• Title/Summary/Keyword: Health information standards

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Design of a Hospice Referral System for Terminally Ill Cancer Patients Using a Standards-Based Health Information Exchange System

  • Lim, Kahyun;Kim, Jeong-Whun;Yoo, Sooyoung;Heo, Eunyoung;Ji, Hyerim;Kang, Beodeul
    • Healthcare Informatics Research
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    • v.24 no.4
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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.

A Study on Applications of Healthcare & Medicine Information Protection for Cloud-Based Precision Medicine (클라우드 기반 안전한 정밀의료 실현을 위한 보건의료정보 보호 적용 방안에 관한 연구)

  • Dong-Won Kim
    • Convergence Security Journal
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    • v.22 no.3
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    • pp.69-77
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    • 2022
  • Globally, the medical field is growing very fast with technology development and convergence with ICT technology, and Precision Medicine using personal health information, genetic information, and clinical information is growing into a next-generation medical industry. Since Precision Medicine deals with individual health and life, the issues of personal information protection and health and medical information protection are emerging.Accordingly, this paper presents security improvements by domestic and foreign standards, laws, and systems in the cloud and medical field, and proposes a plan to protect healthcare and medicine information protection for safe Precision Medicine.

Comparative Analysis of Dental Hygiene Course Students' NCS Learning Goals before and after NCS Class

  • Woo, Hee-Sun
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.3
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    • pp.79-84
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    • 2018
  • The government developed National Competency Standards and expands field friendly education for innovation of industrial field based education training. NCS is the national level of standards that the government systemized knowledge, skills and attitudes required to work in industrial fields by each industry and each level. This study was intended to research NCS education contents of an introduction of dental hygienics, which is a basic major subject among subjects of dental hygiene course, to present learning goals accordingly, and to be used as a basic resource of NCS field oriented classes of dental hygienists through the comparison before and after. In case of the dental hygiene course, dental hygienists are performing important core tasks as clinicians at dental offices. Therefore, such comprehensive and professional performance abilities as scaling, oral prophylaxis and oral health education are required at the fields. The education process and education contents for this should be researched continuously.

Complexity Analysis for Implementation of the PM-store of ISO/IEEE 11073 PHD Standards (ISO/IEEE 11073 개인건강기기 표준의 PM-store 구현을 위한 복잡도 분석)

  • Kim, Sang-kon;Lee, Chang-ki;Kim, Tae-kon;Hwang, Hee-joung
    • Journal of IKEEE
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    • v.19 no.3
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    • pp.447-454
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    • 2015
  • In this paper, the complexity analysis for implementation of the PM-store is performed in terms of the number of instruction cycles which is executed by CPU in a personal health device(PHD) in order to transfer the large amount of the periodically generated measurement data using the PM-store concept defined in ISO/IEEE 11073 PHD standards. We propose an analytic model that is focused on the number of instruction cycles executed by CPU depending on the PM-store hierarchy.

A Study on Home Healthcare Convergence for IEEE 11073 Standard (IEEE 11073 표준을 위한 홈 헬스케어 융합에 대한 연구)

  • Oh, Am-Suk
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.2
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    • pp.422-427
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    • 2015
  • Medical paradigm shift has been based on disease treatment into wellness care so that changes need more IT-based smart medical services. In addition, individual based smart devices are more focused on healthcare services and can provide access to personal medical information, health conditions and social welfare managed by users. In this paper, IEEE11073 PHD (Personal Health Devices) and HL7 (Health Level 7) standards of legacy healthcare devices are developed for communicating with each individual based smart device and providing healthcare service in smart TV environment through a unified home healthcare gateway.

A Study on Establishment of Essential Performance Evaluation Criteria for C-arm Computed Tomography (C-arm CT의 필수 성능평가 기준 마련을 위한 연구)

  • Kim, Eun-Hye;Park, Hye-Min;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.45 no.2
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    • pp.127-134
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    • 2022
  • In order to overcome the image quality limitations of the conventional C-arm, a flat panel detector (FPD) is used to enhance spatial resolution, detective quantum efficiency, frame rate, and dynamic range. Three-dimensional (3D) visualized information can be obtained from C-arm computed tomography (CT) equipped with an FPD, which can reduce patient discomfort and provide various medical information to health care providers by conducting procedures in the interventional procedure room without moving the patient to the CT scan room. Unlike a conventional C-arm device, a C-arm CT requires different basic safety and essential performance evaluation criteria; therefore, in this study, basic safety and essential performance evaluation criteria to protect patients, medical staff, and radiologists were derived based on International Electrotechnical Commission (IEC) standards, the Ministry of Food and Drug Safety (MFDS) standards in Korea, and the rules on the installation and operation of special medical equipment in Korea. As a result of the study, six basic safety evaluation criteria related to electrical and mechanical radiation safety (leakage current, collision protection, emergency stopping device, overheating, recovery management, and ingress of water or particulate matter into medical electrical (ME) equipment and ME systems: footswitches) and 14 essential performance evaluation criteria (accuracy of tube voltage, accuracy of tube current, accuracy of loading time, accuracy of current time product, reproducibility of radiation output, linearity and consistency in radiography, half layer value in X-ray equipment, focal size and collimator, relationship between X-ray field and image reception area, consistency of light irradiation versus X-ray irradiation, performance of the mechanical device, focal spot to skin distance accuracy, image quality evaluation, and technical characteristic of cone-beam computed tomography) were selected for a total of 20 criteria.

Regulation of Phthalates and Their Alternatives in Children's Products and Their Toxicity Data (어린이제품 내 프탈레이트류 및 대체제의 규제와 독성자료에 대한 연구)

  • Lee, Inhyae;Ra, Jinsung;Ji, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.1-19
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    • 2021
  • Objectives: Phthalates, which are widely used as plasticizers, have been recognized as endocrine disruptors. In the present study, we provided information on the regulation of these chemicals and summarized the information available on their detection and toxicity in children's products and those of their alternatives. Methods: The regulatory frameworks related to phthalates in children's products in Korea, the United States (US), and the European Union (EU) were compared. Data on the detection concentration of 16 phthalates and seven phthalate alternatives that could be used in polyvinyl chloride (PVC) plastic products for children as well as on their toxicity classification and endocrine disruption toxicity were collected from the literature. Results: Korea adopted US and EU chemical standards for six phthalates (DEHP, BBP, DBP, DINP, DIDP, and DNOP), but not others (e.g., DIBP, DPP, DHP, and DCHP). Among the ten phthalates and seven substitutes for which regulatory standards were not determined, DIBP, DHP, DEHA, DIBA, DINA, and DEHT were detected in children's products made from PVC plastic. DIBP and DHP, which have a reproductive toxicity classification of 1B, were frequently detected in PVC toys. The reproductive toxicity, estrogenicity, and anti-androgenic activity of the unregulated phthalates and their alternatives have been reported in diverse in vitro and in vivo assays. Conclusion: The use of unregulated phthalates and their substitutes in children's products is increasing. Further monitoring and toxicological information on phthalate alternatives is required to develop proper management plans.

The research of Sensor network service analysis based on OGC (OGC 기반의 센서 네트워크 서비스 분석 연구)

  • Kim, Nam-Hoon;Ham, Jong-Wan;Jung, Hoe-Kyung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.3
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    • pp.774-780
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    • 2010
  • USN(Ubiquitous Sensor Network) is a core infrastructure that u-life use to enable the realization in the ubiquitous society through various services of area such as u-city, u-Health. Therefore, we need a research for domestic standards to establish USN technique. Currently, status of USN standards is most standard and research that it is a technology for sensor node implementation and a protocol for energy-efficient communication and interlock with existing network. But, Standard and research for sensor network and integration management of heterogeneous sensor networks for USN application and sensing data management and USN database structure definition such as application and middleware is weak level. In this paper, we researched for standard development of domestic a sensor network and the relevant standard analysis to configure SWE(Sensor Web Enablement) of OGC(Open Geospatial Consortium) for standarded plattform technology. Also we researched that it's a connection between domestic ITA(Telecommunications Technology Association) standards and SWE Standard.

A Cell Phone-based ECG, Blood Pressure Monitoring System for Personal Healthcare Applications using Wireless Sensor Network Technology

  • Toh, Sing-Hui;Lee, Seung-Chul;Chung, Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.05a
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    • pp.505-508
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    • 2008
  • Electrocardiogram (ECG) and blood pressure (BP) are main vital signs which are the standards in most medical settings in assessing the most basic body functions. Multi parameters are desired in providing more information for health professionals in order to detect or monitor medical problems of patients more precisely. This study urges us to develop a robust wireless healthcare monitoring system which has multiple physiological signs measurements on real time that applicable to various environments which integrates wireless sensor network technology and code division multiple access (CDMA) network with extended feature of locally standalone diagnosis algorithms that implemented in tell phone. ECG signal and BP parameter of the patients are routinely be monitored, processed and analyzed in details at cell phone locally to produce useful medical information to ease patients for tracking and future reference purposes. Any suspected or unknown patterns of signals will be immediately forwarded to hospital server using cell phone for doctors' evaluation. This feature enables the patients always recognize the importance of self-health checking so that the preventive actions can be taken earlier through this analytic information provided by this monitoring system because "Prevention is better than Cure".

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Design and Implementation of a Nursing Records for the Nursing Process for Use Within the Health Level 7 Clinical Document Architecture (HL7 임상문서구조의 기반 한 간호과정을 위한 간호기록지의 설계 및 구현)

  • Kim, Hwa-Sun;Tran, Tung;Kim, Hyung-Hoi;Lee, Eun-Joo;Cho, Hune
    • Journal of Korea Multimedia Society
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    • v.9 no.8
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    • pp.1054-1066
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    • 2006
  • This study proposes a new paradigm hospital information system through the nursing classification system and design of the HL7 clinical document architecture (Health Level Seven CDA) for information-sharing among various healthcare institutions. Nursing information CDA are included coding systems of nursing diagnosis, nursing intervention, nursing activity and outcomes. And, we have developed CDA generator for active generation of XML document. This study aims to facilitate the optimum care by providing health information required for individuals to nursing specialists in real-time, to help improvements in health, to improve the quality of productive life. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible healthcare information-sharing among various healthcare institutions.

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