. This guideline is intended to introduce EMR easily in the medical field and to facilitate the promotion of EMR. We developed it through consulting from the advisory committee that was made up of experts in the fields of medical record, EMR system and electronic signatures. The contents of the guideline consist of subject and time stamp of electronic signatures, validity of a certificate, management of electronic signatures and custody and management of EMR. In the future, we will develop practical cases and promote educations and publicities of them to use in the medical institutes and EMR system related industries.

• 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.

• Information Systems Review
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• v.15 no.2
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• pp.41-58
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• 2013

The purpose of the present study is to theoretically assess IT Implementation Model of Cooper and Zmud (1990) in a hospital IS use context. A case study was applied to analogical study by interview from several end-users of the information systems at a university hospital. This study presented an EMR(Electronic Medical Record) systems how is initially implemented at an initial stage, continually adopted, adapted, accepted at an adoption stage, and finally rountinized and infused into an organization. Our study also elaborated IT Implementation Model as defining EMR development and its impact on nature of IS use in a hospital. This case study explained the characteristics of EMR and hospital organization context conceptually.

• 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.

• Proceedings of the Korea Information Processing Society Conference
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• 2007.11a
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• pp.489-492
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• 2007

전자의무기록(EMR)[1]을 도입한 이후 현재 의료장비의 EMR 연동상황이 극히 미비한 상태로 대두되고 있다. 종합병원 의료장비의 약 30%정도는 검사 결과물이 출력이 안되고 보여지기만 하는 구조로 되어 있어 직접 수기로 EMR 에 연동할 수 있는 소프트웨어에 입력하여 EMR 에 연동하고 있으며, 약 60%는 의료장비에서 프린터 혹은 시리얼통신으로 데이터를 출력할 수 있는 구조로 되어있다. 하지만 의료장비의 노후화 및 검사결과물의 인터페이스 특성이 다양하기 때문에 쉽게 연동하지 못하고 있으며, 대부분 종이 출력 결과물을 스캔을 통해 이미지를 저장하거나 받아서 EMR 에 연동하고 있다. 그 외 나머지 10%는 의료장비 자체의 저장장치 또는 네트워크를 통해 검사결과 데이터를 EMR 에 전송하는 구조로[2] 되어있다. 본 논문에서는 의료장비의 프린터를 통한 결과물을 EMR 에 연동하기 위한 인터페이스 솔루션을 구현하고, 검사결과의 출력 데이터를 이미지 복원 및 관리하는 방법을 통해 많은 수의 의료장비의 출력 데이터를 EMR 연동을 하여 인력 및 기타 사무용품의 소모를 줄이며, 검사결과를 실시간 진단할 수 있는 방법을 제시한다.

• Journal of Digital Convergence
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• v.13 no.5
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• pp.111-118
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• 2015

Electronic Medical Record(EMR) is medical record that has been saved electronically onto a computer. The standardization activities for EMR is actively underway as it may not only improve the overall quality of the medical services but as the value of medical big data (medical & IT convergence area) is being considered very important. One of the most important issues is ensuring the necessary and effectiveness of EMR standardization to the stakeholder. Researchers did an empirical study to find out how the doctors perceived the EMR standardization from both technical and economical perspective. The results of the empirical analyses showed that system quality and an economical value had a positive effect on perceived usefulness and intention to adopt EMR standardization, yet interoperability have only affected the perceived usefulness. Additionally, the economical value seemed to be the most important variable in forming a consensus in the need of EMR standardization.

• 한국IT서비스학회:학술대회논문집
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• 2007.11a
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• pp.364-369
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• 2007

다양한 의료서비스를 정형화되고 효율적인 방법으로 제공하기 위하여 최근 의료기관의 EMR(Electronic Medical Record; 전자의무기록) 시스템의 도입이 급속도로 확산되고 있다. 그러나 국내에서 구축되고 있는 EMR은 초기에 기대했던 EMR의 도입목적을 중분하게 달성하지 못하고 있다. 이는 근본적으로 EMR의 방향성과 구조에 한계를 지니고 있기 때문이다. 국내에서 구축되고 있는 대부분의 전자의무기록시스템은 자료수집원 지향 의무기록 (Source Oriented Medical Record; SOMR) 방식으로 개별 사실을 수집하고 제시하기 위한 관찰자 중심, 서식중심의 시스템이며 차트 이송과 종이를 없애는 것이 주목적이다. SOMR 방식은 EMR의 다양한 도입목적, 특히 임상자료의 효과적 활용을 충족시킬 수 없는 태생적인 한계를 지니고 있기 때문에 문제지향 의무기록 (Problem Oriented Medical Record; POMR) 방식의 EMR과 적절한 혼용전략 (Hybrid Strategy)이 절실히 요구된다. 본 연구의 목적은 SOMR 시스템과 POMR 시스템이 보완적으로 결합된 하이브리드 EMR 아키텍처를 제시하고 아키텍처를 구성하는 데 필요한 기술적 요소들과 그들간의 상호관계 틀 파악한 후 이를 기반으로 개발방법론을 도출하는 것이다. 또한 만성신부전증 환자 사례를 이용하여 앞서 제시된 개발방법론에 따라 프로토타입을 개발하였다. 본 연구는 EMR 시스템이 SOMR 구조에만 편향됨으로써 발생될 수 있는 다양한 문제들을 해결함으로써 진료의 품질 항상, 임상연구의 활성화, 조직적이고 과학적인 진료계획의 수립과 같은 소외되어 왔던 EMR의 목표를 실현할 수 있을 것으로 기대 된다.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.47-53
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• 2015

In this paper the factors are analyzed, which influenced on the acceptance of Electronic Medical System (EMR) of healthcare organization in Korea. The measured variables and factors were defined on the base of former research works. The questionnaires with Likert's 5 scale were administrated in the 102 general hospitals in Korea. This data was analyzed with SPSS v. 20. According to the result of factor analysis, the 4 influencing factors were grouped. They are, "ICT-infrastructure of healthcare organization", "Management strategy of healthcare organization", "EMR acceptance" and "EMR-performance". 5 hypotheses about the correlations between factors were formulated and analyzed with structural equation model(SEM). The result of this paper could be the good reference to the healthcare organizations on how they should implement and operate the EMR system.