• 한국병원경영학회지
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• 제16권2호
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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.

• 한국정보전자통신기술학회논문지
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• 제13권3호
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• pp.250-261
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• 2020

개인정보를 포함한 다양한 데이터를 활용하기 위해서는 정보주체의 권리를 보장하며 데이터 활용을 할 수 있는 모델이 필요하다. 정보주체를 고려하는 개인정보 활용 패러다임의 변화는 마이데이터를 기반으로 하는 다양한 데이터 활용 모델을 만들어내고 있으며, 다양한 개인정보가 생겨나고 다뤄지는 의료분야에서도 이러한 움직임이 진행되고 있다. 이번 논문에서는 마이데이터 기반 개인 건강/의료 데이터 활용 생태계가 확산되었을 때, 생겨날 수 있는 이해관계자들 간의 데이터 거래모델을 제안하였고 다양한 실험 결과를 기반으로 한 수학적 모델링을 통해 정보주체와 데이터 활용자 모두의 요구사항을 만족할 수 있는 개인 건강/의료 데이터 거래모델이 성립할 수 있음을 보였다.

• 대한예방한의학회지
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• 제18권3호
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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.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제15권1호
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• pp.302-322
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• 2021

In the system of ciphertext policy attribute-based encryption (CP-ABE), only when the attributes of data user meets the access structure established by the encrypter, the data user can perform decryption operation. So CP-ABE has been widely used in personal health record system (PHR). However, the problem of key abuse consists in the CP-ABE system. The semi-trusted authority or the authorized user to access the system may disclose the key because of personal interests, resulting in illegal users accessing the system. Consequently, aiming at two kinds of existing key abuse problems: (1) semi-trusted authority redistributes keys to unauthorized users, (2) authorized users disclose keys to unauthorized users, we put forward a CP-ABE scheme that has authority accountability, user traceability and supports arbitrary monotonous access structures. Specifically, we employ an auditor to make a fair ruling on the malicious behavior of users. Besides, to solve the problem of user leaving from the system, we use an indirect revocation method based on trust tree to implement user revocation. Compared with other existing schemes, we found that our solution achieved user revocation at an acceptable time cost. In addition, our scheme is proved to be fully secure in the standard model.

• Journal of information and communication convergence engineering
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• 제18권4호
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• pp.260-266
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• 2020

This study presents the categorical structure for ther epresentation of a 3D human body position system in the WD stage after NP approval by the International Organization for Standardization (ISO), analyzes the needs of electronic medical record users and establishes future implementation plans for expanding its use in Korea. Research was conducted on the needs of doctors, nurses, health and medical information managers, and radiology departments, which are the main stakeholders of electronic medical records. The overall requirements for electronic medical records were derived from the results, and the requirements for each stage of use of electronic medical records were analyzed. Based on the results of the study, the study proposes plans to expand the use of the categorical structure for the representation of the 3D human body position system, and also aims to establish a standard system for health and medical terminology in Korea and contribute to the development of health and medical information standards through international standardization.

• 보건의료생명과학 논문지
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• 제11권2호
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• pp.173-180
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• 2023

본 연구는 2022년 전자의무기록시스템 관리포털에서 인증을 받은 전국의 상급종합병원, 종합병원 의료기관 종사자들을 대상으로 전자의무기록 인증 후 의료기관의 의료정보관리, 정보이용에 대한 업무변화에 관한 인식도와 EMR 시스템 기능성에 대한 인식을 조사하였다. 검증을 통해 향후 인증제 발전 및 전자의무기록 인증제도의 단, 장기적인 발전을 도모하기 위해 수행되었다. 구조화된 설문지를 이용해 총 1,189명의 응답 자료를 최종 분석에 사용하였으며, 특히 EMR 인증 후 인증제도 인식 및 시스템 기능성에 대한 직종별 인식 차이는 평균분석과 ANOVA를 실시해 검증을 적용하였다. 분석결과 전자의무기록 인증제는 의료기관 종사자들에게 긍정적인 업무변화와 인식에 영향을 주는 것을 확인했고, 전자의무기록 시스템 인증 후 다각적인 측면(내부 인식, 시스템 기능성, 상호운용성, 보안성, 추진목적)에서 운영 효과를 보였다. 향후 본 연구결과를 바탕으로 소통적인 후속 연구의 필요를 보인다.

• 디지털융복합연구
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• 제10권4호
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• pp.243-250
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• 2012

본 논문에서는 환자의 개인정보를 병원서버에 저장하지 않고 국민건강보험공단 서버에 저장함으로써 개인정보를 보다 안전하게 저장하고, 병원과 환자간의 의료분쟁을 좀 더 원활하게 해결하기 위한 프로토콜을 제안한다. 제안한 전자의무기록에 대한 프로토콜 설계는 RSA의 공개키 알고리즘을 이용한 방식과 DSA의 전자서명을 이용한 방식을 이용하여 설계한다. 또한 통합인증기관을 이용하여 보다 안전하고 신뢰하는 전자의무기록을 구축한다. 제안한 의료정보시스템은 의료인과 환자간의 신뢰관계 확보 및 의료분쟁 시 증거 자료를 제공하고 더 나아가 의료사고를 좀더 줄이고 다양한 응용분야에서 효율적으로 사용될 것이다.

• 한국전자통신학회논문지
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• 제10권7호
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• pp.825-830
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• 2015

EMR(전자의무기록)이란 일반적으로 진료정보를 서면이 아닌 데이터 저장장치에 저장하는 것을 말한다. 이러한 EMR은 서면작성 시 문제점이던 서류보관, 배열, 공간확보등의 문제를 해결할 수 있고, 고객에 대한 다량의 정보를 이용하여 맞춤형 진료를 가능하게 하여 병원측에는 관리비용의 감소 및 업무 효율성 증대를 가져온다. 또한 고객의 입장에서는 양질의 의료서비스를 제공받을 수 있다. 이러한 장점 때문에 1990년대 이후 각 병원 및 의원에서 EMR이 급속도로 도입되며 현재 활용되고 있다. 하지만, 현재 사용중인 건강검진 시스템의 경우 EMR과 별도로 건강검진에 사용되는 서식지를 서면으로 작성하여 보관하고 있다. 서면으로 보관하는 이유는 여러가지가 있을 수 있으나, 병원에서 사용중인 EMR은 진료기록만을, 건강검진 시스템은 건강검진과 관련된 로직만을 수행하는 각각의 단위프로그램(unit program)으로 구성되어 있다. 이러한 이유로 건강검진 시스템에서 서면보관이 불가피 하였던 것으로 판단되며 이를 해소하기 위해 건강검진시스템에 EMR 기능을 적용하여 보다 효율적인 건강검진 솔루션 운영이 가능하게 될 것으로 기대한다.

• 보건의료산업학회지
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• 제10권3호
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• pp.99-111
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• 2016

Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권3호
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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.