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Implementation of Medical Information Exc... [Healthc Inform Res. 2010] - PubMed - NCBI.htm
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Implementation of Medical Information Exc... [Healthc Inform Res. 2010] - PubMed - NCBI.htm
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<div class="rprt_all"><div class="rprt abstract"><div class="cit"><a href="#" title="Healthcare informatics research." abstractLink="yes" alsec="jour" alterm="Healthc Inform Res.">Healthc Inform Res.</a> 2010 Dec;16(4):281-9. Epub 2010 Dec 31.</div><h1>Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard.</h1><div class="auths"><a href="/pubmed?term=%22Han%20SH%22%5BAuthor%5D">Han SH</a>, <a href="/pubmed?term=%22Lee%20MH%22%5BAuthor%5D">Lee MH</a>, <a href="/pubmed?term=%22Kim%20SG%22%5BAuthor%5D">Kim SG</a>, <a href="/pubmed?term=%22Jeong%20JY%22%5BAuthor%5D">Jeong JY</a>, <a href="/pubmed?term=%22Lee%20BN%22%5BAuthor%5D">Lee BN</a>, <a href="/pubmed?term=%22Choi%20MS%22%5BAuthor%5D">Choi MS</a>, <a href="/pubmed?term=%22Kim%20IK%22%5BAuthor%5D">Kim IK</a>, <a href="/pubmed?term=%22Park%20WS%22%5BAuthor%5D">Park WS</a>, <a href="/pubmed?term=%22Ha%20K%22%5BAuthor%5D">Ha K</a>, <a href="/pubmed?term=%22Cho%20E%22%5BAuthor%5D">Cho E</a>, <a href="/pubmed?term=%22Kim%20Y%22%5BAuthor%5D">Kim Y</a>, <a href="/pubmed?term=%22Bae%20JB%22%5BAuthor%5D">Bae JB</a>.</div><div class="aff"><h3 class="label">Source</h3><p>R&D Center, ezCare Tech Co. Ltd., Seoul, Korea.</p></div><div class="abstr"><h3>Abstract</h3><h4>OBJECTIVES: </h4><p>To develop effective ways of sharing patients' medical <span class="highlight" style="background-color:">information</span>, we developed a new medical <span class="highlight" style="background-color:">information</span> <span class="highlight" style="background-color:">exchange</span> system (MIES) based on a registry server, which enabled us to <span class="highlight" style="background-color:">exchange</span> different types of data generated by various systems.</p><h4>METHODS: </h4><p>To assure that patient's medical <span class="highlight" style="background-color:">information</span> can be effectively exchanged under different system environments, we adopted the standardized data transfer methods and terminologies suggested by the Center for Interoperable Electronic <span class="highlight" style="background-color:">Healthcare</span> Record (CIEHR) of Korea in order to guarantee interoperability. Regarding <span class="highlight" style="background-color:">information</span> security, MIES followed the security guidelines suggested by the CIEHR of Korea. This study aimed to develop essential security systems for the implementation of online services, such as encryption of communication, server security, database security, protection against hacking, contents, and network security.</p><h4>RESULTS: </h4><p>The registry server managed <span class="highlight" style="background-color:">information</span> <span class="highlight" style="background-color:">exchange</span> as well as the registration <span class="highlight" style="background-color:">information</span> of the clinical document architecture (CDA) documents, and the CDA Transfer Server was used to locate and transmit the proper CDA document from the relevant repository. The CDA viewer showed the CDA documents via connection with the <span class="highlight" style="background-color:">information</span> systems of related hospitals.</p><h4>CONCLUSIONS: </h4><p>This research chooses transfer items and defines document standards that follow CDA standards, such that <span class="highlight" style="background-color:">exchange</span> of CDA documents between different systems became possible through ebXML. The proposed MIES was designed as an independent central registry server model in order to guarantee the essential security of patients' medical <span class="highlight" style="background-color:">information</span>.</p></div><div class="aux"><div class="resc"><dl class="rprtid"><dt>PMID:</dt> <dd>21818447</dd> <dd> [PubMed - in process] </dd><dd><dt>PMCID: PMC3092130</dt><dd></dd> </dd></dl><a class="status_icon" target="_blank" href="/pmc/articles/pmid/21818447/?tool=pubmed" ref="log$=freeicon">Free PMC Article</a></div><div class="links"></div></div><div class="pmc_images"><input name="EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract.img_strip_Closed" sid="1" type="hidden" id="img_strip_Closed" value="" /><p class="img_strip_header img_strip_open_icon"><span class="img_strip_title">Images from this publication.</span><a ref="log$=imagestrip_see_all" href="/pmc?term=21818447[PMID]&report=imagesdocsum">See all images (8)</a><a ref="log$=imagestrip_free_text&ncbi_uid=21818447&link_uid=PMC3092130" href="/pmc/articles/PMC3092130/"> Free text</a></p><div class="img_strip"><script type="text/javascript">
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</script><a class="img_strip_arrow img_strip_left_arrow posL" href=""></a><div class="img_strip_item_cont"><div class="img_strip_item pos1"><a class="figpopup" co-legend-rid="imgstrip_colegend1" href="/pmc/articles/PMC3092130/figure/F6/" image-pos="1" ref="log$=image_preview&previewimagepos=1&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g006.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g006.jpg" alt="Figure 6" /></a><div style="display:none" id="imgstrip_colegend1"><div class="legend-from"><span class="legend-from-title">Figure 6</span></div><div>Example of applying standard terminology to diagnosis.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=1&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos2"><a class="figpopup" co-legend-rid="imgstrip_colegend2" href="/pmc/articles/PMC3092130/figure/F7/" image-pos="2" ref="log$=image_preview&previewimagepos=2&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g007.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g007.jpg" alt="Figure 7" /></a><div style="display:none" id="imgstrip_colegend2"><div class="legend-from"><span class="legend-from-title">Figure 7</span></div><div>Example of applying standard terminology to medication.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=2&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos3"><a class="figpopup" co-legend-rid="imgstrip_colegend3" href="/pmc/articles/PMC3092130/figure/F8/" image-pos="3" ref="log$=image_preview&previewimagepos=3&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g008.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g008.jpg" alt="Figure 8" /></a><div style="display:none" id="imgstrip_colegend3"><div class="legend-from"><span class="legend-from-title">Figure 8</span></div><div>Clinical document architecture (CDA) Viewer.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=3&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos4"><a class="figpopup" co-legend-rid="imgstrip_colegend4" href="/pmc/articles/PMC3092130/figure/F5/" image-pos="4" ref="log$=image_preview&previewimagepos=4&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g005.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g005.jpg" alt="Figure 5" /></a><div style="display:none" id="imgstrip_colegend4"><div class="legend-from"><span class="legend-from-title">Figure 5</span></div><div>Document registry framework (DRF). CDA: clinical document architecture.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=4&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos5"><a class="figpopup" co-legend-rid="imgstrip_colegend5" href="/pmc/articles/PMC3092130/figure/F3/" image-pos="5" ref="log$=image_preview&previewimagepos=5&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g003.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g003.jpg" alt="Figure 3" /></a><div style="display:none" id="imgstrip_colegend5"><div class="legend-from"><span class="legend-from-title">Figure 3</span></div><div>Service architecture of cal <span class="highlight" style="background-color:">information</span> <span class="highlight" style="background-color:">exchange</span> system (MIES). CDA: clinical document architecture.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=5&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos6"><a class="figpopup" co-legend-rid="imgstrip_colegend6" href="/pmc/articles/PMC3092130/figure/F4/" image-pos="6" ref="log$=image_preview&previewimagepos=6&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g004.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g004.jpg" alt="Figure 4" /></a><div style="display:none" id="imgstrip_colegend6"><div class="legend-from"><span class="legend-from-title">Figure 4</span></div><div>Clinical document extensible markup language (XML) format for diagnosis applying clinical document architecture (CDA) standard.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=6&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos7"><a class="figpopup" co-legend-rid="imgstrip_colegend7" href="/pmc/articles/PMC3092130/figure/F2/" image-pos="7" ref="log$=image_preview&previewimagepos=7&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g002.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g002.jpg" alt="Figure 2" /></a><div style="display:none" id="imgstrip_colegend7"><div class="legend-from"><span class="legend-from-title">Figure 2</span></div><div>Medical <span class="highlight" style="background-color:">information</span> <span class="highlight" style="background-color:">exchange</span> system architecture. EMR: electronic medical record, CDA: clinical document architecture, EHR: electronic <span class="highlight" style="background-color:">health</span> record.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=7&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div><div class="img_strip_item pos8"><a class="figpopup" co-legend-rid="imgstrip_colegend8" href="/pmc/articles/PMC3092130/figure/F1/" image-pos="8" ref="log$=image_preview&previewimagepos=8&ncbi_uid=21818447&link_uid=PMC3092130"><img src="/pmc/articles/instance/3092130/bin/hir-16-281-g001.gif" src-large="/pmc/articles/instance/3092130/bin/hir-16-281-g001.jpg" alt="Figure 1" /></a><div style="display:none" id="imgstrip_colegend8"><div class="legend-from"><span class="legend-from-title">Figure 1</span></div><div>Referral process from physician's clinic to general hospital through medical <span class="highlight" style="background-color:">information</span> <span class="highlight" style="background-color:">exchange</span> system (MIES). CDA: clinical document architecture.</div><div class="legend-citation"><div><a href="/pmc/articles/PMC3092130/" ref="log$=image_preview_title_link&previewimagepos=8&ncbi_uid=21818447&link_uid=PMC3092130">Implementation of Medical <span class="highlight" style="background-color:">Information</span> <span class="highlight" style="background-color:">Exchange</span> System Based on EHR Standard</a></div><div>Healthc Inform Res. ;16(4):281-289.</div></div></div></div></div><a class="img_strip_arrow img_strip_arrow_right img_strip_right_arrow posR" href=""></a><script type="text/javascript">
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