臺灣博碩士論文加值系統

　　本論文提出以物件導向之分析技術(Object-Oriented Analysis and Design，OOA&D)，研究網路看診所需之系統物件，以統一模型語言(Unified Modeling Language，UML)，來建立物件模型(Object Models)，以設計出網路看診系統。遠距醫療系統常因健保制度及門診的更動，造成系統流程變動。傳統Process Modeling的設計方法，由於主要以描述系統流程為主，往往使得系統內元件及元件與元件之間的關係無法有系統性的描述，而造成系統更新因難。相較之下，物件導向技術提供了可同時表達data、process、和network的設計技術，在系統設計時更容易達到模組化，而利於日後之系統維護及功能擴充或設計更新。因此，本論文採用OOA&D所設計之遠距醫療系統，在未來更容易依流程而更新。
　　本系統在功能上，結合即時視訊和電子資訊的傳遞，以達到擬真之實體醫院內看診行為，並且針對在設計時有關電子病歷、使用者付費、以及在系統實際運作時可能會遭遇到的相關問題，提出以XML設計之電子病歷、使用者的身份辨識機制、付費機制，及Coupon機制等解決方法，使得本論文中設計而得之系統兼具了設計技術之優勢及電子商務中良好之顧客關係管理（Customer Relationship Management，CRM）。

In this thesis, an interactive tele-clinic system is developed using the Object-Oriented Analysis and Design (OOA&D) technique to analyze the objects and then the Unified Modeling Language (UML) to build the object models. The traditional designing methodology, Processing Modeling, focuses mainly on the description of the system flow, and lacks the description of system objects and between-object relationship. Due to this reason, a system developed on Process Modeling does not posses the flexibility of system modification. However, a clinic system involves clinic work flow and management policies. It is not unusual to see that management policies and outpatient services change, resulting that system work flow changes and therefore, system object interaction relationship changes. This is particular serious in Taiwan with the frequent change of National Health Insurance policies. In view of all these system issues, this thesis proposes using the technique of object-based Analysis and Design in developing the tele-clinic system.
In contrast to the Process Modeling emphasizing only on process relationship, Object-Based Analysis and Design provides the techniques for describing data, process and network modeling at the same time. In Object-Based Analysis and Design not only the data but also their relationships with other data objects are described and their constructed system functions are modularized. The designed system will therefore present more modularized system function architecture, facilitating the system in maintenance and updating due to future functionality expansion and upgrading. Thus future system work flow change can be more easily adapted into the so-designed tele-clinic system.
A clinic system involves various necessary functions including the patient doctor interaction, registration flow, doctor schedule arrangement, patient record storage and retrieval, payment and system management. In order to approach these functions so as to provide as much function of a hospital, this system integrated with real-time video and audio transmission and electronic patient data delivering. Furthermore, to solve the problems possibly arisen when running a clinic system in network, this system is also embedded with XML database for recording patient records, real-time mutual identification mechanism for doctor and patient on-line identifying each other, and coupon mechanism for maintaining patient and doctor relationship. So designed, the system will be superior in both its designing technology and embedded functions in achieving customer relationship management.

目錄I
表目錄III
圖目錄IV
第一章 緒論Introduction1
第二章 物件導向分析設計技術 OOA&D Technique6
2.1 四種分析技術的介紹6
2.1.1 Data Modeling7
2.1.2 Process Modeling9
2.1.3 Network Modeling10
2.1.4 Object Modeling11
2.2 分析病患到醫院看診之行為模式中的掛號動作17
2.2.1 掛號行為之分析17
2.2.2 以Data Modeling技術分析掛號行為之data18
2.2.3以Process Modeling技術分析掛號流程19
2.2.4 以Network Modeling技術分析網路掛號的地理性質20
2.3以Object Modeling技術分析掛號行為22
2.4比較Data Modeling、Process Modeling、Network Modeling和Object Modeling的優劣25
第三章 系統架構分析 Architecture26
3.1 網路看診系統27
3.2登入子系統之分析設計30
3.2.1為何需要登入子系統30
3.2.2登入子系統的功能分析及設計31
3.3 掛號子系統之分析設計36
3.3.1 二種掛號方式之介紹與分析39
3.3.2 其他考量41
3.4 門診服務子系統之分析與設計43
3.4.1 候診室叫號機制之設計分析43
3.4.2 看診之使用者介面設計45
3.5 付費機制之分析設計46
3.5.1付費機制的設計46
3.6資料庫 XMLDatabase47
3.6.1電子病歷的設計47
3.6.2 XMLDatabase簡介50
第四章 問題解決Problem Solutions51
4.1使用者身份辨視及確認52
4.2 醫師取消門診之影響52
4.2.1 解決方案：Coupon機制的設計53
4.2.2 Coupon機制的應用54
4.3 醫師請其他醫師代為看診之問題解決54
4.3.1 解決方案1：強制要求醫師不得隨意告知、出借或轉讓其帳號與密碼給其他人54
4.3.2 解決方案2：申訴機制之設計55
4.4 網路候診室等候看診之問題56
4.4.2 解決方案：候診室之叫號機制設計57
4.5 電子病歷的設計57
第五章 結論與未來展望60
5.1 結論 Conclusion60
5.2未來展望 Future Work61
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