• Healthcare Informatics Research
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• 제24권4호
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• pp.359-370
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• 2018

Objectives: We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM). Methods: We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach's alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM. Results: Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences. Conclusions: The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.

• Healthcare Informatics Research
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• 제24권4호
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• pp.317-326
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• 2018

Objectives: The demand for hospice has been increasing among patients with cancer. This study examined the current hospice referral scenario for terminally ill cancer patients and created a data form to collect hospice information and a modified health information exchange (HIE) form for a more efficient referral system for terminally ill cancer patients. Methods: Surveys were conducted asking detailed information such as medical instruments and patient admission policies of hospices, and interviews were held to examine the current referral flow and any additional requirements. A task force team was organized to analyze the results of the interviews and surveys. Results: Six hospices completed the survey, and 3 physicians, 2 nurses, and 2 hospital staff from a tertiary hospital were interviewed. Seven categories were defined as essential for establishing hospice data. Ten categories and 40 data items were newly suggested for the existing HIE document form. An implementation guide for the Consolidated Clinical Document Architecture developed by Health Level 7 (HL7 CCDA) was also proposed. It is an international standard for interoperability that provides a framework for the exchange, integration, sharing, and retrieval of electronic health information. Based on these changes, a hospice referral scenario for terminally ill cancer patients was designed. Conclusions: Our findings show potential improvements that can be made to the current hospice referral system for terminally ill cancer patients. To make the referral system useful in practice, governmental efforts and investments are needed.

• 디지털융복합연구
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• 제18권6호
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• pp.373-378
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• 2020

의료 정보의 상호운용성 향상을 위해서 Health level 7은 의료 정보 교환을 위한 차세대 체계인 Fast health interoperability resource (FHIR)를 개발하였다. 그러나, 이를 이용하여 임상 정보를 포함한 3차원 의료 영상을 교환하려는 시도는 없어 새로운 방법을 제시하고자 한다. CT 영상에서 만들어진 3차원 의료 영상을 javascript object notation (JSON) 형식으로 전환하고, 임상 정보를 추가하였다. 우리는 시험용 FHIR 서버를 만들고, 클라이언트는 postman을 사용하였다. 생성된 JSON 파일은 body에 첨부하여 전송되었다. JSON 형식으로 전송된 3차원 의료 영상은 웹 브라우저를 통해서 볼 수 있었고, 원시 코드를 확인하여 동봉된 임상 정보를 볼 수 있었다. 우리는 3차원 의료 영상 교환을 최초로 시행하였다. 이 방법을 적용한 앱이나 FHIR 리소스 개발을 위해 추가적인 연구가 필요할 것이다.

• 인터넷정보학회논문지
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• 제18권6호
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• pp.75-84
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• 2017

As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

• International journal of advanced smart convergence
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• 제4권2호
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• pp.145-153
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• 2015

Development of IT technology, in combination with the medical area, a number of developments have been made of the digital advanced medical devices, also increased interest in health, sharing of medical information has become increasingly necessary. Standardization for medical information sharing to satisfy these requirements have been studied. However, the medical information system is to build a system independent hospital itself, is difficult to share and exchange medical data with other medical institutions. In this paper, we provide a medical cloud system that can share medical information. Use DBaaS of cloud services. And is an international standard to have a HL7 share information by forming a meta-schema, each of the data transfer, the format of the document oriented data solves the heterogeneity between hospitals. Extracts the required field name of examination information, to exchange information with each of the local information and mapping. Health diagnostic information in the present study and diagnosis through accurate information sharing and exchange is possible ongoing management.

• 한국인터넷방송통신학회논문지
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• 제17권3호
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• pp.23-28
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• 2017

차세대 의료 정보 교환 표준인 FHIR는 빠른 의료정보 교환이 가능할 뿐 아니라 효과적인 다양한 의료서비스가 가능하다. 본 논문은 FHIR 리소스를 보안 채널기반의 무선 데이터 방송에 적용하여 사용자에게 효율적으로 리소스를 전달할 수 있도록 하기 위해 FHIR 리소스 기반의 인덱싱 기법을 제안한다. 제안된 인덱싱 기법은 리소스를 받고자 하는 사용자 정보와 사용자에 대한 FHIR 리소스를 유지하여 대량의 사용자가 빠른 시간에 적은 에너지를 사용하여 원하는 리소스를 다운로드할 수 있도록 한다. 시뮬레이션을 통해 제안된 인덱싱 기법이 다른 기법들 보다 우수한 성능을 보임을 보였다.

• 한국지능시스템학회논문지
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• 제22권3호
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• pp.273-280
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• 2012

의료 환경의 변화로 인해 개인의 건강관리를 위한 유비쿼터스 헬스케어(u-헬스케어) 서비스 및 시스템에 관한 관심이 증대되고 있다. u-헬스케어 시스템은 기본적으로 생체신호를 측정하기 위한 개인건강기기, 무선통신을 통해 개인건강기기로부터 전송되는 정보를 수집하는 정보수집기, 그리고 정보수집기로부터 전송되는 개인건강정보를 저장하고 관리하기 위한 건강정보시스템 등과 같은 다양한 기기와 시스템이 결합된 복합적인 환경으로 구성되어 있다. 이러한 기기 및 시스템 사이의 상호운용성을 위해 국제적으로 IEEE 11073이나 HL7과 같은 건강정보 교환 표준들이 발표되었으나, 국내에서는 이러한 표준을 적용한 u-헬스케어 시스템의 개발하여 실제 환경에 적용한 연구가 많지 않다. 따라서 본 논문에서는 건강정보 교환을 위한 국제 표준에 기반하여 혈당, 혈압, 체성분과 같은 건강정보를 관리할 수 있는 u-헬스케어 시스템을 개발한다. 또한 경북대학교병원 내분비계 질환자 대상의 임상시험을 통해 개발한 시스템의 안정성을 검증하고, 운영 과정에서의 문제점 및 개선 방안을 찾는다.

• 한국학교보건학회지
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• 제11권1호
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• pp.123-130
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• 1998

The Korean society of School Health was opened to research school health, publish a Journal, survey activities, educate members, and exchange information etc This society has operated these services actively since 1987. The objectives of this study are (1) To review the quantitative development process of the society of school health (2) To review the qualitative development process of the society. (3) To suggest improvement and new directions of the society The quantitative aspects include number of members, number of conferences, and number of journals published; the qualitative aspects deal with comprehension and sufficiency of these activities A literature review method was used for this study The results are as follows. (1) The number of members increased to 987 from 200 (2) The number of conferences total led 15 at an average of 1 5 per year since 1987 (3) The journal of the Korean society of school health was published a total of 20 times at an average of 2 per year. (4) Many health behavior and student-oriented articles were published (5) There are few activities that exchange international information, suply data to members, and investigate the opinions of society concerning school health Consequently, positive activities concerning major school health themes, research concerning the health rights of teachers in a school environment, and a more systematic management of members should be developed. Also, it is necessary to develope an in-service education program for those same members.

• 한국IT서비스학회지
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• 제16권3호
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• pp.17-45
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• 2017

Health Information Exchange (HIE) is expected to improve the quality and efficiency of care by allowing providers online access to healthcare information generated by other providers at the point of care. However, the adoption of the technology in Korea has been slow since its pilot program in 2007~2010 at Seoul National University Bundang Hospital. The objective of this study was to survey stakeholders on the incentive program for the facilitation of HIE adoption. We surveyed 39 experts representing 6 categories of stakeholders-provider, insurer, government, information service firms, customers, and medical informatics experts for the interviews. Interview questions included program objectives, program participation requirements, incentive payment method, and administrative burden for program participation. Experts indicated that the quality of care was the most important value the program should aim to achieve through the HIE adoption. They suggested that the requirements and administrative burden for participation should be kept at minimum to recruit a large number of providers to the program, which is an indicator of program success. Experts were divided on the payment method whether the incentive should be paid as a part of the fee payment scheme operated by the National Health Insurance (NHI) or should be a payment made independent of the NHI. The source of the divide was conflict of interest among stakeholders as to who pays for the program, and the insurer and consumer groups were against the NHI taking the financial burden. It appeared to be the most significant factor for the successful program launching to resolve the gap in perceptions about benefits of the technology among stakeholders and to win the willingness to pay for the program.

• 대한영양사협회학술지
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• 제9권2호
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• pp.159-171
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• 2003

The food composition tables are frequently used to health and nutrition practices. But it is difficult to find out food exchange lists with food exchange groups in the food composition table. Over 2500 items and many kinds of nutrients are in the food composition table. But now food exchange lists are used a few foods. The internet demands the users needs for obtaining more food exchange lists and nutrient information from food composition. This basic study is to solve the users need and the supply more efficient and effective manipulation system for e-food exchange database construction and search system:ENECC/e-food exchnage(E-Nutrition Education and Couseling Center/e-food exchange). This paper introduces the food exchange database construction and search system(ENECC/e-food exchange) using the formula which calculates the food exchange quantity of 6 food exchange groups and added one extra groups(alcohol) based on the internet. The ENECC/e-food exchange database is basically based on the 6th food composition table(2001) of the National Rural Living Science Institution in Rural Development Administration, Korea. The e-food exchange database are consisted of 2,261 foods in 6 basic food groups and one extra groups by using ENECC calculating formula. Also, the e-food exchange database has the proximate composition, mineral and vitamin content such as energy, moisture, protein, fat, carbohydrate, ash, calcium, phosphorus, iron, sodium, potassium, retinol equivalent, retinol, â-carotene, thiamin, riboflavin, niacin, ascorbic acid, refuse per 100g of each food.