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研究生:吳宜樺
研究生(外文):Yi-Hua Wu
論文名稱:個人健康紀錄標準格式轉換研究
論文名稱(外文):A Study of Personal Health Record Standard Transformation
指導教授:李友專李友專引用關係
指導教授(外文):Yu-Chuan Li
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:生物醫學資訊研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:英文
論文頁數:102
中文關鍵詞:健康紀錄標準標準轉換個人健康記錄
外文關鍵詞:Personal Health RecordHealth Care StandardsGoogle Health
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持續照護的議題一直以來都是受大眾所矚目的焦點,近年來由於醫療資訊交換標準的建立,有越來越多的軟硬體業者甚至是網路資訊業者也紛紛加入了持續照護的產業中。目前已發展的醫療資訊交換標準主要分為兩個方向,一者為個人健康記錄資訊交換標準;一者則為醫療機構的記錄資訊交換標準,在觀察醫療記錄內容標準後,發現幾項共同的特性: 1. XML為文件儲存之格式、2. 結構化的文件內容記錄格式,因此本研究藉此二特點企圖探討醫療文件內容記錄格式標準之轉換的可能。而台灣現行之醫療資訊交換標準為衛生署發起台灣醫學資訊學會於95年所提出之台灣電子病歷交換格式(TMT)專案,該專案標準主要是以HL7 所提出之CDA為樣本所延伸之本土文件記錄格式標準,而另一方面CCR為個人健康摘要記錄內容的格式,是目前擁有最廣泛業界支持率的標準。而本研究藉著已發展之本土醫療資訊內容交換標準企圖藉由開發設計轉換TMT為CCR標準模式之轉譯器以證實轉換的可能性。事前兩方標準的定義與內容格式經由專家反覆討論評估,而後TMT標準則被選為來源資料;而CCR為模板以進行資料轉譯,轉譯之過程起初為人工所進行的欄位的交互對照,之後JAVA程式撰寫對應之CCR模板呈現與轉譯器之介面設計。由於CCR的可接受性Google Health為研究所選定之檢視介面,在107筆資料中轉譯器之成果相當成功。雖在檢視介面方面有語言的限制無法大眾化,與資料筆數有限部分情況尚未有所研究之侷限,但轉換成果的成功未來可考慮建立更多欄位與單張的交互對照,且由於本研究將資料上傳於網路健康管理介面,藉由其方便與無所不在的特性,有助於鼓勵使用者接受與學習自我健康管理的概念(Ball et al., 2007; Lohr, 2007; Mayer, 2008; Pilot, 2009)。未來更期許此轉譯器不僅能嘉惠使用者亦能提供與台灣類似之國家在醫療資訊交換上之參考。
The issue of continuity care is getting more and more important, especially because of the development of medical exchanging standards. The expectation of the PHR standards are to combined with the Electronic Medical Record (EMR), the project “Template of Medical Record Taiwan” developed in 2006 is one of the EMR standards followed the CDA standard; “Continuity of Care Record” (CCR) is one of the PHR standard that also is the most vendors supported standard. These standards exist the similarity in structure and content categories. 1. The same XML file format and 2. the similar structured hierarchies made this study had the opportunity to test the possibility of standards transformation by designing a transformer from TMT to CCR. The contents of these two formats were analysis first, the TMT was chosen as the source data; the CCR was the template, then these two were merged by the manual entry mapping, form formatting and interface design in JAVA. The outcome of the translation is significant high in the 107 analogue cases, for the character of CCR format acceptable the Google Health is regarded as the examining viewer of the translated result. On the language limitation this tool may not popularized, however the result encourages mapping more TMT sheets and entries, and by the convenience and ubiquity of web-based health management as ”Google Health” that may influence the user’s will accepting the idea of self-health management (Ball et al., 2007; Lohr, 2007; Mayer, 2008; Pilot, 2009), the more optimistic expectation this design not only can provide benefit to users but also as a sample to those countries which have the local EMR standard developed.
國立陽明大學學位論文電子檔著作權授權書、國家圖書館碩博士論文電子檔案上網授權書。 i
論文口試委員審定書、國立陽明大學博士班研究生論文審定證明書。 ii
Acknowledgement iii
English Abstract iv
中文摘要 v
Table of Contents vi
Table of Figures viii
Table of Tables ix
List of Abbreviations x
Chapter 1 Introduction 1
1.1 Health Information Seeking Behaviour 2
1.2 Personal Health Record (PHR) 6
1.2.1 Benefits of Personal Health Records 7
1.3 Health Record Standards 9
1.3.1 Continuity Care of Record 12
1.3.2 Template of Medical Record Taiwan (TMT) 17
Chapter 2 Goal 24
2.1 Proving the assumption 24
2.2 The advantage of the transformer 24
Chapter 3 Materials and Methods 26
3.1 Materials 27
3.1.1 The Analysis of Templates Structure. 27
3.2 The Construction of interoperability specification 49
3.2.1 Why the XML translation built under JAVA environment. 49
3.2.2 Using Java Mapping XML 51
3.2.3 Google API on JAVA 52
3.2.4 Transformer Design 55
Chapter 4 Discussion 61
4.1 The analysis of the source files. 61
4.2 The Comparison between Original Source and Transformed Result. 66
4.3 Limitation 67
4.3.1 The limitation of the selection bias 67
4.3.2 The limitation of the number of testing files 67
4.3.3 The limitation of the language 68
4.3.4 The limitation of abbreviation 68
Chapter 5 Conclusion 70
References 72
Appendix 1 81
Appendix 2 86
Appendix 3 87
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