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。

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.

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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