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1 IV Digital Hospital - EMR (Electronic Medical Record) Digital Medicine U-hospital U-healthtown

Opened in May 2003 Has 950 beds + 3000 outpatients/day 270 MD + 530 nurses Performs over

2 Opened in May 2003 Has 950 beds outpatients/day 270 MD nurses Performs over 50,000 radiological exams / month Over 1400 personal computers are connected to the HIS. IV., - 4

SNU BESTCARE SNU Bundang hospital Electronic System

Digitalized Image DICOM Digitalized medical record

Standard Medical Terminology Digitalized order

3 SNU BESTCARE SNU Bundang hospital Electronic System for Total CARE PACS EMR POE Administration Digitalized Image DICOM Digitalized medical record Structured Data Input Clinical Decision Support Standard Medical Terminology Digitalized order Communication Drug Interaction Drug side effect Drug Information IV., - 5 IV., - 6

4 DB IV., - 7 IV., - 8

EMR Decision support system Clinical data warehouse IV., - 9 2004.4.26. US President Bush...But one of the things that hasn't changed very much is the way doctors and hospitals do business.

5 EMR Decision support system Clinical data warehouse IV., US President Bush...But one of the things that hasn't changed very much is the way doctors and hospitals do business. The 21st century health care system is using a 19th century paperwork system. Doctors use paper files to keep tracks of their patients. Pharmacists have to figure out the handwriting of a doctor. Vital medical information is scattered in many places.,......well, first you set a goal. Within ten years, every American must have a personal EMR. The federal government has got to take the lead in order to make this happens by developing what's called technical standards EMR 2. -1/, NHII Coordinator -David J Brailer, MD 4. Insentive IV., - 10

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8 Occlusion of Left iliac artery IV., - 15 IV., - 16

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11 3.8% 27.7% IV., - 21 IV., - 22

12 IT ( ) IT infra IV., - 23 Illness U- Hospital U-EHR U- Healthtown Wellness IV., - 24

13 IV., - 25 PDA, Tablet PC RFID, IV., - 26

14 n n n n n n n n IV., - 27 IV., - 28

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16 IV., - 31 <> < > Stereo HD GIST Echo canceller Echo canceller < > < > Echo canceller RAT (main VIC (backup audio) video) DV (main video) IV., - 32

17 IV., - 33 Global Trends in Medical Care Patient Centered Focused Care Planetree 1978 Start from the West Coast of USA Respect for the Patient as an Individual Medical Care is for Patients Support for Patients Past Information Sharing Choice for Patients Privacy to be Respected Patient s Family Participation Health Resource Center Autonomous Decision Making Human Environment Choices Health Care Environment Involvement of Family and Friends Planetree Model Unit Respect for Individuals Patient Personal Core Biological Physical Psychological Mental Social Spiritual Community Resources Participation Supportive Environment Physical Environment Access to Information Hospital Future IV., - 34

Application For new Mobile Communication Method Current Requirements: PC, IC card, IC card reader and Internet access FUTURE DEVELOPMENT spring PLANET using mobile phone integrated with PC Access

18 Application For new Mobile Communication Method Current Requirements: PC, IC card, IC card reader and Internet access FUTURE DEVELOPMENT spring PLANET using mobile phone integrated with PC Access verification for PLANET using mobile phone (with IC card for security) Electronic verification using existing FOMA technology in mobile phones PATENT PENDING IV., - 35 Application For new Mobile Communication Method PLANET using mobile phone platform Internet access, interactive medical record information from mobile phones Medical Record Medical record format screens for mobile phone access Health Information (SELF REPORTED) SOAP NOTES Real time and chronological views of patient s status Blood Sugar Pulse PATENT PENDING IV., - 36

ECG,, feedback 1. 2. ZigBee 3. IP 4. // 5.

20 ECG,, feedback ZigBee 3. IP 4. // 5. Medical reference U-Health Service Center zigbee Outdoor () Indoor (IP ),,, view, IV., % - 21% - 14% 1% - 37% - 43% IV., - 40 UKPDS 35 BMJ 2000;321:

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22 IV., - 43 u-healthcare u-hospital EMR CDSS (clinical decision support system) CDR (clinical data repository). Medicine in IT Computer aided diagnosis Robotic surgery. IV., - 44

Contents 1. EMR / (..) 2. EMR 3. 4. 5. EHR 2/ 92

neuroandy@snubh.org EMR 2007.5.10. Contents 1. EMR / (..) 2. EMR 3. 4. 5. EHR 2/ 92 Introduction 3/ 92 Introduction of SNUBH Opened in May 2003 Has 900 beds + 3500 outpatients/day 400 MD + 700nurses Performs