臺灣博碩士論文加值系統

近年來，在重大災難發生的初期，病患的急救處置與救護運輸，往往是緊急醫療救護重要的議題，為了降低災難發生所造成的傷痕並即時地救助災難傷患，需要藉由快速回應系統並能整合並能與各種醫療系統溝通，使各醫療機構可快速進行各種緊急事故之救災作業。由於多數的醫療系統為獨立設計與開發，以致於緊集災難指揮中心 (EOC) 系統與各醫療系統間整合不易，本文中我們提出 EWSI 架構並採用 SOA 技術作為各醫療機構間服務模組的查詢、佈署、整合、呼叫與實作，藉以改善 EOC 系統與各醫療系統間的整合程度。 EOC 服務模組的不但能夠整合多重非訂製商業元件 (Commercial off the Shelf) ，並以資訊技術基礎架構庫 (IT Infrastructure Library) 的架構，改進緊急醫療中心系統，可大幅降低資訊系統的建置成本。 ITIL 為資訊服務管理的標準 (ISO/IEC 20000) 亦為 IT 服務管理的最佳實務設計服務指導的典範。本文中亦提出 EOC Help Desk 服務藉以簡化當災難事件發生時所需回應的時間，並採用健康資訊交換第7層協定 Health Level Seven (HL7) 標準格式，取得災難所需醫療救護相關資訊，期以有效縮短緊急醫療系統作業處理時間。

In recent years, emergency rescue and transportation is one of the most important issues at the beginning of a disaster. In order to reduce disaster loss and help the injured in a time manner, we need a rapid E-health reaction system which integrates various systems to communicate all kinds of emergent agencies and rescue operations. However, the extremely decentralized and heterochromous nature of healthcare services makes it difficult to develop a single EOC system to integrate all needs. We propose an Emergency Web Service ITIL framework (EWSI) that uses Service-Oriented Architecture (SOA) as a model for deploying, discovering, integrating, implementing and invoking emergent agencies’s services to improve Emergency Operation Center (EOC) system. Such a model can not only help the EOC to develop cost efficient and dependable emergent services but also EOC services which can build from several smaller commercial off the shelf (COTS) components. Moreover, It uses an efficient way of addressing emergency through IT Infrastructure Library (ITIL) technology which provides international best practice guidance in IT service management (ISO/IEC 20000). Finally, we presented an EOC help desk and workflow to shorten accident response time and obtain the emergency information by HL7 standard Healthcare information exchange format to reduce emergency system process times.

誌謝.............................................................................................................i
中文摘要....................................................................................................ii
Abstract .................................................................................................. iii
Table of Contents.....................................................................................iv
List of Figures..........................................................................................vi
Chapter 1 Introduction............................................................................1
Chapter 2 Related research..................................................................3
2.1 Emergency Management..............................................................3
2.2 Emergency Medical Service.........................................................4
2.3 Emergency Medical System.........................................................4
Chapter 3 Service-Oriented Architecture...............................................6
3.1 Overview of Service-oriented Architecture .................................7
3.2 Service-oriented Architecture Collaborations .............................7
Chapter 4 IT Infrastructure Library....................................................10
4.1 Service Support..........................................................................10
4.2 Service Delivery.........................................................................12
Chapter 5 EOC Web-Service ITIL System Framework.....................13
5.1 EOC Service Function................................................................13
5.2 EOC Web Service ITIL Module.................................................15
5.3 EWSI System..............................................................................17
5.4 EWSI Platform Structure............................................................19
5.5 EWSI Incident Management......................................................20
5.6 EWSI Service Level Agreement................................................20
5.7 EWSI System Implementation...................................................21
Chapter 6 Conclusions and Future Work............................................24
References................................................................................................25
Appendix A WSDL Example of EOC Help Desk.................................28

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