請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/38439完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳少傑(Sao-Jie Chen) | |
| dc.contributor.author | Po-Hsun Cheng | en |
| dc.contributor.author | 鄭伯壎 | zh_TW |
| dc.date.accessioned | 2021-06-13T16:33:36Z | - |
| dc.date.available | 2005-07-15 | |
| dc.date.copyright | 2005-07-15 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-07-10 | |
| dc.identifier.citation | [1] P. H. Cheng, J. S. Lai, F. M. Shyu, H. S. Chen, J. J. Luh, and S. J. Chen, “Laboratory Data Exchange Using HL7 Interface Engine,” Journal on Information Technology in Healthcare, vol. 1, no. 5, pp. 331-342, Dec. 2003.
[2] P. H. Cheng, J. S. Lai, F. M. Shyu, T. Y. Chan, Y. F. Wu, C. H. Lin, and S. J. Chen, “From Patient Referral System To HL7 Referral Standard,” in Proc. of 2003 Medical Informatics Symposium in Taiwan (MIST), Kaohsiung, Taiwan, pp. 177-182, Oct. 17, 2003. [3] P. H. Cheng, J. S. Lai, and S. J. Chen, “Exploring the Information Exchange Standards for Electronic Health Records,” Formosan Journal of Medicine, vol. 8, no. 6, pp. 803-806, Nov. 2004. [4] P. H. Cheng, W. C. Cheng, F. M. Shyu, S. J. Chen, and J. S. Lai, “Integrating Taiwan Laboratory Coding Systems,” in Proc. of the 3rd Asia-Pacific and Cross-Strait Conference on Healthcare Information Standards (APCSC), Taipei, Taiwan, pp. 22-28, July 2004. [5] P. H. Cheng, F. M. Shyu, J. S. Lai, S. J. Chen, and S. C. Fan, “e-Hospital on Demand: Medical Application Services Architecture (MASA),” in Proc. of the Medical Informatics Symposium in Taiwan (MIST), Taipei, Taiwan, pp. 45-50, Oct. 2002. [6] P. H. Cheng, C. H. Yang, H. S. Chen, S. J. Chen, and J. S. Lai, “Application of HL7 in a Collaborative Healthcare Information System,” in Proc. of the 26th Annual International Conference IEEE Engineering in Medicine and Biology Society (EMBS), San Francisco, CA, USA, v. 26V, paper 222, pp.3354-3357, Sept. 4, 2004. [7] P. H. Cheng, S. J. Chen, J. S. Lai, J. J. Luh, H. S. Chen, and H. C. Chung, “A Union Telemedicine Platform for Native Tribes,” in Proc. of the 10th International Federation for Medical and Biological Engineering 2004 - AIIMB & IFBME (Medicon & Health Telematics), Ischia, Italy, vol. 6, paper 359, Aug. 1, 2004. [8] P. H. Cheng, W. J. Ko, K. T. Chien, Y. H Huang, S. J. Chen, and J. S. Lai, “A National Organ Donation/Transplantation Registry System (NODTRS),” Journal of Korean Society of Medical Informatics, vol. 9, supplement 2, pp. s263-266, Oct. 2003. [9] J. J. Luh, H. S. Chen, P. H. Cheng, and J. S. Lai, “Development and Realization of Telemedicine,” Formosan Journal of Medicine, vol. 8, no. 6, pp. 826-831, Nov. 2004. [10] J. J. Luh, P. H. Cheng, S. J. Chen, J. S. Lai, H. S. Chen, and H. C. Chung, “Evaluation of the Low Cost Telemedicine System in Taiwan,” in Proc. of the IEEE 7th Int'l Workshop on Enterprise Networking and Computing in Healthcare Industry (HEALTHCOM), Busan, Korea, pp. 316-319, June 23-25, 2005. [11] P. H. Cheng, T. H. Yang, C. H. Yang, G. H. Lin, F. Lai, C. L. Chen, H. H. Lee, Y. S. Sun, J. S. Lai, and S. J. Chen, “A Collaborative Knowledge Management Process for Implementing Healthcare Enterprise Information Systems,” in Proc. of the 2005 IEEE/IEE Int'l Engineering Management Conf. (IEMC), St. John's, Newfoundland, Canada, Sept. 11-13, 2005. (Accepted) [12] P. H. Cheng, T. H. Yang, F. M. Shyu, J. J. Luh, H. S. Chen, Y. P. Chen, S. J. Chen, and J. S. Lai, “A Conceptual Model for Dependable Healthcare Information Exchange,” in Proc. of the 6th International Affiliates Meeting and the 4th Asia-Pacific HL7 Conference on Healthcare Information Standards, Taipei, Taiwan, July 21-23, 2005. (Accepted) [13] P. H. Cheng, T. H. Yang, H. S. Chen, K. P. Hsu, S. J. Chen, and J. S. Lai, “Codesign of an Healthcare Enterprise Information Portal and Hospital Information Systems,” in Proc. of the IEEE 7th Int'l Workshop on Enterprise Networking and Computing in Healthcare Industry (HEALTHCOM), Busan, Korea, pp. 446-449, June 23-25, 2005. [14] M. J. Su, H. S. Chen, G. S. Lin, F. M. Shyu, S. Su, P. H. Cheng, C. L. Shih, J. W. Lin, and S. J. Chen, “Application of Wireless Network in a Medical Emergency Service Network,” in Proc. of the IEEE 7th Int'l Workshop on Enterprise Networking and Computing in Healthcare Industry (HEALTHCOM), Busan, Korea, pp. 23-25, June 23-25, 2005. [15] P. H. Cheng, T. N. Chien, C. H. Chien, S. J. Chen, and J. S. Lai, “A Project Interface Buffering Model for Application Engineer Management,” in Proc. of the 2004 IEEE International Engineering Management Conference (IEMC), Singapore, vol. 1, pp. 253-257, Oct. 19, 2004. [16] R. S. Chen, S. M. Hou, T. Y. Tai, C. T. Liu, H. J. Hwang, P. H. Cheng, K. L Wu, “Combination of Health Insurance Card and IC Card: National Taiwan University Hospital Experience,” Formosan Journal of Medicine, vol. 3, no. 2, pp. 166-176, Mar. 1999. [17] P. H. Cheng, “What's on Your Hard Drive?” ACM Queue, vol. 2, no. 9, pp. 14, Dec. 2004. [18] P. H. Cheng, F. M. Shyu, G. H. Lin, S. J. Chen, and J. S. Lai, “Moving toward Healthcare Data Exchange Chip,” in Proc. of Medinfo World Congress, San Francisco, CA, USA, pp. 1551, Sept. 10, 2004. [19] P. H. Cheng, F. M. Shyu, G. H. Lin, Y. P. Chen, T. N. Chien, J. S. Lai, and S. J. Chen, “Design of a Healthcare Standard Chip,” in Proc. of the 8th World Multiconference on Systemics, Cybernetics and Informatics (SCI), Orlando, Florida, USA, vol. 12, pp. 128-132, July 21, 2004. [20] F. M. Shyu, P. H. Cheng, and S. J. Chen, “DSAF: A Distributed Simulated Annealing Model for Physical Design,” in Proc. of the 14th VLSI Design/CAD Symposium, Hualien, Taiwan, pp. 433-436, Aug. 11, 2003. [21] e-Taiwan Project. [Online] Available: http://www.etaiwan.nat.gov.tw/. [22] F. Hoque, e-Enterprise: Business Models, Architecture, and Components, NY: Cambridge University Press, pp.139-201, 2000. [23] R. Prieto-Diaz and P. Freeman, “Classifying Software for Reusability,” IEEE Software, vol. 5, no. 1, pp. 6-16, Jan. 1987. [24] I. Sommerville, Software Engineering, 6th edition, Addison-Wesley, pp. 307-308, 2001. [25] L. Gerstner, “e-Business on Demand: the Next Wave of IT Services,” IBM Global Services. [Online]. Available: http://www-1.ibm.com/services/ondemand/files/nextwave.pdf, January 2002. [26] Z. Tari and O. Bukhres, Fundamentals of Distributed Object Systems: The CORBA Perspective, New York: John Wiley & Sons, Inc., pp. 32-63, 2001. [27] D. Olagunju and I. Goldenberg, “Future Generation of Medical Computing: Perspective into 21st Century Computer Technology,” in Proc. of the 10th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBS), New Orleans, LA, USA, vol. 3, pp. 1448-1449, Oct. 1988. [28] T. A. M. Spil and R. A. Stegwee, “Strategies for Healthcare Information Systems,” in Strategies for Healthcare Information Systems, Hershey, PA: Idea Group Publishing, pp.1-10, 2001. [29] K. Siau, “Health Care Informatics,” IEEE Transactions on Information Technology in Biomedicine, vol. 7, no. 1, pp. 1-7, March 2003. [30] M. Korpela, J. Mykkanen, M. Rasanen, H. Ruonamaa, and M. Sormunen, “Transforming Legacy Systems into a Valuable Heritage: the Case of the FixIT Migration Tools in Finland,” in Managing Healthcare Information Systems with Web-Enabled Technologies, Hershey, PA: Idea Group Publishing, pp.92-108, 2000. [31] M. S. Hilliard, D. L. Larson, and M. J. Rosenberg, “LIMS: a Suite of Database Tools for Laboratory Organization,” in Proc. of the 14th IEEE Symposium Computer-Based Medical Systems (CMBS), Maryland, USA, pp. 158-162, July 2001. [32] R. S. Dick, E. B. Steen, and D. E. Detmer, The Computer-Based Patient Record: An Essential Technology for Health Care, Revised Edition, Washington D.C.: National Academy Press, pp. 21-43, 1997. [33] N. Maglaveras, M. Strinzis, K. I. Diamantaras, T. Doukoglou, A. Armaganidis, and I. Chouvarda, “IHIS: an Integrated Hospital Environment Linking via LAN ICU with PACS and Biomedical Laboratories,” in Proc. of IEEE Computers in Cardiology Conference, Indianapolis, IN, USA, pp. 589-592, Sept. 1996. [34] N. Bricon-Souf, D. Delerue, H. Bezzazi, D. Donsez, and R. J. Beuscart, “A Regional Server for Medical Information,” in Proc. of the 19th Annual International Conference of the IEEE EMBS, vol. 2, pp. 939-940, Oct. 1997. [35] A. Vagelatos and J. Sarivougioukas, “Lessons Learned from the Introduction of a Laboratory Information System in a State Hospital of Athens, Greece,” in Proc. of the 36th Annual Hawaii International Conference System Sciences (HICSS), Hawaii, USA, pp.163-168, Jan. 2003. [36] G. A. Gibbon, “A Brief History of LIMS,” Laboratory Automation and Information Management, vol. 32, no. 1, pp. 1-5, May 1996. [37] P. E. Schilling, “Technical Strategy for Laboratory Information Management Systems,” Laboratory Information Management, vol. 26, no. 3, pp. 143-151, Dec. 1994. [38] C. L. Wittson and R. Benschoter, “Two-way Television: Helping the Medical Center Reach Out,” American Journal of Psychiatry, vol. 129, no. 5, pp. 624-627, 1972. [39] A. Jutra, “Teleroentgen Diagnosis by Means of Videotape Recording,” American Journal of Roentgenology, vol. 82, no. 1, pp. 1099-1102, 1959. [40] R. Bashshur and J. Lovett, “Assessment of Telemedicine: Results of the Initial Experience,” Aviation Space and Environment Medicine, vol. 48, no. 1, pp. 65-70, Jan. 1977. [41] R. Bashshur, Technology Serves the People: The Story of a Cooperative Telemedicine Project by NASA, the Indian Health Service and the Papago People, Washington D. C.: Superintendent of Documents, U.S. Government Printing Office, p. 110, 1980. [42] D. R. Foote, “Satellite Communication for Rural Health Care in Alaska,” Journal of Communication, vol. 27, no. 4, p. 173-182, 1977. [43] D. S. Watson, “Telemedicine,” Medical Journal of Australia, vol. 151, no. 2, pp. 62-66, 1989. [44] C. C. Lin, H. S. Chen, C. Y. Chen, and S. M. Hou, ‘Implementation and Evaluation of a Multifunctional Telemedicine System in NTUN’, International Journal of Medical Informatics, vol. 61, no. 2-3, pp. 175-187, May 2001. [45] C. C. Lin, J. R. Duann, C. T. Liu, H. S. Chen, J. L. Su, and J. H. Chen, “An Unified Multimedia Database System to Support Telemedicine,” IEEE Transactions on Information Technology in Biomedicine, vol. 2, no. 3, pp. 183-192, Sept. 1998. [46] W. Holzer, “Telemedicine: New Application of Communication Technology,” IEEE Transactions on Communications, vol. 22, no. 5, pp. 685-688, May 1974. [47] W. J. Chirniak, R. O. Rainer, J. M. Chirniak, and R. Martinez, “An Architecture for Naval Telemedicine,” IEEE Transactions on Information Technology in Biomedicine, vol. 1, no. 1, pp.73-79, March 1997. [48] F. Pinciroli, M. Masseroli, and G. Tognola, “The Educational Offer in Medical Informatics and Telemedicine at Engineering Faculty of the Politecnico di Milano,” IEEE Transactions on Education, vol. 46, no. 3, pp. 394-398, Aug. 2003. [49] M. H. Williams, G. Venters, and D. Marwick, “Developing a Regional Healthcare Information Network,” IEEE Transactions on Information Technology in Biomedicine, vol. 5, no. 2, pp. 177-180, June 2001. [50] E. O. Sheybani and R. Sankar, “ATMTN: A Telemommography Network Architecture,” IEEE Transactions on Biomedical Engineering, vol. 49, no. 12, pp. 1438-1443, Dec. 2002. [51] P. Varady, Z. Benyo, and B. Benyo, “An Open Architecture Patient Monitoring System Using Standard Technologies,” IEEE Transactions on Information Technology in Biomedicine, vol. 6, no. 1, pp. 95-98, March 2002. [52] M. Krol, “Telemedicine: A Computer/Communications Current and Future Challenge,” IEEE Potential, vol. 16, no. 4, pp.29-31, Oct.-Nov. 1997. [53] D. L. Paul, K. E. Peralson, and R. R. McDaniel Jr., “Assessing Technological Barriers to Telemedicine: Technology-Management Implications,” IEEE Transactions on Engineering Management, vol. 46, no. 3, pp. 279-288, Aug. 1999. [54] D. T. McWherter, J. Sevy, and W. C. Regli, “Building an IP Network Quality-of-Service Testbed,” IEEE Internet Computing, vol. 4, no. 4, pp. 65-73, July-Aug. 2000. [55] Taiwan Organ Registry and Sharing Center (TORSC), Taiwan. [Online] Available: http://www.torsc.org.tw/. [56] Donate Bone Marrow, Tzu-Chi Foundation, Taiwan. [Online] Available: http://www.tzuchi.org/global/help/donbone.html. [57] The Framework for Global Electronic Commerce, the White House, USA. [Online] Available: http://clinton4.nara.gov/WH/New/Commerce/index.html. [58] UK Online Centres, United Kingdom, [Online] Available: http://www.ukonline.gov.uk/. [59] e-Japan Strategy II, IT Strategy Headquarters, Japan, July 2, 2003. [Online] Available: http://www.kantei.go.jp/foreign/policy/it/0702senryaku_e.pdf. [60] e-Japan Strategy II Acceleration Package (Provisional Translation), IT Strategy Headquarters, Japan, March 18, 2004. [Online] Available: http://www.kantei.go.jp/foreign/policy/it/040318senryaku_e.pdf. [61] e-KOREA VISION 2006: The Third Master Plan for Information Promotion (2002~2006), Ministry of Information and Communication, Republic of Korea, April, 2002. [Online] Available: http://www.mic.go.kr/eng/res/res_pub_sep_ekv_2002.jsp. [62] Infocomm 21 Status Update Report, Singapore, May 2002. [Online] Available: http://www.ida.gov.sg/idaweb/doc/download/I2250/121Rpt-(May).pdf. [63] National Health Information Infrastructure (NHII). [Online] Available: http://aspe.hhs.gov/sp/nhii/. [64] Y. C. Li, H. S. Kuo, W. S. Jian, D. D. Tang, C. T. Liu, L. Liu, C. Y. Hsu, Y. K. Tan, and C. H. Hu, “Building a Generic Architecture for Medical Information Exchange among Healthcare Providers,” International Journal of Medical Informatics, vol. 61, no. 2-3, pp. 241-246, May 2001. [65] T. W. Rehkopf and N. Wybolt, “Top 10 Architecture Land Mines,” IEEE IT Professional, vol. 5, no. 6, pp. 36-43, Nov.-Dec. 2003. [66] D. S. Linthicum, B2B Application Integration: e-Business-Enable Your Enterprise, Addison-Wesley Press, 2001. [67] 張光昊, 賴金鑫, 徐豐明, “建置一個以HL7訊息交換之電子病歷 – 以台大醫院檢驗報告查詢系統與心店圖報告查詢系統為例,” in Proc. of the Asia-Pacific HL7 Conference on Healthcare Information Standards, Taipei, Taiwan, pp. 75-89, March 2002. [68] G. D. Moor, T. Fiers, R. Wieme, and P. Scott, “The Research in Semantics Behind the OpenLabs Coding System,” Computer Methods and Programs in Biomedicine, vol. 50, no. 2, pp. 169-185, July 1996. [69] T. Jensen and B. Baumgartner, “A Flexible, Multimodality Structured Reporting System Based on Medical and Networking Standards,” International Congress Series, vol. 1256, pp. 893-899, June 2003. [70] D. M. Baorto, J. J. Cimino, C. A. Parvin, and M. G. Kahn, “Combining Laboratory Data Sets From Multiple Institutions Using the Logical Observation Identifier Names and Codes (LOINC),” International Journal of Medical Informatics, vol. 51, no. 1, pp. 29-37, July 1998. [71] P. C. Dykes, L. M. Currie, and J. J. Cimino, “Adequacy of Evolving National Standardized Terminologies for Interdisciplinary Coded Concepts in an Automated Clinical Pathway,” Journal on Biomedical Informatics, vol. 36, no. 4-5, pp. 313-325, Oct. 2003. [72] QDX, Quovdax Inc., England. [Online] Available: http://www.qdx.com/. [73] Rhapsody, Orion International, Inc., Australia. [Online] Available: http://www.orionhealth.com/. [74] H. Oosterwijk, “Introduction to IHE,” International Congress Series, vol. 1268, pp. 92-95, June 2004. [75] J. McCormack, “Standard: Standard Bearers Cit Progress,” Health Data Management, vol. 8, no. 5, pp. 98-102, May 2000. [76] H. S. Chen, F. R. Guo, C. Y. Chen, J. H. Chen, and T. S. Kuo, “Review of Telemedicine Projects in Taiwan,” International Journal of Medical Informatics, vol. 61, no. 2-3, pp. 117-129, May 2001. [77] P. Brinegar and M. McGinley, “Telepractice and Professional Licensing: A Guide for Legislators,” in Proc. of the Council on Licensure, Enforcement and Regulation, Lexington, Kentucky, USA, 1998. [78] T. Morris, “Battlefield Medical Information System-Telemedicine (BMIS-T),” Mercury, pp. 22-24, Oct. 2001. [79] J. B. Crowther and R. Poropatich, “Telemedicine in the U.S. Army: Case Reports From Somalia and Croatia,” Telemedicine Journal, vol. 1, no. 1, pp. 73-80, 1995. [80] J. E. Jones, J. Corley, and D. Dorsey, “Telehealth Testbed Launches Technology Evaluation Program,” Telemedicine Today, vol. 9, no. 2, pp. 27-28, Aug.-Sept. 2002. [81] B. A. Houtchens, T. P. Clemmer, H. C. Holloway, A. A. Kiselev, J. S. Logan, R. C. Merrell, A. E. Nicogossian, H. A. Nikogossian, R. B. Rayman, A. E. Sarkisian, et al., “Telemedicine and International Disaster Response: Medical Consultation to America and Russia via A Telemedicine Spacebridge,” Prehospital Disaster Medicine, vol. 8, no. 1, pp. 57-66, Jan.-Mar. 1993. [82] D. A. Perednia and A. Allen, “Telemedicine Technology and Clinical Applications,” Journal of American Medical Association, vol. 273, no. 6, pp. 483-488, 1995. [83] E. J. Gomez, F. del Pozo, E. J. Ortiz, N. Malpica, and H. Rahms, “A Broadband Multimedia Collaborative System for Advanced Teleradiology and Medical Imaging Diagnosis,” IEEE Transactions on Information Technology in Biomedicine, vol. 2, no. 3, pp. 146-155, Sept. 1998. [84] A. K. LaFond, L. Brown, and K. Macintyre, “Mapping Capacity in the Health Sector: A Conceptual Framework,” International Journal of Health Planning and Management, vol. 17, no. 1, pp. 3-22, Jan.-March 2002. [85] A. Avizienis, J.-C. Laprie, and B. Randell, “Fundamental Concepts of Dependability,” in Proc. of the 3rd Information Survivability Workshops (ISW), Boston, MA, USA, paper 3, Oct. 2000. [86] M. L. Shooman, Reliability of Computer Systems and Networks: Fault Tolerance, Analysis, and Design, John Wiley & Sons Press, 2002. [87] N. G. Shaw and C. W. Craighead, “Technology Enablers to Recover from Failures in e-Services,” Communications of the ACM, vol. 46, no. 6, pp. 56-57, June 2003. [88] T. Jepsen, “IT in Healthcare: Progress Report,” IEEE IT Professional, vol. 5, no. 1, pp. 8-14, Jan. 2003. [89] W. Wolf, Computers as Components: Principles of Embedded Computing System Design, Morgan Kaufmann Publishers, 2001. [90] World Wide Web Consortium (W3C). [Online] Available: http://www.w3c.org/xml/. [91] J. Zhang, “XML on a Chip,” March 2005. [Online] Available: http://www.xml.com/pub/a/2005/03/09/chip.html. [92] F. Vahid and T. Givargis, Embedded System Design: A Unified Hardware/Software Introduction, John Wiley & Sons, Inc., 2002. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/38439 | - |
| dc.description.abstract | 由於資訊技術的快速發展，醫學資訊領域裡也漸次引用新穎的資訊技術來增加醫療體系內的競爭力，或用來進一步提高醫療服務品質。在醫學資訊之應用資訊系統的設計與建置中，因為開放系統的風行與異質性的資訊系統的逐次上線，如何將舊有的系統作有效、快速、低成本地整併，已成為醫療體系內部醫學資訊系統整合上的重要設計課題。另外許多以往容易被忽略的間接影響，例如醫學資訊交換標準的引用，現今也成為設計時首先要考慮的因素，但標準的選定與引用後的效益都很難在設計初期就明確預測。因此，整合型健康資訊系統(i-HIS, Integrated Health Information System)之建置過程通常都是採取較保守的引用國際資訊交換標準之方式，來奠基中長程資訊系統的基礎架構。本論文主要在說明設計初期即採用廣受引用之國際資訊交換標準，如HL7 (Health Level Seven)、LOINC (Logical Observation Identifiers, Names and Codes)、XML (Extensible Markup Language)等，可以排除日後流於閉門造車之可能性，以減少基礎建設之後續再投資的比例，並希冀可以在近程內可以與國際知名系統接軌，降低日後各類醫療資訊相關之儀器設備的整合與銜接問題。
我們在系統的規劃階段提出解決問題的機制，包括HL7與XML國際資訊交換標準的引用與制定地區化的相關標準。前者是目前廣受歡迎的醫學資訊交換標準，主要在交換文字類的醫學資訊，後者則是更為一般化之文字類資訊載具，並受到醫學領域以外的其他領域所擁戴與使用。基本上，上述兩者標準在大多數情況下可以獨立使用，但是在此我們合併使用以求產生加乘的效果。 在整合型健康資訊系統的建置上，我們透過HL7/XML標準的制定，依序將相關的標準應用到各類型的健康資訊系統中，包括檢驗資訊系統(LIS, Laboratory Information System)、遠距醫療系統(TIS, Telemedicine Information System)、與全國器官捐贈移植登錄系統(NODTRS, National Organ Donation/Transplantation Registry Systems)等。並以上述三個系統就軟體再用(Software Reuse)理論之三種再用層次進行功能再用(Function Reuse)、元件再用(Component Reuse)、與應用系統再用(Application System Reuse)的驗證，證明透過適度的導入HL7/XML標準到相關的整合型健康資訊系統的建置環境中，可以加速整合建置的時程，並適度降低成本。和現有的資訊技術相比，這些資訊系統的功能沒有很大的差別，但是其內部資訊交換的機制卻明顯的不同於以往的架構，其優點是系統的整合與銜接上較為單純，因此整合的速度比以往快捷。 我們也附帶說明了台大醫院裡二十多年來的檢驗資訊系統演化過程與相關解決方案，從中央集權式LIS、主從式LIS、與隨插即用式 LIS。其中在隨插即用式 LIS中也順帶說明HL7介面引擎(HL7-IE, HL7 Interface Engine)的資訊流交換機制，更進一步分析訊息封包流入與流出的相關統計結果。此外，在LIS、TIS、與NODTRS等系統的建置過程中，一些資訊管理相關的經驗與考量也一併加以提出與說明，以提供醫學資訊相關同好後續參考之用。 本論文所提出的i-HIS整合性概念與系統建置模式均基於使用標準的訊息架構，由於這種架構的資訊交換介面可以像電源插頭與插座一樣，隨插即用，整合速度快，因此相關的後續技術演化與應用將預期可以順利延伸與推展到軟硬體共同設計(Hardware/Software Co-design)或超大型積體電路(VLSI, Very Large Scale Integration)晶片的規劃與設計等，除了可以解決目前訊息串流因為HL7與XML訊息加成效應，造成訊息過長導致訊息收送速度過慢的可能疑慮外，更可以加速未來訊息串流的傳送、轉換、與接收速度，且不會使i-HIS的整體系統效能明顯變慢。而未來在HL7與XML訊息串流的帶動下，搭配支援XML的資料庫，並輔以HL7核心訊息系統，將可以使得醫療體系內部資訊系統從內而外都是標準的影子，在日後的醫學資訊系統的整合上將會如魚得水，輕鬆自在。 | zh_TW |
| dc.description.abstract | The more information technologies be implemented, the more complex the relationship among the information systems inside the healthcare enterprise. In order to minimize the implementation complexity of the information systems in such environment, we base on the software reuse theory and propose an integrated health information system (i-HIS) model to integrate many information systems with HL7/XML information standards in a healthcare enterprise.
The seven implementation facets of the electronic health records (EHR) will be illustrated. They include laws, sharing, security, standard, technology, management, and society facets. Meanwhile, we adopt the HL7 and XML standards to be the basic information infrastructure for information exchange and try to implement some healthcare information systems reusing software components with a plug-and-play mechanism. A brief description of HL7 and XML standards is given. Meanwhile, the concept and implementation guideline of an EHR system is described. Then at least three large information systems implemented in NTUH, which satisfy the HL7/XML information exchange necessities and prove the software reuse theory can be derived into the pyramid i-HIS model, are presented. The first one is the laboratory information system (LIS) implemented at NTUH. The LIS is a kind of information system used at a healthcare intranet environment, where the medical instruments (MIs) are connected with HL7/XML standard and is managed by the HL7 Interface Engine (HL7-IE). The HL7-IE acts as the plug-and-play key role and proves the component reuse deriving to the pyramid i-HIS model is feasible. The evolution of LIS at NTUH is illustrated, and the original NTUH-LICI guideline for MIs connection is also described. Secondly, we illustrate a telemedicine information system (TIS) at NTUH. It is an information system designed for the healthcare extranet services. That is, the non-NTUH users can use TIS with authorization. NTUH implements a union telemedicine clinic center (UTCC) platform to supply both the telemedicine clinics registration and on-line EHR process services to hospitals (NTUH and NCKUH) and clinics. A localized HL7/XML Telemedicine Standard draft is implemented to process the patient information exchange tasks and proves the component reuse deriving to the pyramid i-HIS model is acceptable. The integrated telemedicine healthcare equipment (ITHE) module for medical monitoring is also introduced. The third information system is the national organ donation/transplantation registry system (NODTRS) which is implemented by NTUH. This is an Internet information system which widely serves the contracted medical centers in Taiwan to process the organ donation, transplantation and registry tasks. We derive a localized HL7/XML Organ Transplantation Standard draft inside the patient information exchange processes and prove that the application system reuse can be derived in the pyramidal i-HIS model. At last, we draw a conclusion for this Dissertation and predict some future works with visions. For example, healthcare hardware/software co-design and healthcare standard VLSI chip designs. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T16:33:36Z (GMT). No. of bitstreams: 1 ntu-94-D90943006-1.pdf: 1337180 bytes, checksum: 49d84b8d74f3a52b75fa470836f84397 (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | ABSTRACT i
TABLE OF CONTENTS iii LIST OF FIGURES vii LIST OF TABLES ix CHAPTER 1 INTRODUCTION 1 1.1 Integrated Health Information System 1 1.2 Roles of Healthcare Information Standards 3 1.3 Focus on Healthcare Information Exchange Standards 4 1.4 From Standardized Information Systems to Pyramidal i-HIS Model 6 1.5 Our Contributions 9 1.6 Organization of the Dissertation 10 CHAPTER 2 BACKGROUND 11 2.1 E-Service 11 2.1.1 Service Scopes 11 2.1.2 Reuse Methodology 12 2.1.3 Medical Application Service Architecture 13 2.2 i-HIS 14 2.2.1 HIS 15 2.2.2 LIS 15 2.2.3 TIS 16 2.2.4 NODTRS 18 2.2.5 EHR 19 2.3 Healthcare Information Standards 21 2.3.1 HL7 23 2.3.2 LOINC 24 CHAPTER 3 EHR WITH STANDARDS 27 3.1 Definition and Development Direction of the EHR 27 3.2 Disorientation of EHR Applications 28 3.3 Category of EHR Related Standards 30 3.4 Use Information Standards to Solve EHR Problems 31 3.5 Summary 32 CHAPTER 4 LABORATORY INFORMATION SYSTEMS 33 4.1 Evolution and Methods 34 4.1.1 Centralized LIS 34 4.1.2 Client/Server LIS 36 4.1.3 NTUH-LICI 41 4.1.4 Plug-and-play LIS 43 4.1.5 Apply HL7/XML Standards on Plug-and-play LIS 45 4.1.6 More Works on Laboratory Coding 50 4.2 Results 54 4.3 Discussion and Recommendations 56 4.3.1 Comparison between Sybase Gateway and HL7-IE 56 4.3.2 Suggestions for Using HL7-IE 59 4.3.3 Conformance of TLCS 62 4.4 Summary 63 CHAPTER 5 TELEMEDICINE INFORMATION SYSTEMS 65 5.1 Background 65 5.1.1 Advantages of Telemedicine 65 5.1.2 Telemedicine Category 66 5.1.3 Previous Telemedicine Implementation Experiences at Taiwan 66 5.1.4 Current Development Status of Overseas Telemedicine 68 5.2 Materials and Methods 70 5.2.1 ITHE 70 5.2.2 UTCC 71 5.2.3 HL7/XML Telemedicine Standard Applied on UTCC 76 5.3 Results 87 5.4 Discussion 88 5.4.1 Analysis of UTCC Preferences 88 5.4.2 Analysis of Implementation Hardship 91 5.4.3 Blind to Chase Technology 92 5.4.4 Bandwidth Limitations 92 5.4.5 Laws and Professional Certifications 93 5.4.6 Insurance and Government Supports 93 5.5 Summary 94 CHAPTER 6 NATIONAL ORGAN DONATION/TRANSPLANTATION REGISTRY SYSTEM……. 97 6.1 Background 97 6.2 Materials and Methods 98 6.2.1 System Architecture of NODTRS 98 6.2.2 Function Partitions of NODTRS 99 6.2.3 OWORS 100 6.2.4 PreOAS 100 6.2.5 DRS 102 6.2.6 PostORS 102 6.2.7 MRS 102 6.2.8 TORSCMS 102 6.2.9 HL7/XML Organ Transplantation Standard 102 6.3 Discussion 105 6.3.1 Security Management 105 6.3.2 System Dependability 105 6.4 Summary 106 CHAPTER 7 CONCLUSION 109 7.1 Our Works 109 7.2 Some Future Works 111 7.2.1 Enhance Healthcare Standards with Reuse Methodology 111 7.2.2 Healthcare Standard Message Platform 112 7.2.3 Embedded System Designs 112 7.2.4 XML Chip Design 112 7.2.5 SoC Design 113 7.2.6 EHR Package 113 7.2.7 Engineering and Knowledge Management 114 APPENDIX 115 A. Terminology 115 B. Standard Associations 121 BIBLIOGRAPHY 123 | |
| dc.language.iso | en | |
| dc.subject | 軟體再用 | zh_TW |
| dc.subject | 健康資訊系統 | zh_TW |
| dc.subject | 資訊交換標準 | zh_TW |
| dc.subject | 介面引擎 | zh_TW |
| dc.subject | Information Exchange Standard | en |
| dc.subject | Health Information System | en |
| dc.subject | Interface Engine | en |
| dc.subject | Software Reuse | en |
| dc.title | 邁向整合型健康資訊系統之建置 | zh_TW |
| dc.title | Toward an Integrated Health Information System | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 93-2 | |
| dc.description.degree | 博士 | |
| dc.contributor.coadvisor | 賴金鑫(Jin-Shin Lai) | |
| dc.contributor.oralexamcommittee | 賴飛羆(Feipei Lai),蘇喜(Syi Su),郭德盛(Te-Son Kuo),楊順聰(Shuenn-Tsong Youn),黃秀梨(Shiow-Li Hwang),曾新穆(Vincent Shin-Mu Tseng),劉建財(Chien-Tsai Liu) | |
| dc.subject.keyword | 健康資訊系統,資訊交換標準,軟體再用,介面引擎, | zh_TW |
| dc.subject.keyword | Health Information System,Information Exchange Standard,Software Reuse,Interface Engine, | en |
| dc.relation.page | 130 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-07-11 | |
| dc.contributor.author-college | 電機資訊學院 | zh_TW |
| dc.contributor.author-dept | 電子工程學研究所 | zh_TW |
| 顯示於系所單位： | 電子工程學研究所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-94-1.pdf 未授權公開取用 | 1.31 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。