[[alternative]]The Development and Implementation of Cardiovascular Clinical Information System

[[abstract]]隨著環境的變遷以及飲食的西化，罹患心血管方面的疾病的人數日漸益增，根據統計，近年在台灣每年有超過15,000人死於心血管疾病，這些疾病都有相似的病因，通常透過藥物或手術來治療，此外心臟疾病的相關處置複雜性也極高，不論是疾病成因以及相關的治療方法都是醫學研究的重要範疇。相關研究指出，透過電腦化的輔助可以更有系統性的改善臨床工作流程的效率，如：病歷的儲存、調閱、管理，此外也可協助臨床醫生做決策，因為醫學上的決策還是有著相當高的不確定性與複雜性，透過相關的臨床資訊系統可以輔助醫生分析與推理，醫生可以藉由視覺化的分析結果再加上其縝密的思慮為病患評估出最適當的診療方針。本研究的目標是發展一套以web-based為基礎的心血管外科的臨床資訊系統，其結果會包含臨床資訊系統的系統架構、電子醫療紀錄、登錄庫、自動化檢驗模組，希望藉由此系統的使用，外科醫師能夠在不確定性的環境中從系統得到合理的結論和解釋，以及便利資料的收集、操作與管理，輔助臨床醫生決策分析，而累積下來的資料更可萃取其菁華供後續研究以及訓練所用。[[abstract]]In recent years, the number of cardiovascular disease is increasing, more than 15,000 people in Taiwan died from heart disease, the etiology of these diseases is similar, usually use medication or surgery to treat their cardiac disease,and the cardiac surgery is a complex surgical operation, the causes of illness and related treatment methods are important areas in medical research. Recent studies have shown that computerized clinical case management can be used to assist surgeons to improve the efficiency of clinical workflow, for example medical records storage, retrieval, management, decisions making, because of medical decision-making often with very high uncertainty and complexity, through the clinical information system can help the surgeon to analysis and reasoning, by visual interface can help surgeon to make the most appropriate treatment for patients.The aim of this study was to develop a web-based cardiovascular clinical information system (CIS), the result including CIS architecture, electronic medical records, electronic registries and automatic feature surveillance schemes, with the use of the CIS, surgeons can provide reasonable conclusions and explanations in uncertain environments , and the CIS provide effective tools and support for clinical care, facilitate data collection, data retrieval and management, decision-making, finally the data can be use in research and training activities