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研究生: 游宗文
Yu, Tsung-Wen
論文名稱: 基於臨床需求的整合式睡眠檢查報告平台
An Integrated Sleep Study Report Platform Based on Clinical Needs
指導教授: 梁勝富
Liang, Sheng-Fu
學位類別: 碩士
Master
系所名稱: 電機資訊學院 - 資訊工程學系
Department of Computer Science and Information Engineering
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 41
中文關鍵詞: 生理訊號資料醫院信息系統資訊安全呼吸中止和淺呼吸指數
外文關鍵詞: Polysomnogram, Hospital Information System, Information security, Apnea-Hypopnea Index
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  • 在罹患睡眠相關疾病後,患者會前往各大醫院的睡眠中心接受睡眠檢查,在睡眠技師根據患者的生理訊號資料(Polysomnogram, PSG)進行判讀後,睡眠技師及睡眠專科醫師需耗時且費力地完成睡眠報告並上傳至醫院信息系統(Hospital Information System, HIS),本研究旨在建立一套睡眠報告平台,以簡化睡眠報告的填寫流程並簡化上傳至HIS的步驟,由於存取的是病人的機密隱私資訊,睡眠報告平台也必須具備資訊安全措施,在計畫的最後,需要將這套平台將應用於睡眠中心的電腦系統中。
    睡眠報告平台分為三個部分,包括登入系統、報告上傳及編輯系統以及HIS串聯系統。登入系統限制未經授權的人進入平台,以保障病患的個人資料安全,報告上傳及編輯系統讓使用者上傳睡眠報告原始資料並計算出睡眠指標,並生成在睡眠報告編輯頁面提供睡眠技師與睡眠專科醫師在線上填寫。HIS串聯系統能夠直接與醫院的HIS系統與睡眠報告平台進行串連,讓睡眠技師與睡眠專科醫師能夠使用按鍵將HIS系統所需資料傳送上去。睡眠報告平台不僅要與HIS系統進行串連,睡眠報告平台還需要與居家睡眠篩檢與多重睡眠資料整合平台進行數據串連並傳送病患呼吸中止和淺呼吸指數(Apnea-Hypopnea Index, AHI)資料。

    After being diagnosed with sleep-related disorders, patients typically visit sleep centers at major hospitals for sleep testing. Sleep technicians interpret the physiological data of patients obtained from polysomnograms (PSG). Subsequently, sleep technicians and sleep specialist physicians invest significant time and effort to generate sleep reports, which are then uploaded into the Hospital Information System (HIS). This study aims to establish a streamlined sleep study report platform to simplify the process of report generation and uploading to the HIS. Given the sensitive nature of patient information, the platform must also adhere to information security measures. Ultimately, the platform is intended to be integrated into the computer systems of sleep centers.
    The sleep study report platform is divided into three main components: a login system, a report upload and editing system, and an HIS integration system. The login system restricts unauthorized access, ensuring the security of patient personal data. The report upload and editing system enables users to upload raw sleep report data, calculate sleep index, and generate editable sleep report pages for online completion by sleep technicians and specialists. The HIS integration system facilitates direct connection between the HIS and the sleep study report platform, allowing sleep technicians and specialists to transmit required data seamlessly.
    In addition to integration with the HIS, the sleep study report platform needs to connect with a home sleep screening and comprehensive sleep data integration platform to transmit patient Apnea-Hypopnea Index (AHI) data.

    摘要 i SUMMARY ii 誌謝 v 圖目錄 viii 表目錄 ix 第壹章 介紹 1 1.1 睡眠問題 1 1.2 睡眠檢查背景 1 1.2.1 睡眠檢查與指標 1 1.2.2 睡眠檢查報告提交流程及現況 3 1.3 相關研究 5 1.4 目標 6 第貳章 方法 7 2.1 平台搭建工具 7 2.1.1 使用程式語言與其特性 7 2.1.2 醫院伺服器配置 8 2.2 登入系統 8 2.2.1 登入系統介紹 8 2.2.2 登入系統使用流程圖 9 2.2.3 登入系統架構及功能 10 2.3 報告上傳及編輯系統 11 2.3.1 報告上傳及編輯系統介紹 11 2.3.2 報告上傳及編輯系統使用流程圖 12 2.3.3 報告上傳及編輯系統架構及功能 13 2.4 與HIS系統串接 17 2.4.1 串接HIS系統介紹 17 2.4.2 串接HIS系統使用流程圖 18 2.4.3 串接HIS系統架構及功能 18 2.5驗證方法 19 第參章 結果 20 3.1 介面及功能測試結果 20 3.2 正確性分析結果 24 3.3 串接HIS系統測試結果 27 3.4 資安檢核 28 3.5 先行使用測試 29 第肆章 討論 29 4.1 流程及時間簡化效益 30 4.2 安全性 32 4.3 兼容性 33 4.4 數據化效益 33 第伍章 結論與未來展望 34 第陸章 參考文獻 34 附錄 37 睡眠指標公式 37

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