根據衛生署公佈2008年國人主要死因的統計，惡性腫瘤又是名列榜首，到今年為止已經連續27年蟬聯國人十大死因之冠，所以衛生署國民健康局從2005年開始擴大補助全國27家醫院執行全面提升癌症診療品質計畫。本研究則是在推動「癌症治療計畫書」的e化。「癌症治療計畫書」是在新癌症病例開始治療前（含手術、化療、放療），醫師必須填寫該計畫書並送團隊醫療討論會，經團隊負責人核准後才能進行，以確保癌症病人的治療品質。若在符合醫師群的需求後，將「癌症治療計畫書」作e化，將所有相關資訊都收到資料庫中，則不只是將無紙本，醫師們可由這個系統得知病患的治療情形，並可對這個病患做追踪調查，得知醫師的治療方法是否有效等，最重要的是可增進癌症診療品質的提升。

本研究在建立「癌症治療計畫書」資訊系統的同時，使用了輕量級能力成熟度整合模式 (Light-Weight CMMI)，一個涵蓋軟體工程、系統工程的模式，來協助建立此系統。另外我們使了前測式問卷及後測式問卷訪查訪問使用者，以了解使用者在使用這個系統前（紙本）以及使用這個系統之後有什麼差異以及方便性、實用性等，以評估這個系統。

Department of Health announced that the cancer is the main cause of Taiwan people’s death in 2008 once again. Cancer has been the number one disease that caused people’s death for 27 years. Bureau of Health required twenty-seven medical centers to carry out plans to improve the quality of cancer treatment in 2005. This paper is to computerize (paperless) cancer treatment plans for patients, i.e. to computerize the process for generating cancer treatment plans and the related procedures. Beside fulfilling the requirements of doctors, nurses and other medical staffs on the treatment plans, the records for real treatments could be used to further improving the quality of cancer treatment.

We used Light-Weight CMMI (Light-Weight Capability Maturity Model Integration) which was proposed by NSC for open source projects. Light-Weigh CMMI includes light weight software engineering and system engineering approach and CMMI is practical for entrance level of software engineering. This is the first try of light weight CMMI in the development of medical software in a medical center. We added pre-test and post-test questionnaire for the users. In this way, we hope to be able to learn the differences, conveniences, practicalities and to make further improvements.

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