• 제목/요약/키워드: Electronic Medical Records

검색결과 346건 처리시간 0.025초

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

  • 박한나;정부금;이동훈;정교일
    • 정보보호학회논문지
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    • 제20권6호
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    • pp.251-260
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    • 2010
  • 의료서비스와 IT 기술간의 융합으로 환자 개인의 건강정보가 전자의무기록(EHR)의 보급과 함께 빠르게 전자화되고 있다. 이와 함께 유헬스사회에 접어들면서 전자화 된 환자의 건강기록들을 진료 이외의 공중보건 및 의학 분야의 연구, 의료서비스 향상을 위해 사용하고자 하는 2차이용의 요구가 증가하고 있다. 개인건강정보의 2차이용으로 의학 분야의 발전의 매우 유익한 일이지만 부주의하게 개인의 건강정보를 이용하는 경우 환자 개인의 프라이버시 손상이 발생, 더불어 2차이용융 통한 연구나 서비스 발전에도 제한이 발생할 수 있다. 하지만 아직 개인건강정보를 이용한 2차적 이용에 대해 체계적인 연구나 논의가 없는 것이 현실이다. 따라서 본 논문에서는 개인건강정보의 2차이용과 관련하여 국내외의 법안들을 살펴보고 이를 비교 분석하여 앞으로 개인의 프라이버시를 존중하고 더불어 의료분야 서비스 있는 방향을 제시하고자 한다.

보건의료정보의 법적 보호와 열람.교부 (A Study on Legal Protection, Inspection and Delivery of the Copies of Health & Medical Data)

  • 정용엽
    • 의료법학
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    • 제13권1호
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    • pp.359-395
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    • 2012
  • In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

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한방 안과에 내원하여 안저 검사를 시행한 환자 463명에 대한 후향적 연구 보고 (The Retrospective Study of 463 Patients who had Funduscopy Examination at Korean Medicine Ophthalmology)

  • 이마음;정미래;김철윤;권강;서형식
    • 한방안이비인후피부과학회지
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    • 제33권2호
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    • pp.1-11
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    • 2020
  • Objectives : The purpose of this study was to analyze and report status of Korean Medicine Ophthalmology patients who did funduscopy examination. Through this, we hope that the development of our diagnosis and treatment. Methods : From June 1, 2010 to May 31, 2019, Based on the electronic medical records of patients who had funduscopy examination at Korean Medicine Ophthalmology, Busan University Korean Medicine Hospital, the gender, age, visiting motives and paths, diagnosis, examination number of years, other eye examinations and treatments method were summarized and analyzed. Results : 463 patients were able to check the electronic medical records. They were 283 females and 180 males. The mean age of the patients was 51.5 years and elderly patients who 50s and 60s were 49.3% of whole patients. The most common motives for Korean Medicine Ophthalmology visitation was 'combination treatment with other department in Korean Medicine Hospital'. Outer eye diseases were 283 cases, inner eye diseases were 198 cases. Dry eye syndrome, asthenopia, visual discomfort, conjunctivitis, and eye discomfort were most common in the outer eye diseases. Cataracts, Vitreous floater, Macular Degeneration, Glaucoma and Ocular Pain were most common in the inner eye disease. The most common parts of outer eye diseases were Conjunctival, lacrimal gland, paralytic, corneal, eyelid and front uveal, scleral disease and then in inner eye diseases parts, Retinal, lens, vitreous, glaucoma, optic nerve, behind uveal, choroid disease were most common. The number of funduscopy examination was ups and downs. Herbal medicine was the most common used. Conclusions : The funduscopy examination is essential for diagnosis and treatment of eye disease. We hope that the use of fundus examination and other ophthalmologic examination will be expanded soon in Korean Medicine Ophthalmology.

EMR시스템의 도입 특성요인이 지각된 유용성, 편이성 및 사용의도에 미치는 영향에 관한 연구 (The Study on Impact of Introduction Characteristics Factor of EMR System on Perceived Usefulness and Ease of Use and Behavioral Intention to Use)

  • 임형주;심정택;이상식
    • 한국산업정보학회논문지
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    • 제14권2호
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    • pp.32-50
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    • 2009
  • 의료 정보화는 정보기술 발전과 사회환경의 변화와 더불어 양질의 진료와 고객관리 및 경영효율화의 필요성으로 1990년부터 처방전달시스템(OCS)을 도입하면서부터 시작되었다. 의료계의 정보화는 빠른 속도로 발전하고 있으며, 원격진료 시스템 도입과 각종 U-Health Care 관련 제품 및 의료 서비스 등 유비쿼터스 환경으로 새로운 변화를 맞고 있다. 최근 의료계와 정부는 병원에 발생하는 모든 진료기록을 디지털화 하여 관리하는 전자의무기록(EMR)에 관심을 가지게 되었다. 특히 환자 진료데이터 기록은 계속적인 진료관리와 치료 내용을 기록한 것으로 매우 중요하며, 대형 의료기관을 중심으로 EMR시스템 도입이 늘고 있다. EMR시스템은 진료 중 발생한 환자의 진료정보를 전산화함으로써 고객서비스 향상, 대기시간 단축, 진료의 질 향상, 진료정보의 다양한 활용, 정확한 진료, 비용 절감, 진료부서 및 진료 지원부서 등의 업무효율화를 가져와 병원의 경쟁력을 확보하게 한다.

산부인과 간호단위의 간호과정과 SNOMED CT를 이용한 간호진단 온톨로지의 구축 (Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT)

  • 박정은;정귀애;조훈;김화선
    • 여성건강간호학회지
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    • 제19권1호
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    • pp.1-12
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    • 2013
  • Purpose: This study was performed to propose an ontology methodology based on standardized nursing process as framework in obstetric and gynecologic nursing practice. Methods: The instrument used in this study was based on the nursing diagnosis classification established by North American Nursing Diagnosis Association (NANDA) (2009-2011), fifth edition of the Nursing Interventions Classification (NIC) (2008), forth edition of the Nursing Outcomes Classification (NOC) (2008) developed by Iowa State University and systematized nomenclature of medicine clinical terms (SNOMED CT). The nursing records data were collected from electronic medical records of one hospital from August to October 2010. Results: One hundred and forty-one nursing diagnosis statements used in obstetric and gynecologic nursing unit were linked standardized nursing classifications and constructed nursing diagnosis ontology including interoperability. Conclusion: Not only will this result be helpful to complete nurse's lack of knowledge and experience, it will also help to determine nursing diagnosis logically by using standardized nursing process. It will be utilized as the method to construct ontology including interoperability in other nursing units. It will be presented nursing interventions according to nursing diagnosis and thus will be easier to establish nursing planning. This can provide immediate feedback of the nursing process application.

비용 효율적 맵리듀스 처리를 위한 클러스터 규모 설정 (Scaling of Hadoop Cluster for Cost-Effective Processing of MapReduce Applications)

  • 류우석
    • 한국전자통신학회논문지
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    • 제15권1호
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    • pp.107-114
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    • 2020
  • 본 논문에서는 하둡 플랫폼에서 비용 효율적 빅데이터 분석을 수행하기 위한 클러스터 규모의 설정 방안을 연구한다. 의료기관의 경우 진료기록의 병원 외부 저장이 가능해짐에 따라 클라우드 기반 빅데이터 분석 요구가 증가하고 있다. 본 논문에서는 대중적으로 많이 사용되고 있는 클라우드 서비스인 아마존 EMR 프레임워크를 분석하고, 비용 효율적으로 하둡을 운용하기 위해 클러스터의 규모를 산정하기 위한 모델을 제시한다. 그리고, 다양한 조건에서의 실험을 통해 맵리듀스의 실행에 영향을 미치는 요인을 분석한다. 이를 통해 비용 대비 처리시간이 가장 효율적인 클러스터를 설정함으로써 빅데이터 분석시 효율성을 증대시킬 수 있다.

환자 증상정보 기반 희귀질환 조기 발견 보조시스템 (Early Detection Assistance System for Rare Diseases based on Patient's Symptom Information)

  • 최재민;김선용
    • 한국전자통신학회논문지
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    • 제18권2호
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    • pp.373-378
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    • 2023
  • 희귀질환은 증상이 전형적이지 않고 진단정보가 부족하여 전문의들조차 증상을 기반으로 질환을 의심하거나 질환명을 떠올리는 데에 어려움을 겪는다. 따라서 증상이 시작한 시점에서부터 정확한 진단을 받기까지 많은 시간 및 비용이 발생하며, 이는 환자의 신체적, 정신적, 경제적 부담을 심각하게 초래한다. 환자의 증상정보를 통해 의심되는 희귀질환을 제시하여 의사의 진단에 활용할 수 있도록, 본 논문에서는 웹 크롤링 및 텍스트마이닝을 활용한 희귀질환 조기 발견 보조시스템을 제안하고 이를 구현한다.

Thin elevation: A technique for achieving thin perforator flaps

  • Jeong, Hyung Hwa;Hong, Joon Pio;Suh, Hyun Suk
    • Archives of Plastic Surgery
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    • 제45권4호
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    • pp.304-313
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    • 2018
  • Elevating thin flaps has long been a goal of reconstructive surgeons. Thin flaps have numerous advantages in reconstruction. In this study, we present a surgical method for elevating a thin flap and demonstrate the safety of the procedure. A retrospective review was performed of the electronic medical records of patients who underwent thin flap elevation for lower extremity reconstruction from April 2016 to September 2016 at the Department of Plastic Surgery of Asan Medical Center. All flaps included in this study were elevated above the superficial fascia. A total of 15 superficial circumflex iliac artery free flaps and 13 anterolateral thigh free flaps were enrolled in the study. The total complication rate was 17.56% (n=5), with total loss of the flap in one patient (3.57%) and partial necrosis of the flap in four patients (14.28%). No wound dehiscence or graft loss at the donor wound took place. Elevation above the superficial fascia is not inferior in terms of flap necrosis risk and is superior for reducing donor site morbidity. In addition to its safety, it yields good aesthetic results.

유도분만 시행 여부에 따른 임산부의 분만진행과정, 분만결과, 분만만족도 (Pregnant Women's Labor Progress, Childbirth Outcome, and Childbirth Satisfaction according to the Presence or Absence of Labor Induction)

  • 정윤아;정재원
    • 여성건강간호학회지
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    • 제24권1호
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    • pp.58-70
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    • 2018
  • Purpose: To provide accurate information on induced labor and find strategies to enhance women's childbirth satisfaction. Methods: Participants were pregnant women expected to have normal vaginal delivery. A total of 113 women with induced labor and 61 women with spontaneous labor were surveyed. Data were collected using a questionnaire and electronic medical records. Results: The following variables related to labor progress showed significant differences between the induced labor group and the spontaneous labor group: length of the first stage of labor in primigravidas, use of analgesic, incidence of uterine hyperstimulation, incidence of fetal distress, and medical treatment for the expectant mother. Delivery type and the incidence of postpartum complications showed significant difference between the two groups. Induced labor women's childbirth satisfaction was mainly affected by the process of labor whereas spontaneous labor women's childbirth satisfaction was affected by the outcome of childbirth. Conclusion: Medical staff should have accurate information on the risk of induced labor and the benefits of a natural delivery. Moreover, medical staff should provide necessary information and environment for women to participate in the decision-making process.

모바일 기반 의료정보 표준화 동향 연구 (Trends in Web-based medical information systems)

  • 김광석;손승완;최정원;이강수
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2014년도 춘계학술대회
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    • pp.609-612
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    • 2014
  • 최근의 IT의 발달로 스마트 단말의 보급이 확산되고 있고, 원격진료 및 전자의무기록(EMR) 등의 보편화로 인하여 장소를 가리지 않는 의료 환경으로 디지털화 되어 발전되고 있다. 이러한 정보화 트렌드에 맞춰 스마트 단말을 활용한 모바일 의료정보시스템 구축에 증대되고 있다. 본 논문에서는 최근의 의료정보기술 표준화 동향을 살펴보고, 향후 의료정보시스템 전망을 예측하여 본다. 또한 모바일 의료정보시스템의 보안적 측면을 살펴보고 국내에서의 모바일 기반 의료정보시스템의 필요한 동향 및 표준에 대하여 논의한다.

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