| 研究生: |
許峻維 Hsu, Chun-Wei |
|---|---|
| 論文名稱: |
植基於HL7/XML之電子化轉診中心 An E-Referral Center based on HL7/XML |
| 指導教授: |
陳澤生
Chen, Tse-Sheng |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 工程科學系 Department of Engineering Science |
| 論文出版年: | 2003 |
| 畢業學年度: | 91 |
| 語文別: | 中文 |
| 論文頁數: | 69 |
| 中文關鍵詞: | 電子化轉診 、病歷帶著走 |
| 外文關鍵詞: | GPRS, .NET, WAP, XML, HL7 |
| 相關次數: | 點閱:142 下載:1 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
隨著網際網路的發展,醫療資訊標準第七層(HL7,Health Level Seven)也逐漸被各醫療院所應用在跨院的資料交換上。而轉診即為其中最好的一項應用,如能使用網路來完成轉診資料的交換,不但可以加快轉診的速度,也可以避免不必要的重複檢驗,進而減少醫療資源的浪費。
為提高轉診效率,乃於Internet的環境下實現一個電子轉診中心,利用HL7/XML(eXtensible Markup Language)標準將轉診相關資料轉成XML格式,透過XML跨平台的特性來完成轉診資料的交換,並將系統架設在 .NET平台上。
轉診作業系統係以門診病人為主要對象,當病人被醫生判定需要轉診後,則會將轉診相關資料轉換成XML文件的形式藉由網路送至電子轉診中心再送至欲轉入之醫院。此外,病人亦可透過支援WAP(Wireless Application Protocol)或GPRS(General Packet Radio Service)的行動電話至電子轉診中心取得自己的部分病歷資料以供醫生看診之參考,如此似乎可達到病歷帶著走的目標。
本研究希望此電子轉診中心之雛形能夠達到以下功能:(1)醫療資訊共享(2)改善轉診作業效率(3)節省醫療資源(4)落實醫療分級制度(5)病歷帶著走。
With the growth of the Internet, HL7(Health Level Seven) is used in data-exchanging between hospitals. The referral system is one of the best application. Exchanging referral data through internet can not only accelerate the speed of patient referral, but also avoid repeating unwanted examination to decrease the waste of medical resources.
In order to promote the referral efficiency, a web-based E-referral center is implemented in Internet. We apply HL7/XML standard to transform patient’s referral data into XML format for exchanging procedure. The system was constructed in Microsoft .NET platform.
The out-patients are the major served person in the referral operation system. When a patient needs to be referred, the system will transform the referral’s data into XML format and send it to the referral center as well as to a suitable hospital through internet. Meanwhile, the patient also can use WAP/GPRS mobile phone to get part of his own record from E-referral center for doctor’s reference. It seems to reach the goal for everyone who goes with his personal medical record.
In this research, the prototype of the referral center is expected to reach the following functions. (1) Sharing the medical information. (2) Improving referral efficiency. (3) Saving medical resource. (4) Practicing hierarchy medical-care system. (5) Go with one’s personal medical record.
[1] 大眾電信, “關於phs,” http://www.phs.com.tw/ about_phs/
about_b.htm.
[2] 王昭鼎, “從顧客關係管理 (CRM)探討汽車產業與其水平週邊產業發展策略之研究-
以裕隆汽車為例,” 中原大學企業管理研究所碩士論文, 2002.
[3] 台大醫院資訊室,“轉 診 轉 檢 TC暨EMR 工 作 小 組 公 佈第0.99版白皮
書,”http://hl7.org.tw/chinesedoc/HL7-Referral -20020114-v0.99-cph.pdf.
[4] 行政院衛生署,“醫療法,”http://www.doh.gov.tw/newverprog
/proclaim/content.asp?class_no=658&doc_no=1156.
[5] 行政院衛生署,“醫療法施行細則,” http://www.doh.gov.tw/
newverprog/proclaim/content.asp?class_no=658&doc_no=1157.
[6] 行政院衛生署,“醫療保健計劃-籌建醫療網計劃,”1986.
[7] 何文雄,“醫療資訊標準引發國人關注,”全球網際網路雜誌十三期, 1998.
[8] 呂克偉,“無線應用協定於災難醫療資訊傳輸之應用,”台北醫學院醫學資訊研究所
碩士論文, 2002.
[9] 吳靜宜,陳孝平,“分級部分負擔對轉診效果的模擬分析---以我國全民健康保險制度
為例,”中正大學社福所碩士論文, 1996.
[10] 高源忠,“國內電子轉診病歷交換HL7標準之研究,”台北醫學大學醫學資訊研究所碩
士論文, 2002.
[11] 連佑阡,“導入ERP對企業經營效率與經濟附加價值之影響-以我國資訊電子業為
例,”中原大學會計研究所碩士論文, 2002.
[12] 陳志昌,“UML技術手冊,”美商歐萊禮台灣分公司, 台灣, 1999.
[13] 陳澤生, 廖炳松, 禹良治,“以健衛層/七為基礎之門診病患轉診系統,” 2000網際
網路與分散式系統研討會, pp. 417-421, 2000.
[14] 陳澤生, 廖炳松, 李承憲,“以HL7/XML為基礎在網際網路環境下轉診中心之實現,”
第十二屆物件導向技術及應用研討會,pp.1-5, 2001.
[15] 黃正旭,“醫療轉診網路系統之實作,”淡江大學資訊工程系碩士論文, 2000.
[16] 黃協弘,“跨醫院醫療資訊交換模式設計,”長庚大學資訊管理研究所碩士論文,
2002.
[17] 黃章銘,溫嘉憲,黃興進,“Extranet在轉診之應用-以臺中榮總為例,”醫療資訊雜
誌第九期, pp. 19-38, 1999.
[18] 掌幄科技,“PDA走入新光醫院,”http://www.qebsoft.comh
/taiwan/success_2.htm.
[19] 楊志良,“全民健康保險之契機與展望,”巨流圖書公司,台灣, pp. 203-272, 1998.
[20] 溫演福,“VS.NET與J2EE之競合,”Windows & .NET Magazine, pp. 148-151, 2002.
[21] 鄭吉峰, ”WAP與WML行動通訊科技應用,” 學貫行銷股份有限公司,台灣, 2000.
[22] Hung, K. and Zhang, Y.T.,“ On the Feasibility of the Usage of
WAP,”Proceedings 2000 IEEE EMBS International Conference on, pp. 28 -31,
2000.
[23] Ki Sung Um, Yun Sik Kwak, Hune Cho and Il Kon Kim,“Development of HL7
Message Browser Based on web Environment ,”Proceedings of The Fourth
China-Japen-Korea Joint Symposium on Medical Informatics, pp. 80-83,
2002.
[24] Mikkonen, M., Väyrynen, S., Ikonen, V. and Heikkilä, M.O.,“User and
Concept Studies as Tools in Developing Mobile Communication Services for
the Elderly,”Personal and Ubiquitous Computing January Volume 6 Issue 2,
2002.
[25] Park, Seung-Hun, Park, Jung-Hyun, Ryu, Se-Hyun, Jeong, Taegwon, Lee,
Hyung-Ho and Yim, Chu-Hwan,“Real-time monitoring of patients on remote
sites,”Proceedings of the 20th Annual International Conference of the
IEEE, pp. 1321 -1325, 1998.
[26] Pek, E. , Loncaric, S. and Margan, A.,“Internet-based medical
teleconsultation system,”Proceedings of the 2nd International Symposium
on Image and Signal Processing and Analysis, pp. 657 -661, 2001.
[27] Sitting, D.F., Gandhi, T.K., Franklin, M., Turetsky, M., Sussman, A.J.,
Fairchild, D.G., Bates, D.W., Komaroff, A.L. and Teich, J.M.,“A
Computer-Based Outpatient Clinical Referral System,”International
Journal of Medical Informatics,(55) 2, pp. 149-158, 1999.
[28] Spruijt, H.J., Karreman, A.J.P., Bronzwaer, J.G.F., Umans, V.A.W.M.,
Dijk, W.A. and Dassen, W.R.M.,“Using ISDN-30 Coronary Angio Data
Transport,”Computers in Cardiology 1998, 13-16, pp. 481 -484, 1998.
[29] Van Wingerde, F.J., Schindler, J., Kilbridge, P., Safran, C., Rind, D.,
Murphy, S., Barnett, G.O. and Kohane I.S.,“Using HL7 and the World Wide
Web for unifying patient data from remote databases,”Proc. AMIA Annu.
Fall Symp., pp. 643-647, 1996.