運用單鍵解決方案整合放射腫瘤資訊系統(MOSAIQ)與醫院醫療資訊系統

Integration of Radiation Oncology Information System (MOSAIQ) with Health Information Systems Using a One-Touch Solution

汪昶佑(Chang-Yu Wang) ； 梁雲(Stephen Wan Leung) ； 王秀仁(Siou-Ren Wang) ； 柯建佑(Chien-Yu Ker) ； 陳保慶(Pao-Ching Chen) ； 洪偉強(Wei-Chiang Hung) ； 賴玫伶(Mei-Lin Lai) ； 廖偉敦(Wei-Duen Liao)

《放射治療與腫瘤學》 21卷4期 (2014/12) Pp. 295-304

https://doi.org/10.6316/TRO/201421(4)295

摘要

目的：雖然市場上有一些放射腫瘤資訊與工作管理系統可供選用（例如，Elekta公司的MOSAIQ），但這類資訊系統往往是針對放射腫瘤專業領域設計的，在台灣相當難以和醫院內現行的醫療資訊系統healthin formation system(HIS)進行整合。因此，我們提出了能夠整合這兩個不同資訊系統的單鍵式解決方案One-Touch Solution(OTS)，不論何時何地都能讓醫師透過這個整合系統獲取最即時的病患放射治療資訊。材料與方法：我們先確認科內現行的工作流程，釐清醫院HIS和放射腫瘤科內MOSAIQ之間資訊的傳遞情形，接著運用以下數個資訊技術建置了能夠整合這兩個不同資訊系統的單鍵式解決方案，包括HL7訊息交換、SQL查詢和動態網頁。OTS允許經過驗證的用戶使用已授權的電腦工作站或移動裝置，以最直觀簡易且快速的方式，來獲取病患的放射治療即時資訊，例如：治療部位、劑量與次數、治療起訖日期等。結果：OTS成功實現了只按一鍵就可完成MOSAIQ與醫院HIS間的資料交換，方便每日臨床工作使用。從使用者獲取病患的即時放射治療資訊，然後記錄在醫院HIS所需的平均時間，相較於直接在MOSAIQ查詢的12.7秒與人工傳送紙本病歷的47.1秒，透過OTS的整合可以顯著地減少到只需1秒完成（兩組比較皆是P＜0.05）。結論：OTS可以使放射治療的資料在不同的資訊管理系統之間交換變得更加容易，並紓緩放射腫瘤科醫師的重複性事務，讓醫師能有多點時間著重於其他更重要的醫療工作，進而提升放射治療的品質與安全。

關鍵字

電子病歷 ； 醫療資訊系統 ； 放射腫瘤資訊系統

並列摘要

Purpose: While a variety of information and practice management systems are available (e.g., MOSAIQ from Elekta), these information systems are specific to radiation oncology and are quite difficult to integrate with existing hospital Health Information System (HIS) in Taiwan. A one-touch solution to integrate diverse information systems was proposed to readily access radiotherapy information in real time wherever and whenever needed. Materials and Methods: First, we identified all existing processes and the distribution of information between HIS in the hospital and MOSAIQ in the department of radiation oncology. Then a one-touch solution (OTS) was implemented using several information technologies, including HL7 message exchange, SQL query, and dynamic web pages. It allowed authenticated users to obtain the radiotherapy information such as treatment sites, dose and fractions, and start/end date of radiotherapy on authorized computer workstations or mobile devices in an intuitive and rapid way. Results: The ability to exchange data between MOSAIQ and hospital HIS with just one touch was successfully implemented for daily clinical use. The mean time for users to retrieve up-to-date radiotherapy information for each patient and record it in hospital HIS was significantly decreased to 1 sec with OTS compared to 12.7 sec with searching data in MOSAIQ and 47.1 sec with manual transfer of paper charts (p＜0.05 for both comparisons). Conclusion: OTS can facilitate the exchange of radiotherapy data between different information systems. It can free up radiation oncologists from doing repetitive tasks, and allow them to focus on other important tasks to improve the quality and safety of radiotherapy.

並列關鍵字

Electronic medical record ； Health information system ； Radiation oncology information system