東海大学紀要　情報通信学部.indd

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徐园宦
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1 vol.4,no1,2011,pp Vol.4, No.1, 2011, pp. - 論文 *1 *2 A Proposal Model for Hospital System Collaboration Service by Cloud Technology by Tamotsu NOJI Noji *1 *1 and Tadashi Ogino OGINO *2 *2 (received on October 29, 2010 & accepted on June 23, 2011) Abstract It is necessary to unite patient referral information between a clinic and the center hospital to improve the patient service in the medical treatment for the global collaboration medical network system based on 3D patient information in 3D electronic referral letters and 3D care cards. However, the handling systems of the letter of introduction with 3D image processing support function and the care card on the internet differ at each clinic, and this point means being the hindrance of the medical cooperation in a medical network area. Then, we propose to implement the patient service using the cloud technology. With our system, each hospital can reconstruct their patient support system by reviewing their current system. They don t have to build a new patient support system from scratch. Keywords: Global Collaboration Medical Cloud, 3D image processing, Medical Service, Software as a Patient Service Software as a Patient Service 1 1) *1 * , (Human) (Goods) (Capital) (Information)(Fig.1) Medical expenses Capital Information Human Medical treatment Doctor Goods Fig.1 The four major elements of the hospital Medical treatment Fig

2 4 Resource Resource Management ) 3) 4) 2.2. MS Medical Service 9 12 PS Patient Service4 task PSP Patient Service Process PS E:EventFig.2 E PSa Resource Human Time T PSP1 PSP2 PSPn Capital Information Human Goods Capital Fig.2 Conceptual Model for Patient Service Process PS Fig.2PSa PSP1 PSPn PSa 3D 5) 2.3. GCM Global Collaboration Medical 1 GCM Fig.3 (d) Global Collaboration Medical Service Remote Medical Service (c) Local Collaboration Medical Service Emergent Service (b) Inter Hospital Medical Service Home Medical Care (a) Intra Hospital Service Fig.3 Patient service hierarchy in GCM a DB Database b 48 2

3 c Web EBM Evidence-based Medicine d CD-ROMFAX FAX Table1 Table1 Comparison of referral letters system Type Paper TEL FAX Mail attachment Electric Media Online share Media Paper Analog Data Electric Document CD-ROM DVD etc. Electric Document 3.2. HIS(Hospital Information System) RIS(Radiology Information System) PACS(Picture Archiving and Communication Systems) PSP Fig 4 PSP Format change Event Hospital Information System: Patient Service Tasks Medical Cost Task Management Prescription Examination PS management task Referral Task DB Treatment Infomation Application Referral Confirmation Guidance Collaboration Task Regional Collaboration FAX Firewall Letter A Letter B Letter C Paper FAX Web Original A Original B Original C Fig.4 Flow of Patient Service Process PSP PSP Referral Task Collaboration TaskRegional CollaborationReferral TaskPatient Service Tasks 49 3

4 4.1 3D PaaPS(Platform as a Patient Service) 5 Fig.

4 D PaaPS(Platform as a Patient Service) 5 Fig.5 3D Original Hospital Destination Hospital Medical Collaboration Local Clinic Intra Hospital Collaboration Cloud 3D referral letter Central Hospital Doctor Visit Medical Treatment Intranet Internet 3D DB 3D 3D DB DB 4.2 GCM 3D 6) Fig. 6 Reverse Reference Intra Hospital System PACS RIS Home Medical Care Local Collaboration Fig.5 Patient Service Private Cloud Model HIS XaaPS Everything as a Patient SaaPS Software as a Patient Service Applications Medical Referral Letter Medical Care Self-governmen t LifeSaving Nursing PaaPS Platform as a Patient Service GCM Framework Vendor Framework Google App Engine Force.com Platform Amazon web service Windows Azure Health Center Examination Preventive medicine GCM Framework Attached Cloud Image DB Security IaaPS Infrastructure as a Patient Service Infrastructure Internet Data Center Clustering DB Hardware Network GCM cloud Middleware Fig.6 Hierarchy of GCM cloud GCMXaaPS(Everything as a Patient Service) SaaPS (Service as a Patient Service) PaaPS IaaPS (Infrastructure as a Patient Service) SaaPS PaaPSGCM GCM D SaaPS 3 Table 1, CD-ROM P2P 3D (3DERL: 3D electronic referral letters) 5) Microsoft Access 1 3D 3D 3D ( ) 7 INTAGE RealiaRealia 3D IVP3D IntageVP Intage Volume Player 50 4

IVP 2 3DSaaPS 3D 3D IntageVP 3D SaaPSFig.

3D IVP DB(IaaPS) Realia 3DIVP IntageVP 5.2

IVP DB (IaaPS) 3D Image 3DERL:3D electronic referral letters SaaPS Fig.

3D KTDBMS Microsoft AccessKTDBMS IVP DB 3D IVP DBSaaPS IaaPSSaaPS DC Internet

3DERL 3D KTDBMS 3DVR(Volume Rendering) VE(Virtual Endoscopy)3D 3D 10Table 2 2D1.

5 IVP 2 3DSaaPS 3D 3D IntageVP 3D SaaPSFig.7 3D SaaPS Realia IntageVP 3DERL SaaPS, IVP DB(IaaPS)3DERL SaaPS IVP DB(IaaPS) 3D IVP DB(IaaPS) Realia 3DIVP IntageVP D SaaPS VONAVS Voice navigation system 8) 3D KTDBMS VONAVS DBMS VONAVS DBMS Fig.8 VONAVS 3D SaaPS Patient Service DBMS synthesis Save with IVP format 3D Button IVP DB (IaaPS) 3D Image 3DERL:3D electronic referral letters SaaPS Fig.7 Implementation of 3DERL SaaPS Patient CRDBMS IVP DB3DERL VONAVS DBMS DB CRDBMS 3D KTDBMS Microsoft AccessKTDBMS IVP DB 3D IVP DBSaaPS IaaPSSaaPS DC Internet data center DC DC SaaPS IaaPS, 6 3D IVP 3D 1 3D DB PaaPS 3D INTAGE 3D (IVP ) 3D 3DERL 3D KTDBMS 3DVR(Volume Rendering) VE(Virtual Endoscopy)3D 3D 10Table 2 2D1.4MB 127MB Fig.9 DICOMX CT Realia 3D (a) CT femur image (DICOM) (b) 3D femur image (Volume Rendering) Patient KTDBMS IVP DB IaaPS synthesis 1.4MB 1.0MB Fig.8 Implementation of 3D image VONAVS SaaPS Fig.9 Comparison between 2D image and 3D image 51 5

6 2D3D IVP xy z z 1 y / x 1 3D3 2D 2D 2D D 2D Table 2 Table 2 Comparison of Compression ratio NO. MB MB brain_surface Stomach Broncho CT Head Ankle Colon Brain_nerve D 28.8% 71.2% % 57.2% IVP 50 (3) 3D KTDBMS 3D 3DERL SaaPS 7 3D PaaPS FAX Web GCM GCM 3D 1) GCMNWS: Global Collaboration Medical Network System) 2) 3) 25,pp.128(2005) 4), 24 pp (2004) 5) 3D P2P 28 JAMIT2009 OP6-08/JAMIT2009Proceedings pp.1-10 (2009) 6) 27: ,2007 7) 8) Juthamas Punwilai, Tamotsu Noji and Hiroyuki Kitamura, The Design of a Voice Navigation System for the blind in Negative Feelings Environment IEEE ISCIT B-6,pp53-58(2009) 52 6

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<4D6963726F736F667420576F7264202D20312D3120B9ABBFAAD7AAC8C3CBB5C3F7CAE9A3A8C9EAB1A8B8E5A3A92E646F63> 广西新豪智云技术股份有限公司 ( 申报稿 ) 推荐主办券商二〇一六年一月声明本公司及全体董事监事高级管理人员承诺不存在虚假记载误导性陈述或重大遗漏, 并对其真实性准确性完整性承担个别和连带的法律责任本公司负责人和

東海大学紀要 情報通信学部.indd

東海大学紀要　情報通信学部.indd