• Proceedings of the Korea Information Processing Society Conference
• /
• 2005.05a
• /
• pp.577-580
• /
• 2005

본 논문에서는 임상의들의 진료데이터를 토대로 진료경로를 동적으로 생성하는 방법을 기술한다. 각 진료단계에서 추출된 규칙들을 토대로 진료경로를 생성하는데, 이를 위해 전자의무기록으로 구성된 임상 데이터를 기반으로 연관규칙마이닝을 이용하여 진료단계별 규칙을 추출하였다. 신뢰성 있는 진료경로의 추출이 이루어지면 의료 서비스의 질을 높이고, 병원 경영의 효율성 증대에 도움을 줄 수 있다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2023.05a
• /
• pp.328-329
• /
• 2023

현재의 전자의무기록 시스템은 타 병원에서 진료를 볼 때, 중복 검사를 피하기 위해서는 기존 병원에서 검사 또는 진료 기록을 받아 제출해야 하는 번거로움이 있다. 이에 본 논문에서는 기존 시스템의 클라우드화를 통해 타 병원 진료 시 비용과 시간 단축이 예상되며, QR코드를 주민등록증 대신 사용하여서 주민등록번호 노출과 주민등록증 위변조를 통한 불법적인 활용이 불가하다고 생각한다.

• The Journal of the Korea Contents Association
• /
• v.17 no.10
• /
• pp.483-491
• /
• 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.

• Journal of Digital Contents Society
• /
• v.12 no.4
• /
• pp.501-510
• /
• 2011

Most of electronic medical record systems which have been built in Korean hospitals are based on source oriented medical record approach. These systems hardly satisfy diverse objectives owing to the innate imperfections in system architecture and development methodology. Thus, the hybrid of source oriented and problem oriented approach is highly desirable. The purpose of this study is to present an architecture and methodology required to construct hybrid electronic medical record system and to develop a prototype based on them. Analyzing the clinical processes and data requirements of problem oriented medical record approach we developed a software process model as weel as an architecture model which consists of legacy system, clinical data repository, problem list database, prospective plan database, user interface, and synchronization procedures.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.9 no.3
• /
• pp.787-793
• /
• 2008

This paper investigates the issuance of medical records of patients and caregivers who have obtained medical records from the Medical Record Information Center of "a university" in Daejeon from January through March in 2006. According to the structural equation, "the time zone for issuance of medical records" was -0.01 as a path coefficient against "how medical records are issued" and +0.86 against "ordinary characteristics." As shown above, privacy and confidentiality are what really matters in the management of medical records. Therefore, they must be protected regardless of whether the medical records are hard or electronic copies.

• Journal of Korea Society of Industrial Information Systems
• /
• v.14 no.2
• /
• pp.32-50
• /
• 2009

Since 1990 when order communication system(OCS) was first introduced, the use of information technology in medical service has been widely accepted in order to enhance quality and customer relationship as well as to increase managerial efficiency. Medical information system is rapidly increasing and is trying to make ubiquitous healthcare environment through telemedicine system. Especially, medical profession and government have taken interest in electronic medical record (EMR) system which can digitalize and manage all medical records in hospitals. By recording patient's medical information in real time, EMR system can improve service efficiency and customer service quality including short waiting time, various utilization of clinic information, and reduced cost.

• The Korean Society of Law and Medicine
• /
• v.18 no.1
• /
• pp.3-35
• /
• 2017

The Supreme Court of Korea first admitted compensation for damages caused by breach of informed consent in 1979. From then on, specific details of informed consent are shaping up and developing through court precedents. The duty of informed consent of doctor is based on article 10 of the Constitution and medical contract, and is expressly prescribed Article 12 of Framework Act on Health and Medical Services and other acts and regulations. By the way, the regulations about duty of informed consent of doctor have been established in Medical Law revised on December 20, 2016, and the revised Medical Law will be implemented on June 21, 2017. According to the revised Medical Law, medical practices subject to description and consent are operation, blood transfusion and general anesthesia that threaten to cause serious harm to human life or to the body. When performing these medical activities, the written consent must be explained and agreed upon in advance. If a doctor violates the law, he will incur fines of less than 3 million won. Comparing and viewing the revised Medical Law and existing legal principles about the duty of informed consent, we can confirm that there is a substantial difference between the two parties. Accordingly, despite the implementation of the revised medical law, the existing legal principles are unlikely to be affected. However, from the perspective of legal uniformity and stability, it is undesirable that legal judgments on the same issues differ from each other. The revised Medical Law about informed consent needs to be reformed according to existing legal principles. And, as in the case of Germany, it is desirable to include the matters concerning informed consent in the civil code.

• The Korean Society of Law and Medicine
• /
• v.15 no.2
• /
• pp.317-343
• /
• 2014

In order to account for whether a doctor should indemnify damages resulted from violation of duty of care, the fact that a doctor violated duty of care, that damages were incurred, and the link between violation of duty of care and damages incurred, respectively, should be verified. So even though a doctor violated duty of care to patients, he or she will not bear the responsibility to indemnify damages unless it is not verified. If a doctor's negligence in medical practices is assessed that obviously unfaithful medical practice far exceeds the limit of admission of a patient, it will not go against people's general perception of justice or law and order to constitute a medical malpractice itself as an illegal action that will require liabiliy for damage. However, when the limit of admission is set too low, a patient's benefit and expectation of proper medical treatment can be violated. In contrast, if the limit of admission is set high, it can leave too little room for doctors' discretion for treatments due to a bigger risk of indemnification for damages. Thus, a reasonable balance that can satisfy both benefit and expectation of patients and doctors' right to treatment is needed.

• Proceedings of the Korea Society for Industrial Systems Conference
• /
• 1999.12a
• /
• pp.453-461
• /
• 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.

• 한국IT서비스학회:학술대회논문집
• /
• 2007.11a
• /
• pp.364-369
• /
• 2007

다양한 의료서비스를 정형화되고 효율적인 방법으로 제공하기 위하여 최근 의료기관의 EMR(Electronic Medical Record; 전자의무기록) 시스템의 도입이 급속도로 확산되고 있다. 그러나 국내에서 구축되고 있는 EMR은 초기에 기대했던 EMR의 도입목적을 중분하게 달성하지 못하고 있다. 이는 근본적으로 EMR의 방향성과 구조에 한계를 지니고 있기 때문이다. 국내에서 구축되고 있는 대부분의 전자의무기록시스템은 자료수집원 지향 의무기록 (Source Oriented Medical Record; SOMR) 방식으로 개별 사실을 수집하고 제시하기 위한 관찰자 중심, 서식중심의 시스템이며 차트 이송과 종이를 없애는 것이 주목적이다. SOMR 방식은 EMR의 다양한 도입목적, 특히 임상자료의 효과적 활용을 충족시킬 수 없는 태생적인 한계를 지니고 있기 때문에 문제지향 의무기록 (Problem Oriented Medical Record; POMR) 방식의 EMR과 적절한 혼용전략 (Hybrid Strategy)이 절실히 요구된다. 본 연구의 목적은 SOMR 시스템과 POMR 시스템이 보완적으로 결합된 하이브리드 EMR 아키텍처를 제시하고 아키텍처를 구성하는 데 필요한 기술적 요소들과 그들간의 상호관계 틀 파악한 후 이를 기반으로 개발방법론을 도출하는 것이다. 또한 만성신부전증 환자 사례를 이용하여 앞서 제시된 개발방법론에 따라 프로토타입을 개발하였다. 본 연구는 EMR 시스템이 SOMR 구조에만 편향됨으로써 발생될 수 있는 다양한 문제들을 해결함으로써 진료의 품질 항상, 임상연구의 활성화, 조직적이고 과학적인 진료계획의 수립과 같은 소외되어 왔던 EMR의 목표를 실현할 수 있을 것으로 기대 된다.