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    請使用永久網址來引用或連結此文件: http://libir.tmu.edu.tw/handle/987654321/21717


    題名: 台灣電子病歷內容基本格式於醫療院所實作架構探討
    Taiwan Electronic Medical Record Template implement framework study in the hospital
    作者: 楊沛墩;李彥良;黃介銘;簡文山;徐建業;李友專
    Pei-Tun Yang;Yan- liang Li;jie-ming Huang;Wen-Shan Jian;Chien-Yeh Hsu;Yu-Chuan Li
    日期: 2007
    上傳時間: 2009-11-27 15:56:22 (UTC+8)
    摘要: 台灣電子病歷內容基本格式(Taiwan Electronic Medical Record Template，TMT）的發展歷經94至95年之發展，單張數量擴充至70張，標準schema也從TMT 1.0版修正成符合HL7 CDA之架構之TMT 3.0版，但是於醫療院所實作也僅止於早期的醫學中心萬芳醫院、地區醫院康寧醫院、新和診所等三家醫療機構，故行政院衛生暑於95年度委台灣醫學資訊學會之「建構以病人為中心之電子病歷跨院資訊交換環境案」，徵求10家醫學中心參與TMT之可攜式電子並歷之實作，期使將健康資訊還給民眾，然而在目前台灣醫療院所並未將電子化病歷全面實施醫事人員卡或醫事機構卡之電子簽章及至醫療憑證管理中心(Healthcare Certification Authority，HCA)取時戳之作業下，如何符合「醫療機構電子病歷製作及管理辦法」之規範，遂成為10家醫療院所實作之挑戰，本研究希望能提供一個能在不更動醫院之HIS作業下，電子化病歷可即時用醫事人員卡加簽及至HCA去時戳之整體性規畫架構，以減少實作醫院之財務及人力等個方面之負擔，並提高醫療院所全面配合實施電子簽章及取時戳之意願。
    The development of the Taiwan Electronic Medical Record Template (TMT) has already enlarged from single sheet to 70 pages and the standard schema also become TMT 3.0 versions, which match the structure of the HL7 CDA from the 1.0 draft version. The medical institutions that actually carry out the TMT at early stage are only in Medical Center: Wan-Fang Hospital, the region hospital: Kang-Ning General Hospital and Cin-He Clinics, so The Administration Yuan, Department of Health entrust Taiwan Association for medical informatics to carry out the project 「Building an Environment for Patient-Initiated Exchange of Electronic Health Record」 in 2006. To expect to return the healthy information to the people, 10 Medical Center will be invited to join and practice the Portable electronics medical history of TMT in the study.But, currently Medical institutions in Taiwan did not overall perform Medical Personnel IC Card or Medical Care Institutions IC Card for electronics signature and take time stamp of the Healthcare Certification Authority (HCA) for the electronic medical records. How to match the standard of "producing and managing the electronics medical history of medical institutions "will be the challenge in those 10 medical centers. Our study hope to provide a whole planning structure of electronic medical records for Medical Personnel IC Card sign and take time stamp of the Healthcare Certification Authority (HCA) in time without changing the HIS of a hospital, to reduce the loading of financial and personnel cost and promote the willing of collaborating to use the electronics signature.
    顯示於類別:[資訊處] 國際醫學資訊研討會論文集

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    076_定稿.pdf1688KbAdobe PDF1480檢視/開啟
    076_定稿.ps11190KbPostscript68檢視/開啟


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