• Title/Summary/Keyword: 의료정보표준

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Institutional Approach to Healthcare Information Exchange: Focused on Medical Law (의료법상 진료정보교류를 위한 법제도적 고찰)

  • Kim, Soomin;Park, Jong Son
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.483-491
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    • 2017
  • Compared to penetration of Electronic Medical Record(EMR) system, Healthcare Information Exchange(HIE) has been less active in South Korea. The aim of this study is to explore medical law newly legislated to introduce HIE through the nation. The important insights are that the medical institutions exchange the patient's healthcare information based on the consent of the patient, and it is expected to be set up and managed the medical record exchange support system by the government and a consignment organization. In addition, the certification program for standardization and interoperability on the EMR system would be conducted. Nevertheless, continued policy developments and researches for the promotion of HIE will be urgently needed such as the education for the vendors and developers, developments of the certification programs and the incentive payment programs and the public relations.

Multimodality Nonlinear Medical Image Registration based on Surface Information & Voxel Similarity (표면 및 복셀 유사성 기반 다중모달리티 비선형 의료영상정합)

  • Kim, Min-Jeong;Kim, Myoung-Hee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.1633-1636
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    • 2005
  • 의료영상정합은 환자의 해부학적 정보와 기능적 정보를 혼합함으로써 기능이상부위의 해부학적 위치를 판별하기 위한 목적으로 널리 이용되고 있다. 그러나 실제적으로 여러 종류의 환자영상 취득이 어렵거나 해부학적 영상정보가 손실되는 경우가 적지 않다. 따라서 표준 정상인 해부학적 영상과 환자 기능영상을 정합함으로써 보다 객관적인 환자 기능이상부위 분석이 요구된다. 이는 다중개체, 다중모달리티간 영상정합으로 기존의 표면정보 또는 복셀정보 기반 방법으로는 한계가 있다. 따라서 본 연구에서는 두 대상영상 표면 뿐 아니라 내부 볼륨까지 대응시킬 수 있는 표면정보와 복셀정보를 혼합 적용한 기법을 제안한다.

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Construction of Artificial Intelligence Training Platform for Multi-Center Clinical Research (다기관 임상연구를 위한 인공지능 학습 플랫폼 구축)

  • Lee, Chung-Sub;Kim, Ji-Eon;No, Si-Hyeong;Kim, Tae-Hoon;Yoon, Kwon-Ha;Jeong, Chang-Won
    • KIPS Transactions on Computer and Communication Systems
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    • v.9 no.10
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    • pp.239-246
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    • 2020
  • In the medical field where artificial intelligence technology is introduced, research related to clinical decision support system(CDSS) in relation to diagnosis and prediction is actively being conducted. In particular, medical imaging-based disease diagnosis area applied AI technologies at various products. However, medical imaging data consists of inconsistent data, and it is a reality that it takes considerable time to prepare and use it for research. This paper describes a one-stop AI learning platform for converting to medical image standard R_CDM(Radiology Common Data Model) and supporting AI algorithm development research based on the dataset. To this, the focus is on linking with the existing CDM(common data model) and model the system, including the schema of the medical imaging standard model and report information for multi-center research based on DICOM(Digital Imaging and Communications in Medicine) tag information. And also, we show the execution results based on generated datasets through the AI learning platform. As a proposed platform, it is expected to be used for various image-based artificial intelligence researches.

Construction of Web-Based Medical Imgage Standard Dataset Conversion and Management System (웹기반 의료영상 표준 데이터셋 변환 및 관리 시스템 구축)

  • Kim, Ji-Eon;Lim, Dong Wook;Yu, Yeong Ju;Noh, Si-Hyeong;Lee, ChungSub;Kim, Tae-Hoon;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2021.05a
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    • pp.282-284
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    • 2021
  • 최근 4차 산업혁명으로 의료빅데이터 기반으로 한 AI 기술이 급속도로 발전하고 있다. 특히, 의료영상을 기반으로 병변을 탐색, 분활 및 정량화 그리고 자동진단 및 예측 관련된 기술이 AI 제품으로 출시되고 있다. AI 기술개발은 많은 학습데이터가 요구되며, 임상검증에 단일기관에서 2개 이상 기관의 검증이 요구되고 있다. 그러나 아직까지도 단일기관에서 학습용 데이터와 테스트, 검증용 데이터를 달리하여 기술개발에 활용하고 있다. 본 논문은 AI 기술개발에 필요한 영상데이터에 대한 표준화된 데이터셋 변환 및 관리를 위한 시스템에 대해 기술한다. 다기관 데이터를 수집하기 위해서는 각 기관의 의료영상 데이터 수집 및 저장하는 기준이 명확하지 않아 표준화 작업이 필요하다. 제안한 시스템은 기관 또는 다기관 연구 그룹의 의료영상데이터를 표준화하여 저장할 수 있을 뿐만 아니라 의료영상 뷰어 및 의료영상 리스트를 통해 연구자가 원하는 의료영상 데이터 셋을 검색하여 다양한 데이터셋으로 제공할 수 있기 때문에 수집 및 변환 그리고 관리까지 지원할 수 있는 시스템으로 영상기반의 머신러닝 연구에 활력을 불어넣을 수 있을 것으로 기대하고 있다.

A Distributed Indexing Scheme for Wireless Data Broadcasting of Health Information FHIR Resources (의료 정보 FHIR 리소스 무선 데이터 방송을 위한 분산 인덱싱 기법)

  • Im, Seokjin
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.17 no.3
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    • pp.23-28
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    • 2017
  • FHIR, next-generation standard for health information exchange, allows to exchange health information fast and to provide various health services. In this paper, we propose an indexing scheme of FHIR resources for adopting the resources to wireless data broadcasting with a secure channel. That scheme keeps the information of users to support to download FHIR resources from the secure wireless broadcast channel and the information on the resources. Using the proposed index, massive users can download their desired FHIR resources with less energy in short time. With simulation studies, we show the proposed indexing scheme outperforms other scheme broadcasting FHIR resources.

P2P DICOM System using Multiagent Systems Communicating with XML Encoded ACL (XML 기반 ACL로 통신하는 멀티에이전트 시스템을 이용한 P2P DICOM 시스템)

  • Kwon, Gi-Beom;Kim, Il-Kon
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.5
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    • pp.598-606
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    • 2002
  • We suggest a distributed communication and management methodology using PC to PC Query multicasting strategy for efficient management of medical images produced by DICOM(Digital Imaging and Communications in Medicine) Modalities. It is absolutely necessary to reduce strict degradation of PACS system due to large sire of medical images and their very high transport rates. DICOM PC to PC Component is composed of a Service Manager to execute requested queries, a Communication Manager to take charge of file transmission, and a DICOM Manager to manage stored data and system behavior Each Manager itself is a component to search for requested file by interaction or to transmit the file to other PCs. Distributed management and transformation of medical information based on PC to PC Query multicasting methodology will enhance performance of central server and network capacity, reducing overload on both. We organize three major components for system operation. Each component is implemented as Agent. Communication between agents uses XML encoded Agent Communication Language.

A Design of Clinical Information Exchange Framework for Performance Improvement based on Lazy Response Model (지연 응답 모델에 기반한 성능 개선 진료정보 교류 프레임워크의 설계)

  • Lee, Se-Hoon;Shim, Woo-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.9
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    • pp.157-164
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    • 2012
  • Recently medical service environment, the clinical information exchange which contribute to medical safety, promotion of service quality and patient's convenience, efficiency of medical procedures and medical management is essential medical service model. But, practical exchange of clinical information which variation of information level, absence of standardization system, build of heterogeneous information systems is difficult in each medical institute. In this paper, We analyzed the related technical standardizations and the models of clinical information exchange. So, we designed the clinical information exchange system based on the ideal lazy response model which is aimed at vitalizations the exchange of clinical information under domestic law environment. In case of exchange the clinical information, we separate CDA document flow from metadata flow. As a experimental result we acquired 24% improved performance compared with existed system based on the lazy response model.

Conversion of Radiology Report into DICOM SR (의료 영상 판독 결과의 DICOM SR 변환)

  • Kim Yong-Soo;Shin Seung-Yong
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.3 s.35
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    • pp.331-337
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    • 2005
  • 'Supplement 23:DICOM SR' announced on April 2000 made possible co-relations between the clinical reports and human body parts by standardizing the exchange of clinical information. DICOM SR uses its own coding schemes and values to represent information, which convey hierarchically structured content items. This paper analyzes radiology reports produced in HIS(Hospital Information System) and categorizes content structures into three parts such as, finding, conclusion, and recommendation, and implements a system which can be used by clinicians. Digital X-ray images and their reports have been managed separately. Since the report made by DICOM SR can refer to images, the integrated information of reports and images is possible.

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개인정보보호 참조 아키텍처와 국제표준화 동향

  • Shin, Yong-Nyuo;Kim, Hak-Il;Chun, Myung-Geun
    • Review of KIISC
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    • v.21 no.5
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    • pp.12-20
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    • 2011
  • 개인정보보호법이 전면적인 법 시행을 앞두고 있고 지금까지 규제대상이 아니던 기업 종업원의 개인정보는 물론, 종이 문서형태의 개인정보까지를 규제대상으로 삼고 있어 개인정보보호 시장이 크게 확대될 것으로 전망된다. 규제범위도 정보통신, 교육, 의료, 금융 분야까지 다루고 있어서, 정부/공공기관 및 민간기업의 철저한 사전준비가 필요한 시점이다. 개인의 프라이버시 보호에 대한 이러한 발전추세에는 국내외 표준화가구를 통한 활발한 표준화작업이 밑바탕이 되고 있으며, 특히 미국, 영국, 독일, 일본, 한국 등의 나라를 중심으로 국제표준화를 활발히 추진하고 있다[1]. 표준화의 분야에는 개체의 신분확인을 위한 표준, 개인식별정보와 바이오인식 정보가 같이 사용되는 상황에서 이들의 바이오인식 프라이버시 및 보안요구조건을 위한 표준, 프라이버시 프레임워크, 프레임워크 기반 구현을 위한 프라이버시 레퍼런스 아키텍쳐 등 다양한 표준화 분야가 있다. 본 논문에서는 프라이버시 표준화를 위한 국외 표준화 동향을 소개하고, 향후 추진해야할 중점 표준화 항목을 도출한다.

Infection Control Knowledge and Standard Precaution Practice among Clinical Nurses in Small and Medium-sized Hospital (중소병원 임상간호사의 감염관리 지식과 표준주의 수행도)

  • Lee, Soon-Hee;Yang, In-Suk
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.107-115
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    • 2022
  • The purpose of this study was to investigate the level of infection control knowledge and standard precaution practice and to identify effecting factors on standard precaution practice among nurses in small and midium-sized hospitals. A cross-sectional study was conducted with a sample of 258 nurses from 7 hospitals between July and August 2021. The mean score of infection control knowledge and standard precaution practice was 7.25 and 3.61, respectively. There were significant differences in standard precaution practice according to clinical experience (r=.123, p=.047) and position (F=5.356, p=.005). Infection control knowledge and standard precaution practice were closely correlated (r=.421, p<.001). Position (β=-.187, p=.025) and infection control knowledge (β=.408, p<.001) had an effect on standard precaution practice. It could be possible to enhance the standard precaution practice through convergence education program related to infection control among staff nurses.