New SmartEMR Architecture Paradigm of Focus Based Contents Meta Model

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Information about New SmartEMR Architecture Paradigm of Focus Based Contents Meta Model
Healthcare

Published on September 30, 2014

Author: ssuserc45ec1

Source: slideshare.net

Description

- 컨텐츠 모형을 중심으로한 차세대 EMR 설계 개념
- 정부의 CCM 모델을 활용하는 개념으로의 EMR
- 대한병원정보협회 2010.04 학술세미나 발표자료 공유

Lee Jekwan / je2kwan2@gmail.com 1 Smart EMR™Common Architecture Team 업무개발내역 Lee Je Kwan Professional Engineer Information Management je2kwan2@gmail.com blog.naver.com/je2kwan2New SmartEMR™Architecture Paradigm of Focus Based Contents Meta Model-fundamental concept version 10.04.10

Lee Jekwan / je2kwan2@gmail.com 2 Smart EMR™Common Architecture Team 업무개발내역 현재상태2004~지금… 고민이있어요 ■열심히만들어온우리…

Lee Jekwan / je2kwan2@gmail.com 3 Smart EMR™Common Architecture Team 업무개발내역 현재상태-.- ■환경은변했지만… View slide

Lee Jekwan / je2kwan2@gmail.com 4 Smart EMR™Common Architecture Team 업무개발내역 현재상태? ■우리는여전히바쁘다 View slide

Lee Jekwan / je2kwan2@gmail.com 5 Smart EMR™Common Architecture Team 업무개발내역 현재상태! ■불편한점도있었지만, 그냥참았다.

Lee Jekwan / je2kwan2@gmail.com 6 Smart EMR™Common Architecture Team 업무개발내역 현재상태아자믿음! ■무엇때문에? I have a dream!

Lee Jekwan / je2kwan2@gmail.com 7 Smart EMR™Common Architecture Team 업무개발내역 현재상태행복의음미 ■그리고는…어렴풋이행복한상상한다

Lee Jekwan / je2kwan2@gmail.com 8 Smart EMR™Common Architecture Team 업무개발내역 현재상태바로그래! ■뭔가, 상상할수없을정도로,좋아질거야!

Lee Jekwan / je2kwan2@gmail.com 9 Smart EMR™Common Architecture Team 업무개발내역 기도도해보지만, ■원하는것이되기를…

Lee Jekwan / je2kwan2@gmail.com 10 Smart EMR™Common Architecture Team 업무개발내역 현실은냉정하다 ■그러나, 얻을수있는것은, 이런것?

Lee Jekwan / je2kwan2@gmail.com 11 Smart EMR™Common Architecture Team 업무개발내역 ■이거맞죠? 기획자가말하길.

Lee Jekwan / je2kwan2@gmail.com 12 Smart EMR™Common Architecture Team 업무개발내역 어… 이거어떻게봐야되지? ■정말… 맘에안든다. Time

Lee Jekwan / je2kwan2@gmail.com 13 Smart EMR™Common Architecture Team 업무개발내역 ■이렇게고쳐보면? 변화도줘보지만, Time 외래 입원 응급

Lee Jekwan / je2kwan2@gmail.com 14 Smart EMR™Common Architecture Team 업무개발내역 ■아무리해도… 갈수록 Time 외래 입원 응급 초진 경과 수술 동의

Lee Jekwan / je2kwan2@gmail.com 15 Smart EMR™Common Architecture Team 업무개발내역 ■원하는게이런거였나? ??? 글쎄… Time 외래 입원 응급 초진 경과 수술 동의

Lee Jekwan / je2kwan2@gmail.com 16 Smart EMR™Common Architecture Team 업무개발내역 ■점점… 지원영역들도고려하고… Time

Lee Jekwan / je2kwan2@gmail.com 17 Smart EMR™Common Architecture Team 업무개발내역 ■점점… … 항상보고되는정보들도있었고… Time

Lee Jekwan / je2kwan2@gmail.com 18 Smart EMR™Common Architecture Team 업무개발내역 ■… … … 여기에기본적인정보들을모두… Time

Lee Jekwan / je2kwan2@gmail.com 19 Smart EMR™Common Architecture Team 업무개발내역 ■앗, 허걱… 합쳐볼까? Time

Lee Jekwan / je2kwan2@gmail.com 20 Smart EMR™Common Architecture Team 업무개발내역 ■그래도, 찾을수는있어요… 정말너무많다… Time

Lee Jekwan / je2kwan2@gmail.com 21 Smart EMR™Common Architecture Team 업무개발내역 이거였는지확신이서지않지만, ■이렇게도검색이가능해요… You can find it, but ….

Lee Jekwan / je2kwan2@gmail.com 22 Smart EMR™Common Architecture Team 업무개발내역 뭔가아닌데… ■EMR에우리는뭘기대한걸까?

Lee Jekwan / je2kwan2@gmail.com 23 Smart EMR™Common Architecture Team 업무개발내역 다시돌아보면, 우리가원하던것이었나? 우리에게무슨의미를주는가? 우리일을어떻게도와주는가? 우리는과정& 결과에만족하는가? . .

Lee Jekwan / je2kwan2@gmail.com 24 Smart EMR™Common Architecture Team 업무개발내역 ■아… 내가진짜로원했던건… Broken Dream

Lee Jekwan / je2kwan2@gmail.com 25 Smart EMR™Common Architecture Team 업무개발내역 근본적인질문들… 해도되나요? ■우리는왜EMR을하려고했을까? 아랫것들때문에? 이동 신속 자료형태… 식별 중복 용어 자료의질… 표준 상호운영… 분석 자원 투자효율…

Lee Jekwan / je2kwan2@gmail.com 26 Smart EMR™Common Architecture Team 업무개발내역 잘생각해보자 ■정말로원했던EMR은? 반복적이고바쁜일상속에서 우리를보다중요하고의미있는것들에몰입하도록 우리의행동과일을이해하고도와주는부지런히살아있는시스템

Lee Jekwan / je2kwan2@gmail.com 27 Smart EMR™Common Architecture Team 업무개발내역 생각을바꾸어보다… ■여기에한장의Snapshot 이있어요 사람들 남자 아이 줄서기 무표정 기대감 호기심 건물안 유태인 학살 긴장감 부자간 독일 2차대전 행복 영화제목 다른분위기 현실회피 다른시야 부모마음 자식사랑 잔인함 희망 인종차별 학살 긴장감 다른시야 희망

Lee Jekwan / je2kwan2@gmail.com 28 Smart EMR™Common Architecture Team 업무개발내역 ■정보를바라보는눈! 생각을다시해보다 학습 대상 경험 판단

Lee Jekwan / je2kwan2@gmail.com 29 Smart EMR™Common Architecture Team 업무개발내역 ■진료행위가뭘까? 스무고개의반복 의심하는것을추적하고살펴보아 문제를해결해나가는것 생각을바꾸어보다… 물어보고 살펴보고 생각하고 의심하고 조사하고 확인하고 대안찾고 실행하고 결과보고 확신하고

Lee Jekwan / je2kwan2@gmail.com 30 Smart EMR™Common Architecture Team 업무개발내역스무고개를줄일수있다면? 모든과정에서지식화된정보를기반으로 빠르게문제해결로접근 생각을바꾸어보다… 물어보고 살펴보고 생각하고 의심하고 조사하고 확인하고 대안찾고 실행하고 결과보고 확신하고 학습 경험 판단

Lee Jekwan / je2kwan2@gmail.com 31 Smart EMR™Common Architecture Team 업무개발내역 Smart & 개인 ■지능형Process See Plan Do쓸수록똑똑해지는 계획중심의프로세스기반으로 지식의학습과정 해결 문제 교훈 학습 지식22

Lee Jekwan / je2kwan2@gmail.com 32 Smart EMR™Common Architecture Team 업무개발내역 Smart & 우리들 ■집단지성 참여 공유 개방 집단 지식

Lee Jekwan / je2kwan2@gmail.com 33 Smart EMR™Common Architecture Team 업무개발내역 ■지능형집단지성 Smart, 집단이가진지식을끄집어내자! See Do Plan 해결 문제 교훈 집단 지식쓸수록정리되는 실행중심의프로세스기반으로 현장의신속한판단유도 집단 평가457

Lee Jekwan / je2kwan2@gmail.com 34 Smart EMR™Common Architecture Team 업무개발내역 ■R2와함께진료환경으로가다 Smart,지식기반으로바라보다! 스무고개를줄여주는 학습화된지식정보를기반으로 빠르게문제해결에도달 집단지식 기반 물어보고 살펴보고 생각하고 의심하고 조사하고 확인하고 대안찾고 실행하고 결과보고 확신하고 개인지식 기반

Lee Jekwan / je2kwan2@gmail.com Smart EMR™ Common Architecture Team 35 업무개발내역 ■ “Chart Pool” 는 좋은 생각이 아니다 EMR Chart, 생각을 바꾸어 보다 단위 지식 갱신 연동 기억 협업 조회 Page 중심의 생각이 관점에 장벽을 만든다

Lee Jekwan / je2kwan2@gmail.com 36 Smart EMR™Common Architecture Team 업무개발내역 Chart는Contents를담을수없다 ContentsEMR은Chart가아니라Contents를다루는일이다 Chart

Lee Jekwan / je2kwan2@gmail.com 37 Smart EMR™Common Architecture Team 업무개발내역 우리가Contents가아닌Chart에집중하다보면… 서식 생성기서식생성기라는구조로계속해서Chart에담으려고노력할것이다 항목 항목 서식구조? Contents

Lee Jekwan / je2kwan2@gmail.com 38 Smart EMR™Common Architecture Team 업무개발내역 ■Contents Pool Contents 중심적생각 ContentsContents Pool에담겨진Content는모든곳에공유되어공통적으로사용된다

Lee Jekwan / je2kwan2@gmail.com 39 Smart EMR™Common Architecture Team 업무개발내역 하지않아도될것들 ■기록의반복작업Copy &Paste … ContentsContents는공유되기때문에같은Contents는한번만작성한다O

Lee Jekwan / je2kwan2@gmail.com 40 Smart EMR™Common Architecture Team 업무개발내역 ■Snapshot of axis Contents Pool, Snapshot ? Contents Pool를기준축으로Slice하면과정에따른Scene의변화를의미

Lee Jekwan / je2kwan2@gmail.com 41 Smart EMR™Common Architecture Team 업무개발내역 ■Contents 의분류 Contents Pool, How to Divide? Contents

Lee Jekwan / je2kwan2@gmail.com 42 Smart EMR™Common Architecture Team 업무개발내역 ■신뢰성은근거여부에따라분류 Contents 신뢰성? Baseless Basis . .. 가족력 사회력 검사결과 판정결과 수술과정 행위내용 환자의진술 관계자의진술 의사의소견 평가내용 처치계획 . . .

Lee Jekwan / je2kwan2@gmail.com 43 Smart EMR™Common Architecture Team 업무개발내역 ■근거중심의Contents 확보 Contents 신뢰성을높이려면? Baseless Basis . .. 가족력 사회력 검사결과 판정결과 수술과정 행위내용 환자의진술 관계자의진술 의사의소견 평가내용 처치계획 . . . Smart 시스템은 Contents가근거를확보할수있도록지원

Lee Jekwan / je2kwan2@gmail.com 44 Smart EMR™Common Architecture Team 업무개발내역 ■목적성은문제여부에따라분류 Contents 목적성? Normal Matter 목표문제와 연관성이 많다고여겨지는것 특정문제와 연관성이 적다고여겨지는것

Lee Jekwan / je2kwan2@gmail.com 45 Smart EMR™Common Architecture Team 업무개발내역 ■문제중심의Contents 확보 Contents 목적성을높이려면? Normal MatterSmart 시스템은 Contents가문제와의연관성을식별할수있도록지원 목표문제와 연관성이 많다고여겨지는것 특정문제와 연관성이 적다고여겨지는것

Lee Jekwan / je2kwan2@gmail.com 46 Smart EMR™Common Architecture Team 업무개발내역 ■다양한가변적Focus 설정가능 Contents를바라보는관점, Focus ! Baseless Basis C E DFocus에따른Contents의다차원해석가능

Lee Jekwan / je2kwan2@gmail.com 47 Smart EMR™Common Architecture Team 업무개발내역 Smart Contents모델정보 ■Contents Meta Model ContentsCCMInterfaceModelFocusModelValuationModelAVE

Lee Jekwan / je2kwan2@gmail.com 48 Smart EMR™Common Architecture Team 업무개발내역 Smart Contents, CCM과는어떻게다른가? E-A(Q)-V기반CCMCCM을상속받은Smart System을위한확장모델InterfaceModelFocusModelValuationModelCCMAVE 다차원Focus기반 Contents 간의친화력판별 패턴기반 I/O모델 지식기반 평가모델

Lee Jekwan / je2kwan2@gmail.com 49 Smart EMR™Common Architecture Team 업무개발내역 ■Chain Model : 연결고리모델 Focus . . . Chain Method of Contents Gathering마치열쇠고리같이Contents를연결하는Chain 검색

Lee Jekwan / je2kwan2@gmail.com 50 Smart EMR™Common Architecture Team 업무개발내역 ■Chain Version 종료시점 Chain Version in Snapshot Version CycleS123ES11EE1E3Clinical Data가다양한변화해도Snapshot별관리로Version 추적에문제없음

Lee Jekwan / je2kwan2@gmail.com 51 Smart EMR™Common Architecture Team 업무개발내역 집단지식 기반 개인지식 기반 평가과정을통한임상지식확보 ■Lessons Learned 문제 해결 교훈CCMInterfaceModelFocusModelValuationModelAVEContents 평가모델을통한임상지식기반의지능형데이터구축

Lee Jekwan / je2kwan2@gmail.com 52 Smart EMR™Common Architecture Team 업무개발내역 ■Smart Knowledge Engine 집단지식 기반 개인지식 기반 통계기반의학습적지식체계로의진화 Contents반복되는Contents 평가를통해확률통계기반임상지식기반의지능형데이터진화

Lee Jekwan / je2kwan2@gmail.com 53 Smart EMR™Common Architecture Team 업무개발내역 점점변해가는개념 ■더이상서식을필요로하지않는다 ContentsContents Pool을완성하는새로운방법목적성!

Lee Jekwan / je2kwan2@gmail.com 54 Smart EMR™Common Architecture Team 업무개발내역 새로운관점! ■Problem Controlling문제는나의숙제이며의료행위에있어제어해야할핵심과제

Lee Jekwan / je2kwan2@gmail.com 55 Smart EMR™Common Architecture Team 업무개발내역 새로운해석! ■기록행위= 풀이과정일뿐문제풀이과정은모든부분이중요하지는않다 모든 풀이과정 핵심내역

Lee Jekwan / je2kwan2@gmail.com 56 Smart EMR™Common Architecture Team 업무개발내역 패러다임변화로인한정보의변화 ■기록조회= 문제풀이과정을살펴보는것 전체 풀이과정 핵심풀이 과정 Key Point 임상 문제무엇을볼진선택의자유이나Smart 시스템은자동식별되어가능하다 바쁜시간들… 내입장에서 내가봐야할것들만 내가알아야할것들만 내가놓치지말아야할것들만

Lee Jekwan / je2kwan2@gmail.com 57 Smart EMR™Common Architecture Team 업무개발내역 Contentsbased Dash-Boards! ■핵심만정확하고간략하게! TargetGoal Not Controlled Problem Controlled Problem Problem Status Contents Notification: caution To solve : recommendation to-do list (auto / manual) Control Team: now

Lee Jekwan / je2kwan2@gmail.com 58 Smart EMR™Common Architecture Team 업무개발내역 Smart Knowledge based Writing System ■문제해결을위한실시간추천임상정보제공Recommend 모델 TargetGoal Not Controlled Problem Controlled Problem Problem Status Notification: caution To solve : recommendation to-do list (auto / manual) Control Team: now Contents 집단지식 기반 개인지식 기반 Recommend List 개인별 판단 Action Lessons Learned

Lee Jekwan / je2kwan2@gmail.com 59 Smart EMR™Common Architecture Team 업무개발내역 다시초심으로… 우리가원하던것이었나? 우리에게무슨의미를주는가? 우리일을어떻게도와주는가? 우리는과정& 결과에만족하는가? . .

Lee Jekwan / je2kwan2@gmail.com 60 Smart EMR™Common Architecture Team 업무개발내역 근본적인문제들… ■변화를수용할수있는가? 당신은지금하고있는일이내일도계속될것이라고믿습니까?

Lee Jekwan / je2kwan2@gmail.com 61 Smart EMR™Common Architecture Team 업무개발내역 SmartEMR™연구진행범위 ■진행과제 ■Contents 기반의학습형Smart 지식엔진구축방식(현재PT 내용) ■Problem & Evidence 중심으로Contents 모여지는방식 ■의미있고중요한Contents를자동으로표시하고추적하는방식 ■EHR CCM 연구기반, Contents Template (CDC)연동설계(template 가이드참고) ■인간중심의Contents 기반UI 기획 ■사용자패턴(습관, 습성)자동분석기법연구 ■Contents 보호& 보안설계방안 ■다면적Contents 통계분석기법정보(조건검색, 분포검색, 예측검색) ■Plug-in 기반Adaptor 방식의HL7 CDA 연동,Contents 호환기법 ■EMR Data Conversion ■기타기술연동 ■SNS, Server Push, 생체인증, Media Contents Service, etc ■기타필요사항

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