• Toxicological Research
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• v.35 no.4
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• pp.319-330
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• 2019

Adverse drug reactions (ADRs) constitute key factors in determining successful medication therapy in clinical situations. Integrative analysis of electronic medical record (EMR) data and use of proper analytical tools are requisite to conduct retrospective surveillance of clinical decisions on medications. Thus, we suggest that electronic medical recording and human genetic databases are considered together in future directions of pharmacovigilance. We analyzed EMR-based ADR studies indexed on PubMed during the period from 2005 to 2017 and retrospectively acquired 1161 (29.6%) articles describing drug-induced adverse reactions (e.g., liver, kidney, nervous system, immune system, and inflammatory responses). Of them, only 102 (8.79%) articles contained useful information to detect or predict ADRs in the context of clinical medication alerts. Since insufficiency of EMR datasets and their improper analyses may provide false warnings on clinical decision, efforts should be made to overcome possible problems on data-mining, analysis, statistics, and standardization. Thus, we address the characteristics and limitations on retrospective EMR database studies in hospital settings. Since gene expression and genetic variations among individuals impact ADRs, pharmacokinetics, and pharmacodynamics, appropriate paths for pharmacovigilance may be optimized using suitable databases available in public domain (e.g., genome-wide association studies (GWAS), non-coding RNAs, microRNAs, proteomics, and genetic variations), novel targets, and biomarkers. These efforts with new validated biomarker analyses would be of help to repurpose clinical and translational research infrastructure and ultimately future personalized therapy considering ADRs.

• Journal of Digital Convergence
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• v.10 no.2
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• pp.193-200
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• 2012

The existing EMR method placing computer servers in hospitals could expose patients' personal information to hospital officers and people for wrong purposes. In addition, if medical malpractice occurs, the possibility of distorting medical records might be higher because patients' medical records are stored in hospitals. This study provides an electronic medical record with a security system to solve patients' information disclosure. The electronic medical record system could be utilized as an important information when medical malpractice occurs. This system can provide higher security services certifying patients safely and efficiently as well as protecting patients' personal information.

• The KIPS Transactions:PartC
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• v.18C no.6
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• pp.379-388
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• 2011

Ensuring the security of medical records is becoming an increasingly important problem as modern technology is integrated into existing medical services. As a consequence of the adoption of EMR(Electronic Medical Records) in the health care sector, it is becoming more and more common for a health professional to edit and view a patient's record. In order to protect the patient's privacy, a secure authentication model to access the electronic medical records system must be used. A traditional identity based digital certificate for the authenticity of EMR has private key management and key escrow of a user's private key. In order to protect the EMR, The traditional authentication system is based on the digital certificate. The identity based digital certificate has many disadvantages, for example, the private key can be forgotten or stolen, and can be easily escrow of the private key. Nowadays, authentication model using fingerprint recognition technology for EMR has become more prevalent because of the advantages over digital certificate -based authentication model. Because identity-based fingerprint recognition can eliminate disadvantages of identity-based digital certificate, the proposed authentication model provide high security for access control in EMR.

• Journal of the Korea Convergence Society
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• v.8 no.5
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• pp.69-78
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• 2017

This is a convergence study to provide an effective way of managing nurses' job stress by improving nurse satisfaction through an integrated identification of the effect satisfaction level on job stress for nurses using an electronic medical record(EMR) system. The data were collected from August 1 to September 1, 2014. The participants were 377 nurses from C university hospital of G metropolitan city were analyzed using SPSS 21.0. The result shows that job stress decreases as nurses' satisfaction level of using the EMR system increases. Thus, a practical job stress mediation program should be developed to continuously enhance nurses' satisfaction with the EMR system, which is expected to shorten the nursing record writing time and improve the quality of nursing service for patients. Furthermore, to improve the satisfaction with the EMR, appropriate management, such as continuous nursing education on the EMR system, will be needed.

• Journal of Korea Multimedia Society
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• v.12 no.8
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• pp.1172-1181
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• 2009

An electronic medical record (EMR) is the medical system that all the test are recorded as text data. However, domestic EMR systems have various forms of medical records. There are a lot of related works to standardize the laboratory codes as a LOINC (Logical Observation Identifiers Names and Code). However the existing researches resolve the problem manually. The manual process does not work when the size of data is enormous. The paper proposes a novel automatic LOINC mapping algorithm which uses indexing techniques and semantic similarity analysis of medical information. They use file system which is not proper to enormous medical data. We designed and implemented mapping algorithm for standardization laboratory codes in medical informatics compared with the existing researches that are only proposed algorithms. The automatic creation of searching words is being possible. Moreover, the paper implemented medical searching framework based on database system that is considered large size of medical data.

• Journal of Korea Society of Industrial Information Systems
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• v.14 no.2
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• pp.32-50
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• 2009

Since 1990 when order communication system(OCS) was first introduced, the use of information technology in medical service has been widely accepted in order to enhance quality and customer relationship as well as to increase managerial efficiency. Medical information system is rapidly increasing and is trying to make ubiquitous healthcare environment through telemedicine system. Especially, medical profession and government have taken interest in electronic medical record (EMR) system which can digitalize and manage all medical records in hospitals. By recording patient's medical information in real time, EMR system can improve service efficiency and customer service quality including short waiting time, various utilization of clinic information, and reduced cost.

• Journal of Information Technology Applications and Management
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• v.20 no.4
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• pp.235-247
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• 2013

The evolution of information technology and proliferation of hospital management and managerial applications of computing has led to change in the characteristics, uses and evaluations of software for the hospital management. With the growing proliferation of microcomputer use and the value-added for management strategies, more and more software has been massively developed, produced and distributed for the hospital industry. The user is faced with an increasingly difficult choice in the evaluation and selection of software. For many reasons, users frequently must rely on expert evaluations of the technical functions and quality of software. The objectives of this study are to provide selection criteria for an Electronic Medical Record (EMR) and to develop an evaluation framework for the Hospital Information Systems. The major findings of our study are as follows (1) the identification of EMR evaluation characteristics (2) the design and development of EMR selection model and (3) the evaluation of the importance for EMR characteristics using Analytic Hierarchy Process (AHP). We identify 6 characteristics and 22 sub-characteristics of the EMR, calculate their weights, and decide the best configuration. Especially, the AHP methodology can be applied to gather knowledge from multiple experts. Because AHP can 1) facilitate the participation of multiple experts 2) increase group productivity and therefore result in both quantitatively and qualitatively superior outcomes than that of a single individual's work 3) provide a mechanism for reconciling conflict from multiple expert 4) validate the acquired knowledge, providing consistency of facts, and 5) enhance the accuracy reliability of the acquired knowledge increase through of the reliability provided by consensus across multiple experts. Although some further research is required, the proposed model can be regarded as a basis for the selection of EMR.

• Journal of the Semiconductor & Display Technology
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• v.13 no.2
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• pp.63-66
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• 2014

Managing electronic medical record is very difficult, because the currently electronic medical system is not designed standard that is uniform and proper. In this paper, in order to overcome this situation, we propose meta-data for the management of the electronic medical record as a single system. To this end, we first analyzed the research on electronic medical records and related standards. Second, we, on the basis of the analysis result, abstracted electronic medical record and entities related on electronic medical, and we designed an entity-relationship model. And finally, we have to complete the meta-data through the setting attributes in this entity-relationship model. Through this study, it was possible that we can complete metadata highly expressive medical records, and suggest an alternative for problem of current medical records systems.

• Quality Improvement in Health Care
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• v.14 no.1
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• pp.69-74
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• 2008

문제: 전자의무기록(EMR) 시행 후 의무기록 정리율의 저하와 질적인 측면에서의 충실성과 정확성에 대한 문제점이 제기되었다. 목적: 전자의무기록의 정리율과 충실성 검토를 통하여 문제점을 파악하고 개선점 찾아 의무기록 정리율을 향상시키고 충실성을 높이고자 하였다. 의료기관: 서울시에 소재한 대학병원 의무기록과 질 향상 활동: 전자의무기록의 문제점을 개선하기 위하여 사용자 편의를 위한 EMR 프로그램 수정 및 보완, 진단 수술 관련 작업, 업무개선, 교육, 홍보 등의 활동을 실시하였다. 개선효과: 의무기록 정리율, 전자인증미비, 경과기록 기재일수, 퇴원요약 주진단 적합률, 기록지별 필수항목 기재율, 충실성에서 향상이 이루어졌다.

• Journal of Pharmacopuncture
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• v.21 no.3
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• pp.195-202
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• 2018

Objectives: The study was to survey use of electronic medical records in subjects of Korean medicine doctors working for Korean medicine organizations and to contemplate ways to develop utilization of electronic medical records. Methods: On August 2017, it conducted online self-reported survey on subjects of Korean medicine doctors at Korean hospitals and clinics who agreed to participate in the study. A total 40 doctors in hospital and 279 doctors in clinic were included. The surveyed contents include kinds of electronic chart, reason for not using electronic medical records and problems with creation of medical records. Results: It finds that 100% of those working at Korean medicine hospitals and 86.4% of those at Korean medicine clinics have used electronic medical records. Subjects answered the biggest reason for not using electronic medical records was inconvenience. The most serious problems with creation of electronic medical records at Korean medicine organizations found in the study include there was no method of creation of medical records and no standardized terminology for use in electronic medical records. Conclusion: For utilization of electronic medical records at Korean medicine organizations, standardization of terminology, development of EMR in favour of its users and development of strategy that motivates use of EMR are required.