• Title/Summary/Keyword: 원격지 환자

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On the Legality of the Telemedicine between the Patient and Doctor Under the Medical Service Act - Focused on the Prescriptions to the Distanced Patients- (의사 환자 간 원격 의료의 의료법상 적법성에 관하여 - 원격 환자에 대한 처방 중심으로 -)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.22 no.1
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    • pp.3-23
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    • 2021
  • Telemedicine is a field of medicine in which medicine doctors who are in remote distance can treat the patients using audio, video devices which can help the diagnosis. In medicine, even the face-to-face diagnosis and treatment is the traditional way, the telemedicine could provide the convenient way for the patients in long distance, disabled or anyone who want to be stay ones' home. But telemedicine has the task to maintain the quality of medical cares compare with the traditional medicine. Among the several types of telemedicine, the specific type telemedicine in which the medicine doctors examine, diagnosis and do the prescription to the remotely distanced patients could be defined tele-prescription. Under The Medical Service act, it is unclear that teleprescription could be allowed. The Medical Service Act has introduced the specific clause for the prescription. That clause includes the duty of patients who have to receive the prescriptions directly from medical doctors. Under this clause, the constitutional court had decided the tele-prescription was illegal, but the supreme court has been decided tele-prescription could be legalized under the certain circumstances. But the other supreme court decided the tele-prescription was illegal under the article 34 of presenting Medical Service Act. So to understand the interpretations of Supreme court and Constitutional court decisions for the cases of prescription via telephone, we need to understand the history and presented reasons for the revision of prescription clause and also need to understand the other related clauses in the same act. In conclusion, To consider the values of telemedicine should be the level with the ordinary treatments, It is reasonable to interpret that the presenting Medical Service Act only legalize the telemedicine between doctor to doctor and which is regulated by the telemedicine clause.

Implementation of Secur ed Remote EMR Medical Information using Encryption Algorithm (암호화 알고리즘을 이용한 안전한 원격 EMR 의료정보 구현)

  • Yang, Jaesoo;Lee, You-Sik;Hong, Yousik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.14 no.4
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    • pp.133-139
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    • 2014
  • Nowadays, telemedicine and remote prescription has been operating as a pilot basis. However, in case of remote hospitals without encrypting the biometric data transmission and its contents, the patient prescription data hacked from hackers who changed prescription medications can be serious obstacles to the patient. Therefore, in this paper, to solve this problem, password encryption, personal identification information, biometric data security on the patient's prescription and remote medical information system, and implementation of the encryption algorithm are proposed.

Telemedicine robot system for visual inspection and auscultation using WebRTC (WebRTC를 이용한 육안 검사 및 청진용 원격진료 로봇 시스템)

  • Jae-Sam Park
    • Journal of Advanced Navigation Technology
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    • v.27 no.1
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    • pp.139-145
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    • 2023
  • When a doctor examines a patient in a hospital, the doctor directly checks the patient's condition and conducts a face-to-face diagnosis through dialogue with the patient. However, it is often difficult for doctors to directly treat patients. Recently, several types of telemedicine systems have been developed. However, the systems have lack of capabilities to observe heart disease, neck condition, skin condition, inside ear condition, etc. To solve this problem, in this paper, an interactive telemedicine robot system with autonomous driving in a room capable of visual examination and auscultation of patients is developed. The developed robot can be controlled remotely through the WebRTC platform to move toward the patient and check a patient's condition under the doctor's observation using the multi-joint robot arm. The video information, audio information, patient's heart sound, and other data obtained remotely from patients can be transmitted to a doctor through the web RTC platform. The developed system can be applied to the various places where doctors are not possible to attend.

A Development of Smart Remote Medical Direction Support App (스마트 원격 의료 지도 지원 앱 개발)

  • Eum, Sang-hee;Kim, Gi-Ryon;Kim, Gwang-yeon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.78-79
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    • 2018
  • Recently, medical technology and IT technology have been trying to converge to overcome limitations of the time and the space in medical technology application. In this study, an app was developed to support remote medical direction for emergency medical services. The developed app allows doctors in remote locations to receive real-time emergency patient situations from emergency paramedics. It can also guide the patient's condition diagnosis and emergency treatment and enable rapid response from the emergency room.

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Personal Health Information Transmission using Identity-Based Proxy Re-Encryption in Remote Health Monitoring System (원격건강정보 모니터링 시스템 상에서 신원기반 프록시 재암호화를 이용한 개인 건강정보 전송)

  • Noh, Si-Wan;Park, Youngho;Rhee, Kyung-Hyune
    • Proceedings of the Korea Information Processing Society Conference
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    • 2016.10a
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    • pp.258-261
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    • 2016
  • 환자가 가정에서 네트워크를 통해 자신의 건강정보를 원격지에 위치한 의사에게 전송하여 이에 대한 진단을 받는 원격건강정보 모니터링 시스템에서 환자의 개인건강정보의 보호는 매우 중요한 과제이다. 본 논문에서는 신원기반 프록시 재암호화 기법을 사용하여 환자가 다수의 의사를 선택하여 각 의사들에게 개인건강정보를 전송하여 진단을 받는 환경을 가정하여 환자가 가지는 연산부담을 줄이기 위해 환자의 비밀키로 생성한 암호문을 프록시가 재암호화하여 의사가 가진 비밀키로 복호화 할 수 있도록 하는 기법을 제안한다.

A Secure Health Data Transmission Protocol Using Identity-Based Proxy Re-Encryption in Remote Healthcare Monitoring System (원격건강정보 모니터링 시스템에서 신원기반 프록시 재암호화 기법을 이용한 건강정보 전송 보안 프로토콜)

  • Noh, Si-Wan;Park, Youngho;Rhee, Kyung-Hyune
    • KIPS Transactions on Computer and Communication Systems
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    • v.6 no.4
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    • pp.197-202
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    • 2017
  • The remote healthcare monitoring system enables a doctor to diagnose and monitor patient's health problem from a distance. Previous researches have focused on key establishment method between a patient and a particular doctor to solve personal health information disclosure problem in data transmission process. However, when considering a misdiagnosis of doctor, the result of a diagnosis by a many doctors is more reliable. In previous work, in order to select multiple doctors, patient should generate shared key for each chosen doctor and perform many times encryptions. Therefore, in this paper, we propose a secure data transmission protocol for receiving diagnosis from multiple doctors using identity-based proxy re-encryption scheme. In proposed protocol, a patient don't need key management work for session key. Also, monitoring server performs re-encryption process on behalf of patient. So, we can reduce computational burden of patient in previous work.

A Study on Remote Medical Emergency System Development for Ambulance (구급차용 응급 원격의료 시스템에 관한 연구)

  • Kwon, Jang-Woo;Kim, Gyu-Dong;Hong, Jun-Eui;Lee, Dong-Hoon;Kim, Su-Jin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2007.05a
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    • pp.657-660
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    • 2007
  • 구급차에서는 위급한 상황의 환자를 이송할 시에 적절한 응급조치가 필요로 하고 환자의 상태에 맞는 조치를 취하여야 한다. 그러나 모든 구급차에 의사가 상주 할 수 없음으로 CDMA 망을 이용하여 원격지의 의사가 원격의료가 가능한 시스템을 제안한다. 낮은 전송속도에서 효율적으로 중요한 의학적 정보를 전송할 수 있는 원격 응급 의료 시스템이 개발된다면 의료기관에 상주하는 의사와 데이터를 송수신하는 시간도 단축할 수 있으며, 응급상황 발생시 대처를 하지 못하거나 하는 경우를 예방할 수 있어 환자 이송 시에 상당한 효과가 있으리라 판단된다.

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The Design and Implementation of Telemedicine System for Emergency Patients in a Ship (해상응급환자를 위한 원격진료 시스템의 설계 및 구현)

  • Lee, Dong-Hoon;Kwon, Jang-Woo;Kim, Gyu-Dong;Hong, Jun-Eui;Lee, Sang-Min
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.3
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    • pp.537-545
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    • 2009
  • Though there were many research and development about telemedicine on land recently, not yet applied to that on the shore. In this paper, when emergency clinic situation were generated in a ship on shore, the telemedicine system was designed and implemented for transfer and clinic service to doctors on the land by measuring basic body signals of patients. Presently, wireless communication and inmarsat telephone are usually used by simple questions and clinic consults to remote doctors when emergency situation were happened in the ship. In this paper, the telemedicine system on the shore were developed for improving this problems by measuring patient's fundamental conditions such as the blood pressure, pulse, the respiratory condition, electrocardiogram, body temperature, patient image and sending these information to remote doctors on land for more accurate prescription. The developed system can supply the high level clinic service to emergency patients on the shore and cope with the emergency situation in ship.

A Study on the Implementation of the Healthcare Device and the Telemedicine System using ZigBee (ZigBee를 활용한 헬스케어 장치 및 원격 의료 서비스 시스템 구현에 관한 연구)

  • Cho, Sung-Min;Kang, Sung-In;Kim, Gwan-Hyung;Choi, Sung-Wook;Kwon, Oh-Hyun;Oh, Am-Suk
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.10a
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    • pp.469-472
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    • 2007
  • The telemedicine system provide an efficient means to monitor the status of health and measure bio-information even though the limitation of distance and time. The telemedicine system can be divided into two categories. The first one is Remote Support Service which can monitor the patient including home environments and give those diagnosis information to medical office. and the other one is Alarm Service that can be used for tile emergency status. For the convenience of the patient we will design and implement portable healthcare device and the telemedicine system under the wireless ZigBee network environments.

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Design and Implementation for Maritime Telemedicine System in Data Communication using Inmarsat (Inmarsat을 이용한 해상원격진료 시스템에서 데이터통신의 설계와 구현)

  • Kwon, Jang-Woo;Lee, Dong-Hoon;Kim, Gyu-Dong;Hong, Jun-Eui;Kim, Su-Jin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.05a
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    • pp.447-450
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    • 2008
  • 해상에서 장시간 운행하는 선박에서 사고나 질환이 발생 할 경우, 원격지의 의사와 단순한 문답으로 환자의 치료를 하거나 간단한 조치 밖에 하지 못하지만 국제해상위성을 이용하여 원격지의 의사가 원격진료가 가능한 시스템의 데이터 통신을 설계, 구현한다. 원격진료 시스템은 응급상황 발생시 항해 중이었던 선박을 회항하거나 하는 경우를 예방할 수 있어 상당한 비용절감의 효과가 있으리라 판단되며, 선박에서 전화통신의 용도로 사용하던 기존의 해사위성 망을 이용하여 낮은 전송속도에서 중요한 의학적 정보를 효율적으로 전송할 수 있는 통신 시스템을 설계하고 구현 한다.