• Title/Summary/Keyword: HL7 표준임상문서구조

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Generation, Storing and Management System for Electronic Discharge Summaries Using HL7 Clinical Document Architecture (HL7 표준임상문서구조를 사용한 전자퇴원요약의 생성, 저장, 관리 시스템)

  • Kim, Hwa-Sun;Kim, Il-Kon;Cho, Hune
    • Journal of KIISE:Databases
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    • v.33 no.2
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    • pp.239-249
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    • 2006
  • Interoperability has been deemphasized from the hospital information system in general, because it is operated independently of other hospital information systems. This study proposes a future-oriented hospital information system through the design and actualization of the HL7 clinical document architecture. A clinical document is generated using the hospital information system by analysis and designing the clinical document architecture, after we defined the item regulations and the templates for the release form and radiation interpretation form. The schema is analyzed based on the HL7 reference information model, and HL7 interface engine ver.2.4 was used as the transmission protocol. 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 medical information-sharing among various healthcare institutions.

Design and Implementation of a Nursing Records for the Nursing Process for Use Within the Health Level 7 Clinical Document Architecture (HL7 임상문서구조의 기반 한 간호과정을 위한 간호기록지의 설계 및 구현)

  • Kim, Hwa-Sun;Tran, Tung;Kim, Hyung-Hoi;Lee, Eun-Joo;Cho, Hune
    • 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.

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Design and Implementation of Electronic Medical Record System Based on HL7-CDA for the Exchange of Clinical Information (임상 정보교환을 위한 HL7-CDA 기반의 전자의무기록 시스템의 설계 및 구현)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • 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.

Health Level 7 Version 3 based Generating Clinical Document Architecture for Medication Administration System (HL7 버전 3 기반의 투약관리시스템을 위한 임상문서구조의 생성)

  • Kim, Genun-Hee;Cho, Su-Mi;Lee, Eun-Joo;Kim, Hwa-Sun;Cho, Hune
    • Journal of Korea Multimedia Society
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    • v.11 no.3
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    • pp.386-397
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    • 2008
  • This study proposes the actualization of a standard data model for activities through the development of clinical document architecture for medication administration using the health level 7 development frameworks(HDF) process based on object oriented analysis and development method of health level 7 V 3. Medication administration is the most common activity performed by clinical professionals at healthcare settings. A standardized information model and structured hospital information system are necessary to achieve evidence-based clinical activities. We had used HDF and various tools(Rose tree, RMIM designer, V3 generator) to create the clinical document architecture(CDA). This allowed us to illustrate each step of the HDF in the administration of medication. This study generated a information model of the medication administration process, which is one clinical activity. It should become a fundamental conceptual model for understanding international standard methodology by information technology(IT) developers with the objective of modeling healthcare information systems.

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Design of Middleware for Integration Repository of XML-based Bio and Medical Information (XML 기반의 바이오 및 임상정보 통합 저장소를 위한 미들웨어의 설계)

  • Jeong, Jong-Il;Yu, Wee-Hyuk;Lee, Tae-Heon;Shin, Dong-Kyoo;Shin, Dong-Il
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.63-66
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    • 2005
  • 최근 환자중심의 진료환경 구축을 통한 진료의 질적인 향상을 위해 바이오 및 임상정보 통합의 필요성이 점차 커지고 있다. 따라서 기존의 폐쇄적인 의료시스템들을 개방적인 시스템으로 전환하고 각 시스템간에 정보를 교환하고 공유하기 위해 HL7 등의 표준들이 급속히 확산되고 있다. 그러나 HL7 은 임상문서 교환을 위한 유연성있는 표준이지만 시스템에 의존적인 형태의 메시지는 이질적인 시스템간의 정보교환에는 부적합하다. 따라서 HL7 표준중 XML 기반의 임상기록 저장 구조인 CDA 를 이용하여 환자의 임상정보가 통일되고 통합될 필요성이 있으며 본 논문은 새로운 CDA 를 지원하기 위해 바이오 및 임상정보를 통합하고 통합된 정보를 통합저장소에 저장하는 기능과 시스템 간 자료전송 그리고 외부의 응용프로그램을 통한 통합저장소의 접근제어 기능을 수행하는 미들 웨어를 설계한다.

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