• Journal of the Korea Society of Computer and Information
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• v.25 no.12
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• pp.155-163
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• 2020

This study developed a system that can collect, manage, and utilize the travel routes of individuals who tested positive for coronavirus disease 2019 (COVID-19) based on the data standardization and quality management principles and presented the analysis data collected from the existing system. Unlike many other countries in the world, Korea demonstrated a rapid response by conducting epidemiological investigations. Further, the local governments have actively shared the travel routes of individuals who tested positive for COVID-19 to facilitate proactive prevention of the infectious disease per the Infectious Disease Control and Prevention Law. However, currently, there is no standard protocol for the local governments to share the information, thus complicating the process of sharing, managing, and utilizing the collected data. Therefore, this study developed a system that can facilitate sharing of the travel routes of individuals who tested positive for COVID-19 by establishing database construction procedures and using the travel route of COVID-19 patients as per the Disaster & Safety Information Sharing Platform and developing a data processing guideline, a data entry system with default templates, and Open API. Although this sharing system was designed to communicate the travel routes of COVID-19 patients, it can also be utilized in case of other infectious diseases. Therefore, it can be used as a response strategy for future outbreaks of infectious diseases.

• Annual Conference of KIPS
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• 2003.05b
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• pp.951-954
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• 2003

1 2차 진료 기관과 3차 진료 기관 사이에서 환자의 진료 정보 공유를 위하여. 많은 병원에서 Referral 시스템을 구성하여 사용하고 있다. 이종 병원 시스템간의 진료 정보 공유를 위한 표준화 작업이 이루어지고 있지만, 현재 많은 병원 정보 시스템에서 자신만의 데이터 표현 양식을 이용하고 있어 실제로 정보의 공유는 이루어지고 있지 않고 있다. 이러한 문제점을 해결하기 위한 방법으로 XML 스키마 매핑 에이전트를 소개하고, 진료 정보 공유를 위한 Referral 시스템 모델을 제시한다.

• Proceedings of the KIEE Conference
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• 2007.07a
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• pp.1904-1905
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• 2007

한의학적 중요 진단방법의 하나인 맥진은 한의사 경험에 의해 구전되거나 전수되어 판단 기준이 모호하여 객관화 및 표준화하기 어려운 상황이다. 이를 위해 한의사가 맥진에서 측정하는 물리적 요소를 신뢰성 있게 측정할 수 있는 맥진기 개발이 진행되었으며, 측정된 맥진기 데이터를 이용하여 맥의 부/침, 허/실, 대/세의 정도를 판별할 수 있는 함수식을 만들어 향후 맥진을 자동으로 진단할 수 있도록 알고리즘을 산출하는 연구를 수행중이다. 그런데 맥진기는 환자의 맥파 신호 이외에 다른 정보를 고려하고 있지 않고 있지만 임상에서 한의사들은 환자의 키와 몸집 등 눈으로 관찰된 환자정보를 반영하여 맥진을 한다. 따라서 본 연구에서는 환자의 기초 정보 중, BMI가 맥진에 영향을 줄 것으로 가정하고, BMI와 연관성이 있을 것으로 예상되는 부/침, 허/실, 대/세의 판별함수 결과 값을 이용하여 BMI의 등급에 따라 비교 분석하였다. 그 결과 부/침의 정도는 비만인 그룹에서 맥이 가라앉아있고 저체중인 그룹에서는 맥이 떠있는 경향이 나타났고, 대/세의 정도는 비만인 그룹에서는 맥의 굵기가 넓고 저체중의 집단에서는 맥의 굵기가 좁은 경향이 나타났다. 따라서 부/침, 대/세를 판별하는 진단 알고리즘을 개발할 경우 개인의 BMI를 고려한 진단 알고리즘이 연구되어야 하겠다.

• 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.

• Journal of Digital Convergence
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• v.11 no.12
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• pp.339-344
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• 2013

With the increasing number of chronic disease patients, the importance of everyday health care has grown more significant. The study researchers expected it would help for patients' health improvement and healthcare service expansion if users check their vital signs in their daily lives and send the results to a medical center's servers through a specific device automatically. This thesis, in line with this idea, seeks to develop a portable healthcare gateway. The gateway is designed in a USB type and can transmit standardized data, operating regardless of a user's location and Personal Healthcare Devices (PHDs). The developed portable healthcare gateway provides effective services in ubiquitous environments to customers, which will improve the health of chronic patients.

• Convergence Security Journal
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• v.19 no.5
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• pp.25-36
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• 2019

With the development of information and communication technology, hospitals that electronically process and manage medical information of patients are increasing. However, if medical information is processed electronically, there is still room for infringing personal information of the patient or medical staff. Accordingly, in 2017, the International Organization for Standardization (ISO) published ISO TS 25237 Health Information - Pseudonymization[1]. In this paper, we examine the re - identification process based on ISO TS 25237, the procedure and the problems of our proposed method. In addition, we propose a new processing scheme that adds a re-identification procedure to our secure differential privacy method [2] by keeping a mapping table between de-identified data sets and original data as ciphertext. The proposed method has proved to satisfy the requirements of ISO TS 25237 trust service providers except for some policy matters.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.1
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• pp.121-130
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• 2019

Automobile insurance medical expenses increased by 12% in year 2015 compared to year 2014. But the oriental medical service expenses in automobile insurance increased by 36% during the same period. In this paper the reason for the rapid increase of expenses for oriental medical service was analyzed using the method of decomposing medical expenses. As a result of analyzing 34,351,120 cases that were examined and completed during the period of 2014~2015, the number of oriental medicine patients increased by 27% and the medical expense per patient increased by 7%. The result of analysis showed that there was no significant change in service period per patient but medical expense per day increased by 7%. The increase in the number of patients receiving only oriental medical services was 32%. Increase in the number of patients receiving medical treatment and oriental medical services was 24% and the number of patients receiving medical treatment only decreased by 4%. There was significant increase in non standardized cost of oriental physical therapy which was one reason of the increase of the expenses. However, the most influential factor of the increase in the expenses of oriental medical services was the increase of the number of patients.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.13 no.6
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• pp.37-45
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• 2013

In this paper proposes the latest network-assisted online telemedicine service to coincide with the point being discussed for health care providers to match patients, patients with personalized medical service support system. In order to design the system, to understand the requirements of the patient personalized medical support service system, the data were normalized and were designed architecture client server structure. Further, in order to implement the system that was designed to define the structure of server and client, ontology repository, we implement the system. In this paper, as a result of the test by creating a scenario and prerequisites for testing patient personalized medical service support system that is design and implementation, selecting a patient's condition, department of symptoms by the selected but it was confirmed that the inference is, inference medical institutions that fits department inferred one following upon the items medical patient has the required.

• The Korean Journal of Nuclear Medicine Technology
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• v.14 no.2
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• pp.138-144
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• 2010

Purpose: Despite the rapidly changing healthcare environment, healthcare organizations have recognized the importance of patient safety management. But patient safety management has the problem of the lack of participation of members due to the process of focusing on the follow-up service and punishment. The department of nuclear medicine in Uijeongbu St. Mary's Hospital started this research to reduce the near miss and prevent patient safety accidents by both initiating the participatory near-miss-proof activities as an advance management and constructing a system without disadvantages of reporting. In addition, this research aims to establish a differentiated patient safety management system in the department of nuclear medicine. Materials and Methods: 1. Colleting cases of team members' past and present near miss and accidents(First data collection). 2. Quantifying the cases of near miss and accidents after identifying the degree of importance and urgency through surveys(Second data collection). 3. Quantifying cases and indentifying important points of contact through data analysis. 4. Making and standardizing a manual for important points of contact, and initiating participatory activities to prevent errors. 5. Activating web-based community for establishing the report system of near miss. 6. Estimating the result of before and after activities through surveys and focus group interviews. Results: 1) Quantified safety accidents and near miss in the department of nuclear medicine. About 50 near misses a month and one safety accident a year. 2) Establishing improvement measurements based on quantified data. About 11 participatory activities, the improvement of process, a manual for standardization. 3) Creating a system of safety culture and high participation rate of team members. Constructing a report system, making a check list and a slogan for safety culture, and establishing assessment index. 4) Activating communities for sharing the information of cases of near misses and accidents. 5) As the result of activities, the rate of near miss occurrence declined by 50% and the safety accident did not happen. Conclusion: The best service in the department of nuclear medicine is to provide patients with safety-guaranteed high-quality examination and cure. This research started from the question, 'what is the most faithful-to-the-basics way to provide the best service for patients?' and team members' common answer for this question was building a system with participation of all members. Building a system through the participatory improvement activities for preventing near miss and creating safety culture resulted in the 50% decline of near miss occurrence and no accident. This is a meaningful result from the perspective of advance management for patient safety. Moreover, this research paved the way for creating a culture to report and admit near miss or accidents by establishing a report system with no disadvantage of reporting. The system which sticks to the basics is the best service for patients and will form a patient safety culture system, which will lead to the customer satisfaction. Therefore, all members of the department of nuclear medicine will develop a differentiated patient safety culture with stabilizing the established system.

• Radiation Oncology Journal
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• v.21 no.4
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• pp.299-305
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• 2003

Purpose: In order to develop the national guide-lines for the standardization of radiotherapy we are planning to establish a web-based, on-line data-base system for laryngeal cancer. As a first step this study was performed to accumulate the basic clinical information of laryngeal cancer and to determine the items needed for the data-base system. Materials and Methods: We analyzed the clinical data on patients who were treated under the diagnosis of laryngeal cancer from January 1998 through December 1999 In the South-west area of Korea. Eligiblity criteria of the patients are as follows: 18 years or older, currently diagnosed with primary epithelial carcinoma of larynx, and no history of previous treatments for another cancers and the other laryngeal diseases. The items were developed and filled out by radiation oncologlst who are members of forean Southwest Radiation Oncology Group. SPSS vl0.0 software was used for statistical analysis. Results: Data of forty-five patients were collected. Age distribution of patients ranged from 28 to 88 years(median, 61). Laryngeal cancer occurred predominantly In males (10 : 1 sex ratio). Twenty-eight patients (62$\%$) had primary cancers in the glottis and 17 (38$\%$) in the supraglottis. Most of them were diagnosed pathologically as squamous cell carcinoma (44/45, 98$\%$). Twenty-four of 28 glottic cancer patients (86$\%$) had AJCC (American Joint Committee on Cancer) stage I/II, but 50$\%$ (8/16) had In supraglottic cancer patients (p=0.02). Most patients(89$\%$) had the symptom of hoarseness. indirect laryngoscopy was done in all patients and direct laryngoscopy was peformed in 43 (98$\%$) patients. Twenty-one of 28 (75$\%$) glottic cancer cases and 6 of 17 (35$\%$) supraglottic cancer cases were treated with radiation alone, respectively. The combined treatment of surgery and radiation was used in 5 (18$\%$) glottic and 8 (47$\%$) supraglottic patients. Chemotherapy and radiation was used in 2 (7$\%$) glottic and 3 (18$\%$) supraglottic patients. There was no statistically significant difference in the use of combined modality treatments between glottic and supraglottic cancers (p=0.20). In all patients, 6 MV X-ray was used with conventional fractionation. The iraction size was 2 Gy In 80$\%$ of glottic cancer patients compared with 1.8 Gy in 59$\%$ of the patients with supraglottic cancers. The mean total dose delivered to primary lesions were 65.98 ey and 70.15 Gy in glottic and supraglottic patients treated, respectively, with radiation alone. Based on the collected data, 12 modules with 90 items were developed or the study of the patterns of care In laryngeal cancer. Conclusion: The study Items for laryngeal cancer were developed. In the near future, a web system will be established based on the Items Investigated, and then a nation-wide analysis on laryngeal cancer will be processed for the standardization and optimization of radlotherapy.