• 제목/요약/키워드: record data

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약물부작용 감시를 위한 공통데이터모델 기반 임상데이터웨어하우스 구축 (Development and Lessons Learned of Clinical Data Warehouse based on Common Data Model for Drug Surveillance)

  • 노미정
    • 한국병원경영학회지
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    • 제28권3호
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    • pp.1-14
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    • 2023
  • Purposes: It is very important to establish a clinical data warehouse based on a common data model to offset the different data characteristics of each medical institution and for drug surveillance. This study attempted to establish a clinical data warehouse for Dankook university hospital for drug surveillance, and to derive the main items necessary for development. Methodology/Approach: This study extracted the electronic medical record data of Dankook university hospital tracked for 9 years from 2013 (2013.01.01. to 2021.12.31) to build a clinical data warehouse. The extracted data was converted into the Observational Medical Outcomes Partnership Common Data Model (Version 5.4). Data term mapping was performed using the electronic medical record data of Dankook university hospital and the standard term mapping guide. To verify the clinical data warehouse, the use of angiotensin receptor blockers and the incidence of liver toxicity were analyzed, and the results were compared with the analysis of hospital raw data. Findings: This study used a total of 670,933 data from electronic medical records for the Dankook university clinical data warehouse. Excluding the number of overlapping cases among the total number of cases, the target data was mapped into standard terms. Diagnosis (100% of total cases), drug (92.1%), and measurement (94.5%) were standardized. For treatment and surgery, the insurance EDI (electronic data interchange) code was used as it is. Extraction, conversion and loading were completed. R language-based conversion and loading software for the process was developed, and clinical data warehouse construction was completed through data verification. Practical Implications: In this study, a clinical data warehouse for Dankook university hospitals based on a common data model supporting drug surveillance research was established and verified. The results of this study provide guidelines for institutions that want to build a clinical data warehouse in the future by deriving key points necessary for building a clinical data warehouse.

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${\cdot}$양방 협진 전자의무기록 시스템 구축을 위한 통합 데이터베이스 구축 (An Implementation of Intefrated Database for Electronic Medical Record System in East-West Medical Collabration)

  • 안요찬;오상봉
    • Journal of Information Technology Applications and Management
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    • 제12권2호
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    • pp.129-143
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    • 2005
  • In recent years, two major streams in medical information systems are:1) system integration among OCS(Order Communication System), EMR(Electronic Medical Record), PACS(Picture Archiving and Communication System), and ERP(Enterprise Resource Planning) and 2) system integration through medical collaboration between East and West medical service providers. One of the characteristics which differentiate the Korean medical industry from the western medical industry is the East-West medical collaboration. In many respects there are many differences between East and West medical treatment. Although East and West medical treatment have developed from different medical philosophies and standards, we assume that the better medical care can be provided by integrating their medical procedures effectively. The two possible approaches to the integration of East and West medical information systems are suggested in this paper:One is loosely coupled model and the other is tightly coupled model. EMR improves the quality of medical record which reflects the quality of clinical practice. It provides more efficient and convenient way of input, retrieval, storage, communication and management of medical data. We abstracted the standard medical procedures from the two medical procedures performed in Daejeon Oriental Hospital and Hehwa Clinic at Daejeon University and also abstracted database schema by analyzing the characteristics of information needed in East-West medical collaboration. Our EMR is composed of two types of data:one is structured data and the other is unstructured data, which are formalized by SOAP(Subjective, Objective, Assessment, Plan) format. Currently the integrated system is implemented and operated successfully for six months.

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만성 질병환자를 위한 CDSS를 적용한 PHR 시스템 (CDSS enabled PHR system for chronic disease patients)

  • 마크불 후세인;와자하트 알리 칸;무하마드 아프잘;탁디르 알리;이승룡
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2012년도 추계학술발표대회
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    • pp.1321-1322
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    • 2012
  • With the advance of Information Technology (IT) and dynamic requirements, diverse application services have been provided for end users. With huge volume of these services and information, users are required to acquire customized services that provide personalized information and decision at particular extent of time. The case is more appealing in healthcare, where patients wish to have access to their medical record where they have control and provided with recommendation on the medical information. PHR (Personal Health Record) is most prevailing initiative that gives secure access on patient record at anytime and anywhere. PHR should also incorporate decision support to help patients in self-management of their diseases. Available PHR system incorporates basic recommendations based on patient routine data. We have proposed decision support service called "Smart CDSS" that provides recommendations on PHR data for diabetic patients. Smart CDSS follows HL7 vMR (Virtual Medical Record) to help in integration with diverse application including PHR. PHR shares patient data with Smart CDSS through standard interfaces that pass through Adaptability Engine (AE). AE transforms the PHR CCR/CCD (Continuity of Care Record/Document) into standard HL7 vMR format. Smart CDSS produces recommendation on PHR datasets based on diabetic knowledge base represented in shareable HL7 Arden Syntax format. The Smart CDSS service is deployed on public cloud over MS Azure environment and PHR is maintaining on private cloud. The system has been evaluated for recommendation for 100 diabetic patients from Saint's Mary Hospital. The recommendations were compared with physicians' guidelines which complement the self-management of the patient.

지역산업 육성을 위한 분산형 전원 트렉 레코드 실증 운영 센터 적합성 분석 (The Compatibility Analysis on the Track Record Operation Center for the Regional Industry Upbringing)

  • 김일송
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제9권4호
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    • pp.269-277
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    • 2019
  • 본 논문에서는 지역 산업 육성을 위한 분산형 전원 Track Record 실증 운영 센터 건립을 위한 당위성 분석 결과에 대해 서술한다. 태양광, 풍력, 에너지 저장 장치등과 같은 신재생에너지원의 광범위한 보급에 따라 이를 설치하여 사용하는 분산형 전원 시스템의 효율, 신뢰성등과 같은 장기간의 데이터에 대한 축적과 획득에 대한 수요와 요구조건이 점점 증가하고 있다. 이러한 내용을 뒷받침하기 위해 산업 수요에 대한 분석과 지역 산업에 미치는 영향에 대해 서술하고, 필요성과 센터 설립의 요구 조건 그리고 운영 목표 등에 대해서 분석하였다. 분석 결과를 바탕으로 1 MW 급의 트랙 레코드 실증 운영 센터 구성과 핵심 시험 설비 구축에 대한 제언을 첨부하였다. 센터에 필요한 핵심 설비에 대한 구성을 분석하였고, 이에 필요한 전력 설비 및 실험 설비를 조사 분석하였다. 시험 결과 인증을 위한 데이터 저장 센터와 시스템 구성을 서술하였다. 본 연구의 결과인 당위성 분석 결과와 설비 구축 제언은 지역산업 육성을 위한 기본 자료로 활용이 가능할 것으로 기대된다.

기본간호 실습교육에 있어서 비디오녹화학습의 효과 -배변술을 중심으로- (Effectiveness of Video-Record Method on Fundamental Nursing Skill Education - Focused on Enama -)

  • 강규숙
    • 기본간호학회지
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    • 제3권2호
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    • pp.273-283
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    • 1996
  • Effectiveness of the video-record learning method in teaching bowel elimination nursing skill was investigated using an experimental research methodology. Data was collected from 63 female students attending Fundamental Nursing class from a nursing college in Seoul. The subjects were randomly assigned to two groups, one is the experimental group of 29 and the other the control group of 34. The independent variable was video-record learning method and the dependent variable were the degree of knowledge achivement, nursing skill achivement, competence on practicing elimination skill, and satisfaction about the learning method. The hypotheses of the study were as following. 1) There will be significant difference between the experimental group and the control group in dependent variables. 2) There will be significant positive correlations between nursing skill achievement and other three dependent variables-interest in nursing, adaptation in nursing, and preference of nursing job. Data was analyzed using descriptive statistics, chi-square test, t-test, and Pearson's correlation coefficient with SPSS $PC^+$ program. Findings of the study are : 1) There was no significant difference between the experimental group and the control group in knowledge achievement using P<.05. 2) There was significant difference between the experimental group and the control group in nursing skill achievement using P<.05. 3) There was no significant difference between the experimental group and the control group in competence on practicing elimination skill using P<.05. 4) There was no significant difference between the experimental group and the control group in satisfaction about learning method using P<.05. 5) There was positive correlation between nursing skill achievement and the other variables but no significant difference was shown. 6) This study suggests that video-record learning method is an effective learning method for achiving basic nursing skills but is not effective in other areas such as knowledge achivement, competence in performing nursing practice, and satis-faction about the learning method. Further study with more developed research design and statistical analysis should be done to investigate the effectivenes of video-record learning method in learning basic nursing skill more accurately.

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문제제시 간호기록 방법이 간호기록 행위에 미치는 효과에 대한 실험적 연구 (An Experiment,11 Study on Implementation of Problem-Oriented Nursing Record)

  • 강윤희
    • 대한간호학회지
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    • 제7권1호
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    • pp.1-9
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    • 1977
  • Primary function of health record is that as tool of communication between the health processionals with the mutual goal, the promotion of health care standard. Studies have been carried out world over oil tile subject, among those, Weed's Problem-Oriented Health Record is considered a paramount achievement. This study was designed to assess tile possibility of implementing tile problem-oriented health record system through ail experiment in order to provide data for nurse administrators infiltrating reformation of recording system and format. Record of 29 patients admitted at Korea University Hospital, Seoul, from March through June, 1976 for 4 to 14 days were sampled. Nursing notes were recorded by research assistants; senior nursing student trailed extensively by the researcher oil Problem-Oriented Records, oil Problem Oriented Nursing Record format (experimental group) and analysis were carried out comparative, with that of traditional nursing records noted by other nursing personnel (control group) on the same patient. Attitude towards Problem Oriented Nursing Record system and format were attained through questionaries responded by the 51 research assistants. Results are as fellows: Comparative analysis revealed that: 1. Assessment of patients' health problems recorded significantly more in traditional records. 2. Focus of health Problem differed; traditional records slowed significantly higher frequency in medical and procedure as focus while problem oriented records on nursing focus problems. 3. Problem- Oriented records were better organized, Mean value scores of attitude towards Problem- Oriented Records revealed that: Positive value scores on all 4 categories: 1) Assessment of nursing needs, 2) Nursing care planning 3) Patient progress assessment and 4) Tool of teaching and learning revealed that the Problem-Oriented Nursing Record is positively accepted by tile respondents. Recommendation Further experiments on implementation of Problem- Oriented Health Record are recommended: experiment involving all health professionals, in larger scope and longitudinal.

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Computing the Repurchase Index Based on Statistical Modeling

  • Bae, Wha-Soo;Jung, Woo-Seok;Lee, Young-Bae
    • 응용통계연구
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    • 제23권4호
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    • pp.739-745
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    • 2010
  • This paper computes the repurchase index based on statistical modeling. Using the transaction record of a certain product, the repurchase index is obtained by fitting the Poisson regression model. The customers are classified into 5 groups based on the index giving the information about the propensity to repurchase.

극대용량 서지 링크드 데이터 구축의 효율성을 위한 RDF 트리플 저장소 접근 최소화에 관한 연구 (Research on Minimizing Access to RDF Triple Store for Efficiency in Constructing Massive Bibliographic Linked Data)

  • 이문호;최성필
    • 한국도서관정보학회지
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    • 제48권3호
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    • pp.233-257
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    • 2017
  • 본 논문에서는 세계 최대 규모의 생의학 분야 서지 데이터베이스인 MEDLINE 전체를 링크드 데이터로 변환 구축하는 효율적인 방안을 제시한다. 이를 위해서 우선 MEDLINE 레코드 구조를 세부적으로 분석하여 적합한 RDF 스키마를 도출하고 각 레코드를 도출된 스키마에 유효한 RDF 파일로 변환하는 과정을 거친다. 본 논문에서는 변환된 레코드 단위의 모든 RDF 파일을 병합하여 이를 단일 RDF 트리플 저장소에 저장할 때 주어 URI 중복 확인 절차를 효율화하는 이중 일괄 등록 방법을 적용한다. 이 방법을 통해서 RDF 파일 단위로 링크드 데이터를 순차적으로 구축하는 방법과 비교했을 때 주어 URI 중복 제거를 위한 RDF 트리플 저장소 접근 횟수가 26,597,850회에서 2,400회로 감소하는 결과를 가져왔다. 따라서 본 연구의 결과는 대용량 서지 레코드 집합을 링크드 데이터로 변환하는 과정에서의 비효율성을 제거하고 신속성과 시의성을 확보할 수 있는 중대한 계기를 제공할 것으로 기대한다.

First Record of Ulva torta (Ulvales, Chlorophyta) in Korea

  • An, Jae Woo;Nam, Ki Wan
    • 환경생물
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    • 제35권3호
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    • pp.329-334
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    • 2017
  • A marine ulvalean species (Chlorophyta) was collected from Imgok, which is located on the eastern coast of Korea. This species is morphologically characterized by distromatic, filiform to strap compressed or tubular thallus. Many branches were found near the base, but lacked proliferations. Cells were longitudinally aligned in the younger part of the branch and were disordered in the older part of the branch. A cap-like parietal chloroplast with one or two pyrenoids was contained in each cell. In a phylogenetic tree based on ITS and rbcL sequences, this species was nested in the same clade as Ulva torta and U. clathratioides from Australia, but formed a sister clade to U. torta from Japan. However, the genetic divergence between them was included in an intraspecific variation range within Ulva. This finding suggests that U. clathratioides should be reduced to a synonym of U. torta. Accordingly, the Korean alga was identified as U. torta based on the morphological and molecular data. This investigation is the first record of U. torta in the Korean marine algal flora.

Secure Blocking + Secure Matching = Secure Record Linkage

  • Karakasidis, Alexandros;Verykios, Vassilios S.
    • Journal of Computing Science and Engineering
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    • 제5권3호
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    • pp.223-235
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    • 2011
  • Performing approximate data matching has always been an intriguing problem for both industry and academia. This task becomes even more challenging when the requirement of data privacy rises. In this paper, we propose a novel technique to address the problem of efficient privacy-preserving approximate record linkage. The secure framework we propose consists of two basic components. First, we utilize a secure blocking component based on phonetic algorithms statistically enhanced to improve security. Second, we use a secure matching component where actual approximate matching is performed using a novel private approach of the Levenshtein Distance algorithm. Our goal is to combine the speed of private blocking with the increased accuracy of approximate secure matching.