• Journal of Digital Convergence
• /
• v.11 no.8
• /
• pp.293-302
• /
• 2013

So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.13 no.3
• /
• pp.250-261
• /
• 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.

• Convergence Security Journal
• /
• v.14 no.5
• /
• pp.57-64
• /
• 2014

Beginning in 2000, domestic large hospital based integrated health information system has been developed from order communication system to electronic medical record system. However, today's advanced medical information system is integrated with unit of the system because user needs is complex and various. And, the problem is authority management of health information system in complex systems of large size hospital. It is also a serious problem of private information exposure because of user's authority management defect. In this paper, we analyze the problems of past hospital information system and propose an efficient and appropriate management authority in operating environment. It also introduces the instances applied into a large hospital EMR system, developing proper authority management to match the characteristics of the integrated medical information system. The proposed system is based on solutions of authority management system suitable for integrated health information system, as well as the next generation of EMR.

• Journal of the Korea Institute of Information Security & Cryptology
• /
• v.30 no.6
• /
• pp.1103-1113
• /
• 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.

• Journal of the Health Care and Life Science
• /
• v.9 no.1
• /
• pp.1-9
• /
• 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.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2006.11a
• /
• pp.629-632
• /
• 2006

최근 EMR(Electronic Medical Record, 전자의무기록)에 대한 관심이 높아지면서 EMR을 도입하는 병원이 늘어나는 추세이다. EMR은 법적 효력과 증거력의 보유하기 위하여 정부가 인정하는 공인 인증기관으로부터 인증서를 발급받아 전자서명법에 따라 암호화 및 기명날인하여 별도의 저장장치에 관리하도록 하고 있다. 이러한 일련의 과정에서 EMR 데이터를 XML 문서나 다른 형식의 문서로 변환하게 된다. 본 논문은 XML 스키마에 따른 문서 생성이 용이한 텍스트나 코드화된 의무기록 뿐만 아니라 각종서식, 이미지 및 검사지 등 다양한 형식 기록의 전자인증을 위해 XML 문서로 변환하는 연구이며, 특히 표준화되기 힘든 비정형 기록들에 대한 XML 문서 변환 방법을 제안하고 이를 구현하였다.

• The Journal of Korean Medicine
• /
• v.40 no.1
• /
• pp.86-98
• /
• 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.

• Journal of the Korea Society of Computer and Information
• /
• v.23 no.4
• /
• pp.115-120
• /
• 2018

A Clinical Pathway(CP) is standard process to way of treat diseases or injuries which is adapted to each hospital based on National Clinical Practice Guideline(CPG). Since CP is standard guideline for doctors and nurses working in a hospital, making and modifying CP is one of the most important administrational work for hospital and also rare work because once it is fixed, it's not changed whether there are new kind of disease discovered or new treatment is developed. However, in present, patient's waiting time during hospital residence process, is discussed as service competitive for patients. In this research, we utilize process mining tool to verify patients treatment process follows CP with EMR(Electronic Medical Record) in a sample hospital, and suggest modifcation point of CP through verification.

• Journal of the Korea Society of Computer and Information
• /
• v.27 no.12
• /
• pp.69-76
• /
• 2022

This paper proposes a method of refining and processing time-series data using Medical Information Mart for Intensive Care (MIMIC-IV) v2.0 data. In addition, the significance of the processing method was validated through a machine learning-based pressure ulcer early warning system using a dataset processed based on the proposed method. The implemented system alerts medical staff in advance 12 and 24 hours before a lesion occurs. In conjunction with the Electronic Medical Record (EMR) system, it informs the medical staff of the risk of a patient's pressure ulcer development in real-time to support a clinical decision, and further, it enables the efficient allocation of medical resources. Among several machine learning models, the GRU model showed the best performance with AUROC of 0.831 for 12 hours and 0.822 for 24 hours.

• Journal of Korean Society of Archives and Records Management
• /
• v.13 no.1
• /
• pp.107-134
• /
• 2013

Many hospitals introduce the electronic medical record systems (EMRS) to implement a digital type of hospital. However, there are various problems in managing and preserving medical records. Systems, such as OCS, PACS, and EMR, are independently operated without formal standards related to medical records management. To manage medical records effectively, distributed medical records including paperand electronic-type should be managed in an integrated manner. With its analysis of the current status in the management of medical records of J University Hospital, this study proposes methods to solve the problems extracted from the results of the analysis, and a management model for an integrated medical records management based on the process of records management of ISO 15489.