• Journal of KIISE:Software and Applications
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• v.34 no.10
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• pp.918-928
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• 2007

The goal of this paper is to propose a new way to register CDA documents in CDR (Clinical Document Repository) that is proposed by the author earlier. One of the methods is to use a manifest archiving for seamless references and visualization of CDA related files. Another method is to enhance the CDA security level for supporting pseudonymization of CDA. The former is a useful method to support the bundled registration of CDA related files as a set. And it also can provide a seamless presentation view to end-users, once downloaded, without each HTTP connection. The latter is a new method of CDA registration which can supports a do-identification of a patient. Usually, CDA header can be used for containing patient identification information, and CDA body can be used for diagnosis or treatment data. So, if we detach each other, we can get good advantages for privacy protection. Because even if someone succeeded to get separated CDA body, he/she never knows whose clinical data that is. The other way, even if someone succeeded to get separated CDA header; he/she doesn't know what kind of treatment has been done. This is the way to achieve protecting privacy by disconnecting association of relative information and reducing possibility of leaking private information. In order to achieve this goal, the method we propose is to separate CDA into two parts and to store them in different repositories.

• Proceedings of the Korean Information Science Society Conference
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• 2003.10b
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• pp.835-837
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• 2003

본 논문에서는 병원간의 정보를 교환하기 위한 목적으로 정의된 의료 분야의 표준기관인 HL7에서 제안하는 Clinical Document Architecture(CDA)문서를 관리하기 위한 시스템을 제안한다. CDA Manager라는 이 시스템은 각 병원의 관계형 데이터베이스인 CDA local repository에서 CDA문서를 저장, 검색, 수정의 기능을 제공한다. 본 논문에서는 XML로 기술된 CDA문서의 특성을 살려 테이블을 설계하고 검색속도를 향상시켰다.

• 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.

• Journal of Korea Multimedia Society
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• v.9 no.8
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• pp.1054-1066
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• 2006

This study proposes a new paradigm hospital information system through the nursing classification system and design of the HL7 clinical document architecture (Health Level Seven CDA) for information-sharing among various healthcare institutions. Nursing information CDA are included coding systems of nursing diagnosis, nursing intervention, nursing activity and outcomes. And, we have developed CDA generator for active generation of XML document. This study aims to facilitate the optimum care by providing health information required for individuals to nursing specialists in real-time, to help improvements in health, to improve the quality of productive life. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible healthcare information-sharing among various healthcare institutions.

• 한국HCI학회:학술대회논문집
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• 2007.02a
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• pp.943-948
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• 2007

진료 기록 문서(CDA)가 의사들에 의해 작성되기 때문에 많은 전문용어, 약어, 숫자, 기호 등을 포함하고 있다. 본 논문에서는 이러한 특성을 고려하여 문서 내에서 여러 의미로 해석될 수 있는 약어, 중의어 등의 단어 모호성을 해소하고자 의미적 등가 부류를 이용하여 모호성을 해소하였다. 특히 의료문서가 많은 비율의 숫자, 기호를 사용하고 있고 문서 내에서 많은 의미적 유의성을 포함하고 있기 때문에 이들을 불용어로 처리하지 않고 의미적 등가 부류에 포함시킴으로써 진료문서 특성을 반영하였다.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.3
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• pp.498-504
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• 2009

In the PACS system, the radiology image(X-ray) and its report are saved as separated parts. The exchange of the radiology image between clinics that installed this system are easily achieved by the DICOM standardization. But it is difficult to exchange the radiology report between clinics because a solution of PACS system is different according to manufacturers. The radiology report should be unified the vocabulary and the type of code for effective sharing and exchanging, and also the radiology image and its report should be integrated for the accurate analysis. In this paper, we propose the sharing system of medical information based on HL7-CDA, it defines the templates and converts the structured documents. For this purpose, we design the XML schema of the radiology report and turn the DICOM files into defined schema. The HL7-CDA documents based on XML is easily displayed on web browser and can help the diagnosis by inserting the radiology image.

• Proceedings of the Korea Information Processing Society Conference
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• 2005.05a
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• pp.71-74
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• 2005

임상정보 문서는 환자 진료기록뿐만 아니라 처방전, 개인적 유전자정보를 가지고 있다. 이러한 임상 정보 문서는 병원 시스템들간에 교환 및 공유함으로써 양질의 의료서비스를 제공할 수 있다. 이와 관련하여 임상정보의 통합을 위한 기존의 연구들은 각각 HL7 메시지를 XML 문서로 변환하고 XML 기반의 CDA 를 관계형 데이터베이스에 저장하는 연구가 진행되었다. 그러나 관계형 데이터베이스는 문서의 데이터 별 테이블 단위로 생성, 저장된다. 그러나 HL7 과 CDA 는 문서 중심의 XML 문서이기 때문에 관계형 데이터베이스에 저장 시 문서 별 많은 변이가 존재하여 테이블 증가를 갖는다. 따라서 비정규적인 구조에 적합한 데이터베이스를 선택하기 위해 XML 전용 데이터베이스와 관계형 데이터베이스 비교하고 효율적 저장을 위해 압축기법을 제시한다. 압축기법을 적용한 임상 정보 데이터베이스는 대용량 임상정보 문서의 크기를 압축함으로써 문서의 크기를 줄임으로써 데이터베이스의 효율적 저장을 향상시킨다.

• Proceedings of the Korea Information Processing Society Conference
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• 2012.11a
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• pp.796-798
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• 2012

IHE(Integrating the Healthcare Enterprise)에서는 환자의 전자진료기록 공유를 위하여 XDS.b(Cross-Enterprise Document Sharing.b) 프로파일을 개발하였다. 그러나 XDS.b 프로파일의 Document Source와 Document Consumer는 모바일 환경에서는 사용하기에는 부적당하기 때문에 모바일 환경에서 XDS.b infrastructure에 쉽게 접근할 수 있는 MHD(Mobile access to Health Documents) 프로파일을 개발하였다. 본 논문에서는 전자진료기록 표준인 HL7 CDA 문서 등록을 위한 XDS.b Document Source의 Provide and Register Document Set-b[ITI-41] 트랜잭션과 MHD Document Source의 Put Document Dossier[ITI-65] 트랜잭션을 모바일 환경에서 구현하고 메시지의 크기를 비교하였다. 구현된 결과를 통하여 MHD ITI-65 트랜잭션의 메시지 크기가 XDS.b ITI-41 트랜잭션 메시지 보다 80% 정도 감소함을 알 수 있었다.

• Proceedings of the Korean Information Science Society Conference
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• 2007.06b
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• pp.21-26
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• 2007

HITSP(Healthcare Information Technology Standards Panel)은 헬스 케어 관련 산업의 상호 운용성을 위해 일반적으로 수용되고 유용한 표준들을 선별하여 표준 세트를 제공하는 것을 목적으로 한다. HITSP에서는 평생전자건강진료정보(EHR, Electronic Health Record)의 활성화를 위해 첫 번째 해결해야 할 영역으로 검사실 결과 정보 교류를 정하였다. 이에 본 논문에서는 검사실 결과 정보 교류를 위한 방법으로 HITSP에서 제시하는 HL7 버전 2.x 메시지와 CDA 방법 중 인증(authentication) 처리가 가능하고 영속성(persistence)이 있는 CDA 방법을 선택하였다. 또한 CDA를 작성하고 처리하는 방법을 제시하고, 더 나아가 평생전자건강진료정보(EHR)를 위해 CDA를 적용하여 검사실 결과 정보를 교류하여 보았다. 이에 병원과 EHR 시스템의 상호 운용성이 높아져 진료 과정의 효율성을 높일 수 있었고 환자와 의료진에게 양질의 검사 결과 정보를 제공할 수 있었다.

• Journal of radiological science and technology
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• v.30 no.1
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• pp.47-51
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• 2007

Development of hospital information system and Picture Archiving Communication System is not new in the medical field, and the development of internet and information technology are also universal. In the course of such development, however, it is hard to share medical information without a refined standard format. Especially in the department of radiology, the role of PACS has become very important in interchanging information with other disparate hospital information systems. A specific system needs to be developed that radiological reports are archived into a database efficiently. This includes sharing of medical images. A model is suggested in this study in which an internal system is developed where radiologists store necessary images and transmit them in the standard international clinical format, Clinical Document Architecture, and share the information with hospitals. CDA document generator was made to generate a new file format and separate the existing storage system from the new system. This was to ensure the access to required data in XML documents. The model presented in this study added a process where crucial images in reading are inserted in the CDA radiological report generator. Therefore, this study suggests a storage and transmission model for CDA documents, which is different from the existing DICOM SR. Radiological reports could be better shared, when the application function for inserting images and the analysis of standard clinical terms are completed.