臺灣博碩士論文加值系統

在醫學資訊發展的過程中，醫學資料高度數位化已經成為主流，由於臨床上醫學單一型態的資料常無法成為一個有意義的醫學資料，並且因應醫學資料豐富性及完整性的要求，Video、Image及Text等不同型態的媒體格式常結合於成為同類別的醫學資料。近幾年來由於網際網路之快速成長，各種醫學資料以web的方式呈現。然傳統Internet描述資料的方式無法整合不同的資料格式，更遑論代表完整的醫學意義之資訊，就權限之描述亦有困難。為提供具有醫學意義的資料存取方式，本研究制定UMRL(Uniform Medical Resource Locator)通訊協定，並建立了類別化醫療資源定位系統(Categorized Medical Resource Locator System, CMRLS)，整合分散在各處不同檔案格式之醫學資料。在此機制下，每筆資料將以資源名稱予以命名(Naming)，並透過類別(Category) 區分方式存取不同醫學資料集合、以物件導向(Object-Oriented)的技術包裝所需的醫學資料成為醫學資料集合，並且能夠動態將所需要的資料依照依所需之方式來取得，以賦予取得的醫學資料具有醫學診斷研究上的實質意義。由於UMRL將傳統代表真實資料位置的URL改為以邏輯上的醫學名稱代表，除了將醫學資料集合轉為具有實際醫學資料的集合外，並且依此觀念為基礎建立一個具有高移動性(Mobility)、高適應性(Scaleable)、高可性賴度(Reliability)、高彈性化的(Flexibility)、高可存取性(Flexibility)及高容許失敗度(Fault-tolerant)的叢集Web Server (Web Server Cluster)，醫學資料透過CMRLS傳遞無疑是取得資料的利器，將此架構運用在臨床教學及治療上，更能發揮醫學資源在Internet上運用之極致。

In the development of medical informatics, highly digitalization of medical data has become the main stream. Due to the demand of plentiful and complete medical data, many different types of media format, such as video, image and text, are integrated in the same category of medical data. Because of the rapid progress of Internet technology, more and more medical data can be accessed by the public through the Internet. However, the data description methods used in Internet cannot combine various medical data formats, and thus those methods are not meaningful. Because a single format and category data don’t have complete meaning in the clinical medicine. For example, let us consider a patient having liver cancer may has done CT, MRI and abdominal sonography in different hospitals. His pathological image data alone cannot be complete medical data because without text report, we encounter the difficulties of setting authority and description. This system has a function that integrates different formats of medical data into a meaningful medical data. Under this system, each data will be named by its resource name and different medical data will be sorted by category and be combined by the technology of collection and object-oriented. The data will be accessed dynamically by the methods mentioned above which make it is meaningful in medical diagnosis research. This system is called Categorized Medical Resource Locator System,, CMRLS. The web server cluster is built base on the concept of is mobility, scalability, reliability, flexibility, high-accessibility and fault-tolerance。

摘要 II
英文摘要 IV
誌謝 VI
圖表目錄 X
第一章、緒論 1
1.1研究動機 1
1.2、 目的及貢獻 2
1.4系統簡介 3
第二章、相關背景 7
2.2. CORBA 10
2.2.1. CORBA 概觀 10
2.2.2. CORBA 程式設計 18
2.3、JDBC (JAVA DATABASE CONNECTION) 20
2.4、SERVLET 20
第三章、系統架構 22
3.1 、UMRL(UNIFORM MEDICAL RESOURCE LOCATOR) PROTOCOL 23
3.2、醫療資料通訊基礎建設(MRCI) 24
3.3、容錯及負載分散架構 26
第四章、系統設計 28
4.1、醫學資源代理者(Medical Resource Agent，MRA) 28
4.2醫學資源投射者(MEDICAL RESOURCE MAPPER，MRM) 30
4.3、醫學資源路由器(MEDICAL RESOURCE ROUTER，MRR) 31
4.4、醫學資源叢集(MEDICAL RESOURCE FARM，MRF) 33
4.5、資源資訊提供者(RESOURCE INFORMATION PROVIDER，RIP) 34
4.6、醫療資料通訊基礎建設(MRCI) 34
第五章、系統實作 37
5.1、UMRL PROTOCOL的制定 38
5.2、MRA實作 39
5.3、MRM之實作： 39
5.4、MRR之實作： 41
5.5、MRF之實作： 42
5.6、醫療資料通訊基礎建設(MRCI) 42
5.7、執行畫面 44
第六章、系統功能 53
6.1、資料任意遷移 (MOBILITY)： 53
6.2、資料延展性(SCALABILITY) 54
6.3、存取信賴度(RELIABILITY)： 56
6.4、彈性化存取(FLEXIBILITY)： 57
6.5、任意性的存取(ACCESSIBILITY)： 58
6.6、容錯性(FAULT-TOLERANCE)： 58
第七章、效益分析 60
第八章、結論 63
第九章、參考文獻 64

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