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系統識別號 U0002-0209201615175800
中文論文名稱 雲端臨床醫療輔助整合系統在神經內科頭痛門診應用
英文論文名稱 Cloud Integrated System Aiding in Cephalalgia Assessment for The Department of Neurology
校院名稱 淡江大學
系所名稱(中) 資訊工程學系全英語碩士班
系所名稱(英) Master’s Program, Department of Computer Science and Information Engineering (English-taught program
學年度 104
學期 2
出版年 105
研究生中文姓名 呂子杰
研究生英文姓名 Tzu-Chieh Lu
電子信箱 orionlu0916@gmail.com
學號 603780064
學位類別 碩士
語文別 英文
口試日期 2016-07-28
論文頁數 91頁
口試委員 指導教授-葛煥昭
委員-王署君
委員-施俊哲
中文關鍵字 雲端臨床醫療輔助整合系統  雲端醫療平台  臨床資訊整合  偏頭痛  頭痛初診問卷  頭痛日記 
英文關鍵字 Cloud Integrated System  Cephalalgia Assessment  Migraine  Headache Diary 
學科別分類 學科別應用科學資訊工程
中文摘要 隨著科技的進步,新型態的概念運算模式雲端運算(Cloud computing)促進各種產業的技術蓬勃發展。近年台灣衛生福利部所推行的「電子病歷」、「健保雲端藥歷系統」、「健康存摺」等相關延伸計畫的成功,都是最好的例子。不過仍尚欠缺完整的醫療雲端服務架構中,病患共同參與病歷製作的行為。台灣社會中,偏頭痛及其相關疾病之影響年齡層相當廣泛,其中人數比例又以青壯年人口(25歲至45歲)最高,因此偏頭痛之相關研究十分受到台灣醫療領域的重視。台北榮民總醫院神經內科的頭痛門診治療流程,主要分為初診問卷調查、醫師初步診斷、頭痛日記追蹤及物理藥物治療。從過去數十年至今,台灣許多醫院依舊使用傳統紙本方式記錄門診的問卷及病患相關資料的追蹤存檔。而整個偏頭痛的治療時程會依病患情況並不固定,最長可達數十年的控制與治療,因此不論是資料存放或是後續相關資料之研究分析,都十分不便,醫師若要針對特定條件的資料分析,必須先透過醫護人員或助理行政人員將紙本紀錄進行量表分數計算後打字建檔,再匯出透過現成套裝軟體進行數據分析。傳統紙本手寫方法,有著資源的消耗、耗時的行政作業以及資料保存管理的缺陷;其中包括人為疏失造成資料填寫錯誤或遺失、資料本身因環境因素損壞等。因此,本研究目的為建置一套符合醫療產業使用者需求的系統架構及流程,並進一部開發出符合現代使用者習慣模式的雲端臨床醫療輔助整合系統,以新型態架構及流程,將各終端使用者輸入的資料與主治醫師的操作,及相關醫療人員研究之作業流程進行全面整合,即時提供醫師在門診中所需的所有資訊。藉此改善對於病患、主治醫師或是相關醫護人員的作業效率,並提升整體醫療品質及效率,且透過無紙資訊化,達到友善環境之福祉。
英文摘要 In recent years, with advanced technology, a new pattern Cloud Computing is de-veloping prosperously and bringing the advancement of technology in practically every profession. In Taiwan, the Electronic medical record (EMR), Pharma Cloud System, My Health Bank, and another related cloud system which engaged by Ministry of Health and Welfare are the best proof. However, it still lacking the involvement of pa-tients to complete the fifth level of Electronic Health Record(EHR). Nowadays, in modern Taiwan society, the effect range of a migraine and other related diseases are very extensive. Among all the range, the percentage of the young and middle-aged population (from 25 to 45 years old) is the highest. Therefore, the migraine-related re-search of are wildly popular and has been highly regarded in Taiwanese medical field. The Basic flow of migraine treatment can be dividing into four parts; survey of the initial registration form, diagnosis, the track of headache diary, and physical therapy. Since the last decade, many hospitals in Taiwan still using paper to record the initial registration form, headache diary and other patient related information. The whole treatment process depended on each patient and thus the time of therapy can probably take decades to be finished. Hence, it will be challenging and inconvenient no matter the data storage or future related data analysis. Furthermore, before the attending physi-cian attempt to analyze particular relations or attributes, the administrative assistant or healthcare professional have to input all the paper data into existing Clinical Study In-formation System (CSIS). Traditional handwriting method causes the wasting of paper, time-consuming of administrative processes, and data storage difficulty, which includes human error inaccuracy, physical damage and loss of data. The primary purpose of this study was to construct a cloud integrated system, which provides a modern and optimal viewing and interaction experience for any users. By using new structure and flow, this platform can fully integrate the usage of all physician, healthcare professional, and patient. To be more important the platform can provide a real-time data support for doctors, improving the quality of health care and the change of paperless can be eco-friendly.
論文目次 Contents
Chapter 1. Introduction 1
1.1 General Background Information 1
1.2 Research Motive 5
1.3 Research Purpose 9
Chapter 2. Literature Review 10
2.1 Cloud Computing 10
2.2 Migraine 12
2.3 .NET Framework 16
2.4 ASP.NET (Active Server Pages.NET) 17
2.5 Representational State Transfer, REST 18
2.6 WEB API (Web Application Programming Interface) 22
2.7 MVC(Model-View-Controller) Design Pattern 23
2.8 Responsive Web Design (RWD) 24
2.9 Qualitative Research Methods 25
Chapter 3. Methodology 28
3.1 Study Process 28
3.2 System Analysis and Design 30
3.3 System Development Tools 33
3.4 System Evaluation 34
3.4.1 Interview Process 34
3.4.2 The Respondents 35
3.4.3 Interview Outline 35
Chapter 4. Implementation and Evaluation of the System 37
4.1 System Implementation 37
4.1.1 Authentication Module 37
4.1.1.1 User Login 37
4.1.1.2 User Logout 38
4.1.2 Manager Module 39
4.1.2.1 Create The Health Professional’s Account 39
4.1.2.2 Update The Health Professional’s Account 40
4.1.2.3 Health Professional List 40
4.1.2.4 Retrieve Health Professionals’ Account 41
4.1.2.5 Delete The Health Professional’s Account 42
4.1.3 Patient Module 42
4.1.3.1 Create The Patient’s Account 43
4.1.3.2 Update The Patient’s Account 44
4.1.3.3 Patient List 45
4.1.3.4 Retrieve The Patient’s Account 45
4.1.4 System Control Module 45
4.1.4.1 System Status Section 46
4.1.4.2 Data Chart Section 46
4.1.4.3 Data Export Section 47
4.1.4.4 Data Transfer Section 48
4.1.5 Initial Registration Form Module 48
4.1.5.1 Create the Initial Registration Form 49
4.1.5.2 Update The Initial Registration Form 50
4.1.5.3 Retrieve The Initial Registration Form 51
4.1.6 Diagnosis Module 52
4.1.6.1 Diagnosis Item List 52
4.1.6.2 Create Diagnosis Items 53
4.1.6.3 Update The Diagnosis Items 54
4.1.7 Medicine Module 54
4.1.7.1 The Official Medicine Item List 55
4.1.7.2 Create The Official Medicine Items 55
4.1.7.3 Update The Official Medicine Items 55
4.1.7.4 Retrieve The Official Medicine Items 56
4.1.7.5 Delete the Official Medicine Items 57
4.1.8 Patients’ Medicine Module 57
4.1.8.1 Patients’ Personal Medicine List 57
4.1.8.2 Create The Patient’s Medicine List 58
4.1.8.3 Retrieve The Patient’s Personal Medicine Items 58
4.1.8.4 Delete the Patient’s Personal Medicine Items 59
4.1.9 Headache Diary Module 59
4.1.9.1 The Headache Diary Calendar 60
4.1.9.2 Create the Headache Diary 60
4.1.9.3 Update the Headache Diary 65
4.1.10 API Integration Module 65
4.1.10.1 Create User Account 65
4.1.10.2 Create the Headache Diary Records 66
4.1.10.3 Create the Medicine Use Records 68
4.1.10.4 Get the Official Medicine List 69
4.1.10.5 Get the Patient’s Headache Diary Records 70
4.2 The Interview and Evaluation of the System 72
Chapter 5. Conclusion and Future Perspectives 83
5.1 Conclusion 83
5.2 Limitations of the Study 85
5.3 Future Perspectives 86
Reference 87
Appendix 90

List of Figures
Figure 1. An overview of EEC’s operations processes flows and structures 3
Figure 2. The Treatment Workflow of Clinical Screening, Diagnosis, Treatment and Prevention for Migraine 15
Figure 3. The Structure of .NET Framework 17
Figure 4. An overview of .NET Framework with ASP.NET 18
Figure 5. The Operation Model of Data, Connector, and Component 21
Figure 6. Study flow diagram 29
Figure 7. The Operation Flowchart of Doctors, Nurses, and Assistants 32
Figure 8. The Operation Flowchart of Patients 32
Figure 9. Database Schema 33
Figure 10. The System Login Page 38
Figure 11. Patient's Logout Interface 38
Figure 12. Health Professional's Logout Interface 38
Figure 13. The Create the Health Professional’s Account Page 39
Figure 14. The Update the Health Professional’s Account Page 40
Figure 15. The Health Professional List Page 41
Figure 16. The Retrieve the Health Professional’s Account Page 41
Figure 17. The Delete the Health Professional’s Account Page 42
Figure 18. The Patient's Registration Page (1) 43
Figure 19. The Patient's Registration Page (2) 43
Figure 20. The Hybrid Input Boxes 44
Figure 21. Update The Patient’s Account Page 44
Figure 22. Patient List Page 45
Figure 23. Retrieve The Patient’s Account Page 45
Figure 24. The System Status Section 46
Figure 25. The Patient Numbers Trend Chart of The Recent Six Months 47
Figure 26. Save The Chart As An Image 47
Figure 27. The Patients’ Occupation Pie Chart 47
Figure 28. The Data Export Section 47
Figure 29. The Data Export Notification 48
Figure 30. The Data Transfer Section 48
Figure 31. The Skip Filling Initial Registration Form Notification Page 49
Figure 32. The Create the Initial Registration Form Page 50
Figure 33. The Update the Initial Registration Form Page 51
Figure 34. The Retrieve Initial Registration Form Page 51
Figure 35. The Diagnosis List Page 52
Figure 36. The Rearrange Function of the Diagnosis Items 52
Figure 37. The Diagnosis Items Displayed in The Update Initial Registration Fom Page 53
Figure 38. Create the New Diagnosis Items 53
Figure 39. The Update the Diagnosis Page 54
Figure 40. The official Medicine Item List 55
Figure 41. The Create the Official Medicine Items Page 55
Figure 42. The Update the Official Medicine Items Page 56
Figure 43. The Retrieve the Official Medicine Items Page 56
Figure 44. The Delete the Official Medicine Items Page 57
Figure 45. The Patients’ Personal Medicine List Page 58
Figure 46. Create the Personal Medicine Items 58
Figure 47. The Retrieve the Patient’s Personal Medicine Items Page 59
Figure 48. The Delete the Patient’s Personal Medicine Items Page 59
Figure 49. The Headache Diary 60
Figure 50. The Create the Headache Diary Page (1) 64
Figure 51. The Create the Headache Diary Page (2) 64
Figure 52. The Create the Headache Diary Page (3) 64


List of Tables
Table 1. The Five Levels of Electronic Health Records 4
Table 2. Five Essential Characteristics of Cloud Computing 10
Table 3. Three Service Models of Cloud Computing 11
Table 4. Four Deployment Models of Cloud Computing 11
Table 5. The Diagnosis Criteria of Migraine with or without Aura 13
Table 6. The Diagnosis Criteria of Chronic Migraine 13
Table 7. Http methods and its corresponding CRUD actions 20
Table 8. The Result of Five Categories with Top Five APIs and Its Result Description 23
Table 9. The MVC Structured Modules of the System 31
Table 10. The Web APIs of the System 31
Table 11. Development Tools 34
Table 12. The Respondents' Data 35
Table 13. Request Parameters of Creating a User Account 65
Table 14. The Request Parameters of Creating Headache Diary 66
Table 15. The Request Parameters of Creating Medicine Use Records 68
Table 16. The Content of the MedicineUseList Object 68
Table 17. The Request Parameters of Getting Official Medicine List 69
Table 18. The Request Parameters of Getting the Patient's Headache Diary Records 70
Table 19. The Existing Issues of the Existing Workflow from the Researcher's Point of View 72
Table 20. The Summary of the Interview 81
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