使用HL7 v3建置多院區個人歸戶之電子病歷－以台北市立聯合醫院爲例

Abstract

Recently, the DOH (Department of Health, Executive Yuan, R.O.C. (Taiwan)) motivated the implementation and promotion on the ”HL7 V3 standard”, and so the various levels of hospitals do. There are several benefits on using the electronic-medical record system: is convenient to store the medical record, reduces the paper consuming, and is easy to read. Moreover, it can be designed to fulfill various purposes, which will reduce the time and effort to access medical record. Therefore, the electronic-medical record system will be beneficial for hospitals. However, the version 3 is not widely adapted by hospitals, which will cause problems on the electronic-medical record sharing. As the medical environment changes, the bigger gets bigger; it is common to have different sections for bigger hospitals. Each of them has separate health information system, which might cause problems of medical treatments and/or might cause the side effect among various medicines. This situation can waste the medical resources seriously. Thus, this study attends to integrate the version 3 with the currently medical information system. It stores the medical information of various systems to the data warehouse and implements the personal medical system. This personal medical system will present personal medical information against the timeframe, which enable doctors look through the medical history of patients. As a result, this system can solve the electronic-medical record sharing problems effectively.