• Journal of the Korean Institute of Intelligent Systems
• /
• v.22 no.4
• /
• pp.468-475
• /
• 2012

Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.

• Proceedings of the Korean Society of Computer Information Conference
• /
• 2013.01a
• /
• pp.299-300
• /
• 2013

의료시장의 무한경쟁과 의료 경영환경을 극복하기 위한 최선의 방안은 병원 업무의 전산화를 통한 시스템 간의 효율적인 정보교환의 필요성이 대두되고 있다. 또한, 처방전달시스템, 전자의무기록시스템, 검사정보시스템, 의료영상 저장 및 전송시스템 등의 이기종간 의료정보 시스템의 통합 시스템을 구축하여 진료환경을 구축하고 진료의 효율성을 개선해야 할 것이다. 본 논문에서는 업무 시스템 간에 상호 연계가 보장된 표준정보연계체계 구축 및 최적화된 응용시스템 구축으로 환자 서비스 개선과 진료 및 경영 효율을 증대시킨 통합의료정보시스템의 구축방안에 대하여 연구하였다.

• Journal of Korean Society of Archives and Records Management
• /
• v.4 no.2
• /
• pp.76-90
• /
• 2004

There had been substantial demand for record management system with which to efficiently control the information circulation processes, involving accumulation of recorded materials, classification of information resources, and users access to them. It converged to a collaboration of Australian federation, and Sydney Records Centre and finally induced Australian Standard Records Management, commonly known as AS 4390. AS 4390 served later as a model for International Standard of Record Management. This paper introduces the current undertaking of Recordkeeping system development in Australia, which stems from the line of AS 4390 by analysing exhibited research approaches. The analysis includes the definition, regime of Recordkeeping system, design and implementing of guidelines of Recordkeeping System and information on metadata projects. It also highlights the necessity for standardization, as is the prime factor in promoting inter-linking of Tabularium on New Southwales State, CRS(Commonwealth Record Series), database system of Canberra National Archives and Australian Government Locator Service. From year 2005, as dictates, any record management system, serving public agency will be required to adapt Professional Archives Management System, which, by far, will enhance the inter-compatibility. In its application, the government need Thesaurus to eliminate possible redundancy in use of terminology and to promote correct usage of words.

• Journal of the Korea Society of Computer and Information
• /
• v.12 no.2 s.46
• /
• pp.291-297
• /
• 2007

Linking patient's medical records throughout country is required to get patient's accurate information which is helpful for doctor to diagnosis patient's symptoms more exactly. With shortening of time and preventing of retest, patient can be survived or alleviate suffering. Purpose of this paper is to design combined identification system linking patient's RFID card with medical digitalized Chart to share patient's information between the hospitals. With research and review of pre-studied related identification system, standardization, and UCI-RFID linkage study, SPMR(sharing patient's medical record) has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain. SPMR(sharing patient's medical record) which will take information needed and pay for information usage to related hospitals has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain.

• Convergence Security Journal
• /
• v.6 no.1
• /
• pp.25-32
• /
• 2006

MIR system is a nationwide medical record information system that makes medical information available to any hospital and health institution at any time, and information in the system mostly requires high security. In particular, personal information related to patients and doctors, medical technology information and each hospital's digital information are used very frequently and are likely to be modified for illegal use. Thus we need to develop a system equipped with security measures to prevent information leakage while providing medical information service effectively.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2005.11a
• /
• pp.587-590
• /
• 2005

병원에서 개인정보유출이 심각하여 병원 데이터베이스 내의 환자 차트와 전자처방전의 유출과 오용에 대비하여야 한다. 최근에는 의료 정보시스템이 통합, 발전하고 있다. 이러한 시스템을 구축, 사용 그리고 공유함으로서 환자를 잘 돌봐주고, 환자의 개인 사생활이 침해받지 않는 것이 중요하다. 그러나 여러 가지 유형의 개인정보 침해 가능성이 존재하기 때문에 이에 대비한 개인정보 보호가 필요하다. 그래서 본 논문에서는 사용자 그룹이 접근하고자 하는 서버에서의 환자 의무기록 사항에 대해 보안정책을 고려하여 자동적으로 키 등급을 비교하여 등급 생성 및 저장한다. 접근하고자 하는 서버의 자료와 등급을 비교하여 더 높은 키등급을 소유하고 있는 사용자가 서버에 있는 자료를 열람 및 기타 연산이 가능하도록 하였다.

• Smart Media Journal
• /
• v.5 no.1
• /
• pp.114-121
• /
• 2016

Currently, different medical institutions have been carrying out the e-healthcare system project. The system includes electronic medical record and prescription delivery system, and, the Medical Treatment law permits electronic signature for medical record management, which reduced the relevant costs and enabled sharing medical record. And medical solution using online certificates is expanding its application. In that light, the role of certificates became more important than ever. However, in contrast to active effort made to manage personal certificates, certificates related to medical solutions and other types of work are not being managed properly. Most work-related certificates are saved in office computers, which makes them vulnerable to various security threats. Although certificate servers can be used as a solution to this problem, hospitals must build the server separately and, therefore, small and medium-size hospitals can be reluctant to bear the burden. This study proposed a way to design and implement an effective and secure certificate management system by save the certificate file as a BLOB, using existing resources without needing to build a separate certificate server, at minimized costs.

• Journal of the Korea Society of Computer and Information
• /
• v.27 no.12
• /
• pp.69-76
• /
• 2022

This paper proposes a method of refining and processing time-series data using Medical Information Mart for Intensive Care (MIMIC-IV) v2.0 data. In addition, the significance of the processing method was validated through a machine learning-based pressure ulcer early warning system using a dataset processed based on the proposed method. The implemented system alerts medical staff in advance 12 and 24 hours before a lesion occurs. In conjunction with the Electronic Medical Record (EMR) system, it informs the medical staff of the risk of a patient's pressure ulcer development in real-time to support a clinical decision, and further, it enables the efficient allocation of medical resources. Among several machine learning models, the GRU model showed the best performance with AUROC of 0.831 for 12 hours and 0.822 for 24 hours.

• Journal of Korean Society of Archives and Records Management
• /
• v.3 no.1
• /
• pp.129-140
• /
• 2003

The ultimate goal of preserving and maintaining the records is to use them practically. The effective use of records should be supported by the reasonable recordskeeping systems and access standards. In this report, I examined the Korean laws and administrative systems related to the public records access issues. After I pointed out major problems of the access laws, the Government Information Opening Act (GOIA), and the problems in practices, I suggested some alternatives for the betterment of the access system. The GIOA established "eight standards of exemption to access" not to open some information to protect national interests and privacy. The Public Records Management Act (PRMA) applies to the archives transferred to "professional archives." The two laws show fundamental differences in the ways to open the public records to public. First, the GIOA deals with the whole information (the records) that public institutions keep and maintain, while the PRMA deals with the records that were transferred to the Government Archives. Second, the GIOA provides with a legal procedure to open public records and the standards to open or not to open them, while the PRMA allows the Government Archives to decide whether the transferred records should be opened or not. Third, the GIOA applies to record producing agencies, while the PRMA applies to public archival institutions. One of the most critical inadequacies of the PRMA is that there are no standards to judge to open the archives through reclassification procedure. The GIOA also suggests only the type of information that is not accessible. It does not specify how long the records can be closed. The GARS does not include the records less than 30 years old as its objects of the reclassification. To facilitate the opening of the archives, we need to revise the GIOA and the PRMA. It is necessary to clearly divide the realms between the GIOA and the PRMA on the access of the archives. The PRMA should clarify the principles of the reclassification as well as reclassifying method and exceptions. The exemption standards of the GIOA should be revised to restrict the abuse of the exemption clauses, and they should not be applied to the archives in the GARS indiscreetly and unconditionally.

• Proceedings of the Korean Information Science Society Conference
• /
• 2010.06c
• /
• pp.211-215
• /
• 2010

지금까지 병원에서 사용하던 일반 종이차트를 벗어나 전자적으로 환자의 데이터를 기록하고 유전자 데이터를 이용하여 환자의 유사 질병까지 찾아 낼 수 있는 EMR(Electronic Medical Record 전자 의무 기록)이 개발되면서 의료계는 환자에게 더욱 신속하고 정확한 진료를 할 수 있게 되었다. 본 논문은 이에 그리드 환경을 접목하여 더 빠른 데이터 처리와 신뢰성 과 접근성을 높일 수 있는 방법을 제시한다. 첫째, 현재 기 개발된 EMR 시스템의 환경에서 인증된 사용자만이 스토리지에 접근 할 수 있도록 GSI Service를 이용하여 단일 인증 방식으로 보안성을 높이며 동시에 단 한번의 인증절차로 모든 자원을 활용 할 수 있다. 둘째, Replica Service를 이용하여 기존의 스토리지를 복제 하여 중요한 데이터 들을 보호하며 다수의 접근이 발생할 경우 처리를 분산 시킬 수 있는 방법을 제시한다. 그리드 미들웨어인 글로 버스가 스토리지와 서버 상에서 CA인증을 담당하며 파일 전송을 담당하는 RFT는 스토리지의 Replica를 관리하는 RLS서버의 정보를 사용 하여 멀리 떨어져 있는 복제된 데이터와의 관계를 기억하고 접근시 가장 가용성이 뛰어난 머신에서 데이터를 불러온다. 이런 글로버스의 서비스 들은 중요하며 고용량이 데이터를 분산 시킴으로써 데이터의 지역성을 높여 재사용 혹은 동시 접근시 처리 시간을 단축 시킬 수 있다. 본 논문은 그리드 환경을 접목하여 이러한 서비스를 구현할 경우 높은 신뢰성과 접근의 신속성을 보장할 수 있다고 제시한다.