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발간년도 : [2016]

 
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논문명(한글) [Vol.11, No.6] A Study on the VNA Framework Design for EHR Integration according to Standard Medical Information
논문투고자 Young-Hwan Choi, Ki-Won Song, Yong-Suk Kim
논문내용 This paper proposes an integrated medical information system architecture, VNA (Vendor Neutral Archive) architecture, which accumulates various medical data such as medical documents, medical image, and DICOM. The proposed system provides convergence and synergy among such medical data. CMS(Centers for Medicare & Medicaid Services) suggests healthcare service vendors to follow “CMS Meaningful Use” and its standard solutions. CMS Meaningful Use is a CMS Medicare and Medicaid program that awards incentives for using certified electronic health records (EHR) to improve patient care. Meaningful Use is implemented in a phased approach over a series of 3 stages. Stage 1 promotes basic EHR adoption and data gathering. Stage 2 emphasizes care coordination and exchange of patient information, and Stage 3 improves healthcare outcomes. Finally, this paper presents a VNA framework designed for satisfying Meaningful Use Stage 1. Medical image data and medical information data are separated and stored. Each module is divided into separate modules according to the format of original data and the format of target data to be converted. This paper also present evaluation items for quantitatively evaluating the performance of solutions developed according to the proposed framework. Therefore, this study expects to be a VNA framework for convergence of medical information conforming to different standards.
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