以全球資訊網為基礎的網路門診系統

Web-based Network Clinic System

林仲志(Chung-Chih Lin) ； 徐文浩(Wen-Hao Hsu) ； 李仁貴(Ren-Guey Lee) ； 陳志宏(Jyh-Horng Chen) ； 胡大雄(Ta-Hsiung Hu) ； 劉姵君(Pei-Chuin Lui) ； 陳恆順(Heng-Shuen Chen)

《Journal of Medical and Biological Engineering》 20卷3期 (2000/09) Pp. 16-22

摘要

本研究主要的目的在建立一套以全球資訊網為平台的遠距醫療網路門診系統。我們提出一個N-tier的軟體架構以解決資料存取、醫學影像呈現及互動式溝通問題。首先在資料存取方面，病人的各種醫學資料均由一物件關連式資料庫所管理，並提供統一的ODBC介面來進行存取。其次，我們亦發展中介軟體來管理使用者的查詢要求及資料庫連線等問題，以提高資料存取的效能。最後在醫學影像呈現方面，以ActiveX技術發展的影像處理元件，不僅能呈現DICOM格式醫學影像，亦提供了臨床上常用的影像處理工具，幫助醫師在WWW上檢視無失真的醫學影像。而對通訊溝通的問題，我們則使用PC型視訊會議系統及Winsock達到醫師和病患間即時互動的診療。本套系統已建立於台大醫院及台大電機學院間，以實驗其各項功能。

關鍵字

全球資訊網 ； 網路門診 ； 中介軟體 ； 醫學影像

並列摘要

The goal of this project was to develop a web-based network clinic system that was applied to tele-medicine. We proposed a N-tier software architecture to resolve data accessing, medical imaging presentation and interactive communication problems. In data accessing, all types of patients' information were managed by an object-relational database management system. This mechanism provided a unified interface, ODBC, to archive patient's information records. In addition, we also developed a middleware to manage amount of user connection and query usage. It provided a high performance of data accessing for physician. In medical imaging presentation, an image-processing unit based on ActiveX was built in this study. This unit could not only display DICOM medical images but also manipulate images directly. It helps physician be able to view real image data on WWW. According to the communication problem, we used PC based videoconference system and socket packages to provide a real-time interactive consultation between patient and physician. The systems had been experimented between National Taiwan University Hospital and Institute of Electrical Engineering of National Taiwan University to approve its function.

並列關鍵字

WWW ； Network clinic ； middleware ； DICOM