• Proceedings of the Korea Information Processing Society Conference
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• 2007.11a
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• pp.489-492
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• 2007

전자의무기록(EMR)[1]을 도입한 이후 현재 의료장비의 EMR 연동상황이 극히 미비한 상태로 대두되고 있다. 종합병원 의료장비의 약 30%정도는 검사 결과물이 출력이 안되고 보여지기만 하는 구조로 되어 있어 직접 수기로 EMR 에 연동할 수 있는 소프트웨어에 입력하여 EMR 에 연동하고 있으며, 약 60%는 의료장비에서 프린터 혹은 시리얼통신으로 데이터를 출력할 수 있는 구조로 되어있다. 하지만 의료장비의 노후화 및 검사결과물의 인터페이스 특성이 다양하기 때문에 쉽게 연동하지 못하고 있으며, 대부분 종이 출력 결과물을 스캔을 통해 이미지를 저장하거나 받아서 EMR 에 연동하고 있다. 그 외 나머지 10%는 의료장비 자체의 저장장치 또는 네트워크를 통해 검사결과 데이터를 EMR 에 전송하는 구조로[2] 되어있다. 본 논문에서는 의료장비의 프린터를 통한 결과물을 EMR 에 연동하기 위한 인터페이스 솔루션을 구현하고, 검사결과의 출력 데이터를 이미지 복원 및 관리하는 방법을 통해 많은 수의 의료장비의 출력 데이터를 EMR 연동을 하여 인력 및 기타 사무용품의 소모를 줄이며, 검사결과를 실시간 진단할 수 있는 방법을 제시한다.

• Korea Journal of Hospital Management
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• v.8 no.3
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• pp.72-91
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• 2003

The purpose of this study is to investigate the recognition of health information managers, and to analyze the level of job satisfaction and organizational commitment of medical record technicians. The data for this study were collected through a self-administered survey with a structured questionnaire to 172 subjects from medical record technicians working in hospitals in Seoul and Gyeonggi Province as well as the faculty of medical schools across South Korea. In this analysis frequency, t-test, ANOVA, factor analysis and structural equation model were used. The main findings of this study are as follows: 1. As for recognition of the seven dimensions in the role of health information managers, the role as clinical data specialist received the most positive feedback, followed by document & repository managers, patient information coordinators, health information managers, data quality managers, security officers and research & decision support analyst. 2. The level of job satisfaction among medical information handlers and managers averaged 3.14. In terms of the factors in the work environment concerned with job satisfaction, being able to work independently and as team players reached the top among 6 factors with the average of 3.39, followed by professional position, salary & rewards, expectations for job performance and administration. 3. The average rate of organizational commitment stood at 3.09. Respondents tend to be focused on present tasks rather than future-oriented tasks. 4. The result of the analysis based on the relationship between recognition as health information managers, job satisfaction and organizational commitment found that all analysis are statistically meaningful. The more the respondents were aware of their roles as health information managers, the more they tended to be committed to their work and satisfied with their work. The more the respondents were committed to their work, the more satisfaction was seen. The effects of recognition as health information managers on organizational commitment measured 0.27 and for job satisfaction it was 0.17. The effects of organizational commitment on job satisfaction stood at 0.71. The feasibility of the model meets the standard at Chi-square value of 66.755 and the P value of 0.057. The Normed Fit Index (NFI) of 0.930 was in compliance with the standard for model feasibility and the squared multiple correlation coefficient of this model was 8% in organizational commitment and 60% in job satisfaction.

• Tuberculosis and Respiratory Diseases
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• v.59 no.5
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• pp.480-486
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• 2005

Since the year 2000, lung cancer has become the leading cause of cancer death in South Korea as in many other parts of the world. The current multidisciplinary approach for lung cancer includes a wide range of modalities, not only surgery, radiotherapy, medical drug therapy but also pain control, as well as social and psychological support. Therefore, thoracic surgeons, radiologists, nuclear medicine specialists, anesthetists, psychologist, nurses and social workers as well as medical doctors care for lung cancer patients. Sharing a common treatment protocol and optimal communication are vital aspects of shared care both from a medical and cost-effectiveness point of view. We developed a shared electronic medical record (SEMR) for treating patients with lung cancer in a university hospital to facilitate the sharing protocols and communications between doctors involved in a lung cancer clinic. A SEMR system was developed within a order communication system(OCS) for a lung cancer clinic. The records of radiological, laboratory and pathological studies as well as the records of surgery, chemotherapy, and radiotherapy were stored and presented to all doctors who treat the same patient. Every doctor was allowed to change his/her own records. They could review other doctor s records but could not alter them. With the SEMR, it was expected that the time to complete the medical records for one patient could be reduced because it was easy to review all the data from the other doctors who share the same patient. In addition, the confidence of the doctors who share a common treatment protocol would be higher. Therefore, a shared electronic medical record is expected to improve the quality of patient care.

• Convergence Security Journal
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• v.9 no.2
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• pp.49-58
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• 2009

In medical Institution, Electronic Health Record (EHR) is "must access information" to medical staff considering it as medical information. However, this unnecessary exploration of personal information must be treated confidentially because the information is highly related to other's private concerns. It is necessary that medical workers should be also restricted to their access to EHR depending on their roles and duties. As the result, this article explains that "EHR access control will be executed by differentiating authorized medical staff from non medical-related staff as well as EHR access will be only permitted to authorized medical staff depending on their work status conditions. By using Advanced RBAC model on medical situation, we expect to minimize unnecessary leak of EHR information; especially, emergency medical care is needed, access control is highly required depending on a person in charge of the cases or not, and restricted medical information defined by the patient one-self is only allowed to be accessed.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.30 no.6
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• pp.1103-1113
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• 2020

Hospitals store and manage personal and health information through the electronic medical record (EMR). However, vulnerabilities and threats are increasing with the provision of various services for information sharing in hospitals. Therefore, in this paper, we propose a model to prevent personal information leakage due to the transmission of patient information in EMR. A method for granting permission to securely receive and transmit patient information from hospitals where patient medical records are stored is proposed using OAuth authorization tokens. A protocol was proposed to enable secure information delivery by applying and delivering the record access restrictions desired by the patient to the OAuth Token. OAuth Delegation Token can be delivered by writing the authority, scope, and time of destruction to view patient information.This prevents the illegal collection of patient information and prevents the leakage of personal information that may occur during the delivery process.

• Journal of the Health Care and Life Science
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• v.9 no.1
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• pp.1-9
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• 2021

In this study, a model in which certification standards were added to the health information management practice program was studied and presented in order to understand the EMR certification standards implemented by the Korea Health and Medical Information Service. In the practice program, the certification standard function for patient information management was added to the health information management education system to practice and understand patient information management that corresponds to the functional standard of the EMR certification system. The EMR certification standard practice program for patient information management is composed of the following certification standards. registration number and personal information management, treatment reservation schedule management, personal information revision history management, identification of people with the same name, integrated management of multiple registration numbers, patient search by identification information, patient search by health care type, surgical procedure consent record and inquiry, record/inquiry of consent form for personal information use, display of life-sustaining medical decision information, registration/inquiry of external medical institution documents, registration and inquiry of external examination results. In this way, by operating and practicing the functions of the health information system according to the certification standards, it is possible to understand and practice the certification standards and details of patient information management in the functional area of the certification standards. In addition, since the function of the EMR certification standard can be checked, it will be possible to improve the management ability of the electronic medical record system of the health information manager in the medical institution.

• The Journal of the Korea Contents Association
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• v.5 no.6
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• pp.120-128
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• 2005

One of the most secure ways of maintaining the confidentiality and integrity of electronic information is to use electronic signatures. So, in this paper, we developed guideline on electronic signatures for EMR(electronic medical record) based on the Medical Law and the Electronic Signature Act. This guideline is intended to introduce EMR easily in the medical field and to facilitate the promotion of EMR. We developed it through consulting from the advisory committee that was made up of experts in the fields of medical record, EMR system and electronic signatures. The contents of the guideline consist of subject and time stamp of electronic signatures, validity of a certificate, management of electronic signatures and custody and management of EMR. In the future, we will develop practical cases and promote educations and publicities of them to use in the medical institutes and EMR system related industries.

• Journal of radiological science and technology
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• v.44 no.5
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• pp.513-523
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• 2021

The purpose of this study was to discuss the required items and feasibility of medical records of radiological examinations performed by radiological technologists at medical institutions. An online survey was conducted to a total of 10,000 radiation-related workers, of which 1,026 (10.3%) responded. As a research method, self-made questionnaires were used. The online survey was conducted from September 10 to September 20, 2021 for the survey period. For response data, a Chi-square test was performed according to demographic characteristics using SPSS 27.0 version (IBM Inc., Chicago, Ill, USA), and it was judged to be significant when the P value was less than 0.05. The reliability of the questionnaire response was found to be Chronbach α=0.933. More than 90% of the medical records related to radiological examinations are necessary, and they answered that a curriculum, remuneration curriculum, and legal system for medical records should be prepared. More than 90% of the respondents agreed with the proposal of the Radiological Technologist Independent Act for legal preparation, and most of the information required for medical records is currently recorded in DICOM images. According to the demographic characteristics, the medical record requirement for radiological examination, curriculum, continuing education, and legislation were found to be higher with higher education and higher with longer working experience. In addition, most of the radiology departments showed a high demand for medical records, so most of them responded positively to the medical records requirements for radiological examinations. This study analyzed the medical record requirements for radiological examinations, and as shown in the results, medical record requirements for radiological examinations was found that most radiological technologists felt need for the new law and supported it. In addition, if the information recorded in the DICOM image is used, it is considered that medical records could be easily prepared without additional work by the radiological technologists.

• Journal of Digital Convergence
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• v.14 no.12
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• pp.65-72
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• 2016

Personal Health Record(PHR) service can be helpful to patients with diseases requiring strict everyday care and medical treatment, such as diabetes or cancer. In this paper, we propose a PHR system specialized in collecting and analyzing health record data of cancer patients, and present the process of how the system can improve the efficiency of cancer treatment process. Through the smart device application, cancer PHR system obtains daily PHR data which is highly related and critical to cancer therapy. The analysis report is provided to the medical staff with an available format suited for Electronic Medical Record used at medical institution. With the final result of PHR analysis which is easily merged with medical chart, most efficient Chemotherapy treatment can be provided for the patients. Also it is possible for the patients to give the information of side-effect and other pain experience during therapy to their doctors without loss of information. The proposed PHR system has the effect of improving the quality of patient care by allowing the medical staff to acquire the main objective data necessary for drug prescription and medical care benefits.

• The Korean Journal of Emergency Medical Services
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• v.16 no.3
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• pp.29-43
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• 2012

Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.