臺灣博碩士論文加值系統

近年來有關於健康協定第七層 (Health Level Seven; HL7) 的標準蓬勃發展。有越來越多的研究者開始注意到診間文件架構 (clinical document architecture; CDA) 的標準。

由於在實際上，有一些狀況下不容易交換醫療訊息，所以我們試著找一個解決的辦法。在這篇論文中我們提出了一個新的CDA的使用方式-Portable CDA。Portable CDA以攜帶式儲存媒體和附加的資料管理系統架構作為媒介，提供一個解決交換醫療訊息問題的方案。Portable CDA是基於HL7第三版的參考資訊模型 (reference information model; RIM) 和CDA第二版的標準來架構。首先我們會先介紹相關的技術，包含了HL7第三版的參考資訊模型和CDA第二版的標準。接著會說明未什麼我們會需要Portable CDA、診間文件的交換流程、Portable CDA需要具有一些什麼樣的功能和架構。最後會提出我們的結論和Portable CDA的未來方向。

During these years, the development of the Health Level Seven (HL7) standard is growing fast. There are more and more researchers taking notice of the clinical document architecture (CDA).

Because it is sometimes hard to exchange medical messages actually, we try to find a solution. In this thesis we advance a new usage of the CDA – Portable CDA. The Portable CDA is basically a HL7 V3 RIM architecture and CDA R2 standard. First we will introduce the related technologies, including HL7 V3 RIM and CDA R2. Then we illustrate why we need the Portable CDA, the exchange procedure of the clinical documents, what kinds of functions should the Portable CDA have and the architecture of the Portable CDA. Finally, we discuss the conclusion and future work of our design.

Chapter 1 Introduction 1
1.1 The Exchange of Clinical Documents 1
1.2 Motivation and Objective 2
1.3 Thesis Organization 3
Chapter 2 Background 5
2.1 Exchange Method 5
2.2 HL7 V3 6
2.3 CDA R2 7
Chapter 3 Methodology 13
3.1 Discharge Summary 13
3.2 Portable CDA 16
Chapter 4 Results and Conclusion 22
4.1 Implementation 22
4.2 Results 22
4.3 Conclusion 26
Chapter 5 Discussions 27
5.1 CCR and Portable CDA 27
5.2 XML Query 28
5.3 Digital Signature 28
5.4 Others 29
Reference 30

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