Implementation of Medical Information Exchange System Based on EHR Standard

Han, Soon Hwa; Lee, Min Ho; Kim, Sang Guk; Jeong, Jun Yong; Lee, Bi Na; Choi, Mack Joong; Kim, Il Kon; Park, Woo Sung; Ha, Kyooseob; Cho, Eunyoung; Kim, Yoon; Bae, Jae Bong

doi:10.4258/hir.2010.16.4.281

Cited by 21 publications

(14 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…International standards, including Health Level 7 (HL7) V2.X messaging and HL7 Clinical Document Architecture (CDA), were used for interoperable HIE with heterogeneous EMR applications. The overall architecture and technical implementation method was described in [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

Seoul National University Bundang Hospital's Electronic System for Total Care

Yoo

Lee

et al. 2012

Healthc Inform Res

Self Cite

View full text Add to dashboard Cite

ObjectivesSeoul National University Bundang Hospital, which is the first Stage 7 hospital outside of North America, has adopted and utilized an innovative and emerging information technology system to improve the efficiency and quality of patient care. The objective of this paper is to briefly introduce the major components of the SNUBH information system and to describe our progress toward a next-generation hospital information system (HIS).MethodsSNUBH opened in 2003 as a fully digital hospital by successfully launching a new HIS named BESTCare, "Bundang hospital Electronic System for Total Care". Subsequently, the system has been continuously improved with new applications, including close-loop medication administration (CLMA), clinical data warehouse (CDW), health information exchange (HIE), and disaster recovery (DR), which have resulted in the achievement of Stage 7 status.ResultsThe BESTCare system is an integrated system for a university hospital setting. BESTCare is mainly composed of three application domains: the core applications, an information infrastructure, and channel domains. The most critical and unique applications of the system, such as the electronic medical record (EMR), computerized physician order entry (CPOE), clinical decision support system (CDSS), CLMA, CDW, HIE, and DR applications, are described in detail.ConclusionsBeyond our achievement of Stage 7 hospital status, we are currently developing a next-generation HIS with new goals of implementing infrastructure that is flexible and innovative, implementing a patient-centered system, and strengthening the IT capability to maximize the hospital value.

show abstract

Section: Resultsmentioning

confidence: 99%

Seoul National University Bundang Hospital's Electronic System for Total Care

Yoo

Lee

et al. 2012

Healthc Inform Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…국내에서도 의료정보의 전산화를 위해 HIS를 도입하는 병원과 그와 관련한 연구가 증가하고 있고 [3][4][5], 의료정보의 정확한 표현 및 교환을 위해 SNOMED-CT [6,7], ICD [8] [12], 간호결과분류체계 (NOC 2) ) [13], 간호중재분류체계 (NI C 3) ) [14] "human body at risk for injury"라는 개념은 "risk for injury"에 포함되며, 그 의미를 한정하기 위해 SNOMED-CT의 CID가 "363698007"인 "finding site"를 속성으로 하여, CID가 "281189005"인 "entire human body"와의 관계를 형성한다. 또한 "신체손상위험성" 중 "수술과 관련된 신체손상위험성"을 뜻하는 "human body at risk for injury associated with surgical procedure"라는 개념은 "human body at risk for injury"에 포함되며, CID가 "47429007"인 "associated with"를 속성으로 하여 CID가 "387713003"인 "surgical procedure"와의 관계를 형성함으로써 그 의미를 한정한 다.…”

Section: 서 론 의료정보의 전산화 요구에 따라 세계적으로 많은 병 원들이 전자의무기록(Electronic Medicaunclassified

Design of Knowledge Model of Nursing Diagnosis based on Ontology

Lee¹,

Kim²,

Lee³

2012

Journal of Korean Institute of Intelligent Systems

View full text Add to dashboard Cite

Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.

show abstract

“…The term "Healthcare Information System Certification" refers to a system for follow-up management products, services, and compliance with standard specifications for healthcare information systems (e.g., order communication system, electronic medical record system, picture archiving and communication system) [ 1 , 2 ]. A certification system is designed to build the foundation to maintain a health information system that is efficient, ensures interoperability, and secures the reliability of products [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Comparing the Certification Criteria for CCHIT-Certified Ambulatory EHR with the SNUBH's EHR Functionalities

et al. 2012

View full text Add to dashboard Cite

ObjectivesThis study aims to investigate the suitability of electronic health record (EHR) systems in Korea for global certification and to propose functions for future global systems by comparing and analyzing the certification criteria for Certification Commission for Health Information Technology (CCHIT) Certified Ambulatory EHR with BESTCare, which is the EHR system at Seoul National University Bundang hospital.MethodsDomain expert groups were formed to analyze the inclusion of BESTCare functions and the types of differences for each of the CCHIT Certified 2011 Ambulatory EHR Certification Criteria. The types of differences were divided into differences in functions (F), differences in business processes (B), and differences in government policies (P).ResultsGenerally, the criteria that showed differences in functions pertained to the connection between the diagnosis/problem list and order, the alert and warning functions for medication-diagnosis interactions, and the reminder/instruction/notification messages related to the patient's immunization status; these absent functions were enhanced clinical decision support system (CDSS) functions related to patient safety and healthcare quality. Differences in government policies were found in the pharmacy's electronic prescription functions, while differences in business processes were found in the functions constrained by the local workflow or internal policy, which require some customization.ConclusionsFunctions that differed between the CCHIT certification criteria and the BESTCare system in this study should be considered when developing a global EHR system. Such a system will need to be easily customizable to adapt to various government policies and local business processes. These functions should be considered when developing a global EHR system certified by CCHIT in the future.

show abstract

Implementation of Medical Information Exchange System Based on EHR Standard

Cited by 21 publications

References 4 publications

Seoul National University Bundang Hospital's Electronic System for Total Care

Seoul National University Bundang Hospital's Electronic System for Total Care

Design of Knowledge Model of Nursing Diagnosis based on Ontology

Comparing the Certification Criteria for CCHIT-Certified Ambulatory EHR with the SNUBH's EHR Functionalities

Contact Info

Product

Resources

About