• Title/Summary/Keyword: Clinical Information

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Clinical Practice Ability and Satisfaction of Clinical Training of Health-Medical Information Management Major Students (보건의료정보관리 전공 학생의 임상실습 수행능력과 실습 만족도)

  • Song, Ae-Rang
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.203-217
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    • 2018
  • Objectives : This study aimed to investigate the clinical practice ability and satisfaction of clinical training of health-medical information management major students. Methods : The data were collected from 68 persons from students finished clinical training at medical record (information) team using self administered questionnaires. The data were analyzed using t-test, ANOVA and correlation with SPSS 22.0 version. Results: Performance of data collection, data management, and data analysis were analyzed in three areas of the job area. In terms of academic characteristics and correlation, they were not related to the level of satisfaction with the practical experience. Conclusions : Research on a virtuous cycle clinical practice program that analyzes the factors by assessing the satisfaction level of clinical practice in each area of health care information management will be conducted continuously.

Information Extraction and Sentence Classification applied to Clinical Trial MEDLINE Abstracts

  • Hara, Kazuo;Matsumoto, Yuji
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2005.09a
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    • pp.85-90
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    • 2005
  • In this paper, firstly we report experimental results on applying information extraction (IE) methodology to the task of summarizing clinical trial design information in focus on ‘Compared Treatment’, ‘Endpoint’ and ‘Patient Population’ from clinical trial MEDLINE abstracts. From these results, we have come to see this problem as one that can be decomposed into a sentence classification subtask and an IE subtask. By classifying sentences from clinical trial abstracts and only performing IE on sentences that are most likely to contain relevant information, we hypothesize that the accuracy of information extracted from the abstracts can be increased. As preparation for testing this theory in the next stage, we conducted an experiment applying state-of-the-art sentence classification techniques to the clinical trial abstracts and evaluated its potential in the original task of the summarization of clinical trial design information.

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A Design of Clinical Information Exchange Framework for Performance Improvement based on Lazy Response Model (지연 응답 모델에 기반한 성능 개선 진료정보 교류 프레임워크의 설계)

  • Lee, Se-Hoon;Shim, Woo-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.9
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    • pp.157-164
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    • 2012
  • Recently medical service environment, the clinical information exchange which contribute to medical safety, promotion of service quality and patient's convenience, efficiency of medical procedures and medical management is essential medical service model. But, practical exchange of clinical information which variation of information level, absence of standardization system, build of heterogeneous information systems is difficult in each medical institute. In this paper, We analyzed the related technical standardizations and the models of clinical information exchange. So, we designed the clinical information exchange system based on the ideal lazy response model which is aimed at vitalizations the exchange of clinical information under domestic law environment. In case of exchange the clinical information, we separate CDA document flow from metadata flow. As a experimental result we acquired 24% improved performance compared with existed system based on the lazy response model.

Development of Detailed Clinical Models of Nursing Information for Initial Assessment (초기사정을 위한 간호정보조사지의 임상내용 모델 개발)

  • Kim, Younglan;Park, Hyeoun-Ae;Min, Yul Ha;Lee, Myung Kyung;Lee, Young Ji
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.101-112
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    • 2011
  • Purpose: The purpose of this study is to develop a detailed clinical model for recording initial nursing assessment items, and to test the applicability of the model to facilitate semantic interoperability for sharing and exchanging nursing information. Methods: First, the researchers extracted items by analyzing initial nursing assessment records. Second, defining characteristics were identified by analyzing nursing records and reviewing the literature. Third, value sets for defining characteristics were identified and types and cardinalities of defining characteristics were defined based on the value sets. Finally, the detailed clinical model was tested through evaluation by experts and comparison with the initial nursing assessment in a clinical setting. Results: Sixty-one detailed clinical models were developed with 178 defining characteristics and value sets. The experts evaluation and comparison with the initial nursing assessment in a clinical setting showed that the detailed clinical model developed in this study was valid. Conclusion: Use of this detailed clinical model can ensure that the Electronic Health Record contains meaningful and valid information and supports semantic interoperability of nursing information. This use will promote quality in the nursing records and eventually quality of nursing care.

Clinical Index Program for Analyzing Clinical Information of Sasang Constitutional Medicine (체질 임상 정보를 분석하기 위한 임상 지수 프로그램 개발)

  • Jin, Hee-Jeong;Kim, Myoung-Geun;Kim, Jong-Yeol;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.15 no.1
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    • pp.63-68
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    • 2009
  • In Sasang Constitution Medicine (SCM), it is most important that a personal SCM type is determined accurately ahead of applying any Sasang treatments. Although SCM doctors have districted personal SCM types in many hospitals and universities via their own discriminant, it still lacks objective criteria on diagnosis of SCM type. Therefore, many researchers have been studied to diagnose the SCM type using constitutional clinical data. Previous work, we have developed decision tree program to analyze the clinical information. In this paper, we developed a clinical index program based on the web to analyze the correlation among clinical information. Finally, we identified useful factors(4 clinical indexes) which have significant influence on SCM types using clinical index program with previously developed decision tree program.

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Design and Implementation of a Nursing Records for the Nursing Process for Use Within the Health Level 7 Clinical Document Architecture (HL7 임상문서구조의 기반 한 간호과정을 위한 간호기록지의 설계 및 구현)

  • Kim, Hwa-Sun;Tran, Tung;Kim, Hyung-Hoi;Lee, Eun-Joo;Cho, Hune
    • Journal of Korea Multimedia Society
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    • v.9 no.8
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    • pp.1054-1066
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    • 2006
  • This study proposes a new paradigm hospital information system through the nursing classification system and design of the HL7 clinical document architecture (Health Level Seven CDA) for information-sharing among various healthcare institutions. Nursing information CDA are included coding systems of nursing diagnosis, nursing intervention, nursing activity and outcomes. And, we have developed CDA generator for active generation of XML document. This study aims to facilitate the optimum care by providing health information required for individuals to nursing specialists in real-time, to help improvements in health, to improve the quality of productive life. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible healthcare information-sharing among various healthcare institutions.

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Design and Implementation of HL 7-based Real-time Data Communication for Mobile Clinical Information System

  • Choi Jinwook;Yoo Sooyoung;Chun Jonghoon
    • Journal of Biomedical Engineering Research
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    • v.26 no.2
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    • pp.65-71
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    • 2005
  • The main obstacles for adopting a mobile health information system to existing hospital information system are the redundancy of clinical data and the additional workload for implementing the new system. To obtain a seamless communication and to reduce the workload of implementation, an easy and simple implementation strategy is required. We propose a mobile clinical information system (MobileMed) which is specially designed for the easy implementation. The key elements of MobileMed are a smart interface, an HL7 message server, a central clinical database (CCDB), and a web server. The smart interface module transfers the key information to the HL7 message server as new clinical tests data is recorded in the existing laboratory information system. The HL7 message server generates the HL7 messages and sends them to the CCDS. As a central database the CCDS collects the HL7 messages and presents them to the various mobile devices such as PDA. Through this study we might conclude that the architecture for the mobile system will be efficient for real-time data communication, and the specially designed interface will be an easy tool for implementing the mobile clinical information system.

Construction of input system for effective collection of Constitution clinical information (체질임상정보의 효율적인 수집을 위한 입력시스템 구축)

  • Kim, Sang-Kyun;Kim, Chul;Jin, Hee-Jeong;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.14 no.1
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    • pp.97-105
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    • 2008
  • Although the judgment of constitutions is given according to the Sasang Typology in domestic korean medicine hospitals and universities, the unified constitution clinical information has not been accumulated. Therefore, in this paper, based on collection items where oriental doctors and experts have already agreed, we construct the input system which correctly and effectively collects the clinical information of persons of which constitutions are distinguished explicitly. In the future, the input system could be utilized to collect clinical information continuously and will help to search and analyze the constitution clinical information.

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Generation, Storing and Management System for Electronic Discharge Summaries Using HL7 Clinical Document Architecture (HL7 표준임상문서구조를 사용한 전자퇴원요약의 생성, 저장, 관리 시스템)

  • Kim, Hwa-Sun;Kim, Il-Kon;Cho, Hune
    • Journal of KIISE:Databases
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    • v.33 no.2
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    • pp.239-249
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    • 2006
  • Interoperability has been deemphasized from the hospital information system in general, because it is operated independently of other hospital information systems. This study proposes a future-oriented hospital information system through the design and actualization of the HL7 clinical document architecture. A clinical document is generated using the hospital information system by analysis and designing the clinical document architecture, after we defined the item regulations and the templates for the release form and radiation interpretation form. The schema is analyzed based on the HL7 reference information model, and HL7 interface engine ver.2.4 was used as the transmission protocol. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible medical information-sharing among various healthcare institutions.

Professional Autonomy and Clinical Decision Making Ability in Clinical Nurses (임상간호사의 전문직 자율성과 임상적 의사결정능력과의 관계)

  • Sung, Mi-Hae;Eum, Ok-Bong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.274-281
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    • 2010
  • Purpose: The purpose of this study was to identify the correlation between level of professional autonomy and clinical decision making abilities in clinical nurses, and to provide basic information for promoting competency nurses in making independent decisions. Method: Data were collected from July 1 to July 18, 2008, and participants were 202 clinical nurses in general hospitals. Collected data were analyzed using descriptive statistics: frequency and percentage and Pearson correlation coefficients with the SPSS WIN 14.0 program. Results: The professional autonomy index for the nurses was 159.63 points. The clinical decision making ability index was 119.79 points. The most highly ranked factor in clinical decision making was search for information and unbiased assimilation of new information. There was a statistically significant difference in professional autonomy according to age, clinical experience, and type of duty. Relation between level of professional autonomy and clinical decision making showed a positive correlation. Conclusion: As a results show a significant correlation between professional autonomy and clinical decision making in clinical nurses, improvement in professional autonomy of clinical nurses, would be promoted through continuous support and training.