• 전기학회논문지
• /
• 제57권3호
• /
• pp.501-506
• /
• 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.

• 반도체디스플레이기술학회지
• /
• 제13권2호
• /
• pp.63-66
• /
• 2014

Managing electronic medical record is very difficult, because the currently electronic medical system is not designed standard that is uniform and proper. In this paper, in order to overcome this situation, we propose meta-data for the management of the electronic medical record as a single system. To this end, we first analyzed the research on electronic medical records and related standards. Second, we, on the basis of the analysis result, abstracted electronic medical record and entities related on electronic medical, and we designed an entity-relationship model. And finally, we have to complete the meta-data through the setting attributes in this entity-relationship model. Through this study, it was possible that we can complete metadata highly expressive medical records, and suggest an alternative for problem of current medical records systems.

• 기록학연구
• /
• 제38호
• /
• pp.37-73
• /
• 2013

오늘날 공공기관의 기록물 생산 및 관리는 법제적 안정을 이루었고 인프라 고도화를 통해 상당한 수준에 도달했다. 이에 따라 철저한 전자적 행정기록의 생산 관리를 법률로 규정하고 있으며 보존기간, 업무기능에 따라 행정 및 역사적 가치가 매겨지고 일정한 절차에 의해 평가 폐기를 수행하도록 하고 있다. 각급 공공기관에 기록물관리 전문요원을 배치하도록 명시하고 있는 근본적인 이유 중 하나는 평가 폐기 시 심의과정 중재와 무단폐기 방지 등의 역할을 감당하고 전문성을 통해 올바른 평가가 가능하게 하려는 것이다. 평가 폐기가 기록관리 업무에서 중요한 의미를 가지는 만큼, 표준기록관리시스템은 업무를 기능적으로 적절히 구현하여 효율적이고 합리적으로 이를 지원해주어야 한다. 기록물 폐기 결정은 시스템의 기술적 논리적 프로세스를 거쳐 수행되므로 표준기록관리시스템의 평가 폐기 기능은 무엇보다 중요하다고 할 것이다. 이 연구는 공공기록물 관련 법제 및 전자기록 관련 표준을 분석하고 기록관리시스템 사용자설명서를 검토하여 표준기록관리시스템이 갖추어야 할 최소한의 기능요건을 도출한다. 또한 공공기관 기록물관리 전문요원 면담 결과를 바탕으로 표준기록관리시스템을 통해 이루어지는 평가 폐기 업무를 평가하고 시사점을 제시하며 향후 개선방향 및 후속연구에 대해 논의하고자 한다.

• Perspectives in Nursing Science
• /
• 제9권2호
• /
• pp.146-153
• /
• 2012

Purpose: The aims of this study were to analyze the frequency of standard nursing statements used in the Electronic Nursing Record (ENR) and to evaluate the degree of satisfaction by users of the ENR system. Methods: We retrospectively reviewed the ENR of 1914 patients who were admitted to our center between 1 May 2011 and 31 May 2011. Additionally, we collected questionnaires from 100 doctors and 300 nurses to evaluate the satisfaction of the users. Results: The frequency of use for the following standard nursing statements was investigated: standard nursing assessment statements (43.6%), standard nursing diagnosis statements (61.8%), standard nursing plan statements (46.7%), standard nursing intervention statements (56.9%), and standard nursing evaluation statements (41.7%). The mean satisfaction score was 3.03 out of 5 in the nurse's group, and 3.11 in the doctor's group. The nurses said the advantages of the ENR system were as follows: easy to access, informative, and standardized terms. However 75.7% of the nurse answered that they cannot express actual nursing situations exactly with the currently limited standard nursing statements. Conclusion: Development of various standard nursing statements is needed to meet the demands of the users. As a result, the use of the ENR system would become easier and more efficient for its users.

• 정보관리연구
• /
• 제36권1호
• /
• pp.125-154
• /
• 2005

인터넷의 발달로 개인정보의 수집 및 이용이 일상화됨에 따라 개인정보의 침해가 급속도로 확대 되고 있다. 의료분야에 대한 개인정보보호에 대해서는 '정보통신망이용촉진 및 정보보호 등에 관한 법률'등에 체계적으로 규정되어 있으나, 법적용 대상이 정보통신 서비스 제공자 위주로 규정되어 의료분야에 적용하는 데 한계가 있다. 때문에 본 논문에서는 국내 의료기관이 전자의무기록 시스템에 보안을 적용하기 위해 우선적으로 선행되어야 할 개인의료정보 보호방안에 대해 정의하고, 적용근거를 위한 법 제도의 검토사항을 제시하였다. 또한, 전자의무기록에 대한 전자서명의 구체적인 적용방안을 예시하여 의료분야에 있어서 보안적용을 위한 기준을 제시하였다.

• 한국비블리아학회지
• /
• 제28권2호
• /
• pp.35-56
• /
• 2017

정부산하공공기관은 경영 자주성, 업무 전문성을 고려하여 기록물을 자체적으로 보존 관리할 것을 원칙으로 하고 있다. 정부산하공공기관을 위한 범용 기록관리시스템이 없는 상황에서 "정부산하공공기관 등 기록관리시스템 기능요건(NAK/S 24:2014(v1.0))" 표준의 제정은 각 기관이 자체적으로 기록관리시스템을 구축할때 공통적으로 고려해야 될 기능요건과 시스템 방향성을 일치시킨다는 점에서 의의가 있다. 본 연구에서는 표준에서 제안하는 기능요건을 분석하고, 기록관리시스템 구축 사례를 중심으로 표준의 기능요건을 적용하기 위한 절차와 방안을 제시하였다.

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

• 정보관리학회지
• /
• 제22권2호
• /
• pp.147-164
• /
• 2005

2003년 개정된, 공공기관의기록물관리에관한법률 동 시행령에서는 전자문서의 생산의무와 보존의무를 지정하였으나 장기보존과 관련된 법조항이나 관련 표준은 그 내용이 아주 미미하여 보강이 필요하다. 이에 본 연구는 전자문서의 장기보존을 위한 표준요소를 제공하여 전자문서의 보존기반을 마련하는데 그 목적이 있다. 관리 전략수립을 위하여 생산시점의 장기보존요소 추출을 기본으로 하였으며 현용${\cdot}$준현용 단계 전자문서의 장기보존은 ISO 15489의 관리요소를 아카이브단계는 ISO 14721: OAIS(Open Archival Information System)참조모델을 분석하여 장기보존기능이 반영된 법률과 보다 개선된 시스템 환경을 제안하였다.

• 한국병원경영학회지
• /
• 제28권3호
• /
• pp.1-14
• /
• 2023

Purposes: It is very important to establish a clinical data warehouse based on a common data model to offset the different data characteristics of each medical institution and for drug surveillance. This study attempted to establish a clinical data warehouse for Dankook university hospital for drug surveillance, and to derive the main items necessary for development. Methodology/Approach: This study extracted the electronic medical record data of Dankook university hospital tracked for 9 years from 2013 (2013.01.01. to 2021.12.31) to build a clinical data warehouse. The extracted data was converted into the Observational Medical Outcomes Partnership Common Data Model (Version 5.4). Data term mapping was performed using the electronic medical record data of Dankook university hospital and the standard term mapping guide. To verify the clinical data warehouse, the use of angiotensin receptor blockers and the incidence of liver toxicity were analyzed, and the results were compared with the analysis of hospital raw data. Findings: This study used a total of 670,933 data from electronic medical records for the Dankook university clinical data warehouse. Excluding the number of overlapping cases among the total number of cases, the target data was mapped into standard terms. Diagnosis (100% of total cases), drug (92.1%), and measurement (94.5%) were standardized. For treatment and surgery, the insurance EDI (electronic data interchange) code was used as it is. Extraction, conversion and loading were completed. R language-based conversion and loading software for the process was developed, and clinical data warehouse construction was completed through data verification. Practical Implications: In this study, a clinical data warehouse for Dankook university hospitals based on a common data model supporting drug surveillance research was established and verified. The results of this study provide guidelines for institutions that want to build a clinical data warehouse in the future by deriving key points necessary for building a clinical data warehouse.

• Journal of information and communication convergence engineering
• /
• 제18권4호
• /
• pp.260-266
• /
• 2020

This study presents the categorical structure for ther epresentation of a 3D human body position system in the WD stage after NP approval by the International Organization for Standardization (ISO), analyzes the needs of electronic medical record users and establishes future implementation plans for expanding its use in Korea. Research was conducted on the needs of doctors, nurses, health and medical information managers, and radiology departments, which are the main stakeholders of electronic medical records. The overall requirements for electronic medical records were derived from the results, and the requirements for each stage of use of electronic medical records were analyzed. Based on the results of the study, the study proposes plans to expand the use of the categorical structure for the representation of the 3D human body position system, and also aims to establish a standard system for health and medical terminology in Korea and contribute to the development of health and medical information standards through international standardization.