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  • 學位論文

企業虛擬網路下電子病歷傳送機制

VPN Based Electronic Medical Record Transmission Mechanism

指導教授 : 呂克明
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摘要


中文摘要 人類的智慧創造了資訊的時代,讓交通變得普及,人們的活動範圍變大。因此,當病人患病就醫時,常會在多個醫療院所接受醫療照護,並且留下病歷資料。隨著資訊的發達,病人期望得到的是一個安全又安心的治療,即時整合病人相關病歷資料,成為提供「持續醫療照護」的關鍵因素。 醫療資訊 ,是以病人為中心 的健康照護觀念,為人性化發展提供醫師迅速判斷病因的準確資訊。因此,可以建立同一醫療體系下的資訊系統整合,提供遠距社區醫療的服務。首要的工作是,建制同一醫療體系內的醫療資訊系統HIS連線服務機制,傳送電子病歷內容,減少醫師和患者之間的反覆診察動作,提升醫療品質。 一般各大醫院的資訊系統,大致有兩個主要的大系統,一個是醫療資訊系統 HIS,另一個是有關醫學影像傳輸的系統PACS 。各家醫院的資訊系統都不相同,獨自發展已久,整合起來非常的不容易,因此若能以同一醫療體系內為基礎,建立企業間虛擬網路下電子病歷傳送機制,提供遠距離的醫療資料間互動,讓醫療資訊資源集中管理,讓體系內的醫療資源沒有距離的束縛,達到醫師和病人之間最有效率的醫療照護,以利對病患病情的診斷和治療,並減少重複性的醫療浪費。 本研究,是以中部某家醫院為研究的案例,探討網際網路 連線和虛擬私有網路VPN 連線的架構模式,建立一條可以直接與同一醫療體系內的資訊系統連線,並提供電子病歷的資料傳遞機制,本研究的主要特色是讓體系間的醫療服務走入社區,透過電話線路的連線方式,達到遠距行動式的醫療服務,議題包括臺灣醫療資訊發展架構、網路架構、系統架構與流程說明、系統安全模組設計、資訊安全評估等等。

並列摘要


Abstract In this information age, people quickly go to anywhere and time by any means of rapid transit systems. Therefore, patients have more options to visit as many hospitals as they like and leave their medical records at respective hospitals. Along with the advanced information technologies, patients set a higher expectation to hospitals that provide a secure and peace of mind medical services. Integration of patient’s medical records in real time is a key to provide the Continuity of Care. Patient-center based Medial Information provides the doctors faster and accurate diagnosis. Therefore, establishing the same medical information system that provides distance community medical services transmitting the electronic medical record on-line is needed to reduce the repetitive diagnosis to the patients and increase the quality of medical care. General speaking, there exists two medical information system of large hospitals: Hospital Information System (HIS) and Picture Archiving and Communication System (PACS).Since the hospitals employ and has developed different information system individually, the efforts of integration become difficult. Therefore, if we establish Virtual Private Networks (VPN) based electronic medical record (EMR) transmission mechanism, it provides the interactive distanced medical information among hospitals. Its advantages of a central medical information resource management, no distance restriction, efficiency medical care between doctors and patients will also provide the clear picture for diagnosis and prescription as well as reduce the repetitive medical resources waste. The research is to study the structure of combination of web based and VPN based on-line for a general hospital that has the same medical information system located in the central Taiwan as an example. The advantages of this research are letting the medical services within the same medical information system penetrating the various communities and providing mobile medical services via the telephone on-line to reach remote areas. In additional topics include the medical information developing structures, network structure, system structure and process description, systems security modeling design, information security evaluation, etc. in Taiwan.

並列關鍵字

HIS PACS VPN EMR

參考文獻


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