• Title/Summary/Keyword: 전자의무기록 교환

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Design and Implementation of Electronic Medical Record System Based on HL7-CDA for the Exchange of Clinical Information (임상 정보교환을 위한 HL7-CDA 기반의 전자의무기록 시스템의 설계 및 구현)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.5B
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    • pp.379-385
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    • 2008
  • For the sharing and exchange of information between medical clinics, the clinical document has to be built on a standardized protocol such as a HL7-CDA. But it is difficult to exchange information between medical clinics because clinical document such as electronic medical record that include text and image, have different structure of document and type of expression. In this paper, we propose the electronic medical record system based on HL7-CDA that can share and exchange clinical information between medical institute. For this purpose, we have to design the schema of the clinical document architecture after we select the essential items of medical record and define templates. The proposed system can minimize integrating process and save parsing time when clinical information exchange and refer, by converting electronic medical record to base64 encoding scheme and integrate it in a XML document.

Development of Electronic Medical Record System Using XML (XML을 이용한 전자의무기록시스템 개발)

  • Kang, Byeong-Do;Jung, Suk-Ho
    • The KIPS Transactions:PartD
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    • v.9D no.6
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    • pp.1127-1136
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    • 2002
  • In the medical field. the desire of the hospital information system based on the advanced computer technology has been increased because hospital staffs wanted to provide better medical services to their patients by using it. So, the electronic medical records have emerged to share and exchange medical and healthcare information stored in database. In this paper. we developed an electronic medical record system using XML. This system includes four modules : data repository. document structure manager, document writter and XML automatic generator. For the purpose of evaluating the usability of the electronic medical records of our system, we also applied it to out-patient medical records in the department of orthopedic surgery.

Study on the Factors Affecting the Intention to Share Electronic Medical Records (전자의무기록 공유 의도에 영향을 미치는 요인 연구)

  • Young Eun Kim;Jee Yeon Lee
    • Journal of the Korean Society for information Management
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    • v.41 no.1
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    • pp.283-311
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    • 2024
  • This study examined the factors affecting the intention of the public to share electronic medical records(EMR) based on the theory of reasoned action and the privacy calculus model. It also investigated whether the purpose of EMR sharing varies depending on personal characteristics, such as the degree of interest in health and personal medical history. According to an online survey of 145 people, altruistic enjoyment, awareness of personal information protection, recognition of legal and institutional roles, and interest in health had a positive impact on the level of EMR sharing, and trust in hospitals positively adjusted the relationship between recognition of legal and institutional roles and sharing intentions. Accordingly, we confirmed that the public recognized the role of the government and hospitals in the sharing process as necessary. The public interest benefits of sharing are critical to activating public participation in the sharing of EMR, and it is also essential to prepare guidelines that legally guarantee the security and proper use of EMR.

SHA-256 based Encapsulated Electronic Medical Record Document Storage System (SHA-256 기반의 캡슐화된 전자의무기록 문서 저장 시스템)

  • Lee, Hyo-Seung;Oh, Jae-Chul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.1
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    • pp.199-204
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    • 2020
  • With the development of IT. convergence systems are applied and operated in many different fields. A representative field among them is medical service, which develops in diverse types in combination with nano-technology and bio technology. However, there is a lack of technical innovation in terms of medical data operation and management. For example, data and documents are saved and integrated separately depending on their forms when electronic health records or data like SAM files are transmitted or kept. In other cases, such records and data are still kept after being recorded in paper. This study tries to design and implement the EMR system that makes it possible to capsulize forms of data and documents and to digitalize documents in work process as they are in terms of operation and storage. The system is expected to support efficient operation of electronic documents in the aspects of work and management.

A Medical Integration Framework based on XML for efficient exchange and sharing of Electronic Health Record using HL7 (The LEX System : HL7을 사용하는 전자의무기록의 효율적인 교환과 공유를 위한 XML기반 통합의료환경의 구축)

  • Lee, Min-Kyung;Cheong, Jae-Heon;Chun, Jong-Hoon;Yoo, Soo-Young;Kim, Bo-Young;Choi, Jin-Wook
    • The KIPS Transactions:PartD
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    • v.9D no.5
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    • pp.769-778
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    • 2002
  • The LEX system is a XML-based framework for medical information consolidation. The Lex makes it possible for heterogeneous HISs(Hospital Information Systems) exchange and share HL7 messages by storing the messages into a single Central Clinical Database. In this paper, we propose a HL7 message server independently interoperable from existing HIS to generate HL7 messages, and design an XML database schema suitable for storing and manipulating such data. We also propose a new DTD for efficient transformation of HL7 messages to XML documents for storage saving as well as supporting patient-oriented information retrieval.

Design and Implementation of medical information model based on the xml (XML 기반에서의 진료정보표현 모델 설계 및 구현)

  • 박애숙;강성수;김완규;김홍준
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.11a
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    • pp.115-119
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    • 2002
  • In the recent you, as the development of computer network and web, the amount of electric document exchange is dramatically increased through B2B, B2C, electric bid and et cetera. The medical world also needs to share and exchange good information for medical treatment like H2C(hospital to hospital), H2C(hospital to company). In this paper, we design medical information model using DTD and inplement medical information support system based on xml and xslt.

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A Study on Integrated Medical Information Systems for the u-Healthcare Service Environment (u-Healthcare 서비스 환경에서의 통합의료정보시스템 연구)

  • Kim, SooKyun;Park, Gil-Ha;Jeong, JinYoung;Shin, JinSub;Kim, Seokhun
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2013.01a
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    • pp.299-300
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    • 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.

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Implementation of HL7 Interface Engine for Medical Information Exchange (의료정보 공유를 위한 HL7 인터페이스 엔진 구현)

  • Hwang, Deuk-Young
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.8
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    • pp.89-98
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    • 2010
  • Recently supply of Internet is bringing a important change in medical environments. The hospitals which had a different system is required the system that can efficiently share and exchange medical information. In order to transmission medical information between systems, the Health Level Seven(HL7) interface engine development that can convert medical data to HL7 messages is necessary. The HL7 is a standard protocol for data exchange in healthcare environments. In this paper, I implemented HL7 interface engine for Alzheimer's disease in elderly care facility. The interface engine is composed of the client system and the server system. The client system inputs user's medical care data for the aged, and builds them into HL7 message stream. HL7 messages in the client system transmitted over TCP/IP protocol to the server system. The server system parses and validates this messages stream to the segments and fields and then transmits acknowledgement to the client system. I implemented it using the Java and JavaCC. The study of interface engine implementation can be used meaningfully in electronic health record, telemedicine system, and medical information sharing among various healthcare institutions.

Design and Performance Evaluation of the Secure Transmission Module for Three-dimensional Medical Image System based on Web PACS (3차원 의료영상시스템을 위한 웹 PACS 기반 보안전송모듈의 설계 및 성능평가)

  • Kim, Jungchae;Yoo, Sun Kook
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.3
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    • pp.179-186
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    • 2013
  • PACS is a medical system for digital medical images, and PACS expand to web-based service using public network, DICOM files should be protected from the man-in-the-middle attack because they have personal medical record. To solve the problem, we designed flexible secure transmission system using IPSec and adopted to a web-based three-dimensional medical image system. And next, we performed the performance evaluation changing integrity and encryption algorithm using DICOM volume dataset. At that time, combinations of the algorithm was 'DES-MD5', 'DES-SHA1', '3DES-MD5', and '3DES-SHA1, and the experiment was performed on our test-bed. In experimental result, the overall performance was affected by encryption algorithms than integrity algorithms, DES was approximately 50% of throughput degradation and 3DES was about to 65% of throughput degradation. Also when DICOM volume dataset was transmitted using secure transmission system, the network performance degradation had shown because of increased packet overhead. As a result, server and network performance degradation occurs for secure transmission system by ensuring the secure exchange of messages. Thus, if the secure transmission system adopted to the medical images that should be protected, it could solve server performance gradation and compose secure web PACS.