• Title/Summary/Keyword: Healthcare information systems

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A Development of Home Nursing Service System based Service Oriented Architecture (SOA) (SOA 기반의 가정간호서비스 시스템 개발)

  • Hong, Hae-Sook;Park, Chun-Bok;Kim, Hwa-Sun;Cho, Hun
    • Journal of Korea Multimedia Society
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    • v.12 no.11
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    • pp.1680-1691
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    • 2009
  • To improve the quality of healthcare and build up the health delivery system, electronic health record system is important for healthcare institutions providing health services. However, the systems currently operated in domestic healthcare institutions use independent software interface with distributed environment for data search and process. Therefore, it raises an additional expense to buy or develop each interface module when there is a link to new system and the problem of complexity. To solve these problems, this study implemented the service oriented architecture basis for home nursing service and carried out an assessment. The study defined the process modeling and business requirements based on the scenario of service and drew 17 suitable services based on five verification items for service design. To draw the final service, seven services were selected by service litmus test (SLT). The study found that, by the improvement of business process for healthcare service support department, SOA based information system has an effect of time reduction of patient processing time. In conclusion, to enable the hospital information system to cope with various demands of healthcare consumers, it is necessary to consider the application of SOA technology which has excellent interoperability, reusability and maintenance.

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A Service System Design to Support Medical Tourism in South Korea (한국 의료관광 서비스시스템 디자인)

  • Yoon, Hee Sung;Cho, Sung Woock;Sugumaran, Vijayan
    • Information Systems Review
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    • v.15 no.2
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    • pp.59-73
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    • 2013
  • Healthcare costs are continuously increasing due to longer life expectancy and providing global healthcare services through medical tourism is new service growth engine for Korea. Several countries have well established programs and infrastructure dedicated to medical tourism. South Korea is attempting to become a major player in this domain by undertaking broad initiatives. The success of medical tourism is greatly impacted by easy access to two types of information, namely, medical and travel information. The National Health Insurance System in Korea collects huge amount of clinical and financial information from all hospitals. However, this information does not get used effectively in health and travel information systems to support medical tourism. This paper provide clear process map of medical tourism to understand how the patient and information process both medical and tourism fields also describe the need of customer and service provider. In this paper, we develop a medical tourism service system that will promote information exchange and service delivery.

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WPAN Based Semantic-Web Health Monitoring (WPAN기반 시멘틱 웹 헬스 모니터링)

  • Lim, Myung-Jae;Kim, Myung-Gwon;Lee, Ki-Young
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.6
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    • pp.167-172
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    • 2013
  • In recent years, mobile healthcare systems that transfer patient data wirelessly have been used in the medical field. However, the current messages supported to patients are difficult to satisfy the specific patients, and there is a lack of healthcare systems to help manage patients with diabetes or pregnant women on a regular basis. In this regard, this paper demonstrates that the semantic-web service to which data transfer method, application framework and networking of WPAN are applied can be implemented. In addition, it suggests common data types to integrate data from a variety of sources and provides a common framework in which information on the Web can be shared and reused in applications, businesses and communities, etc. As an example, the healthcare monitoring that can manage healthcare for pregnant women, which includes confirmation of pregnancy, periodic health management, fetal movement, prenatal care and health-related knowledge, is proposed.

Development of efficiency indicators for medical resources use using Delphi technique (델파이 조사법을 이용한 의료 자원 사용의 효율성 평가지표 개발)

  • Choi, Yoon-Jung;Kwon, Young-Dae;Kim, Chang-Soo;Kim, Yoon
    • Health Policy and Management
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    • v.22 no.1
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    • pp.65-84
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    • 2012
  • Because of the rising healthcare costs, there is a growing need for developing efficiency indicators for medical resources use and measuring efficiency of healthcare providers and healthcare systems using them. In this study, we aimed to develop efficiency indicators for medical resources use by means of Delphi technique. We systematically reviewed the existing measures of medical resource use. Thirty nine indicators were selected as a candidates across the six domains: medical personnel, medical equipment, medical facilities, ethical management, resource efficiency, and drug use. To develop efficiency indicators with professional consensus, a 2-round Delphi survey was conducted among 29 professional experts. The following indicators were selected based on the Delphi survey results: adjusted number of the patient per day and level of the nurse number medical personnel in medical personnel domain; the number of the scan a professional physician and the quality of the scan in medical equipment domain; bed utilization rate in medical facility domain; drug price reported pharmaceutical price by medical institutions, medical fee billing transparency, and medical care appropriateness in ethical management domain; costliness index in resource efficiency domain; and utilization of high cost drug and items per prescription in drug use domain. The efficiency indicators could provide valid information about efficiency of healthcare providers and healthcare systems with respect to their resources use and facilitate policies to improve their efficiency.

PHR Profiling System Based on FHIR (FHIR 기반 개인건강기록 프로파일링 시스템 개발방법)

  • Kim, Young Sik;Kim, Il Kon
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.7
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    • pp.277-282
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    • 2015
  • HL7 released V3 CDA(Clinical Document Architecture) and V2.x message standards for medical information exchange. Currently, these standards are successfully adopted by a number of nations across the globe. However, substantial amount of time is required to develop and implement these standards. Moreover, developers need a lot of time to understand these standards. To solve these issues from 2011, the HL7 standard framework started to discuss Fast Healthcare Interoperability Resources(FHIR) as next generation standard of healthcare information exchange. People's interests toward personal health record and smartphone penetration rate are growing and increasing rapidly. Therefore, our research team believes it is necessary to develop a PHR profiling system which could be accessed by using a smartphone and we developed the system. Through a FHIR Profile editor tool developed in Furore, we found that improvements could be made in generating and changing the profile. In order to build the PHR Profiling system, an Open-API on FHIR is used for exchanging information between electronic medical record system and PHR Profiling system. In the PHR Profiling system, the transactions of information between two systems are provided by RESTful service. In this study, we verify the efficiency of development of the PHR Profiling system through FHIR.

Differentiated Channel Access Scheme for Assuring QoS of Medical Traffic in WLAN-based e-Healthcare Systems (무선랜 기반 e-Healthcare 시스템에서의 의료용 트래픽의 서비스 품질 보장을 위한 채널 접속 차별화 방안)

  • Kim, Young Boo;Park, Eun-Chan
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.6
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    • pp.676-688
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    • 2014
  • The IEEE 802.11e EDCA (Enhanced Distributed Channel Access) mechanism has been proposed to improve the QoS (Quality of Service) of various services in WLANs (Wireless Local Area Networks). By differentiating the channel access delay depending on ACs (Access Categories), this mechanism can provide the relative service differentiation among ACs. In this paper, we consider that WLAN is deployed in medical environments to transfer medical traffic and we reveal that the quality of the medical traffic (in particular, ECG signals) is significantly deteriorated even with the service differentiation by IEEE 802.11e EDCA. Also, we analyze the reason for performance degradation and show that IEEE 802.11e EDCA has difficulty in protecting the transmission opportunity of high-priority traffic against low-priority traffic. In order to assure medical-grade QoS, we firstly define the service priority of medical traffic based on their characteristics and requirements, and then we propose the enhanced channel access scheme, referred to as DIFF-CW. The proposed scheme differentiates CW (Contention Window) depending on the service priority and modifies the channel access procedure for low-priority traffic. The simulation results confirm that the DIFF-CW scheme not only assures the QoS of medical traffic but also improves the overall channel utilization.

New Obligations of Health Insurance Review and Assessment Service: Taking Full-fledged Action Against the COVID-19 Pandemic

  • Yoo, Seung Mi;Chung, Seol Hee;Jang, Won Mo;Kim, Kyoung Chang;Lee, Jin Yong;Kim, Sun Min
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.1
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    • pp.17-21
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    • 2021
  • In 2020, the coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruptions to global health systems. The Korea has taken full-fledged actions against this novel infectious disease, swiftly implementing a testing-tracing-treatment strategy. New obligations have therefore been given to the Health Insurance Review and Assessment Service (HIRA) to devote the utmost effort towards tackling this global health crisis. Thanks to the universal national health insurance and state-of-the-art information communications technology (ICT) of the Korea, HIRA has conducted far-reaching countermeasures to detect and treat cases early, prevent the spread of COVID-19, respond quickly to surging demand for the healthcare services, and translate evidence into policy. Three main factors have enabled HIRA to undertake pandemic control preemptively and systematically: nationwide data aggregated from all healthcare providers and patients, pre-existing ICT network systems, and real-time data exchanges. HIRA has maximized the use of data and pre-existing network systems to conduct rapid and responsive measures in a centralized way, both of which have been the most critical tactics and strategies used by the Korean healthcare system. In the face of new obligations, our promise is to strive for a more responsive and resilient health system during this prolonged crisis.

Personal Identification Based on Radio Signal Strength for Ubiquitous Healthcare Systems

  • Lee, Jong-Shill;Park, Sang-Hae;Chee, Young-Joon;Kim, In-Young;Kim, Sun-I.
    • Journal of Biomedical Engineering Research
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    • v.28 no.3
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    • pp.325-331
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    • 2007
  • Personal identification is essential for the automatic measurement of biosignal information in home healthcare systems. Personal identification is usually achieved with passive radio frequency identification (RFID), which does little more than store a unique identification number. However, passive RFID is not ideal for automatic identification. We present a user identification system based on radio signal strength indication (RSSI) using ZigBee for active RFID tags. Personal identification is achieved by finding the largest RSSI value from aggregated beacon messages that are periodically transmitted by active RFID tags carried by users. Obtaining reliable person!'.! identification without restricting the orientation requires a certain distance between the closest active RFID tag from the ZED and the second closest tag. The results show that the closest active RFID tag from the ZED and the second closest tag must be at least 70 cm apart to achieve reliable personal identification.

Implementation of the Intelligent System using RFID for HealthCare Self-Diagnosis (RFID를 이용한 헬스케어 자가진단 지능형시스템 구현)

  • Son, Hui-Bae;Kim, Min-Soo;Rhee, Young-Chul
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.1
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    • pp.146-152
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    • 2010
  • In this paper, we implemented the intelligent healthcare system self-diagnosis that can achieve self-diagnosis by measured bio-signal(blood pressure, blood sugar, body fat monitor) after the recognize a user to access using RFID. The implemented healthcare self-diagnosis intelligent system is consist of kiosk structure that is RFID reader, bio-signal measuring instrument(hemadynamometer, glucometer, body fat monitor), computer for a part of database server and printer for print the result of self-diagnosis. It can achieve self-diagnosis of a user after compare and analyze the measured data and information of a user from database. The implemented system can make simple self-diagnosis even if not take a physical examination at hospital and apply to company, school, etc.

A study for Promoting Digital Healthcare in Korea through an Improved Regulatory System (디지털 헬스케어 발전을 위한 규제 개선 방안에 관한 연구)

  • Park, Jung-Won;Shim, Woo-Hyun;Lee, Jun-Seok
    • Informatization Policy
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    • v.25 no.1
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    • pp.60-81
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    • 2018
  • Healthcare is on the verge of a paradigm shift towards an emphasis on wellbeing, integrative health, and prevention of disease, while the traditional medical model focuses solely on end-point treatment. The development of digital technologies has played a major role in this change as digital technology and health have converged. Therefore, many developed countries promote the digital healthcare industry as a new economic growth engine, and Korea is no exception. To promote the digital healthcare industry, the Korean government provides institutional support by improving the legal and regulatory system for medical devices and health data. However, Korea still has an underdeveloped legal and regulatory framework for digital healthcare compared with other countries. In this study, we review the relevant regulatory systems in the United States, United Kingdom, Germany, and Japan. We then explore newspaper articles and conduct expert interviews to analyze the regulatory situation in Korea and the problems the digital healthcare industry faces. In conclusion, we discuss a regulatory reform plan for development of the digital healthcare industry in Korea.