• Title/Summary/Keyword: 의무기록정보

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Clinical Contents Model to Ensure Semantic Interoperability of Clinical Information (의료정보의 의미적 상호운용성 보장을 위한 임상콘텐츠 모델)

  • Ahn, Sun-Ju;Kim, Yoon;Yun, Ji-Hyun;Ryu, Sang-Hee;Cho, Kyoung-Hee;Kim, Seong-Woo;Kim, Seung-Soo;Kwak, Mi-Sook;Yu, Seung-Jong;Koh, Young-Taeg;Choi, Duck-Joo
    • Journal of KIISE:Software and Applications
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    • v.37 no.12
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    • pp.871-881
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    • 2010
  • Objective: A clinical contents model is an essential data model to exchange clinical data, among existing computer systems and enhance consistency of necessary data, in terms of its meaning and reusability. However, there has not been a domestic case where such clinical model is developed till present. Methods and Results: This research is based on determining principles of developing clinical information model which is a specified model of Health level 7 Reference Information Model and attempts to identify clinical contents with types of ENTITY-ATTRIBUTE-VALUE, based on terminology standard by clinicians and domain modelers. Conclusion: This model is projected to be utilized in the next generation of EMR as core contents.

A Design and Implementation for a Reliable Data Storage in a Digital Tachograph (디지털 자동차운행기록계에서 안정적인 데이터 저장을 위한 설계 및 구현)

  • Baek, Sung Hoon;Son, Myunghee
    • KIPS Transactions on Computer and Communication Systems
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    • v.1 no.2
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    • pp.71-78
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    • 2012
  • The digital tachograph is a device that automatically records speed and distance of a vehicle, together with the driver's activity and vehicle status at an accident. It records vehicle speed, break status, acceleration, engine RPM, longitude and latitude of GPS, accumulated distance, and so on. European Commission regulation made digital tachographs mandatory for all trucks from 2005. Republic of Korea made digital tachographs mandatory for all new business vehicles from 2011 and is widening the range of vehicles that must install digital tachographs year by year. This device is used to analyze driver's daily driving information and car accidents. Under a car accident that makes the device reliability unpredictable, it is very important to store driving information with maximum reliability for its original mission. We designed and implemented a practical digital tachograph. This paper presents a storage scheme that consists of a first storage device with small capacity at a high reliability and a second storage device with large capacity at a low cost in order to reliably records data with a hardware at a low cost. The first storage device records data in a SLC NAND flash memory in a log-structured style. We present a reverse partial scan that overcomes the slow scan time of log-structured storages at the boot stage. The scheme reduced the scan time of the first storage device by 1/50. In addition, our design includes a scheme that fast stores data at a moment of accident by 1/20 of data transfer time of a normal method.

Study for Improvement of the Doctor's Satisfaction and Completeness of the Medical Record in the EMR System (전자의무기록(EMR) 시스템하에서 의사의 만족도와 의무기록정보의 기재 충실도 향상 방안)

  • Park, Un-Je
    • Korea Journal of Hospital Management
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    • v.16 no.2
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    • pp.19-30
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    • 2011
  • This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

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Implementation of Information Authentication Sub-System for The Environmental Telemetry Monitoring System (환경감시 시스템의 정보 인증 서브 시스템 설계 및 구현)

  • 신동명;김영덕;최용락
    • Proceedings of the Korean Information Science Society Conference
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    • 2000.04a
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    • pp.241-243
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    • 2000
  • 환경부나 지방자치단체에서는 환경문제를 사전에 예방할 수 있는 체계를 마련하기 위하여 오염물질 배출업체가 환경감시 시스템을 통하여 환경오염물질의 배출상태를 실시간으로 측정하여 공시하도록 의무화 하고 있다. 그러나 환경단체나 지역주민들은, 환경부나 지방자치단체에 제공된 환경정보에 대한 신뢰감이 부족한 현실이다. 본 논문에서는 환경정보의 신뢰성 제공을 위하여 암호학적 인증 메커니즘을 이용한 환경정보 인증 서브 시스템을 설계, 구현하였다. 제시한 환경정보 인증시스템에서는 클라이언트/서버간 인증, 환경정보에 대한 무결성 보장 및 접근통제, 감사기록의 기능을 제공한다.

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Design of car driving information system with smartphone for vehicle weakly subtitles system (승용차요일제보험을 위한 스마트폰 운행정보 확인 시스템 설계)

  • Kim, Min-Young;Jang, Jong-Wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.10a
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    • pp.489-492
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    • 2011
  • 자동차 운전자는 자신의 자동차 보험료를 할인 받고자 특약제도를 이용한다. 이 중 이미 외국에서 시행되어 좋은 호응을 받아 국내에서도 시행 되고 있는 승용차 요일제 보험이 있다. 승용차 요일제 보험에 가입하기 위해 의무적으로 장착해야 하는 자동차 운행정보 확인 장치는 예비가입자들로부터 많은 관심을 받고 있다. 하지만 보험가입자(운전자)가 보험사에 운행정보확인장치의 차량운행기록을 보내기 위해 다소 번거로운 과정을 거쳐야 한다. 본 논문에서는 보험개발원에서 제시한 '자동차 운행정보 확인 장치 인증규정'을 바탕으로 보험가입자가 편리하게 차량운행기록을 보험사에게 보내기 위해 단거리 무선통신이 내장되어 있는 자동차 운행 정보 확인 장치의 하드웨어 설계와 이것을 활용한 보험사의 운행정보 수집 시스템에 바로 전송할 수 있는 스마트폰 단말기 모니터 프로그램의 설계에 대해 연구하였다.

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Monitoring System of Telemedicine using Internet (인터넷을 이용한 화상 의료 진단시스템)

  • 이상열;김석현;여지환;황병곤
    • Proceedings of the Korea Society for Industrial Systems Conference
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    • 1999.12a
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    • pp.453-461
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    • 1999
  • 최근 인터넷의 보급 및 확대가 의료 환경에 중요한 변화를 가져오고 있다 인터넷이 단순히 전세계의 정보를 얻는 단계에서 벗어나 의료의 중요한 부분이라고 할 수 있는 환자의 진단과 처방을 실시할 수 있는 원격진료 시스템까지 확대되어 이용되어지고 있다. 원격 진료 시스템이란 최근 부각되고 있는 멀티미디어 시스템인 오디오, 비디오 및 문자정보를 통신을 통하여 의료의 제공, 진단, 자문, 치료, 의료의 정보전달 등을 하는 행위이다. 원격진료 시스템은 화상진료, 전자의무기록, 특정인 호출 시스템으로 구성되어 있다.

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A Requirement of a Search Browser for Effective Searching of Clinical Terminology (효과적인 의학용어 검색을 위한 검색 브라우저의 요건)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.416-417
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    • 2014
  • SNOMED CT is a standard clinical terminology to provide a standardized way for recording and managing of clinical records in EMR systems. However, because of its huge expressive power, it is very difficult to consistently record patients' status such as diagnosis and procedure. The reason is that one clinical meaning can be expressed in variety of ways using multiple terminologies and vice versa. This paper proposes a novel requirement of effective search browser for SNOMED CT terminologies by analyzing duplicated or similar terminologies.

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Effective Searching of Clinical Terms from Standard Clinical Terminology (표준 의학용어 체계에서의 효과적인 용어 검색 방안)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.323-325
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    • 2014
  • SNOMED CT is a standard clinical terminology which is to efficiently record, manage and utilize clinical records during clinical processes. However, huge expressive power of SNOMED CT makes it difficult to select appropriate terms during short consultation hours. In addition, true meaning of a written record using the terminology may be misunderstood or even distorted since one clinical meaning could be expressed in a variety of ways. This paper analyzes such known problems in a database point of view, and presents effective selection methods of similar terminologies to mitigate the problem.

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The Accuracy of Tuberculosis Notification Reports at a Private General Hospital after Enforcement of New Korean Tuberculosis Surveillance System (새로운 국가결핵감시체계 시행 후 한 민간종합병원에서 작성된 결핵정보관리보고서의 정확도 조사)

  • Kim, Cheol Hong;Koh, Won-Jung;Kwon, O Jung;Ahn, Young Mee;Lim, Seong Young;An, Chang Hyeok;Youn, Jong Wook;Hwang, Jung Hye;Suh, Gee Young;Chung, Man Pyo;Kim, Hojoong
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.2
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    • pp.178-190
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    • 2003
  • Background : The committee of tuberculosis(TB) survey planning for the year 2000 decided to construct the Korean Tuberculosis Surveillance System (KTBS), based on a doctor's routine reporting method. The successful keys of the KTBS rely on the precision of the recorded TB notification forms. The purpose of this study was to determine that the accuracy of the TB notification form written at a private general hospital given to the corresponding health center and to improve the comprehensiveness of these reporting systems. Materials and Methods : 291 adult TB patients who had been diagnosed from August 2000 to January 2001, were enrolled in this study. The lists of TB notification forms were compared with the medical records and the various laboratory results; case characteristics, history of previous treatment, examinations for diagnosis, site of the TB by the international classification of the disease, and treatment. Results : In the list of examinations for a diagnosis in 222 pulmonary TB patients, the concordance rate of the 'sputum smear exam' was 76% but that of the 'sputum culture exam' was only 23%. Among the 198 cases of the sputum culture exam labeled 'not examined', 43(21.7%) cases proved to be true 'not examined', 70 cases(35.4%) were proven to be 'culture positive', and 85(43.0%) cases were proven to be 'culture negative'. In the list of examinations for a diagnosis in 69 extrapulmonary TB patients, the concordance rate of the 'smear exam other than sputum' was 54%. In the list of treatments, the overall concordance rate of the 'type of registration' in the TB notification form was 85%. Among the 246 'new' cases on the TB notification form, 217(88%) cases were true 'new' cases and 13 were proven to be 'relapse', 2 were proven to be 'treatment after failure', one was proven to be 'treatment after default', 12 were proven to be 'transferred-in' and one was proven to be 'chronic'. Among the 204 HREZ prescribed regimen, 172(84.3%) patients were taking the HREZ regimen, and the others were prescribed other drug regimens. Conclusion : Correct recording of the TB notification form at the private sectors is necessary for supporting the effective TB surveillance system in Korea.

Deep Learning-Based Model for Classification of Medical Record Types in EEG Report (EEG Report의 의무기록 유형 분류를 위한 딥러닝 기반 모델)

  • Oh, Kyoungsu;Kang, Min;Kang, Seok-hwan;Lee, Young-ho
    • KIPS Transactions on Software and Data Engineering
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    • v.11 no.5
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    • pp.203-210
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    • 2022
  • As more and more research and companies use health care data, efforts are being made to vitalize health care data worldwide. However, the system and format used by each institution is different. Therefore, this research established a basic model to classify text data onto multiple institutions according to the type of the future by establishing a basic model to classify the types of medical records of the EEG Report. For EEG Report classification, four deep learning-based algorithms were compared. As a result of the experiment, the ANN model trained by vectorizing with One-Hot Encoding showed the highest performance with an accuracy of 71%.