전자의무기록의 보관과 신뢰할 수 있는 제3의 기관의 활용

Abstract

The introduction of electronic medical records in Korea began in late 1990 and due to Medical Law revision in 2002 electronic documents instead of paper medical records made it possible to create and keep. Current level of use of electronic stays on the level of use of computerized medical information within a single medical institution, but soon-to-peer by establishing networks will lead to a step of transport and communalization of medical records. However, despite of the benefits of digitization of medical records, because of lingering information leakage and hacking, the possibility of modulation, measures to ensure the safety and reliability are still being discussed. The creation and storage of the electronic medical records is an important issue as important in the writing and storage of medical records. In the creation of electronic medical records as a way to prevent tampering with the electronic signature is to be presented, By doing this, is recognized as a valid electronic medical records. In storage of electronic medical records as to the important task of ensuring the safety and reliability, in order to solve this point, I propose the Trusted Third Party(TTP) to charge for storage. I reviewed if paper records are converted into electronic documents to be stored, whether conventional paper documents can be discarded or should be retained. In addition, I reviewed with respect to another point contained in storage of electronic medical records, that is the use of personal medical information. Because personal medical information by being utilized in medical research as data, may contribute significantly to patients of similar diseases or future generations for disease control and prevention. In particular, I review anonymized medical information could be taken advantage of the public interest such as medical research, and the applicability of “informed consent” theory to this. This paper consists of three parts. First, by verifying the significance and usefulness of electronic medical records, the possibility of activation of electronic medical records was examined. Second, by examining the problems of safety and reliability of electronic medical records that could be vulnerable, whether it is proper to charge the storage of electronic medical records to Trusted Third Party(TTP) were investigated. Third, if the storage of electronic medical records is charged to Certified e-Document Centre that is authorized Trusted Third Party(TTP), that there is not any confilicts in current laws was investigated.