• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.16 no.5
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• pp.117-123
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• 2016

In recent years, Personal Health Record (PHR) has emerged as a patient-centric model of health information exchange. The Personal Health Record (PHR) owners enjoy the full right of accessing their records anywhere and anytime making storage and retrieval more efficient. Due to the sensitivity and confidential nature of the PHR, however, the PHR is maintained in a secure and private environment with the individual determining rights of access. In this paper, we propose a system which enables access to the user's PHR in the event of emergency. In emergency situation where the user is unconscious, the emergency staff can use the PHR information to request a emergency access to the PHR server based on the predefined rights of access for PHR. Under the proposed system, the PHR owner can specify a fine grain access control policy during emergency situations.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.4
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• pp.1703-1710
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• 2011

Objectives: Using a PHR(Personal Health Record) is very important for the management of chronic disease and health. The young age group in this study was asked to pretend that they were members in the old age group (adult group here after) in order to investigate the recognition level differences in such conditions. Methods: We conducted face to face surveys with two age groups. 131 Adults and 398 University students, from May 11 to 22 in 2009. The questionnaires were composed of 18 items. Results & Conclusion: Adults replied more favorably than University students in using PHR willingness(University group 3.3score, Adults 3.7score) and recommendation(university 3.1score, Adults 3.8score). Adults liked paper PHR (63.2%), whereas, University students favored electronic Personal Health Record (71.1%). University students were highly concerned about disclosing the information(4.5score) of their PHR. They thought the appropriate time of education for PHR is high school or University degree. Therefore, in the future, it is vital that a PHR for young age group should be begun in early education and that an ePHR should be developed.

• Journal of the Korean Institute of Intelligent Systems
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• v.22 no.4
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• pp.507-514
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• 2012

XML-based standards such as CCD(Continuity of Care Document) and CCR(Continuity of Care Record) have been developed for representation, integration, and exchange of personal health record(PHR), and various of researches on PHR based on the standards have been conducted. These researches have developed and used CCD/CCR parsers each with their own different ways, but it can be hard to develop and update the parsers because of the structural complexity of the standards. Moreover, inter-exchange between CCD and CCR documents in the PHR-related medical information systems should be possible for the interoperability of the systems. Therefore, we proposed a designing method to develop the tools treating XML-based CCD/CCR documents. And we implemented CCD/CCR parser based on the proposed method and developed a converter from CCD to CCR using the parsers. To confirm the usefulness of the developed tool, we performed an experiment of creating CCD documents using the personal health data gathered from chronically ill patients in Kyungpook National University Hospital and of converting from the CCD documents to CCR documents.

• Journal of Digital Convergence
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• v.15 no.4
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• pp.191-198
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• 2017

It is needed to support intelligent customized health information service for user convenience in PHR based Personal Health Care Service Platform. In this paper, we specify an ontology-based health data model for Personal Health Care Service Platform. We also design a knowledge search algorithm that can be used to figure out similar health record by applying machine learning and data mining techniques. Axis-based mining algorithm, which we proposed, can be performed based on axis-attributes in order to improve relevance of knowledge exploration and to provide efficient search time by reducing the size of candidate item set. And K-Nearest Neighbor algorithm is used to perform to do grouping users byaccording to the similarity of the user profile. These algorithms improves the efficiency of customized information exploration according to the user 's disease and health condition. It can be useful to apply the proposed algorithm to a process of inference in the Personal Health Care Service Platform and makes it possible to recommend customized health information to the user. It is useful for people to manage smart health care in aging society.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2019.05a
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• pp.316-318
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• 2019

Recently, healthy life has become an issue in an aging society, and the number of people who have been interested in continuous health care for better life is increasing. In this paper, we implemented a personalized recommendation systm to provide convenient healthcare management for user. The PHR (Personal Health Record) of user could be stored in the server along with health related information such as lifestyle, disease, and physical condition. The users could be classified into similar clusters according to the PHR profile in order to provide healthcare contents to the users who had similar PHR profile. K-Means clustering was applied to generate clusters based on PHR profile and ACDT(Ant Colony Decision Tree) algorithm was used to provide personalised recommendation of health information stored in knowledge base. The app system developed in this paper is useful for users to perform healthcare themselves by providing information on serious diseases and lifestyle habits to be improved according to the clusters classified by PHR profile.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.15 no.12
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• pp.4400-4419
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• 2021

In the 4th Industrial Revolution, the healthcare industry is undergoing a paradigm shift from post-care and management systems based on diagnosis and treatment to disease prevention and management based on personal precision medicine. To optimize medical services for individual patients, an open ecosystem for the healthcare industry that allows the exchange and utilization of personal health records (PHRs) is required. However, under the current system of hospital-centered data management, it is difficult to implement the linking and sharing of PHRs in practice. To address this problem, in this study, we present the design and implementation of a patient-centered PHR platform using blockchain technology. This platform achieved transparency and reliability in information management by eliminating the risk of leakage and tampering/altering personal information, which could occur when using a PHR. In addition, the patient-consent system was applied to a PHR; thus, the patient acted as the user with ownership. The proposed blockchain-based PHR platform enables the integration of personal medical information with scattered distribution across multiple hospitals, and allows patients to freely use their health records in their daily lives and emergencies. The proposed platform is expected to serve as a stepping stone for patient-centered healthcare data management and utilization.

• Journal of Digital Convergence
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• v.10 no.10
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• pp.373-382
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• 2012

With the paradigm shifts towards consumer-centered health service, it is expected that more health care consumers will keep their health information and manage their own health in the future. Thus, this study was conducted to compare "Understanding", "Utilization" and "Management" of Personal Health Record(PHR) between medical users(healthcare students) and health care providers(medical students). We collected data from 208 health and medical students via using self-reported questionnaires form April to June, 2011. The collected data were analyzed using frequency, t-test, Chi-square on SPSS 19.0 version. There was no significant difference in "Understanding" of PHR between two groups. Looking at the order of the importance of PHR contents, two groups equally emphasized medical records, surgical history, and test results. There was significant difference in both time and effectiveness of PHR(p=0.02). Intergrated type of PHR was preferred by both groups. Recently, PHR reflects needs and demands of users more than ever. However there are many limitations to promote the utilization. In the future, it is necessary to implement targeted strategies for the elderly groups and specific types of disease.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.12 no.4
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• pp.1832-1853
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• 2018

The personal health record (PHR) system is a promising application that provides precise information and customized services for health care. To flexibly protect sensitive data, attribute-based encryption has been widely applied for PHR access control. However, escrow, exposure and abuse of private keys still hinder its practical application in the PHR system. In this paper, we propose a coordinated ciphertext policy attribute-based access control with user accountability (CCP-ABAC-UA) for the PHR system. Its coordinated mechanism not only effectively prevents the escrow and exposure of private keys but also accurately detects whether key abuse is taking place and identifies the traitor. We claim that CCP-ABAC-UA is a user-side lightweight scheme. Especially for PHR receivers, no bilinear pairing computation is needed to access health records, so the practical mobile PHR system can be realized. By introducing a novel provably secure construction, we prove that it is secure against selectively chosen plaintext attacks. The analysis indicates that CCP-ABAC-UA achieves better performance in terms of security and user-side computational efficiency for a PHR system.

• Journal of the Korean Society for information Management
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• v.33 no.4
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• pp.7-26
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• 2016

The present study aimed at investigating the strengths and weaknesses of a mobile personal health record (PHR) application and identifying its impacts on consumer health information behavior. For the study, twenty-seven college students used a PHR application for three months, based on which the study conducted paper-based interviews with them. The results of content analysis highlighted the benefits of the PHR such as supporting preventive healthcare and motivating and providing specific guidelines for healthy lifestyles by utilizing visual interface design, sharing the data with family and assisting caregivers to manage patients' healthcare, and above all enhancing the interaction between patients and healthcare professionals. However, the study found the drawbacks of the PHR such as a lack of data entry for strength training and the incompatibility with other healthcare applications. The participants were motivated to change their health behaviors in ways such as getting rid of sleep disorders, avoiding alcohol and smoking tobacco, and losing weight, and changing eating habits. Some consumers improved self-efficacy by changing their health behaviors, while the PHR provided emotional supports to the consumers who wanted to improve their health. The present study has an academic significance because the study of PHR is a burgeoning area in Korea. The study provides insights for promoting health and medical information services to cope with the paradigm shift of healthcare fields.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.6
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• pp.458-465
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• 2016

The information relating to the health of person has been increasing. The information is such as medical information and personal health record and the information collected by utilization and dissemination of mobile devices. Therefore, the interest and demand for systems that can integrate and manage the Personal Health Record(PHR) is increasing. Quantity and quality of information that is collected from the patient can have a major impact on the diagnosis and treatment of Korean Medicine(KM) in clinical practice. Because closely observe the usual clinical symptoms of patients to utilize the treatment. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. Therefore, the personal health care services that can record and manage and own is necessary based on KM. In this paper, we propose Korean Medicine Personal Health Record Platform(KM PHR Platform). We have selected the significant symptoms that mean to the personal records from symptom information required for diagnosis in KM. And classifying and scoring as the symptoms were used as personal health care indicators. And significant symptoms were easily configure a screen that can be recorded. simple operation is recorded as a symptom. It was designed to reflect these functions. So KM PHR Platform helps to Personal health care. Doctor may be able to help in the diagnosis and prognosis observation by reference to shared symptom. We look forward to a variety of health services based on KM using a symptom, a medical record, personal health device information.