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  1. NTU Theses and Dissertations Repository
  2. 電機資訊學院
  3. 資訊工程學系
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/65145
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dc.contributor.advisor傅立成(Li-Chen Fu)
dc.contributor.authorYu-Chiao Huangen
dc.contributor.author黃雨喬zh_TW
dc.date.accessioned2021-06-16T23:27:00Z-
dc.date.available2012-12-10
dc.date.copyright2012-12-10
dc.date.issued2012
dc.date.submitted2012-07-31
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[17] L. Frank and S.K. Anderson, Evaluation of Different Database Designs for Integration of Heterogeneous Distributed Electronic Health Records, IEEE/ICME International Conference on Complex Medical Engineering, July 13-15. 2010.
[18] M. Shankar and C. Tomkins-Tinch, Design and Implementation of an Extensible Annotation Scheme for Health Informatics Data, ACM SIGHIT International Health Informatics Symposium, Miami, South Dakota, January 28-30, 2012.
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[39] M. Munoz, M. Rodriguez, J. Favela, A. Martinez-Garcia, and V. Gonzalez, Context-aware Mobile Communication in Hospitals, IEEE Journal of Computer, Volumn 36, Issue 9, pp. 38-46, September 2003.
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[41] Y.C. Yen, Human-centric and Situation-aware Pervasive Healthcare System in the Hospital for Elderly People, 2011. (Master thesis)
[42] R. Zhang and L. Liu, Security Models and Requirements for Healthcare Application Clouds, IEEE 3rd International Conference on Cloud Computing, 2010.
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[44] D. Patra, S. Ray, J. Mukhopadhyay, B. Majumdar, and A.K. Majumdar, Achieving e-Health Care in a Distributed EHR System, IEEE 11th International Conference on Healthcom, pp.101-107, December 2009.
[45] A. Agarwal, N. Henehan, V. Somashekarappa, A.S. Pandya, H. Kalva, and B. Furht, A Cloud Computing Based Patient Centric Medical Information System, Handbook of Cloud Computing (eds. B. Furht and A. Escalante), 2010.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/65145-
dc.description.abstract健康照護產業正在經歷兩個突破性的技術發展整合:情境感知功能與雲端運算技術。情境感知的照護系統可獲取環境中物體與人員的情境資訊做為決策的輔助,但多數此類的研究並不重視真實世界中的實際性,當中的許多個案甚至因為使用的情境資訊的無結構性而造成與使用者的真實意圖背離。雲端運算技術則是另一個廣為人知的技術,用以將各式的資源抽象化至網際網路上的服務,並以此提供這些服務可規模性與可取得性。然而,雲端特性中的多租戶技術並不容易實作,要將雲端與電子健康紀錄(EHR)做良好的整合更不是一件易事。整體來看,同時兼顧這兩樣技術的健康照護研究就更加的少了。
在這篇論文中,我們將提出一個狀況感知的醫療雲架構。這個架構對於最終的醫療服務使用者(即病人與其看護者)而言是隱蔽的。整個醫療雲架構包括幾個主要區塊:狀況感知的智慧病房與其框架、多租戶的狀況/電子健康紀錄資訊的雲端資料庫,以及支持大規模資料分析並提供呵護服務的雲端平台。我們所提出的狀況感知醫療雲架構也將會處理許多在情境感知科技與雲端運算科技上數項仍存在的核心問題。此外,在本論文中所提出的醫療雲架構將會建置於真實世界中存在的環境(臺灣大學醫院病房),該架構的可用性評估與效果分析也將會依存於這個以部屬的醫療雲原型上。
zh_TW
dc.description.abstractHealthcare IT is experiencing two main revolutionary changes: context-awareness and cloud computing. Context-aware healthcare systems gather nearby information of entities and determine their actions accordingly. But researches for these systems usually neglect the practicability issue in the real world, and many of them may have user intention deviation because of the unorganized information used. Cloud computing is another well-known technique that abstracts resources to web services, and offering greater scalability and availability. However, being an essential characteristic of cloud systems, multi-tenancy is not a trivial concept. Also there exist other difficulties that hinder further integration of electronic health record (EHR) systems and the cloud. There are even fewer healthcare-related works that take care of both characteristics.
In this thesis, we propose a situation-aware medical cloud architecture that is ambient to patients and caregivers, who are the ultimate healthcare service customers of the proposed medical cloud. The medical cloud includes deployed situation-aware smart wards, a multi-tenant database for situation/EHR information persistence, and a caring service cloud platform for large-scale data analysis and caring services delivering. The proposed architecture should address several central challenges of context-aware systems and cloud computing. Also the proposed solution will be backed up by a deployed prototype in real world, says, a National Taiwan University Hospital (NTUH) ward. Usability assessments and performance evaluation will also be done based on the same prototype to assess real-world usability of the proposed system.
en
dc.description.provenanceMade available in DSpace on 2021-06-16T23:27:00Z (GMT). No. of bitstreams: 1
ntu-101-R99922061-1.pdf: 1827215 bytes, checksum: 2a1e75a710d482539139029bb37a1bdb (MD5)
Previous issue date: 2012
en
dc.description.tableofcontents誌謝 ii
中文摘要 iv
Abstract v
Relevant Publications vi
Table of Contents viii
List of Figures xi
List of Tables xii
Chapter 1 Introduction 1
1.1 Motivation 1
1.2 Challenges 3
1.2.1 Context-aware Healthcare IT 3
1.2.2 Cloud-based Healthcare IT 4
1.3 Objectives and Contributions 5
1.4 Thesis Organization 7
Chapter 2 Preliminaries and Related Works 9
2.1 Preliminaries 9
2.1.1 Situation-awareness 9
2.1.2 Activity Recognition 10
2.1.3 Electronic Health Records (EHR) 11
2.1.4 Cloud Computing 13
2.1.5 Data-layer Multi-tenancy 15
2.1.6 Association Rule Mining 16
2.2 Related Works 18
2.2.1 Context-aware Prototypes in Wards 18
2.2.2 EHR Systems and Data Layouts 21
2.2.3 Medical Cloud Researches 23
Chapter 3 Situation-aware Smart Ward Technology 25
3.1 Proposed Architecture 25
3.2 Deployed Prototype 30
3.3 Situation-enabled Caring Applications 34
3.3.1 Situation Alerting 34
3.3.2 Situation Reporting 35
3.4 Lessons Learned 36
Chapter 4 Medical Cloud Technologies 39
4.1 Hybrid EHR Database Design 39
4.1.1 Proposed Architecture 41
4.1.2 Query Types and Query Handling 44
4.2 Cloud-enabled Caring Applications 47
4.2.1 Community Health Quality Promotion 47
4.2.2 Chronic Illness Alerting 49
4.3 Infrastructure for Caring Service Cloud 50
4.3.1 Proposed Infrastructure 50
4.3.2 Sequence Diagram for Request Handling 53
Chapter 5 Experiments 55
5.1 Situation-aware Smart Wards 55
5.1.1 Assessment Context 56
5.1.2 Assessment Results 57
5.2 Medical Cloud Storage 58
5.2.1 Environmental Setting 58
5.2.2 Time Efficiency 60
5.2.3 Space Efficiency 63
5.3 Cloud-based Healthcare Applications 64
5.3.1 Usability Assessment 65
5.3.2 Economical Practicability 65
Chapter 6 Conclusion 67
6.1 Summary 67
6.2 Future Works 69
REFERENCE 71
dc.language.isoen
dc.subject非關聯式資料庫zh_TW
dc.subject資訊探勘zh_TW
dc.subject狀況感知zh_TW
dc.subject情境感知zh_TW
dc.subject普及健康照護zh_TW
dc.subject多租戶技術zh_TW
dc.subjectmulti-tenancyen
dc.subjectcontext-awareen
dc.subjectsituation-awareen
dc.subjectNoSQL databaseen
dc.subjectdata miningen
dc.subjectpervasive healthcareen
dc.title真實環境中之整合式情境感知智慧照護醫療雲之實作zh_TW
dc.titleSituation-aware Medical Clouds:Towards a Real-World Integrated Contextual Healthcare Environmenten
dc.typeThesis
dc.date.schoolyear100-2
dc.description.degree碩士
dc.contributor.oralexamcommittee馮明惠(Ming-Hui Feng),陳佳慧(Chia-Hui Chen),蘇木春(Mu-Chun Su),蘇雅韻(Ya-Yun Su)
dc.subject.keyword普及健康照護,情境感知,狀況感知,非關聯式資料庫,資訊探勘,多租戶技術,zh_TW
dc.subject.keywordpervasive healthcare,context-aware,situation-aware,NoSQL database,data mining,multi-tenancy,en
dc.relation.page76
dc.rights.note有償授權
dc.date.accepted2012-07-31
dc.contributor.author-college電機資訊學院zh_TW
dc.contributor.author-dept資訊工程學研究所zh_TW
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