• Title/Summary/Keyword: Electronic Record

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Adoption of MFER and HL7 Standard for Shared Electronic Medical Record (공유 전자의무기록을 위한 MFER과 HL7 표준 적용)

  • Kim, Hwa-Sun;Park, Chun-Bok;Hong, Hae-Sook;Cho, Hune
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.3
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    • pp.501-506
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    • 2008
  • Medical environments incorporate complex and integrated data networks to transfer vast amounts of patient information, such as images, waveforms, and other digital data. To assure interoperability of images, waveforms and patient data, health level seven(HL7) was developed as an international standard to facilitate the communication and storage of medical data. We also adopted medical waveform description format encoding rule(MFER) standard for encoding waveform biosignal such as ECG, EEG and so on. And, the study converted a broad domain of clinical data on patients, including MFER, into a HL7 message, and saved them in a clinical database in hospital. According to results obtained in the test environment, it was possible to acquire the same HL7 message and biosignal data as ones acquired during transmission. Through this study, we might conclude that the proposed system can be a promising model for electronic medical record system in u-healthcare environment.

A Study of Electronic Transaction Law : Basic Electronic Trasaction Law in Korea and Uniform Electronic Transaction Act (전자상거래법 소고 - 우리나라 전자거래기본법과 미국 통일전자거래법 (Uniform Electronic Transaction Act)을 중심으로 -)

  • Kim, Un-Young
    • Korean Business Review
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    • v.13
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    • pp.207-221
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    • 2000
  • In this era of changing system, we may learn lesson from newly developed Uniform Electronic Transation Act(UETA) in 1999. Korea has its counterpart as the Basic Electronic Transaction Act and Electronic Signature Act made by 1999. While UETA stresses on transaction law between individuals, that of Korean stresses on the role of government in electronic transaction. Both laws have the common definitions as electronic record, electronic signature, however, UETA has its own definitions such as automated transaction, computer program, electronic agent, information, information processing system, and security procedure. Especially, transferable record in section 16 is one of the most unique concept which Korean law does not provide. Korean government is planning to introduce electronic note in the near future, which will make unprecedented reform in Korean financial industry. Since Korean law does not have such a concept as electronic note, revision of the law is expected soon. Korean law has its specialty which puts stress on cyber mall, authentication agency, and consumer protection. In U.S., the interpretation of law by court is important when they have disputes according to common law traditon. Studies on cases on disputes in U.S. is needed most for Korean application.

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A Study on Significant Properties for Dataset Type Preservation Format (데이터세트 유형 전자기록의 필수보존속성 연구)

  • Jung-eun Lee;Dongmin Yang
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.34 no.4
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    • pp.259-283
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    • 2023
  • This study acknowledges that prevailing regulation concerning for the long-term preservation of electronic records focus mainly on document types, neglecting the preservation of electronic records from various administrative information systems. With the growing interest in data management in the era of big data, it is imperative to establish clear standards for the long-term preservation of datasets. The choice of preservation format for electronic records is based on the specific standards for each type of electronic record. These standards are formulated according to the significant properties relevant to the electronic record type. This study aims to identify the significant properties of electronic records of each record type, before creating specific preservation format selection criteria for these record types. To achieve this, we reviewed and analyzed R&D studies by the National Archives of Korea and the NARA in the United States. As a result of the research, 9 significant properties were identified for database-type entities, and 7 significant properties were identified for structured data-type entities.

Improvement Plan of the Korean Electronic Medical Record (우리나라 전자의무기록의 개선방안)

  • Choi, Chan-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.11-21
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    • 2014
  • The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

Interpretation and Application of Time and Place of Dispatch and Receipt of Electronic Records in Electronic Transactions (전자거래에서 전자기록 송수신 시기 및 장소의 해석과 적용)

  • Kang, Won-Jin;Lee, Chang-Sook
    • International Commerce and Information Review
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    • v.9 no.3
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    • pp.287-304
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    • 2007
  • Determination of the time and place of dispatch and receipt of electronic messages is an important element of the operation of many rules of law, particularly the timing of formation of the contract. In this paper, I reviewed interpretation and application of time and place of dispatch and receipt of electronic records in electronic transactions under the UNCITRAL(United Nations Commission on International Trade Law) Model Law on Electronic Commerce, USA Uniform Electronic Transactions Act and Korea Electronic Transactions Act. Time of dispatch and time of receipt are effective when received. The sender has the burden to prove that the electronic record is sent successfully to the information process system of the recipient. Therefore, to safety electronic transactions, the sender needs to request a confirm notice for receipt to the recipient when the electronic record is sent like the provisions of UNCITRAL Model Law on Electronic Commerce and Korea Electronic Transactions Act. By requesting the above, the sender is able to take precautionary measures for damage according to the failure of dispatch and receipt of the electronic records.

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Effective Corporate Electronic Record Management with KM Governance (KM 거버넌스 기반의 기업 전자기록물 관리 최적화 전략 연구)

  • Jeong, Ki-Ae;Nam, Young-Joon
    • Journal of Information Management
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    • v.38 no.3
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    • pp.161-181
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    • 2007
  • Since 1990s, major corporations and public organizations have actively implemented their own knowledge management, by which they develop new businesses and enhance organizational efficiencies. However, their knowledge management processes are sometimes isolated or mismatched with their record management systems and reveal many problems to operate and maintain them effectively. This paper analyzes the current status and problems of corporate knowledge management. Next, it proposes the necessity and the methods to integrate knowledge management and records management in order to transform corporate records as useful knowledge resources. Aligning corporate record management strategies with knowledge management policies enables to improve the management of corporate electronic records. Especially, the implementation of record retention schedule based on the life cycle management of records is emphasized as a KM governance strategy and method to manage corporate records effectively.

Evaluation on the Record Completeness of the Nursing Process in Electronic Nursing Record for Patients Undertaken Gastrectomy (전자간호기록에 사용된 간호과정 완성도 분석 - 위절제술 환자를 중심으로 -)

  • Park, Ihn Sook;Yoo, Cheong Suk;Lee, Soon Hyeung;Woo, Kyung Shun;Joo, Young Hee;Choi, Woan Heui;Kang, Hyun Sook;Jung, Mi Ra;Kim, Hee Jin;Park, Mi Ok;Lee, Su Hee;Ahn, Seon Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.107-116
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    • 2009
  • Purpose: This study was conducted to evaluate the record completeness of the nursing process in the Electronic Nursing Record(ENR) in a university hospital. Methods: We compared nursing statements documented in 2004 with those from the year 2007, given the fact that the ENR system had been utilized since 2004. The ENRs of 35 gastrectomy patients in each year were selected for evaluation. The selected data were 11,822 nursing statements in 2004 and 27,870 in 2007. Results: The number of nursing records which documented the whole nursing process completely was 4,010 (48.3%) in 2007, whereas 513 (5.9%) in 2004 (p<.001). The number of incomplete records in 2004 was 8,142 (94.1%), while 4,300 (51.7%) in 2007 (p<.001). The number of nursing diagnoses was 846 in 2004 and 4,313 in 2007, which increased in number more than 5 times. The most frequently used diagnoses were 'pain', 'risk for infection' and 'risk for ileus' in both years. Conclusion: There was a significant increase in the record completeness on nursing process in 2007 compared to the records in 2004. The reasons for this increase are attributed to nurse training for encouraging to complete recording and nursing record auditing.

Exploring the Utility of the ICNP based Electronic Nursing Records as a Research Source for Inpatients' Falls (입원환자의 낙상발생 연구 자료원으로서의 국제간호실무분류체계 기반 전자간호기록의 유용성)

  • Cho, In-Sook;Park, Inh-Sook;Kim, Eun-Man
    • Perspectives in Nursing Science
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    • v.5 no.1
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    • pp.33-43
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    • 2008
  • Objective: This study explored the reuse of data captured into an electronic nursing record system using the International Classification for Nursing Practice to support nursing research of inpatient's falls. Methods: Risk factors relevant to inpatients falls ;n an acute setting were identified from the literature review. Four risk assessment tools and two risk identification studies were selected. To examine the availability of coded data in an electronic nursing record system for the identified fall fisk factors, we reviewed 11.319 hospital-day records of 118 patients who were reported by the self-report system. Results: We identified 24 fall risk factors of five categories from the literature review, which were used to identify the standard nursing statements addressing fall risks. One hundred thirty five nursing statements were searched from the hospital's nursing data dictionary of statements and were matched with 14 fall fisk factors. Using the 135 statements. we found that mental status, catheter of drip in situ, abnormal gait, insomnia, surgical procedure. and dizziness/vertigo appeared frequently in the nursing records of inpatients with fall s. Also we found 6 risk factors more through the record review. Conclusion: The electronic records would be a good research source for inpatients' falls. Specifically international classification for nursing practice based nursing record system has the potential for promoting clinical researches.

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A study of Clinical DW for utilizing analysis of medical treatment information (진료정보 분석 활용을 위한 Clinical DW에 관한 연구)

  • Song, Min-Gu;Kim, Sun-Bae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.293-302
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    • 2013
  • So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

The Problems and Solutions in the Pilot Test of Electronic Bill of Lading (전자선화증권의 운용실증실험상의 문제점과 해결방안)

  • Choi, Seok-Beom
    • International Commerce and Information Review
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    • v.6 no.3
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    • pp.321-349
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    • 2004
  • Bolero Project initially had the support of TEDIS, and now is a joint-venture between SWIFT and IT Club. After the successful testing of an original pilot project, The Bolero Association was formed in 1995 by a group of interested cross industry companies. A Bolero Bill of Lading replicates the basic functions of a paper-based bill of lading via title registry service and core messaging platform. A Bolero Bill of Lading consists of BBL Text and Title Registry Record. A Tittle Registry Record carries out the function of a document of title and a BBL may be transferred by changing the roles of users in this Title Registry Record. TEDI Project had been conducted from the April 1999 to the September 2000 on the basis of the EDEN Project(Dec.97- Mar. 1999) and International Trade Guidances Project (Nov. 1998-Mar. 1999). Through TEDI Project, the RSP Model was introduced as e-trade solution like Bolero's Solution. The RSP Model Solution will be furnished through TC (Trade Chain) Server and RSP(Repository Service Provider) Server. The purpose of this paper is to study the problems and solutions in the pilot test of electronic Bill of Lading using TEDI's RSP and to promote the introduction of electronic Bill of Lading.

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