• Title/Summary/Keyword: electronic record standard

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The Study of Structure and Application of EAD (EAD의 구조와 적용에 관한 연구)

  • Kang, So-Youn
    • The Korean Journal of Archival Studies
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    • no.8
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    • pp.181-211
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    • 2003
  • The purpose of this study is to reveal the context within which EAD was developed, to review the elements and the structure of EAD 1.0 version and to introduce EAD as new standard for encoded archival finding aids in Korea. Encoded Archival Description(EAD) has been developed in 1993 in order to facilitate exchange of ISAD(G) descriptive information. EAD is currently administered and maintained jointly by the Society of American Archivists and the United States Library of Congress. While development was initiated in the United Stares, international interest and contribution are increasing. EAD is a encoding standard designed specifically for marking up information contained in archival finding aids. From its inception, EAD was based on SGML, and, with the release of EAD version 1.0 in 1998, it is also compliant with XML in order to facilitate easier internet access to SGML-encoded finding aids. EAD is the first tool to preserve the multilevel and hierarchical description manifest in finding aids by providing structures in which to describe entire record collections and increasingly smaller subcomponents thereof such as series, subseries, folders, and even items. Archival institutions can form a EAD consortium and also create a union database of EAD finding aids for the geographically dispersed collections. The EAD DTD provides a flexible way for archives to convert finding aids that exist in paper form into electronic documents or to create new finding aids in electronic form.

The Scalability and the Strategy for EMR Database Encryption Techniques

  • Shin, David;Sahama, Tony;Kim, Steve Jung-Tae;Kim, Ji-Hong
    • Journal of information and communication convergence engineering
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    • v.9 no.5
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    • pp.577-582
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    • 2011
  • EMR(Electronic Medical Record) is an emerging technology that is highly-blended between non-IT and IT area. One of methodology to link non-IT and IT area is to construct databases. Nowadays, it supports before and after-treatment for patients and should satisfy all stakeholders such as practitioners, nurses, researchers, administrators and financial department and so on. In accordance with the database maintenance, DAS (Data as Service) model is one solution for outsourcing. However, there are some scalability and strategy issues when we need to plan to use DAS model properly. We constructed three kinds of databases such as plain-text, MS built-in encryption which is in-house model and custom AES (Advanced Encryption Standard) - DAS model scaling from 5K to 2560K records. To perform custom AES-DAS better, we also devised Bucket Index using Bloom Filter. The simulation showed the response times arithmetically increased in the beginning but after a certain threshold, exponentially increased in the end. In conclusion, if the database model is close to in-house model, then vendor technology is a good way to perform and get query response times in a consistent manner. If the model is DAS model, it is easy to outsource the database, however, some technique like Bucket Index enhances its utilization. To get faster query response times, designing database such as consideration of the field type is also important. This study suggests cloud computing would be a next DAS model to satisfy the scalability and the security issues.

A Study on the Health Information Management Practice Program Model for EMR Certification System Education -Focus on Patient Information Management- (EMR 인증제 교육을 위한 보건의료정보관리 실습 프로그램 모델 연구 -환자정보관리 중심-)

  • Choi, Joon-Young
    • 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.

A Study of Performance Characteristics for Electronic Personal Dosimeters in Photon and Electron Radiation Field (광자 및 베타 방사선에 대한 전자개인선량계의 성능특성연구)

  • Kim, Hyun-Ki;Kim, Bong-Hwan;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.22 no.2
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    • pp.85-95
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    • 1997
  • TLD and film badges have been traditionally used as formal dosimeters in personal monitoring and are still most widely used. Recently, electronic personal dosimeters based upon Si diode or miniature G-M tube were developed and are getting attractions due to their merits of active nature ; indication of dose rates and the commutative dose, and facilitation of record keeping and radiological control. Response characteristics of the electronic dosimeters including reproducibility, accuracy, linearity, energy and angular dependencies, detection threshold, and response time were examined for three commercial types ; EPD2, STEPHEN6000, and PD-3i. The results were compared with the relevant requirements of IEC standards and Ontario Hydro standards to conclude that their general performances were good. Some specific deficiencies, e.g. incapability of shallow dose measurement of STEPHEN6000, and PD-3i, however, should be corrected to be used as a formal dosimeter.

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Standard Terminology System Referenced by 3D Human Body Model

  • Choi, Byung-Kwan;Lim, Ji-Hye
    • Journal of information and communication convergence engineering
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    • v.17 no.2
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    • pp.91-96
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    • 2019
  • In this study, a system to increase the expressiveness of existing standard terminology using three-dimensional (3D) data is designed. We analyze the existing medical terminology system by searching the reference literature and perform an expert group focus survey. A human body image is generated using a 3D modeling tool. Then, the anatomical position of the human body is mapped to the 3D coordinates' identification (ID) and metadata. We define the term to represent the 3D human body position in a total of 12 categories, including semantic terminology entity and semantic disorder. The Blender and 3ds Max programs are used to create the 3D model from medical imaging data. The generated 3D human body model is expressed by the ID of the coordinate type (x, y, and z axes) based on the anatomical position and mapped to the semantic entity including the meaning. We propose a system of standard terminology enabling integration and utilization of the 3D human body model, coordinates (ID), and metadata. In the future, through cooperation with the Electronic Health Record system, we will contribute to clinical research to generate higher-quality big data.

Evaluation of Accession Function of the Standard Records Management System (표준 기록관리시스템의 인수 기능 평가 연계인수를 중심으로)

  • Park, Jong-yeon
    • The Korean Journal of Archival Studies
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    • no.37
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    • pp.239-271
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    • 2013
  • Records Management System(RMS) is a system for managing electronic records in records centers. However, RMS cannot content itself with the purpose of introduction and user demands. This is caused by lack of understanding the user's RMS and a review of the lack of detailed features. Therefore, the aim of this study reviews and evaluates a detailed accession function of RMS. Firstly, the study reviewed a detailed function of accession in RMS. Analysing the business processes that each function carried out, it defined functional requirements and investigated functional compliance as the check list which produced by the functional requirements definition. Finally, it surveyed and interviewed public records managers and analyzed the present situation of functional implementation of records accession function. Afterwards, improvement plans and implications were proposed through comparison of global-standard.

A Study on the Issue and Resolving the Institutional Evaluation System : Targets of the 2017 Education Department Indicator (기관평가 제도의 문제점과 해결을 위한 고찰 2017년도 교육(지원)청 지표를 대상으로)

  • Kwon, Do-gyun
    • The Korean Journal of Archival Studies
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    • no.49
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    • pp.51-75
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    • 2016
  • A records management agency assessment must reflect the possibility of actual situations including conditions and implementation. Institutional evaluation systems and indicators tools to improve records management. However, the reality is difficult if they are not conducted through the resources and efforts of the organization. The 2017 evaluation system of the National Archives of Korea and the index, which was published in March 2016, are expected to be highly difficult to perform as the frontline field tasks of the institution for a year. It is composed of indices with questionable effectiveness that are difficult to implement on the field. Some of these include the following: three training sessions for more than 10% of all employees, submission of document archive pictures of all schools, submission of the index items of all documents, increasing the utilization level of the standard record management system for the electronic documents that have not been transferred for several years, the transfer of non-electronic documents of all institutions, reclassification of non-disclosed records, etc. It recognizes the fundamental problems of the records management system and the 2017 evaluation indicators that the National Archives has mentioned about operations. As such, now is the time to reflect the years of experience in the field to amass knowledge that will help improve records management.

Database for Hospice Nursing in Electronic Medical Record (호스피스 전자기록을 위한 데이터베이스 개발)

  • Kim, Young-Soon;Lee, Chang-Geol;Lee, Kyoung-Ok;Kim, Ok-Kyum;Kim, In-Hye;Kim, Mi-Jeong;Hwang, Ae-Ran;Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.7 no.2
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    • pp.200-213
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    • 2004
  • Purpose: The purpose of this study was to create an electronic nursing record form to build a hospice nursing process database to be used in the u-hospital EMR system. Specific aims of the study were: 1. To generate a complete, accurate, and simple electronic nursing record form. 2. To verify its appropriateness following documentation with the standardized hospice protocol. 3. To verify its validity and finalize the hospice nursing process database through discussion among hospice professionals. Methods: Nursing records from three independent hospice organizations were collected and analyzed by five expert hospice nurses with more than 10 years of experience, and a nursing record database was developed. This database was applied to 81 hospice patients at three hospice organizations to verify its completeness. Results: 1. An electronic nursing record form with completeness, accuracy, and simplicity was developed. 2. The completeness of the standardized home hospice service protocol was 95.86 percent. 3. The hospice nursing process database contains 18 items on health problems, 79 items on related causes and major symptoms, and 229 items on nursing interventions. Conclusion: The new nursing record form and database will reduce documentation time and articulate and streamline the working process among team members. They can also improve the quality of hospice services, and ultimately enable us to estimate hospice service costs.

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Development of customized patient data analysis process for quality of care improvement : focused on foreign patients (진료 품질 향상을 위한 환자 데이터 맞춤형 분석 프로세스 개발: 외국인 환자를 중심으로)

  • Roh, Eul Hee;Kim, Yoo Jung;Park, Sang Chan
    • Journal of Korean Society for Quality Management
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    • v.46 no.3
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    • pp.539-550
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    • 2018
  • Purpose: The purpose of this study was to find meaningful patient groups of disease using foreign patients data and analyze implemented test of the patient groups. Methods: The data was collected by foreign patients' EMR data of K university hospital. The author proposed tree-form patients' characteristic diagram through statistical methods that association rule, proportion test, clustering using prescription information and questionnaire information. Results: This study's analysis process was applied high blood data and diabetes data. Analysis showed other characteristic of meaningful patient groups in high blood and diabetes. In high blood, test implementation rate of patient group showed the differences. And in diabetes, test implementation rate of patient group and implemented test list showed differences. Conclusion: The result of this study can play a role as basic data that can be clinical testing standard in preventive aspect. Eventually, 5 dimensions of SERVQUAL will be improved by this study's process.

A Clinical Data Repository as an Autonomous Agent (자동 에이전트 기법을 활용한 임상문서저장시스템)

  • Kim, Hwa-Sun;Houshiaryan, Kambiz;Cho, Hune
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.54 no.12
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    • pp.732-736
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    • 2005
  • ln general, hospital information system should provide interoperability hat usually and operate independence of other HIS. This study proposes a new HIS paradigm that can be implemented within standard HL7 Interface engine and clinical data repository (CDR). We have developed an alternative architecture relying on agent solutions with distributed queries to heterogeneous databases. This architecture creates a very fine and flexible repository that can handle queries with the bases of standard HL7 messaging structure. Deploying Agent solutions to manipulate autonomy of storage management and sociality for communication with open world is another issue that keeps this system from reinventing existing wheels in medical informatics. This study the first attempt to construct CDR based private clinic. We used the information stored in the clinical patient record system of the internal medicine private hospital which is used rational database. We were searched increasing the 1,000 data entry from 1,000 to 10,000. By the result, experimental CDR showed highly efficient performance more than 6,000. In the future, the CDR can be further extended for clinical information among private hospitals estranged from EHR (Electronic Health Records).