• Healthcare Informatics Research
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• 제24권4호
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• pp.317-326
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• 2018

Objectives: The demand for hospice has been increasing among patients with cancer. This study examined the current hospice referral scenario for terminally ill cancer patients and created a data form to collect hospice information and a modified health information exchange (HIE) form for a more efficient referral system for terminally ill cancer patients. Methods: Surveys were conducted asking detailed information such as medical instruments and patient admission policies of hospices, and interviews were held to examine the current referral flow and any additional requirements. A task force team was organized to analyze the results of the interviews and surveys. Results: Six hospices completed the survey, and 3 physicians, 2 nurses, and 2 hospital staff from a tertiary hospital were interviewed. Seven categories were defined as essential for establishing hospice data. Ten categories and 40 data items were newly suggested for the existing HIE document form. An implementation guide for the Consolidated Clinical Document Architecture developed by Health Level 7 (HL7 CCDA) was also proposed. It is an international standard for interoperability that provides a framework for the exchange, integration, sharing, and retrieval of electronic health information. Based on these changes, a hospice referral scenario for terminally ill cancer patients was designed. Conclusions: Our findings show potential improvements that can be made to the current hospice referral system for terminally ill cancer patients. To make the referral system useful in practice, governmental efforts and investments are needed.

• 융합보안논문지
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• 제22권3호
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• pp.69-77
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• 2022

세계적으로 의료분야는 기술의 발전과 ICT 기술과의 융합으로 매우 빠르게 성장하고 있으며, 개인 건강정보, 유전자정보, 임상정보 등을 활용한 정밀의료(Precision Medicine)는 차세대 의료산업으로 성장하고 있다. 정밀의료는 개인의 건강과 생명을 다루기 때문에 개인정보보호 및 보건의료정보 보호 문제가 전면으로 대두되고 있다. 이에 따라, 본 논문에서는 클라우드 및 의료분야 국내·외 관련 표준, 법·제도 등의 기준에 맞추어 보안 개선사항을 제시하고 있으며, 이를 통해 안전한 정밀의료 실현을 위한 보건의료정보 보호 방안을 제안하고 있다.

• 한국컴퓨터정보학회논문지
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• 제23권3호
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• pp.79-84
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• 2018

The government developed National Competency Standards and expands field friendly education for innovation of industrial field based education training. NCS is the national level of standards that the government systemized knowledge, skills and attitudes required to work in industrial fields by each industry and each level. This study was intended to research NCS education contents of an introduction of dental hygienics, which is a basic major subject among subjects of dental hygiene course, to present learning goals accordingly, and to be used as a basic resource of NCS field oriented classes of dental hygienists through the comparison before and after. In case of the dental hygiene course, dental hygienists are performing important core tasks as clinicians at dental offices. Therefore, such comprehensive and professional performance abilities as scaling, oral prophylaxis and oral health education are required at the fields. The education process and education contents for this should be researched continuously.

• 전기전자학회논문지
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• 제19권3호
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• pp.447-454
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• 2015

본 논문은 ISO/IEEE 11073 개인건강기기 표준에서 정의된 PM-store 개념을 적용하여 주기적으로 발생하는 대용량 측정 데이터의 전송 프로토콜을 구현할 경우, 개인건강기기의 중앙처리장치(CPU)에서 수행해야 하는 명령사이클(instruction cycles)의 수를 기반으로 한 복잡도 분석에 대한 연구이다. PM-store의 구성에 따라 중앙처리 장치가 처리해야 할 명령 사이클의 수에 대한 분석모델을 제시하였다.

• 한국정보통신학회논문지
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• 제19권2호
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• pp.422-427
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• 2015

의료 패러다임이 과거 치료 중심에서 예방 및 건강 관리중심으로 전환되면서 IT융합 의료서비스에 대한 요구가 증가하였고, 헬스케어서비스는 현재 급속히 보급되고 있는 스마트 기기를 바탕으로 수요자들의 일상생활에 매우 밀접하게 접근하여 자신의 의료, 건강, 그리고 복지 등을 복합적으로 관리 할 수 있는 스마트 헬스케어서비스가 대두되고 있다. 따라서 본 논문에서는 다양한 개인 건강기기의 데이터를 이용한 상호 운용성을 확보하기 위해 각 시스템 구성요소 간에 IEEE 11073 PHD(Personal Health Devices), HL7(Health Level 7) 등의 표준을 통하여 스마트 TV 환경에 따른 헬스케어서비스를 제공하기 위해 통합 게이트웨이를 설계하고 이를 기반으로 홈 헬스케어시스템을 구현하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제45권2호
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• pp.127-134
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• 2022

In order to overcome the image quality limitations of the conventional C-arm, a flat panel detector (FPD) is used to enhance spatial resolution, detective quantum efficiency, frame rate, and dynamic range. Three-dimensional (3D) visualized information can be obtained from C-arm computed tomography (CT) equipped with an FPD, which can reduce patient discomfort and provide various medical information to health care providers by conducting procedures in the interventional procedure room without moving the patient to the CT scan room. Unlike a conventional C-arm device, a C-arm CT requires different basic safety and essential performance evaluation criteria; therefore, in this study, basic safety and essential performance evaluation criteria to protect patients, medical staff, and radiologists were derived based on International Electrotechnical Commission (IEC) standards, the Ministry of Food and Drug Safety (MFDS) standards in Korea, and the rules on the installation and operation of special medical equipment in Korea. As a result of the study, six basic safety evaluation criteria related to electrical and mechanical radiation safety (leakage current, collision protection, emergency stopping device, overheating, recovery management, and ingress of water or particulate matter into medical electrical (ME) equipment and ME systems: footswitches) and 14 essential performance evaluation criteria (accuracy of tube voltage, accuracy of tube current, accuracy of loading time, accuracy of current time product, reproducibility of radiation output, linearity and consistency in radiography, half layer value in X-ray equipment, focal size and collimator, relationship between X-ray field and image reception area, consistency of light irradiation versus X-ray irradiation, performance of the mechanical device, focal spot to skin distance accuracy, image quality evaluation, and technical characteristic of cone-beam computed tomography) were selected for a total of 20 criteria.

• 한국환경보건학회지
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• 제47권1호
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• pp.1-19
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• 2021

Objectives: Phthalates, which are widely used as plasticizers, have been recognized as endocrine disruptors. In the present study, we provided information on the regulation of these chemicals and summarized the information available on their detection and toxicity in children's products and those of their alternatives. Methods: The regulatory frameworks related to phthalates in children's products in Korea, the United States (US), and the European Union (EU) were compared. Data on the detection concentration of 16 phthalates and seven phthalate alternatives that could be used in polyvinyl chloride (PVC) plastic products for children as well as on their toxicity classification and endocrine disruption toxicity were collected from the literature. Results: Korea adopted US and EU chemical standards for six phthalates (DEHP, BBP, DBP, DINP, DIDP, and DNOP), but not others (e.g., DIBP, DPP, DHP, and DCHP). Among the ten phthalates and seven substitutes for which regulatory standards were not determined, DIBP, DHP, DEHA, DIBA, DINA, and DEHT were detected in children's products made from PVC plastic. DIBP and DHP, which have a reproductive toxicity classification of 1B, were frequently detected in PVC toys. The reproductive toxicity, estrogenicity, and anti-androgenic activity of the unregulated phthalates and their alternatives have been reported in diverse in vitro and in vivo assays. Conclusion: The use of unregulated phthalates and their substitutes in children's products is increasing. Further monitoring and toxicological information on phthalate alternatives is required to develop proper management plans.

• 한국정보통신학회논문지
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• 제14권3호
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• pp.774-780
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• 2010

USN(Ubiquitous Sensor Network)은 u-city, u-health 등과 같은 영역에서의 다양한 서비스를 통해 유비쿼터스 사회에서 u-life 실현을 가능하게 하는 핵심 인프라이다. 따라서 u-Life의 핵심 기술인 USN 기술에 대한 국내 표준화 확립을 위한 연구가 필요하다. 현재 USN에 대한 표준 현황은 센서 노드 구현을 위한 기술과 센서 노드들 사이의 효율 적인 통신을 위한 프로토콜 및 기존의 망과 연동을 위한 기술 표준 및 연구가 대부분이다. 그러나, 센서 네트워크와 USN 응용을 위한 이기종 센서 네트워크의 통합관리, 센싱 데이터 관리 및 USN 데이터베이스 구조 정의 등과 같은 응용 및 미들웨어 부분에서의 표준 및 연구는 아직 까지 미약한 수준이다. 이에 본 논문에서는 국내 센서 네트워크 서비스의 표준 개발 및 센서 응용 및 미들웨어 부분에서의 표준화된 플랫폼 기술을 위해 OGC(Open Geospatial Consortium)의 SWE(Sensor Web Enablement)를 구성하는 관련 표준 분석과, 국내 TTA(Telecommunications Technology Association)관련 표준과 상호 연관성을 통하여 OGC 표준의 국내 도입 가능성에 대한 연구를 하였다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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• pp.505-508
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• 2008

Electrocardiogram (ECG) and blood pressure (BP) are main vital signs which are the standards in most medical settings in assessing the most basic body functions. Multi parameters are desired in providing more information for health professionals in order to detect or monitor medical problems of patients more precisely. This study urges us to develop a robust wireless healthcare monitoring system which has multiple physiological signs measurements on real time that applicable to various environments which integrates wireless sensor network technology and code division multiple access (CDMA) network with extended feature of locally standalone diagnosis algorithms that implemented in tell phone. ECG signal and BP parameter of the patients are routinely be monitored, processed and analyzed in details at cell phone locally to produce useful medical information to ease patients for tracking and future reference purposes. Any suspected or unknown patterns of signals will be immediately forwarded to hospital server using cell phone for doctors' evaluation. This feature enables the patients always recognize the importance of self-health checking so that the preventive actions can be taken earlier through this analytic information provided by this monitoring system because "Prevention is better than Cure".

• 한국멀티미디어학회논문지
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• 제9권8호
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• pp.1054-1066
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• 2006

본 연구는 의료기관 간 정보공유를 위해 간호분류체계를 기반으로 임상문서구조(Clinical Document Architecture, CDA)의 생성과 새로운 패러다임의 병원정보시스템을 제안하였다. 간호정보 CDA는 간호진단, 간호중재 및 수행과 관련된 코딩시스템을 포함하였고 표준문서의 생성을 위해 CDA생성도구를 개발하였다. 본 연구의 목표는 개인의 필요한 간호정보를 간호전문가에게 실시간으로 제공하여 적정 간호를 제공하며 건강 증진을 도와 생산적인 삶의 질을 향상하는 것이다. 본 연구가 가지는 의의는 첫째, 국제 표준인 HL7 임상문서구조를 사용하기 위한 확장과 정제과정의 연구를 했으며, 둘째, 임상문서구조를 사용할 수 있는 웹 기반의 차세대 병원정보시스템의 구조를 제안하였다. 결론적으로, 임상문서구조에 대한 본 연구로 말미암아 평생전자의무기록(Electronic Health Record)과 임상데이터저장소(Clinical Data Repository)를 포함하여 다양한 보건의료기관 간 간호정보 공유의 기반이 될 것이다.