• 전자통신동향분석
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• 제36권1호
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• pp.81-88
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• 2021

Post COVID-19, the medical legacy system will be transformed for utilizing medical resources efficiently, minimizing medical service imbalance, activating remote medical care, and strengthening private-public medical cooperation. This can be realized by achieving an entire medical paradigm shift and not simply via the application of advanced technologies such as AI. We propose a medical system configuration named "Medical AI Hub" that can realize the shift of the existing paradigm. The development stage of this configuration is categorized into "AI Cooperation Hospital," "AI Base Hospital," and "AI Hub Hospital." In the "AI Hub Hospital" stage, the medical intelligence in charge of individual patients cooperates and communicates autonomously with various medical intelligences, thereby achieving synchronous evolution. Thus, this medical intelligence supports doctors in optimally treating patients. The core technologies required during configuration development and their current R&D trends are described in this paper. The realization of the central configuration of medical AI through the development of these core technologies will induce a paradigm shift in the new medical system by innovating all medical fields with influences at the individual, society, industry, and public levels and by making the existing medical system more efficient and intelligent.

• 의료법학
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• 제20권2호
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• pp.141-171
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• 2019

간호사는 의료법 상 의료인으로서 의료기관에서 진료의 보조 등의 업무를 수행한다. 의료인인 간호사는 119 구조·구급에 관한 법률에 근거 구급대원으로서 병원 전 단계 응급의료체계에서 응급환자를 대상으로 응급의료를 제공한다. 병원 전 응급의료체계에서 업무를 수행하는 간호사의 업무범위는 의료법 상 포괄적으로 규정되어 있는 업무를 판례 등을 통해 구체화되어 왔다. 반대로 응급구조사의 업무범위는 응급의료법에 의해 구체적 행위를 열거하는 방식으로 규정되어 있다. 병원 전 단계 응급의료체계에서 응급의료종사자로서 업무를 수행하는 간호사의 업무범위는 대상 환자의 긴급성, 응급의료기관으로의 이송 중이라는 점, 통신 상의 의료지도라는 특수성을 고려하여 간호사의 업무범위를 의료기관 내에서와 달리 적용하여 해석되어야 한다. 따라서 상대적으로 병원 전단계에서 간호사가 응급구조사보다 넓은 업무범위가 인정되고 이것이 정책목표에도 부합된다.

• 반도체디스플레이기술학회지
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• 제13권1호
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• pp.113-116
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• 2014

This paper has been forged to suggest 'Medical Information Searching System'. This system sets itself to conduct searching of medical information stored in a wide variety of medical institutions. This system aims to suggest a flexible, compatible and effective standard on medical information searching through this. So, In this paper, we present a framework to help medical institutions search the requiring medical information in conjunction with analysis on 'medical information request'.

• 대한융합한의학회지
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• 제6권1호
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• pp.37-42
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• 2024

Objectives: This study aims to evaluate the clinical validity of the system by conducting a clinical study to assess the diagnostic agreement between the system and Korean medical doctors. Methods: This study was conducted from September 7, 2023, to December 7, 2023, across five Korean medicine institutions, involving 100 adult participants aged 20-64 who consented to participate. Participants first entered their symptoms into a web-based program, which utilized an AI-based algorithm to diagnose 36 types of pattern differentiation. Subsequently, Korean medical doctors conducted face-to-face diagnoses using the same 36 types. The diagnostic agreement between the system and the doctors' diagnoses was analyzed using descriptive statistical analysis, and the results were expressed as a percentage agreement. Results: Analysis of the diagnostic data from 100 participants revealed that the web-based diagnosis support system identified an average of 7.76±0.79 patterns per patient, while Korean medical doctors identified an average of 7.99±0.10 patterns per patient. The diagnostic agreement between the system and the doctors showed an average of 7.08±1.08 patterns per patient, with an overall diagnostic agreement rate of 88.57±13.31%. Conclusion: This study developed a web-based diagnosis support system for traditional Korean medicine and evaluated its clinical validity by assessing diagnostic agreement. Comparing the diagnoses of the system with those of Korean medical doctors for 100 patients, the system showed an approximately 89% agreement rate with the clinical diagnoses. The system holds potential for aiding Korean medical doctors in pattern differentiation diagnosis in clinical practice.

• International journal of advanced smart convergence
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• 제4권2호
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• pp.145-153
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• 2015

Development of IT technology, in combination with the medical area, a number of developments have been made of the digital advanced medical devices, also increased interest in health, sharing of medical information has become increasingly necessary. Standardization for medical information sharing to satisfy these requirements have been studied. However, the medical information system is to build a system independent hospital itself, is difficult to share and exchange medical data with other medical institutions. In this paper, we provide a medical cloud system that can share medical information. Use DBaaS of cloud services. And is an international standard to have a HL7 share information by forming a meta-schema, each of the data transfer, the format of the document oriented data solves the heterogeneity between hospitals. Extracts the required field name of examination information, to exchange information with each of the local information and mapping. Health diagnostic information in the present study and diagnosis through accurate information sharing and exchange is possible ongoing management.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2002년도 춘계종합학술대회
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• pp.366-372
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• 2002

Tele-medicine and emergency medical system are necessary for moving from an accidental point or far distance to a hospital and emergency treatment or home treatment before a hospital. Emergency treatment is extremely important in the case of death before arriving a hospital and deformed or disabled by medical treatment delay. A necessary element for this medical system is the emergency communication system. This system is on preparing for an ability of furnishing patient status to a corresponding health service by monitoring the patient at an ambulance of the accident place. This is the transportation of basic biological information of a patient to a medical center by wireless communication system and the corresponding hospital or medical center examine the patient by monitoring, then they can send emergency medical order to the patient for emergency treatment. The TRS is most efficient way of emergency medical communication system, which is currently used with popularity. In this paper studied simultaneously a way of detecting and transporting bio-logical signals, and monitoring of transporting data with communication of voice in the accident place or ambulance.

• 정보처리학회논문지D
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• 제9D권6호
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• pp.1127-1136
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• 2002

의료계에서는 보다 나은 의료 서비스를 환자들에게 제공하기 위하여 발달된 컴퓨터 기술을 이용한 병원 정보 시스템을 요구하고 있다. 이에 따라 의료 및 건강 정보를 공유하고 교환하기 위하여 전자 의무 기록 시스템이 출현하게 되었다. 이 논문에서는 우리가 XML을 이용하여 개발한 전자의무기록 시스템을 소개한다. 이 전자의무기록 시스템은 자료저장소, 문서 구조 관리기, 문서 작성기. XML 자동생성기 등의 주요한 4개의 모듈로 구성되어있다. 또한 우리가 개발한 전자의무기록 시스템의 가용성을 평가하기 위하여 정형외과의 외래환자 의무기록에 적용하여 보았다.

• 대한의용생체공학회:의공학회지
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• 제26권5호
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• pp.301-307
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• 2005

We introduce a new multimedia telemedicine system which is called Telemedicine for Real-time Emergency Multi-consultation(TREM), based on multiple connection between medical specialists. Due to the subdivision of medical specialties, the existing one-to-one telemedicine system needs be modified to a simultaneous multi-consulting system. To facilitate the consultation the designed system includes following modules: high-quality video, video conferenceing, bio-signal transmission, and file transmission. In order to enhance the operability of the system in different network environment, we made it possible for the user to choose appropriate data acquisition sources of multimedia data and video resolutions. We have tested this system set up in three different places: emergency room, radiologist's office, and surgeon's office. All three communicating systems were successful in making connections with the multi-consultation center to exchange data simultaneously in real-time.

• 한국전자통신학회논문지
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• 제10권12호
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• pp.1403-1410
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• 2015

본 연구에서는 병원정보시스템에서 분야별로 발생하는 의료 빅데이터 자료를 활용하여 가치있는 의료정보를 생성하고 활용할 수 있는 방안을 마련하고자 한다. 본 연구의 결과는 첫 번째, 의료정보시스템의 진료정보와 각종 검사장비 및 의료영상장비와 연동된 PACS의 발생자료를 통합하고 의료 빅데이터를 분석하여 새로운 의료정보를 생성한다. 이렇게 생성된 의료정보는 감염병 및 질병 예방과 질병의 치료를 위한 다양한 건강정보를 생성하게 된다. 두 번째, 환자의 접수내역과 수납내역 그리고 청구내역들을 통합하여 축적해온 의료 빅데이터를 분석하여 다양한 수익통계정보를 생성한다. 이렇게 생성된 수익통계정보는 의료기관의 운영과 수익분석에 활용하기 위한 다양한 경영정보를 생성하게 된다. 이와 같이 병원정보시스템에서 발생하는 의료정보와 공공기관의 의료정보 그리고 개인건강기록의 자료들이 통합이 되면 의료자료를 활용한 가치있는 보건의료정보를 창출하게 된다.

• 한국병원경영학회지
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• 제13권2호
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• pp.20-35
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• 2008

Though the attending system was first implemented in 2003 to facilitate the efficient utilization of medical resources and specialties, only a few hospitals and physicians are participated in that system. The purpose of this study was to investigate the actual facts which related to operation of attending system and propose a basic information to revitalized of the attending system in Korea. The data were collected between August 1 and October 30, 2005 from 25 hospitals and 42 attending physicians who were in part of the attending system. Medical institutions were unwilling to participate despite the advantages of the attending system with respect to the utilization of medical resources and improvement in the quality of medical services. The primary reason for this was the lack of understanding among physicians about the attending system and the difficulty(lack of time) encountered by the attending physicians in administering care to patients hospitalized in the attending hospitals. Moreover insufficient reimbursement for rendered medical services constituted another important reason. In conclusion, we can state that the establishment of a committee is required to discuss the issues surrounding the attending system and to control the growing disparity between the viewpoints of hospitals and physicians. Regardless, there is a need to develop economical incentives for medical institutes. The attending system served as a useful policy in promoting the medical service system and bringing about an improvement in the management of medical institutes.