• Title/Summary/Keyword: medical data warehouse

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Development and Lessons Learned of Clinical Data Warehouse based on Common Data Model for Drug Surveillance (약물부작용 감시를 위한 공통데이터모델 기반 임상데이터웨어하우스 구축)

  • Mi Jung Rho
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.1-14
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    • 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.

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Implementing Metadata-based Security Prototype System for Medical Data Warehouse (의료용 데이터 웨어하우스를 위한 메타데이터 기반의 보안 프로토타입 시스템 구현)

  • 김종호;김태훈;송해용;홍수희;박진두;민성우;이희석
    • Proceedings of the Korea Database Society Conference
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    • 1999.10a
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    • pp.113-118
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    • 1999
  • 본 연구는 통합병원정보시스템 (Integrated Hospital Information System) 에서 의료용 데이터 웨어하우스 (Medical Data Warehouse) 부분의 보안 프로토타입 시스템을 메타데이터 기반으로 설계하고 구현하는 데 주안점을 두었다. 특히, 의료용 데이터 웨어하우스 중에서도 임상 데이터 웨어하우스 (Clinical Data Warehouse) 에 초점을 두었으며 이에 대한 프로토타입은 ㅈ 병원에 적용되어서 개발되었다.

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Developing A Medical Intelligence System in Medical Data Warehouse (의료 데이터 웨어하우스에서의 Medical Intelligence 시스템 개발)

  • Kim, Tae-Hun;Kim, Jong-Ho
    • IE interfaces
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    • v.17 no.4
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    • pp.426-439
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    • 2004
  • This research discusses knowledge contents needed to build an OLAP system for medical sector, OLAP functionalities from past studies, and a medical intelligence system which is a kind of OLAP. The knowledge requirements which consist of nine contents and OLAP fundamental functionalities are applied to the system. Most past studies have focused on developing a medical data warehouse rather than OLAP. The medical intelligence system supplies health care providers (i.e., doctors, clinicians, researchers and nurses) and non-providers (i.e., managers and business analysts) with multidimensional OLAP functionalities. The system can be used to gain a deeper understanding of specific medical issues. In this research, we focus not on medical data warehouse, but on the technical challenges of designing and implementing an effective medical intelligence system for health care information. An architecture is applied to developing the medical intelligence system for a medical center in order to illustrate its practical usage. Six packages in the developed system are discussed in this research: Explorer, Analyzer, Reporter, Statistician, Visualizer, and Meta Administrator packages. Evaluation of the system and ongoing research directions conclude the research.

A Metadata-oriented Data Warehouse Architecture - S Hospital Case - (메타데이터 기반 데이터 웨어하우스 아키텍쳐 - ㅅ병원 사례를 중심으로 -)

  • Kim, Tae-Hun;Kim, Jong-Ho;Lee, Hee-Seok
    • Asia pacific journal of information systems
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    • v.10 no.3
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    • pp.79-103
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    • 2000
  • Data warehouse is an intelligent store of data. A metadata is critical for implementing data warehouse. Integrating data warehouse with its metadata helps create a more adaptive information system. This paper proposes a metadata-oriented data warehouse architecture that consists of seven components: legacy, extracting, operational data store, data warehouse, data mart, application, and metadata. A taxonomy for dataflow and metaflow is proposed for better understanding of the architecture. In addition, a metadata schema is built within the framework of the seven components. Lastly, the architecture with its metadata component is applied to a real-life data warehouse project for a large medical center in order to illustrate its practical usefulness.

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Design and Implementation of Medical Data Warehouse Architecture (의료용 데이터 웨어하우스 아키텍쳐의 설계 및 구현)

  • 김종호;김태훈;민성우;이희석
    • Proceedings of the Korea Database Society Conference
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    • 1999.06a
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    • pp.393-402
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    • 1999
  • 과거와 다르게 최근의 병원들은 정보화로 인해서 상당한 양의 의료 데이터가 저장되어 있어서 이의 효과적인 이용에 관심을 가지고 있다. 그러나 기존 통합병원정보시스템 (Integrated Hospital Information System)은 아직까지 일반관리와 원무관리 중심에서 벗어나지 못하고 있다. 품질 좋은 의료 서비스를 제공하기 위해서 환자 중심의 진료 및 진료지원, 임상연구 등을 종합적으로 지원하기 위한 데이터 웨어하우스 (Data Warehouse)의 필요성이 대두되기 시작했다. 이에 본 연구는 병원 전체 차원에서 데이터 웨어하우스의 아키텍쳐를 설계하고 개발하는 데 주안점을 두었다. 특히, 임상 데이터 웨어하우스 (Clinical Data Warehouse)에 초점을 두었으며 이에 대한 프로토타입은 J 병원에 적용되어서 개발되었다.

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Design and Implementation of Medical Data Warehouse Architecture (의료용 데이터 웨어하우스 아키텍쳐의 설계 및 구현)

  • 김종호;김태훈;민성우;이희석
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 1999.03a
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    • pp.393-402
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    • 1999
  • 과거와 다르게 최근의 병원들은 정보화로 인해서 상당한 양의 의료 데이터가 저장되어 있어서 이의 효과적인 이용에 관심을 가지고 있다. 그러나 기존 통합병원정보시스템(Integrated Hospital Information System)은 아직까지 일반관리와 원무관리 중에서 벗어나지 못하고 있다. 품질 좋은 의료 서비스를 제공하기 위해서 환자 중심의 진료 및 진료지원, 임상연구 등을 종합적으로 지원하기 위한 데이터 웨어하우스(Data Warehouse)의 필요성이 대두되기 시작했다. 이에 본 연구는 병원 전체 차원에서 데이터 웨어하우스의 아키텍쳐를 설계하고 개발하는 데 주안점을 두었다. 특히, 임상 데이터 웨어하우스(Clinical Data Warehouse)에 초점을 두었으며 이에 대한 프로토타입은 J 병원에 적용되어서 개발되었다.

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A study of Clinical DW for utilizing analysis of medical treatment information (진료정보 분석 활용을 위한 Clinical DW에 관한 연구)

  • Song, Min-Gu;Kim, Sun-Bae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.293-302
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    • 2013
  • So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

A Hypermedia Design Methodology for the Knowledge Capitalization on Data Warehousing System

  • Kim, Jongho;Woojong Suh;Lee, Heeseok
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.448-455
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    • 2001
  • Recently, many enterprises have attempted to capitalize knowledge assets on data warehouse (DW). It has been recognized as strategic core process to create corporate competitive advantage and implement enterprise e-biz strategies. However, most approaches to represent knowledge and decision process have limits in considering various knowledge types, their relationships and continuity in knowledge formulation. In addition, they are so inclined to one side such as concept-oriented frameworks or technology-oriented ones. They lack universal and wide-ranging features. This paper presents a comprehensive methodology to accumulate knowledge capital on DW via a properly grained hypermedia model. The methodology consists of three phases: knowledge requirement elicitation, hypermedia modeling, and system implementation. A real-life case for medical DW development is presented to demonstrate the usefulness of the proposed methodology. This methodology is effective when an organization accumulates knowledge assets to put the corporate e-biz or cre-biz strategy into practice.

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The Impact on the Musculoskeletal Symptoms of the Warehouse Employees's Work-related Characteristics and Job Stress (물류창고 종사원의 작업 관련 특성과 직무 스트레스가 근골격계 자각증상에 미치는 영향)

  • Lee, Jin-Hee;Jung, Hye-Sun;Lee, Hyun-Ju
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.3
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    • pp.133-141
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    • 2017
  • Purpose: The purpose of this study was to identify the relationship between work-related characteristics and job stressors and the factors influencing musculoskeletal symptoms of the warehouse employees. Methods: The research was a cross-sectional, descriptive study. Data were collected from 319 warehouse employees who agreed to participate in the study by using self-report questionnaires. Data were analyzed using descriptive statistics, $x^2-test$, and logistic regression analysis (SPSS 18.0). Results: The overall prevalence of musculoskeletal symptoms was 37.6%. The logistic regression analysis revealed a posture that renders fatigue or pain, repetitive work, and a higher total score of job stressors as the risk factors for musculoskeletal symptoms in many body parts. Conclusion: Employers should plan to educate employees who work in warehouses about the correct working posture to prevent musculoskeletal diseases, stop repetitive work, and manage job stressors.

Development of a Smart Oriental Medical System Using Security Functions

  • Hong, YouSik;Yoon, Eun-Jun;Heo, Nojeong;Kim, Eun-Ju;Bae, Youngchul
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.14 no.4
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    • pp.268-275
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    • 2014
  • In future, hospitals are expected to automatically issue remote transcriptions. Many general hospitals are planning to encrypt their medical database to secure personal information as mandated by law. The electronic medical record system, picture archiving communication system, and the clinical data warehouse, amongst others, are the preferred targets for which stronger security is planned. In the near future, medical systems can be assumed to be automated and connected to remote locations, such as rural areas, and islands. Connecting patients who are in remote locations to medical complexes that are usually based in larger cities requires not only automatic processing, but also a certain amount of security in terms of medical data that is of a sensitive and critical nature. Unauthorized access to patients' transcription data could result in the data being modified, with possible lethal results. Hence, personal and sensitive data on telemedicine and medical information systems should be encrypted to protect patients from these risks. Login passwords, personal identification information, and biological information should similarly be protected in a systematic way. This paper proposes the use of electronic acupuncture with a built-in multi-pad, which has the advantage of being able to establish a patient's physical condition, while simultaneously treating the patient with acupuncture. This system implements a sensing pad, amplifier, a small signal drive circuit, and a digital signal processing system, while the use of a built-in fuzzy technique and a control algorithm have been proposed for performing analyses.