[[alternative]]A Study of Using HL7 Standards and Web Services to Implement a Tele-home Care Information System

[[abstract]]資訊及網路科技的進步，在各個領域都有很好的應用，近年來，由於人口老化的情況日益明顯，社會扶老比率持續上升，在這情況下，居家照護服務需求也愈來愈大，為了簡化作業流程及提升服務品質，有許多醫療機構與資訊廠商都投入相關系統的開發。本研究建置一套遠距居家照護資訊系統，其功能包含：(1)個案資料管理子系統、(2)生命徵象擷取傳輸子系統、(3)照護記錄管理子系統、(4)病歷查詢子系統、(5)醫護人員管理子系統、(6)資料轉換管理子系統，其系統使用方面，則分為主機資料庫端及居家使用者端兩部份。本系統是採用服務導向架構為基礎，結合HL7標準訊息和網頁服務元件的方式建構而成，透過HL7訊息的標準性，各醫療機構與照護單位都可以達到資訊互通的目的。希望未來能將遠距居家照護資訊系統結合嵌入式系統，增加系統的接受度並擴大推廣，以提升國人醫療與服務品質。[[abstract]]The information management, computer and networking technologies progress rapidly and many primising applications were developed in each domain. In recent year, the demand for home care services is growing due to the increasing population aging and elderly dependency ratio. In order to simplify the workload and improve the service quality, a number of healthcare institutions and information organizations involved in the development of related systems. In this study, an information platform for homecare services was implemented. The functions that the platform can provide are as follows: (1) case management information system, (2) continuous and real-time vital signs information capture and transition system, (3) personal health record information management system, (4) medical history record query system, (5) health care provider information management system, and (6) data management and exchange system. The architecture of the platform includes the database server and client system for home users which enables timely and efficiently communication for the potential clientiles. In addition, the platform deploys a service oriented architecture which consists of the HL7 standard messages and web services components. The organization which uses HL7 standard messages can communicate with each other on this platform. The quality of healthcare services is expected to be improved through the use of this platform in the near future