• International journal of advanced smart convergence
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• 제1권2호
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• pp.47-51
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• 2012

In highly developed society, information and communication technologies are widely used for better medical services. These information and communication technologies should be more and more acceptable in all hospitals for exchange medical records. EMR becomes more convenient than the previously used paper charts. It will be able to record medical institutions every time and dual treatment. Each is different specifications for each medical institution to use the program or document to exchange it. The personal clinic records still does not exchange well. To solve this gap between medical alienation, this paper describes the concepts of HL7-CDA and proposes types of telemedicine system. To resolve time and space constraints, new form of treatment methods presents in future directions after described about related systems. CDA enables electronic medical records to the each medical center and gradually expanded by exchanging the patient's medical records. This paper is using XML-based CDA documents as a hierarchical for medical information exchange standards compliant HL7-CDA documents. It could be possible currently used structural variety of multimedia data. Thus It is able to send and receive HL7-CDA-based medical information and clinical information to identify the medical institutions of medical information with interchange system design and building standards, and through mutual exchange of clinical information.

• 한국의사학회지
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• 제33권1호
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• pp.113-125
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• 2020

This paper analyzes information on Augmented Widen the Core Powder (加味普正散) (AWCP) in the Dr. Kim Young Hoon's medical record database, Cheongang Medical Records. AWCP is a prescription that is not found in the existing medical texts, yet is referred to in Dr. Kim Young Hoon's medical record database. By examining these records, this study shows that the original prescription for AWCP was Decoction for Rectifying the Qi with Cyperus and Kudzu (香葛正氣飮) and that this prescription was deeply related to Rectify the Qi Powder Worth More Than Gold (不換金正氣散) as well as Cyperus and Kudzu Decoction (香葛飮). In addition, AWCP had several names over a long period of time, and its name changed from the Powder of Relieving Lives and Rectifying the Qi (普救正氣散) to AWCP. In particular, this study shows that the term 'gami' (加味 augmented) indicates a change in prescription name, not a change in the composition of the prescription.

• 한국의료질향상학회지
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• 제8권2호
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• pp.208-217
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• 2001

Background : The objective of this study is proving the basic data for developing a management system for the discharges against medical advice(AMA) by identifying the characteristics of the AMA patients of an university hospital for 10 years. Methods : By using discharge abstract data base, we divided the total discharges(435,254) into two groups, discharge against medical advice and discharge with discharge order. We confirmed the characteristics of AMA group by analyzing discharge abstract data of the both groups by SAS software V6.12 and $x^2$ test. Medical records of AMA patients in the year 2000 were reviewed to identify the reasons for AMA which we couldn't extract from discharge abstract DB. Result : The total number of AMA for 10 years were 9,358(2.15%) and the AMA rate has been continuously decreased for 10 years. Male, admission through emergency room, discharges admission via other hospital, patients without operation during hospitalization, discharges in hopeless or not improved condition showed higher AMA rate. The AMA rate was higher as the age of the patients was higher, and the average length of stay was longer in AMA patients than in those with discharge order. The AMA rate in psychiatry was highest(14.3%) and it was higher in surgery departments than those of medical or other sections. The AMA rate varied by attending physicians even in the same department and it was statistically significant. Patients with the principal diagnosis of "medical observation and evaluation for suspected diseases" showed the highest AMA rate(15.5%), and that of schizophrenia or psychosis was the nest. One hundred twenty-one patients(19.5%) out of 622 AMA in 2000 discharged against medical advice for transfer to order health care facilities. Among them 71 patients(58.7%) discharged with their medical care information, such as copies of medical record, medical certificates, summaries, etc. Written oath of the patients discharged AMA was filed in their medical records in 466 cases(74.9%) although some of them were incomplete. Conclusion : Characteristics of AMA discharge could be used as the basic data in developing a system to manage the patients who have risk factors to leave the hospital against medical advice. By reducing number of patients leaving the hospital against medical advice we can increase satisfaction of medical providers and consumers.

• 디지털콘텐츠학회 논문지
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• 제10권3호
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• pp.433-439
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• 2009

최근 인터넷 보급의 확산은 e-Health 분야의 급속한 발전을 가져오고 있으며, 그 결과 개인의 건강정보에 대한 기록 및 관리의 디지털화에 대한 관심이 증대되고 있다. 본 연구에서는 개인전자건강기록의 특징을 검토하고, 인터넷 기반의 개인전자건강기록 시스템을 적용한 구글헬스 서비스의 구조를 분석해 보고자 하였다. 구글헬스를 통하여 소비자들은 개인의 건강기록을 구축하고 병원과 약국의 의무기록을 불러와 저장하며 자신의 건강기록을 타인과 공유함으로써 보다 편리하게 건강관리를 할 수 있을 뿐 아니라 온라인 건강정보 검색을 손쉽게 할 수 있다. 이는 현재의 의료시스템에 큰 변화의 흐름뿐 아니라 미래 의료시스템의 발전 방향의 예측을 가능하게 하는 사례로서 중요한 의미를 가진다. 따라서 본 연구는 다양한 서비스로의 발전이 예상되는 e-Health 산업에서 개인전자건강기록의 중요성을 인식시켜 줄 뿐 아니라 장단점을 비교분석함으로써 보다 보완적인 개인전자건강기록의 체계를 제시하여 준다.

• 동의생리병리학회지
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• 제30권6호
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• pp.458-465
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• 2016

The information relating to the health of person has been increasing. The information is such as medical information and personal health record and the information collected by utilization and dissemination of mobile devices. Therefore, the interest and demand for systems that can integrate and manage the Personal Health Record(PHR) is increasing. Quantity and quality of information that is collected from the patient can have a major impact on the diagnosis and treatment of Korean Medicine(KM) in clinical practice. Because closely observe the usual clinical symptoms of patients to utilize the treatment. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. Therefore, the personal health care services that can record and manage and own is necessary based on KM. In this paper, we propose Korean Medicine Personal Health Record Platform(KM PHR Platform). We have selected the significant symptoms that mean to the personal records from symptom information required for diagnosis in KM. And classifying and scoring as the symptoms were used as personal health care indicators. And significant symptoms were easily configure a screen that can be recorded. simple operation is recorded as a symptom. It was designed to reflect these functions. So KM PHR Platform helps to Personal health care. Doctor may be able to help in the diagnosis and prognosis observation by reference to shared symptom. We look forward to a variety of health services based on KM using a symptom, a medical record, personal health device information.

• 한국컴퓨터정보학회논문지
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• 제23권4호
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• pp.115-120
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• 2018

A Clinical Pathway(CP) is standard process to way of treat diseases or injuries which is adapted to each hospital based on National Clinical Practice Guideline(CPG). Since CP is standard guideline for doctors and nurses working in a hospital, making and modifying CP is one of the most important administrational work for hospital and also rare work because once it is fixed, it's not changed whether there are new kind of disease discovered or new treatment is developed. However, in present, patient's waiting time during hospital residence process, is discussed as service competitive for patients. In this research, we utilize process mining tool to verify patients treatment process follows CP with EMR(Electronic Medical Record) in a sample hospital, and suggest modifcation point of CP through verification.

• 한국컴퓨터정보학회논문지
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• 제27권12호
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• pp.69-76
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• 2022

본 논문에서는 MIMIC-IV(Medical Information Mart for Intensive Care) v2.0 데이터를 이용한 시계열 데이터의 정제 및 가공 방법을 제안한다. 더불어 해당 가공법을 기반으로 정제한 데이터셋을 활용하여 구축한 기계학습 기반의 욕창 조기 경보 시스템을 통해 해당 가공 방법의 유의성을 검증하였다. 구현된 욕창 조기 경보 시스템은 병변이 발생하기 전 12, 24시간에 미리 의료진에게 경보를 주는 시스템이다. 전자의무기록(Electronic Medical Record; EMR) 시스템과 연동하여 실시간으로 환자의 욕창 발생 위험도를 의료진에게 알려 중환자 의사결정을 지원하고, 나아가 효율적인 의료 자원 배분을 가능하게 한다. 여러 기계학습 모델 중 GRU 모델을 사용하였을 때, AUROC 평가지표를 기준으로 발생 전 12시간이 0.831, 24시간이 0.822로 가장 좋은 성능을 보였다.

• 디지털융복합연구
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• 제13권5호
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• pp.111-118
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• 2015

컴퓨터에 전자적 형태로 저장된 의무기록인 EMR의 표준화에 대한 논의가 활발하다. 이는 EMR 표준화를 통해 의료 서비스의 향상을 기대할 수 있을 뿐만 아니라, 의료와 IT의 융합영역인 의료 빅데이터의 가치가 점차 높아지고 있기 때문이다. EMR 표준화와 관련한 주요 이슈 중 하나는 EMR 표준화의 필요성과 효과성을 이해관계자들에게 설득시키는 일이다. 연구자는 EMR 표준화에 대한 의사들의 인식을 기술 관점과 경제적 관점에서 살펴보고자 설문조사를 실시한 후 이에 대해 통계분석을 실시하였다. 실증분석 결과, EMR 시스템의 기능 품질과 경제적 가치는 EMR 표준화에 대한 유용성 인식과 수용 의도에 정(+)의 영향을 미치는 반면, 상호운용성은 유용성 인식에만 영향을 미치는 것으로 나타났다. 또한, 경제적 가치가 EMR 표준화 필요성에 대한 공감대 형성에 가장 중요한 변수로 확인되었다.

• International Journal of Contents
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• 제13권2호
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• pp.35-43
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• 2017

This study sought to measure the influence of HIMs' work environment changes on job stress, and to explore measures for improving job satisfaction among them. A total of 275 hospital HIMs' were surveyed using a structured questionnaire. Significant job stress impact variables were sorted out using a simple linear regression analysis. Then, through multiple linear regression analysis, multicollinearity was tested. Significant impact factors were identified from among the control variables, and job stress impact was measured. The survey revealed that in public hospitals where the EMR system has been implemented for a longer period, depression scores in HIMs' were increased. HIMs' job stress level was found to be affected by the following factors: computerization of their working environment, experience of depression, unemployment, and manpower reduction, as well as, their lifestyles, including leisure activities. The results of this study suggest that HIMs' job stress can be reduced through work environment improvement and improvement of their personal lifestyle habits.

• Journal of Multimedia Information System
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• 제6권4호
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• pp.303-308
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• 2019

The personal health record platform can store and manage medical records, health-monitoring data such as blood pressure and blood sugar, and life logs generated from various wearable devices. It provides services such as international standard-based medical document management, data pattern analysis and an intelligent inference engine, and disease prediction and domain contents. This study aims to construct a foundation for the transmission of international standard-based medical documents by mapping the diagnosis items of a general health examination, special health examination, life logs, health data, and life habits with the international standard terminology systems. The results of mapping with international standard terminology systems show a high mapping rate of 95.6%, with 78.8% for LOINC, 10.3% for SNOMED, and 6.5% when mapped with both LOINC and SNOMED.