• Title/Summary/Keyword: International healthcare standard

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Design and Implementation of ISO/IEEE 11073 DIM Transmission Structure Based on oneM2M for IoT Healthcare Service (사물인터넷 헬스케어 서비스를 위한 oneM2M기반 ISO/IEEE 11073 DIM 전송 구조 설계 및 구현)

  • Kim, Hyun Su;Chun, Seung Man;Chung, Yun Seok;Park, Jong Tae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.53 no.4
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    • pp.3-11
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    • 2016
  • In the environment of Internet of Things (IoT), IoT devices are limited by physical components such as power supply and memory, and also limited to their network performance in bandwidth, wireless channel, throughput, payload, etc. Despite these limitations, resources of IoT devices are shared with other IoT devices. Especially, remote management of the information of devices and patients are very important for the IoT healthcare service, moreover, providing the interoperability between the healthcare device and healthcare platform is essential. To meet these requirements, format of the message and the expressions for the data information and data transmission need to comply with suitable international standards for the IoT environment. However, the ISO/IEEE 11073 PHD (Personal Healthcare Device) standards, the existing international standards for the transmission of health informatics, does not consider the IoT environment, and therefore it is difficult to be applied for the IoT healthcare service. For this matter, we have designed and implemented the IoT healthcare system by applying the oneM2M, standards for the Internet of Things, and ISO/IEEE 11073 DIM (Domain Information Model), standards for the transmission of health informatics. For the implementation, the OM2M platform, which is based on the oneM2M standards, has been used. To evaluate the efficiency of transfer syntaxes between the healthcare device and OM2M platform, we have implemented comparative performance evaluation between HTTP and CoAP, and also between XML and JSON by comparing the packet size and number of packets in one transaction.

Design of Integrated Medical Information System Based on The Cloud

  • Lee, Kwang-Cheol;Moon, Seok-Jae;Lee, Jong-Yong;Jung, KyeDong
    • International journal of advanced smart convergence
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    • v.4 no.1
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    • pp.88-92
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    • 2015
  • Today, the medical information system has evolved in the way of integrated healthcare IT information systems. Therefore, it is trying to build advanced U-Healthcare service. Though the U-Healthcare environments is exchanged the information between systems in many cases, however since the each system is different, the integration and exchange of data is difficult. To overcome this problem, in this paper it proposes that we suggests a possible DBaaS(DataBase as a Service) for the heterogeneous integration of medical information management and data exchange. First, the proposed system builds DBaaS cloud by integrating the meta-DB Schema level and DB Schema for each hospital. And, the mapping the schema data and the existing hospital information system is possible using the International Standard HL7. By applying the proposed method to the hospital system, it comes true the efficient exchange of information between the patients, doctors, staffs through the data mapping of the one to multi-system.

A Research and development of healthcare gateway for international standards that support a WiBro / WiMAX (WiBro/WiMAX 지원 국제표준 헬스케어 게이트웨이 연구 개발)

  • Lee, Jeong-Gi;Kim, Kuk-Se;Kim, Choong-Won;Ahn, Seong-Su
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.12
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    • pp.3020-3028
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    • 2014
  • In the present study, A protocol gateway between agent is designed by using an optimized protocol for the exchange of ISO / IEEE 11073-20601 in order to compensate the disadvantage of the existing gateway and a international standard healthcare set-top. The gate way was designed to smooth data transmission to overcoming the geographical limits of the service and to enable data transfer on emergency vehicle and the mountain area.

Model-Based Survival Estimates of Female Breast Cancer Data

  • Khan, Hafiz Mohammad Rafiqullah;Saxena, Anshul;Gabbidon, Kemesha;Rana, Sagar;Ahmed, Nasar Uddin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2893-2900
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    • 2014
  • Background: Statistical methods are very important to precisely measure breast cancer patient survival times for healthcare management. Previous studies considered basic statistics to measure survival times without incorporating statistical modeling strategies. The objective of this study was to develop a data-based statistical probability model from the female breast cancer patients' survival times by using the Bayesian approach to predict future inferences of survival times. Materials and Methods: A random sample of 500 female patients was selected from the Surveillance Epidemiology and End Results cancer registry database. For goodness of fit, the standard model building criteria were used. The Bayesian approach is used to obtain the predictive survival times from the data-based Exponentiated Exponential Model. Markov Chain Monte Carlo method was used to obtain the summary results for predictive inference. Results: The highest number of female breast cancer patients was found in California and the lowest in New Mexico. The majority of them were married. The mean (SD) age at diagnosis (in years) was 60.92 (14.92). The mean (SD) survival time (in months) for female patients was 90.33 (83.10). The Exponentiated Exponential Model found better fits for the female survival times compared to the Exponentiated Weibull Model. The Bayesian method is used to obtain predictive inference for future survival times. Conclusions: The findings with the proposed modeling strategy will assist healthcare researchers and providers to precisely predict future survival estimates as the recent growing challenges of analyzing healthcare data have created new demand for model-based survival estimates. The application of Bayesian will produce precise estimates of future survival times.

Process Standardization for the Construction of Job-Exposure Matrix Using the Work Environment Measurement Database (작업환경측정 결과 데이터베이스를 활용한 직무노출매트릭스 구축을 위한 공정 표준화)

  • Sangjun Choi;Ju-Hyun Park;Dong-Hee Koh;Donguk Park;Hwan-Cheol Kim;Dae Sung Lim;Yeji Sung;Kyoung Yoon Ko;Ji Seon Lim;Hoekyeong Seo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.1
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    • pp.78-90
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    • 2023
  • Objectives: The purpose of this study is to standardize the process code of the work environment measurement database (WEMD) for the construction of a job-exposure matrix (JEM). Methods: The standard process code (SPC) was reclassified based on process similarity and drawing upon the code used in the existing K2B. It was supplemented through review by industrial hygiene experts. In addition, an index word database related to SPC was created and used for SPC search. A pilot evaluation project was conducted by experts to evaluate the validity of the newly reclassified standard process code. Results: A total of 70 final SPCs were developed, including 31 processes related to the construction industry. Using the Shiny program, we developed a standard code finder that can be used on the web (https://kscf.shinyapps.io/scf_app/). As a result of the pilot evaluation, it was determined that it was easier to search for standard codes than previous codes, so it was highly utilized. Conclusions: It is expected that JEM construction using industry-process information drawing on WEMD data will be possible using the 70 newly standardized process codes.

A Study on Improvement of Standard Criteria for Tactile Walking Surface Indicators (시각장애인 점자블록의 규격기준 개선방안 연구)

  • Shin, Dong Hong;Kang, Byoung Keun;Park, Kwang Jae;Kim, Sang Woon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.1
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    • pp.67-76
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    • 2015
  • Purpose : The current tactile walking surface indicators have not been easily accessible to blind and vision-impaired people due to unexpected variation of walking environment and walking behavior of transportation poor. Moreover, those indicators frequently cause the inconvenience to transportation users' walking. Thus, this study aims to investigate the improvement of tactile walking surface indicators, by comparing and analyzing findings from the relevant research. Results from this study contribute to suggest the better standard criteria of tactile walking surface indicators for transportation users, especially blind and vision-impaired people, the handicapped, the child and the elderly and weak, providing the secure and convenient circumstance for walking. Method : This study presents the problems about the standard criteria of tactile walking surface indicators via the examination of finding from the past studies. For example, we examine all standard criteria, focusing on shapes, colors and qualities of materials used for Tactile Walking Surface Indicators. Then, the present study suggests the improvement of standard, which apply to the current walking environment practically and reasonably. Results : To improve the current condition of tactile walking surface indicators, the analysis on international and domestic standard criteria need to be conducted. Findings from these analyses helps to suggest the better criteria for the interval between projecting points of tactile walking surface indicators, effective perceived range of walking road, and the brightness contrast between tactile walking surface indicators and finishing materials. Implication : The suggested standard criteria of tactile walking surface indicators need to be tested by transportation users, and the practical instructions of establishing tactile walking surface indicators should also be developed.

Evolution of Large-Scale Filmless Full-PACS in Korea

  • Kim, Hee-Joung;Haijo Jung;Yoo, Hyung-Sik
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.28-31
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    • 2002
  • Filmless full-PACS in korea has rapidly been growing, since government had supported collaborative PACS project between industry and university hospital in late of 1995. At the same time, a small company had started PACS business, while the Korea PACS society was being formed. In the beginning, PACS societies had focused on developing peripheral solutions such as DICOM gateway for image acquisition, x-ray film digitizer, and viewing software for research or management of personal image data, while Samsung Medical Center had started installing an imported partial PACS system which had recently upgraded with a new system. In similar time frame, a few hospitals had started developing and installing domestic large scale full-PACS system. Several years later, many hospitals have installed full-PACS system with national policy of reimbursement for PACS exams in November 1999. It is believed that Korea is the first country that adopted PACS reimbursement for filmless full-PACS as a national policy. Both experiences of full-PACS installation and national policy generated tremendous intellectual and technological expertise about PACS at all levels, clinical, hospital management, education, and industrial sectors. There are currently three types of PACS system which includes domestic, imported, and hybrid PACS system with imported solution for core system and domestic solution for peripheral system. There are more than 20 domestic PACS companies and they have now enough experiences so that they are capable of installing a truly full-PACS system for large-scale teaching hospitals. PACS societies in Korea understand how to design, implement, install, manage, sustain, and provide good services for large-scale full-PACS. PACS society has also strength for the highest integration technology of the Hospital Information. However, further understanding and timely implementation of continuously evolving international standard and integrated healthcare enterprise concepts may be necessary for international leading of PACS technologies for the future.

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Safety and Effectiveness of Food Allergen Immunotherapy (Oral): A Systematic Literature Review and Meta-analysis

  • Mo, Jin-A;Joo, Yea-Il
    • International Journal of Contents
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    • v.14 no.3
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    • pp.39-45
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    • 2018
  • Purpose: Food Allergen Immunotherapy (Oral) is a form of immunotherapy administered to patients who are allergic to foods such as egg, milk, and peanut. The food allergen is orally administered to the patient in an escalating dose for desensitization or tolerance development. The safety and effectiveness of the therapy were assessed using a systematic literature review and meta-analysis. Methods: For a literature search, 8 national databases and a number of international databases including Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were used; and 13 articles (all from international databases) were selected. The target of Food Allergen Immunotherapy (Oral) included patients with food allergy, and the intervention was food allergen immunotherapy without limiting the food type. The safety and effectiveness of Food Allergen Immunotherapy (Oral) were assessed by reviewing all the articles reporting on the therapy. The control group received standard therapies including aversion therapy, no treatment, anti-histamine treatment, and placebo. Safety was assessed through the incidence of complication and emergency medication. Effectiveness was assessed based on therapy success rate, symptomatic improvement, and quality of life. Results: Although Food Allergen Immunotherapy (Oral) was shown to have successful desensitization in patients with food allergy, the safety of the technique has not yet reached an acceptable level; the possible reason is due to the high rate of complication and frequency of emergency medication. Also, each study employed varying protocols while relying on a small number of participants and a short monitoring period. Conclusion: The results of assessment suggest that the level of evidence from current literature review is low and further research is necessitated for the verification of the safety and effectiveness of the therapy (Grade of Recommendation: A; Level of Technology: II-b).

An Exploratory Study on the IS Audit's Effectiveness Determination between Interest Groups (정보시스템 감리 이해집단별 감리효과 결정요인에 관한 탐색적 연구)

  • Choi, YoungJin;Jung, YongKyu;Ra, JongHei
    • Korean Management Science Review
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    • v.34 no.2
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    • pp.115-123
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    • 2017
  • IS audit has been regarded as contributing to the improvement of the quality of information Systems, recently, it has been argued that it is not possible to expect a effectiveness, because it can offset the schedule burden due to the preparation of additional documents for Audit and it affect to the project schedule. The effectiveness and quality criteria of IS audit are different between groups, because IS audit is responsible for checking the results and process of the developer company. In this study, we modeled between IS effectiveness and auditor competence, audit firm competence, IS audit standards. As a result, it was concluded that auditor competence, audit firm competence, IS audit standards have a positive effect on IS audit effectiveness. However, according to the result of comparing between interest groups, audit firm competence and audit standards were significant in auditor group, but audit standard was significant in requesting organization and developing company thought that auditor was a important factor to audit effectiveness.

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.