李秀惠 教授Hsiu-Hui Lee, Ph.D.臺灣大學:資訊工程學研究所蘇于瑄Su, Yu-ShuanYu-ShuanSu2010-05-172018-07-052010-05-172018-07-052009U0001-1207200918251500http://ntur.lib.ntu.edu.tw//handle/246246/183383出院病歷摘要系統是病歷檔案中一項重要的臨床資料，精簡摘要病人住院期間的狀況。我們使用基於網路架構發展台大醫院新式出院病歷摘要系統，改善傳統主從架構的舊式系統。本論文詳細介紹設計考量與實作層面介紹，包含病摘查詢檢索、範本片語引用、病摘列表以及主要編輯區域等其他編輯功能。外新系統加入多項新穎技術來提高系統使用性和互動性。最後比較新舊系統探討之間差異、使用新技術後之品質評估、檢視新系統的完整性，以及使用者實際測試情形並測量使用後的滿意度。Discharge summary is one of important clinical data in medical records, and it concisely summarizes the patient’s stay during hospitalization. In this thesis, we use web-based architecture in developing a new discharge summary system of National Taiwan University Hospital, and improve the traditional client/sever architecture of old system. This thesis introduces the design considerations and implementation level in detail, including summary search and query, model and phrase quoted, summary check list, major editing blocks and other functionalities.n addition, the new system incorporates several novel technologies to improve the usability and interactivity. Finally, we discuss a comparison between the client/sever and web-based system, assess the quality of new technology, survey the completeness of new system as well as the actual user test and user satisfaction.Chapter 1 Introduction 1.1 Introduction 1.2 Background 1.3 Motivation and Objective 2.4 Thesis Organization 4hapter 2 Related Works 6.1 NTUH Health Information System 6.2 Traditional Discharge Summary System 9.2.1 System Overview 10.2.2 The workflow of manual operation 10.3 New Technique in NTUH HIS 11.3.1 AJAX Control Toolkit-- AutoComplete and TabContainer 12.3.2 SRILM 15.3.3 Inverted index 17hapter 3 Methods 20.1 Architecture Overview 20.2 System Function Diagram 21.3 Features and Functionalities of Discharge Summary System in NTUH 21.3.1 View detailed information of the patient 21.3.2 Query and retrieval summary 22.3.3 Model essay 23.3.4 Phrase 25.3.5 Check list of discharge summaries 28.3.6 The editing contents 29.3.7 Print and store 35hapter 4 Implementation 37.1 System Flow Chart 37.2 Implementation and Interface 40.2.1 Query and retrieval of discharge summaries 40.2.2 Quote and edit model essays and phrases 41.2.3 Select and edit discharge summaries on check list 44.2.4 Edit sixteen discharge summary items 45.2.5 Preview, print and store actions 47hapter 5 Result 50.1 Comparison of Client-server and Web-based system 50.2 Result of Inverted Table in Retrieval 52.3 System Assessment 55.4 Evaluation 58hapter 6 Conclusion and Discussion 62eference 63application/pdf738946 bytesapplication/pdfen-US出院病歷摘要醫療紀錄醫療照護品質discharge summarymedical recordsquality of medical carethesishttp://ntur.lib.ntu.edu.tw/bitstream/246246/183383/1/ntu-98-R96922114-1.pdf