• Title/Summary/Keyword: EMR exchange

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FHIR EMR Research for SMART HOSPITAL (SMART Hospital을 위한 FHIR 적용 EMR 연구)

  • Lee, Jean-hyoung;Park, Dea-woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.336-337
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    • 2016
  • FHIR is a protocol that enables easy data exchange from the time the event occurred in health care settings as a standard for next-generation message exchange of HL7. Create a meaningful message from the ECG and medical equipment, and express the messages generated by standardized FHIR message it will be used in various medical institutions to ensure delivery to EMR, such as hospital information systems can query the results via a smartphone.

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A study on the status and applicability of Korean medicine EMR for establishment of Korean medicine standard EMR certification criteria: Through surveys of Korean medical institutions and Korean medicine EMR companies

  • You Jin Heo;Cham Kyul Lee;Soo Min Ryu;Jung Won Byun;Jeong Du Roh;Na Young Jo;Byung Kwan Seo;Yeon Cheol Park;Yong Hyeon Baek;Jung Hyun Kim;Sun Mi Choi;Young Heum Yoon;Eun Yong Lee
    • The Journal of Korean Medicine
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    • v.44 no.4
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    • pp.150-162
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    • 2023
  • Objectives: The aim of this study is to explore and investigate the status of EMR currently used in Korean medical institutions and the suitability of the existing certification criteria for Korean medicine EMR certification. Methods: The survey was conducted using a related questionnaire from September to October 2022. The survey for current status and the suitability of the existing certification criteria was conducted separately between Korean medical institutions and Korean medicine EMR companies. Results: In a survey of Korean medical institutions on the current status of EMR, more than 80% answered that the imaging system and Korean medicine EMR could be linked. Most medical institutions did not exchange clinical information between institutions. When asked about the intention to develop standard EMR of Korean medicine in the future, 57% of institutions answered 'yes'. In future, if Korean medicine EMR certification criteria are developed, all EMR companies are willing to develop the EMR that satisfy them. Looking at the satisfaction survey of the existing EMR certification criteria of the Korean medicine EMR system, it was found that high/low satisfaction was shown in various areas, and in particular, the overall clinical information exchange function was insufficient. Conclusion: In order to introduce the Korean medicine EMR certification criteria, it must be considered of the current status of EMR and applicability of Korean medicine EMR for establishment of Korean medicine standard EMR certification criteria. By developing Korean medicine EMR certification criteria, high-quality medical services can be provided to medical consumers who want Korean medical treatment.

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.

Using FHIR, ECG Automatic notification Research (FHIR를 이용한 심전도 자동 노티 연구)

  • Lee, Jean-hyoung;Park, Dae-woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.344-346
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    • 2016
  • FHIR is a protocol that enables easy data exchange from the time the event occurred in health care settings as a standard for next-generation message exchange of HL7. Create a meaningful message from the ECG and medical equipment, and express the messages generated by standardized FHIR message it will be used in various medical institutions to ensure delivery to EMR, such as hospital information systems can query the results via a smartphone. In addition, it thought to be used in the future to expand SMART on FHIR, Cardiology, Cardiovascular Surgery ward in real-time remote monitoring.

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Design of EMR Sharing System based on HL7 Message over Web Environment (웹 환경에서 HL7 메시지 기반 전자의무기록 공유 시스템 설계)

  • Yoo JaeMyeong;Lee SungChul;Kim IlKon;Cho Hune;Bum HeeSeung;Lee GueeSang
    • Proceedings of the IEEK Conference
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    • 2004.06a
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    • pp.285-288
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    • 2004
  • This paper has been studied a EMR Sharing System using HL7 Message and CDA Document. HL7 Message is a Transaction for clinical data sharing between hospital-based. The CDA for document exchange supports shared care between hospital-based and community-based physicians, knowledge integration by permitting external links to other documents, and outcomes research through the capture of discrete and coded clinical data. And then this paper has designed XML based CDA for document exchange and interactive Hospital-based Transaction based on HL7 Message.

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Characteristics of MnxSi1-xTe Compound Studied by Electron Magnetic Resonance and Other Experiments

  • Na, Sung-Ho;Kim, Heung-Chul;Park, Jung-Woo;Kim, Jang-Whan
    • Journal of Magnetics
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    • v.13 no.1
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    • pp.23-29
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    • 2008
  • The magnetic and other physical characteristics of $Mn_xSi_{1-x}Te$ have been investigated by electron magnetic resonance (EMR), X-ray diffraction (XRD) and other experiments. $Mn_xSi_{1-x}Te$ is found to have corundum structure for manganese contents up to 10% and also to be ferromagnetic for temperatures below 80 K. While ferromagnetic resonance signal coexists with the usual paramagnetic resonance signal, invariance of the g-factor inferred from the electron paramagnetic resonance signals throughout all temperature ranges clearly confirms that the manganese ions are in the electronic 3d5 state. The temperature dependence of EMR line-width is the same as other diluted magnetic semiconductors. From the EMR signals relaxation times $T_2$ and $T_1$ of $Mn_xSi_{1-x}Te$ compounds are estimated to be about $4.4{\times}10^{-10}s$ and $9.3{\times}10^{-8}s$ respectively and are found to vary slightly with temperature or composition change. Exchange narrowing of the EMR line-width becomes dominant for the sample in which the substitution ratio, x = 30%. For one sample, in which x = 0.5%, spin glass-like behavior is indicated by EMR signals for temperatures lower than 60 K. This behavior may authentic for samples within a certain range of x.

Institutional Approach to Healthcare Information Exchange: Focused on Medical Law (의료법상 진료정보교류를 위한 법제도적 고찰)

  • Kim, Soomin;Park, Jong Son
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.483-491
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    • 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.

Clinical Information Interchange System using HL7-CDA

  • Jung, Yong Gyu;Lee, Young Ho
    • International journal of advanced smart convergence
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    • v.1 no.2
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    • pp.47-51
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    • 2012
  • In highly developed society, information and communication technologies are widely used for better medical services. These information and communication technologies should be more and more acceptable in all hospitals for exchange medical records. EMR becomes more convenient than the previously used paper charts. It will be able to record medical institutions every time and dual treatment. Each is different specifications for each medical institution to use the program or document to exchange it. The personal clinic records still does not exchange well. To solve this gap between medical alienation, this paper describes the concepts of HL7-CDA and proposes types of telemedicine system. To resolve time and space constraints, new form of treatment methods presents in future directions after described about related systems. CDA enables electronic medical records to the each medical center and gradually expanded by exchanging the patient's medical records. This paper is using XML-based CDA documents as a hierarchical for medical information exchange standards compliant HL7-CDA documents. It could be possible currently used structural variety of multimedia data. Thus It is able to send and receive HL7-CDA-based medical information and clinical information to identify the medical institutions of medical information with interchange system design and building standards, and through mutual exchange of clinical information.

A Trusted Sharing Model for Patient Records based on Permissioned Blockchain

  • Kim, Kyoung-jin;Hong, Seng-phil
    • Journal of Internet Computing and Services
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    • v.18 no.6
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    • pp.75-84
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    • 2017
  • As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

Design of Knowledge Model of Nursing Diagnosis based on Ontology (온톨로지에 기반한 간호진단 지식모델의 설계)

  • Lee, In-Keun;Kim, Hwa-Sun;Lee, Sung-Hee
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.4
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    • pp.468-475
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    • 2012
  • Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.