• Title/Summary/Keyword: Case record

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Research Design for the Verification of Constitutional Prescription Determinants (체질처방 결정요인 확인을 위한 연구설계)

  • Jin, Hee-Jeong;Kim, Sang-Hyuk;Baek, Young-Hwa;Jang, Eun-Su;Ryu, Jong-Hyang;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.2
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    • pp.222-230
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    • 2015
  • Objectives The purpose of this study is to design a research to find clinical factors involved in the decision-making process for determining the constitutional prescription based on prospective clinical data. Methods We have created a draft of the case report form. Therefore, seven constitutional experts was interviewed for additional items to be important used to determine the constitutional prescription in clinic. Interviews were done from December 2012 to March 2014, experts per person 2-3 times, took time of about 120 minutes per interview. Since then, we developed the final case report form through the expert meeting. At the same time, the developing the electronic case report form (eCRF) and the protocol to collect constitutional treatment cases was also discussed. Results & Conclusions The items of the case report form were subject general, lifestyle, health measurement, record of expert, prescription and evaluation after medication. The part of the clinical symptoms of the record of expert allowed to be recorded in the 5-point scale for the collection of quantitative data as much as possible. Assuming a re-visit of the patient, if necessary, twice the recording were to be possible. At the same time, the eCRF and the protocol to collect constitutional treatment cases were also developed. In this study, it will be able to more objectively standardize the medical decision making process that the experts of constitutional prescription decision. As a result, it will be possible to provide the standardized constitutional medical services.

A Study on the Functional Requirements of Record Production System for Dataset : Focused on Case Study of KR Asset management system (데이터세트 생산시스템 기능요건 연구 KR 재산관리시스템 사례를 중심으로)

  • Ryu, Hanjo;Baek, Youngmi;Yim, Jinhee
    • The Korean Journal of Archival Studies
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    • no.70
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    • pp.5-40
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    • 2021
  • Administrative information dataset records produced by various systems designed for work are difficult to manage on a case-by-case basis, requiring separate procedures to identify and evaluate data-sets. Identified data set records are apprasal and transferred to the records management system or disposed of. In this process, sufficient records management elements must be reflected in the production system itself in order to adhere to the principles of record management. In this paper, the functional requirements of the production system to accurately identify and safely manage data-sets were derived and applied based on the case of the KR property management system. It is hoped that this research on functional requirements of production systems will be added to lead to the creation of standards for functional requirements of data set production systems.

A reflection on writing case records: Development and current demands for acupuncture practitioners

  • Wilson, Jane
    • CELLMED
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    • v.4 no.2
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    • pp.13.1-13.6
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    • 2014
  • The written case that reflects the course of treatment for a person is central to the East Asian medical tradition. This paper examines the approaches and particularities of producing the actual written account of the clinical encounter, or a particular aspect of a case, that may be required by acupuncture practitioners and researchers. It will discuss the influences that can be brought to bear on the construction and production of these accounts. In addition, it will outline and highlight historical approaches to the case record documentation process as well as debate the value and purpose of these. This paper aims both to assist the production of helpful and authoritative case records for practitioners and researchers, and to highlight the usefulness of such case records. Moreover, it will discuss not only why the case needs to be written and for whom, but also which agencies support and control what is written. How can contemporary requirements and traditional views both be incorporated accurately, with context and with meaning? The essence of this paper is that practitioner/patient interactions need to be documented, and it will explore how this can best be supported.

Design of Driving Record System using Block Chain (블록체인을 이용한 주행 기록 시스템 설계)

  • Seo, Eui-seong;Jang, Jong-wook
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.6
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    • pp.916-921
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    • 2018
  • Recently, interest in autonomous vehicle has increased, and autonomous driving capability is also increasing. Depending on the autonomous driving ability, the maximum number of steps is divided into 6 steps. The higher the step, the less the involvement of the person in the running, and the person does not need to be involved at the highest stage. Today's autonomous vehicles have been developed high level, but solutions are not clearly defined in case of an accident, so only the test run is possible. Such an accident occurring during traveling is almost inevitable, and it is judged who has made a mistake in case of an accident, which increases the punishment for the accident. Although a black box is used to clarify such a part, it is easy to delete a record, and it is difficult to solve an accident such as a hit-and-run. In this paper, i design a driving record system using black chain to solve accidents.

An Anti-Forensic Technique for Hiding Data in NTFS Index Record with a Unicode Transformation (유니코드 변환이 적용된 NTFS 인덱스 레코드에 데이터를 숨기기 위한 안티포렌식 기법)

  • Cho, Gyu-Sang
    • Convergence Security Journal
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    • v.15 no.7
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    • pp.75-84
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    • 2015
  • In an "NTFS Index Record Data Hiding" method messages are hidden by using file names. Windows NTFS file naming convention has some forbidden ASCII characters for a file name. When inputting Hangul with the Roman alphabet, if the forbidden characters for the file name and binary data are used, the codes are convert to a designated unicode point to avoid a file creation error due to unsuitable characters. In this paper, the problem of a file creation error due to non-admittable characters for the file name is fixed, which is used in the index record data hiding method. Using Hangul with Roman alphabet the characters cause a file creation error are converted to an arbitrary unicode point except Hangul and Roman alphabet area. When it comes to binary data, all 256 codes are converted to designated unicode area except an extended unicode(surrogate pairs) and ASCII code area. The results of the two cases, i.e. the Hangul with Roman alphabet case and the binary case, show the applicability of the proposed method.

System seismic performance of haunch repaired steel MRFs : dual panel zone modeling and a case study

  • Lee, Cheol-Ho
    • Structural Engineering and Mechanics
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    • v.6 no.2
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    • pp.125-141
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    • 1998
  • Recent test results of steel moment connections repaired with a haunch on the bottom side of the beam have been shown to be a very promising solution to enhancing the seismic performance of steel moment-resisting frames. Yet, little is known about the effects of using such a repair scheme on the global seismic response of structures. When haunches are incorporated in a steel moment frame, the response prediction is complicated by the presence of "dual" panel zones. To investigate the effects of a repair on seismic performance, a case study was conducted for a 13-story steel frame damaged during the 1994 Northridge earthquake. It was assumed that only those locations with reported damage would be repaired with haunches. A new analytical modeling technique for the dual panel zone developed by the author was incorporated in the analysis. Modeling the dual panel zone was among the most significant consideration in the analyses. Both the inelastic static and dynamic analyses did not indicate detrimental side effects resulting from the repair. As a result of the increased strength in dual panel zones, yielding in these locations were eliminated and larger plastic rotation demand occurred in the beams next to the shallow end of the haunches. Nevertheless, the beam plastic rotation demand produced by the Sylmar record of 1994 Northridge earthquake was still limited to 0.017 radians. The repair resulted in a minor increase in earthquake energy input. In the original structure, the panel zones should dissipate about 80% (for the Oxnard record) and 70% (for the Sylmar record) of the absorbed energy, assuming no brittle failure of moment connections. After repair, the energy dissipated in the panel zones and beams were about equal.

A Case Study on the Functions of a Business Management System for Public Organizations (정부산하공공기관의 업무관리시스템 기능 사례 연구)

  • Oh, Jin-Kwan;Cho, Yoon-Hee;Yim, Jin-Hee
    • Journal of Korean Society of Archives and Records Management
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    • v.16 no.2
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    • pp.81-112
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    • 2016
  • This study aims to propose the adoption of a business management system, as well as suggest the functions and development directions for public organizations, which are required to establish the record management and information disclosure system under Government 3.0, rapidly respond to the needs for strengthening the responsibilities for explanation, and improve work efficiency. Recently, some of the public organizations that introduced the record management and information disclosure system adopted the Electronic Document System, which focuses on the function of electronic approval, and developed a records classification scheme for the system. This study aims to review the case of A organization, which recently developed an in-house records management system and established information strategy planning to adopt a customized business management system after establishing a business reference model throughout the organization, and suggests the directions of the electronic record production system for public organizations.

Development of a Flexible Critical Pathway with Electronic Medical Record for Gastrectomy Patients in a University Hospital (위 절제술 환자의 진료계획표 개발 및 전자 의무 기록화)

  • Bae, Myung Sun;Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.37-55
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    • 2012
  • Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.

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The Case and Implications of Terminology Mapping for Development of Dankook University Hospital EHR-Based MOA CDM (단국대학교병원 EHR 기반 MOA CDM 구축을 위한 용어 매핑 사례와 시사점)

  • Yookyung Boo;Sihyun Song;Jihwan Park;Mi Jung Rho
    • Korea Journal of Hospital Management
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    • v.29 no.1
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    • pp.1-18
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    • 2024
  • Purposes: The Common Data Model(CDM) is very important for multi-institutional research. There are various domestic and international CDM construction cases to actively utilize it. In order to construct a CDM, different terms from each institution must be mapped to standard terms. Therefore, we intend to derive the importance and major issues of terminology mapping and propose a solution in CDM construction. Methodology/Approach: This study conducted terminology mapping between Electronic Health Record(EHR) and MOA CDM for constructing Medical Record Observation & Assessment for Drug Safety(MOA) CDM at Dankook University Hospital in 2022. In the process of terminology mapping, a CDM standard terminology process and method were developed and terminology mapping was performed by applying this. The constructions of CDM mapping terms proceeded in the order of diagnosis, drug, measurement, and treatment_procedure. Findings: We developed mapping guideline for CDM construction and used this for mapping. A total of 670,993 EHR data from Dankook University Hospital(January 1, 2013 to December 31, 2021) were mapped. In the case of diagnosis terminology, 19,413 were completely mapped. Drug terminology mapped 92.1% of 2,795. Measurement terminology mapped 94.5% of 7,254 cases. Treatment and procedure were mapped to 2,181 cases, which are the number of mapping targets. Practical Implications: This study found the importance of constructing MOA CDM for drug side effect monitoring and developed terminology mapping guideline. Our results would be useful for all future researchers who are conducting terminology mapping when constructing CDM.

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A Trial of Data Editing Using Fellegi-Holt Techniques and Its Analysis (Fellegi-Holt 기법을 이용한 에디팅의 시도 및 분석)

  • Lee, Eui-Kyoo;Shim, Kyu-Ho
    • The Korean Journal of Applied Statistics
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    • v.22 no.4
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    • pp.697-707
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    • 2009
  • In actual statistical surveys, the inconsistencies within the record are often occurred due to incorrect response. The users may be confused and statistical agencies may have a problem of reliability on statistical data in this case. It is needed to detect and correct the unconvinced record without any special reasons. However, it is not simple to determine which item should be corrected in every failed record. In this paper we briefly introduce Fellegi-Holt method, apply to a business survey, and then discuss the problems for this trial editing.