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基于 Web 服务和 HL7 标准的远程医疗信息系统的设计与开发。

Design and development of a tele-healthcare information system based on web services and HL7 standards.

机构信息

Department of Information Management, National Taipei University of Nursing and Health Sciences, 365, Ming-te Road, Peitou District, Taipei, Taiwan. ROC.

出版信息

Adv Exp Med Biol. 2011;696:599-606. doi: 10.1007/978-1-4419-7046-6_61.

DOI:10.1007/978-1-4419-7046-6_61
PMID:21431601
Abstract

Information and communication technologies progress rapidly and many novel applications have been developed in many domains of human life. In recent years, the demand for healthcare services has been growing because of the increase in the elderly population. Consequently, a number of healthcare institutions have focused on creating technologies to reduce extraneous work and improve the quality of service. In this study, an information platform for tele- healthcare services was implemented. The architecture of the platform included a web-based application server and client system. The client system was able to retrieve the blood pressure and glucose levels of a patient stored in measurement instruments through Bluetooth wireless transmission. The web application server assisted the staffs and clients in analyzing the health conditions of patients. In addition, the server provided face-to-face communications and instructions through remote video devices. The platform deployed a service-oriented architecture, which consisted of HL7 standard messages and web service components. The platform could transfer health records into HL7 standard clinical document architecture for data exchange with other organizations. The prototyping system was pretested and evaluated in a homecare department of hospital and a community management center for chronic disease monitoring. Based on the results of this study, this system is expected to improve the quality of healthcare services.

摘要

信息技术发展迅速,许多新颖的应用已经在人类生活的许多领域得到了开发。近年来,由于老年人口的增加,对医疗保健服务的需求不断增长。因此,许多医疗机构都专注于开发技术来减少繁琐的工作并提高服务质量。本研究实现了一个远程医疗服务信息平台。该平台的架构包括基于 Web 的应用服务器和客户端系统。客户端系统能够通过蓝牙无线传输检索存储在测量仪器中的患者的血压和血糖水平。Web 应用服务器帮助医护人员和客户分析患者的健康状况。此外,服务器还通过远程视频设备提供面对面的通信和指导。该平台采用面向服务的架构,其中包含 HL7 标准消息和 Web 服务组件。该平台可以将健康记录转换为 HL7 标准临床文档架构,以便与其他组织进行数据交换。原型系统在医院的家庭护理部门和慢性病监测社区管理中心进行了预测试和评估。根据本研究的结果,预计该系统将提高医疗保健服务的质量。

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