() () jlin@mgt.ncu.edu.tw (03) 490-4128 chpeng@inqgen.com (02) 26553700 ext 2400 () s9443003@cc.ncu.edu.tw (03) 4227151 ext 6547
...1...1...1...2...3...3...4...4...4...5...5...8...8...9...9 9...9...9...10...10...10...11
...12...12...12...12...13...14...14...15...16...16...17...17...18...19...19...20...21...21...22...23...24...26...26 () (LAN)...26 ()...27 ()...27 ()...28 ()...29 ()...30 ()...31 ()...32 ()...32 () ( )...33 ( ) (LIS)...34 ( )...35 ( )...36
( ) (PACS)...37 ( ) (RIS)...38 ( ) (CIS)...39 ( ) (Handheld)...40 ( )...41 ( ) (E-mail)...42 ( )...43 ( )...44 ( )...45 ( )...46 ( ) (DICOM3.0)...46 ( ) (HL7)...47 ( )...48 ( )...49 ( )...50 ( )...51 ( )...52 ( )...53 ( )...54 ( )...55 ( )...56 ( )...57 ( )...58 ( )...59 ( )...60 ( )...61 ( )...61 ( )...62 ( )...63 ( )...64...66 ()...66 ()...67 ()...67 ()...68 ()...69 ()...69 ()...70
()...71 ()...71 ()...72...73 ()...73 ()...73 ()...74 ()...75 ()...76 ()...77 ()...78 ()...79...81 ()...81 ()...82 ()...82 ()...83 ()...84 ()...84 ()...85 ()...86 ()...86 ()...87 ( )...88 ( )...88...89 ()...89 ()...90 ()...91 ()...91 ()...92 ()...93 ()...93 ()...94 ()...95
()...95 ( )...96...97 ()...97 ()...97 ()...98 ()...99 ()...100 ()...101 ()...102...103 ()...103 ()...104 ()...105 ()...106 ()...107 () IC...108 () IC...109 () IC...110... 111
1-1...3 4-1...12 4-2...13 4-3...14 4-4...15 4-5...15 4-6...16 4-7...17 4-8...17 4-9...18 4-10...19 4-11...19 4-12...20 4-13...21 4-14...21 4-15...22 4-16...23 4-17...24 4-18 (LAN)...26 4-19...27 4-20...27 4-21...28 4-22...29 4-23...30 4-24...31 4-25...32 4-26...32 4-27 ( )...33 4-28 (LIS)...34 4-29...35 4-30...36 4-31 (PACS)...37 4-32 (RIS)...38 4-33 (CIS)...39 4-34 (HANDHELD)...40 4-35...41
4-36 (E-MAIL)...42 4-37...43 4-38...44 4-39...45 4-40...46 4-41DICOM3.0...46 4-42 (HL7)...47 4-43...48 4-44...49 4-45...50 4-46...51 4-47...52 4-48...53 4-49...54 4-50...55 4-51...56 4-52...57 4-53...58 4-54...59 4-55...60 4-56...61 4-57...61 4-58...62 4-59...63 4-60...64 4-61...66 4-62...67 4-63.67 4-64...68 4-65...69 4-66...69 4-67...70 4-68.71 4-69...71 4-70...72 4-71...73 4-72...74 4-73...74
4-74...75 4-75...76 4-76...77 4-77...79 4-78...80 4-79...81 4-80...82 4-81...82 4-82...83 4-83...84 4-84...84 4-85...85 4-86...86 4-87...86 4-88...87 4-89...88 4-90...88 4-91...89 4-92.90 4-93...91 4-94...91 4-95...92 4-96...93 4-97...93 4-98...94 4-99...95 4-100...95 4-101...96 4-102...97 4-103...97
4-104...98 4-105...99 4-106...100 4-107...101 4-108...102 4-109...103 4-110...104 4-111...105 4-112...106 4-113.107 4-114 IC...108 4-115 IC...109 4-116 IC...110
1-1...2 2-1...5 2-2...6 2-3...6 2-4...7 2-5...7 3-1...10 3-2...11 3-3...11 4-1...13 4-2...13 4-3...14 4-4...15 4-5...16 4-6...16 4-7...17 4-8...18 4-9...18 4-10...19 4-11...20 4-12...20 4-13...21 4-14...22 4-15...23 4-16...24 4-17...25 4-18 (LAN)...26 4-19...27 4-20...28 4-21...29 4-22...30 4-23...31 4-24...31 4-25...32 4-26...33 4-27 ( )...34
4-28 (LIS)...35 4-29...36 4-30...37 4-31 (PACS)...38 4-32 (RIS)...39 4-33 (CIS)...40 4-34 (HANDHELD)...41 4-35...42 4-36 (E-MAIL)...43 4-37...44 4-38...45 4-39...45 4-40...46 4-41DICOM3.0...47 4-42 (HL7)...48 4-43...49 4-44...50 4-45...51 4-46...52 4-47...53 4-48...54 4-49...55 4-50...56 4-51...57 4-52...58 4-53...59 4-54...59 4-55...60 4-56...61 4-57...62 4-58...63 4-59...64 4-60...65 4-61...66 4-62...67 4-63...68 4-64...68 4-65...69
4-66...70 4-67...70 4-68.71 4-69...72 4-70...72 4-71...73 4-72...74 4-73...75 4-74...76 4-75...77 4-76...78 4-77...79 4-78...80 4-79...81 4-80...82 4-81...83 4-82...83 4-83...84 4-84...85 4-85...85 4-86...86 4-87...87 4-88...87 4-89...88 4-90...89 4-91...90 4-92.90 4-93...91 4-94...92 4-95...92 4-96...93 4-97...94 4-98
...94 4-99...95 4-100...96 4-101...96 4-102...97 4-103...98 4-104...99 4-105...100 4-106...101 4-107...102 4-108...103 4-109...104 4-110...105 4-111...106 4-112...107 4-113.108 4-114 IC...109 4-115 IC...110 4-116 IC... 111
( ) ( ) ( ) (Total Design MethodTDM) () () () () ()
2006 ( ) ( ) ( ) (Total Design Method, TDM) 1
1-1 1-1 ( ) / (LIS) (PACS) (RIS) (CIS) (Handheld) (E-mail) (HL7/DICOM) ( 1-1) 2
1-1 ( ) / (LIS) (PACS) (RIS) (CIS) (Handheld) (E-mail) (HL7/DICOM) (1) (2) (3) (4) (5) (6) (7) (8) (1) (2) 3
( ) ( ) (Total Design Method, TDM) 4
() () () () () () ( 2-1) 2-1 (2-2) 5
2-2 (2-3) (1) (2) (3) (4) (5) 2-3 (2-4) 6
2-4 2-5 2-5 (1) (2) (3) ( ) (4) / (LIS) (5) (6) (7) (PACS) (8) (RIS) (9) (CIS) (10) (Handheld) (11) 7
(12) (E-mail) (13) (14) (15) (16) (17) (HL7/DICOM) (18) (19) (20) (21) (22) (23) (24) (25) (26) ( ) ( ) 8
( ) ( ) ( ) ( ( ) ) ( ) ( ) ( ) 9
http://invest.doh.gov.tw:8850/hos/webfiles/index.jsp?browsertype=ie5up 3-1 10
http://invest.doh.gov.tw:8850/cli/webfiles/index.jsp?browsertype=ie5up 3-2 3-3 11
616 ( ) ( ) 607 590 97.2% 590 559 559 292 52% 213 (38%) 54 (10%) ( 4-1) 4-1 292 213 54 559 (%) 52 38 10 100 12
4-1 556 ( ) ( ) ( ) ( ) 556 ( 4-2) 4-2 191 84 213 68 556 (%) 34 15 38 13 100 250 200 191 213 150 100 84 68 50 0 4-2 13
550 4-3 (213 (38.7%)87 (15.8%))( 4-3) 4-3 211 213 87 39 550 (%) 38.4 38.7 15.8 7.1 100 250 211 213 200 150 100 50 87 39 0 4-3 41.9% 25.9% 19.5% 14
4-4 101 46 52 20 115 123 111 568 (%) 17.8 8.1 9.1 3.5 20.2 21.7 19.5 100 140 120 100 80 60 40 20 0 101 46 52 20 115 123 111 4-4 4-5 (266 ) 4-5 5 () 5~10 10~15 15~20 20~25 25~30 30 () () () () () 266 157 88 27 12 3 7 560 (% ) 47.5 28 15.7 4.8 2.1 0.5 1.3 100 15
4-5 4-6 4-6 472 77 24 573 (%) 82.4 13.4 4.2 100 500 400 300 200 100 0 472 77 24 4-6 16
591 579 88 15.2% 75 13% 416 71.8%( 4-7) 4-7 88 75 416 579 (%) 15.2 13 71.8 100 4-7 579 4-8 4-8 4-8 138 63 117 99 142 17 3 579 (%) 23.8 10.9 20.2 17.1 24.5 2.9 0.5 100 17
4-8 4-9 20 21 200 (6%) 200 4-9 20 21~40 41~60 61~80 81~100 101~150 151~200 394 58 32 13 9 25 15 (%) 67.8 10.0 5.5 2.2 1.5 4.3 2.6 201~250 251~300 301~400 401~450 451~500 500 4 2 5 3 2 19 581 (%) 0.7 0.3 0.9 0.5 0.3 3.3 100 4-9 18
(49.3%) 50 51~100 201~500 14% 1000 4% 50 51~100 4-10 101~200 201~500 501~1000 1000 286 86 54 81 50 23 580 () 49.3 14.8 9.3 14.0 8.6 4.0 100 4-10 (70.4%) 500 ( 4-11) 500 501~ 1001~ 1000 4-11 2500 2501~ 5000 5001~ 10000 10000 410 73 62 20 14 3 582 (%) 70.4 12.5 10.7 3.4 2.4 0.5 100 19
4-11 583 62.1% ( 4-12) 4-12 362 221 583 () 62.1 37.9 100 4-12 20
(71.3%) 4-13 5 51 6~10 11~24 25~50 22 147 20 32 13 3 237 (%) 9.3 62.0 8.4 13.5 5.5 1.3 100 160 140 120 100 80 60 40 20 0 22 147 20 32 13 3 4-13 (70.2%) 4-14 75 71 35 27 208 (% ) 36.1 34.1 16.8 13.0 100 21
80 70 60 50 40 30 20 10 0 75 71 35 27 4-14 84.4% 4-15 () () () () () () 334 44 16 7 4 1 (%) 59.1 7.8 2.8 1.2 0.7 0.2 () 6 10 143 565 (%) 1.1 1.8 25.3 100 22
400 350 300 250 200 150 100 50 0 334 44 16 7 4 1 6 10 143 4-15 42% 20% 4-16 20% 20% 20% 83 63 52 15 10 125 348 (%) 23.9 18.1 14.9 4.3 2.9 35.9 100 23
140 120 100 80 60 40 20 0 83 63 52 15 10 125 4-16 82% 4-17 172 4 19 34 118 347 (%) 49.6 1.2 5.5 9.8 32.6 100 24
200 180 160 140 120 100 80 60 40 20 0 172 4 19 34 118 4-17 25
() () () () () () () (LAN) 487 403 82.8% 4-18 (LAN) 84 403 487 (%) 17.2 82.8 100 450 400 350 300 250 200 150 100 50 0 4-18 (LAN) 26
() 4-19 4-19 Ethernet 4-19 Gigabit Ethernet ATM Fast Ethernet Token Ring FDDI 219 71 17 95 4 21 427 (%) 51.0 17.0 4.0 22.0 1.0 5.0 100 4-19 () (91.2%) 10% 4-20 45 464 509 (%) 8.8 91.2 100 27
500 464 400 300 200 100 45 0 () 4-20 4-21 ADSL 26% 4-21 ADSL Cable T1 ISDN Modem 158 310 21 59 49 5 602 (%) 26 51 3 10 8 1 100 T3 28
400 300 200 100 0 158 310 21 59 49 5 4-21 () (66.3%) (C/S) Mainframe Clint/Server (C/S) 4-22 Web Base (Three tiers) Web Base (Four Tiers) 67 279 12 4 57 421 (%) 16.4 66.3 2.9 1.0 13.5 100 29
300 250 200 150 100 50 0 69 279 12 4 57 4-22 () (79.3%) 12.91% 5.53% 4-23 1 2 3 4 5 6 7 8 11 188 199 63 19 2 2 1 3 488 2.25 38.52 40.78 12.91 3.89 0.41 0.41 0.20 0.61 () 100 30
300 200 100 0 188 199 63 11 19 2 2 1 3 4-23 () (63.0%) 50 51~500 5%~9% 4-24 50 ()51~100 101~150 151~200 201~500 322 48 34 29 47 (%) 63.0 9.4 6.7 5.7 9.2 501~1000 1001~2000 2001 17 12 2 511 (%) 3.3 2.3 0.4 100 350 300 250 200 150 100 50 0 322 48 34 29 47 17 12 2 4-24 31
() (89.5%) 3.6% 4-25 442 14 20 18 494 (%) 89.5 2.8 4.0 3.6 100 500 400 300 200 100 0 442 14 20 18 () 4-25 (94.8%) 1.7% 4-26 382 6 8 7 403 (%) 94.8 1.5 2.0 1.7 100 32
450 400 350 300 250 200 150 100 50 0 382 6 8 7 () ( ) 4-26 91.4% ( 4-27) 4-27 ( ) 457 15 23 5 500 (%) 91.4 3.0 4.6 1.0 100 33
500 400 300 200 100 0 457 15 23 5 4-27 ( ) ( ) (LIS) 264 (62.4%) 70 (16.5%) 89 (21%) 4-28 (LIS) 264 30 59 70 423 (%) 62.4 7.1 13.9 16.5 100 34
300 250 200 150 100 50 0 264 30 59 70 4-28 (LIS) ( ) (60.7%) 85 (20.6%) 30 (7.3%) 47 (11.4%) 4-29 250 30 47 85 412 (%) 60.7 7.3 11.4 20.6 100 35
300 250 200 150 100 50 0 250 30 47 85 ( ) 4-29 382 (83.8%) 20 (4.4%) 24 (5.3%) 30 (6.6%) 4-30 382 20 24 30 456 (%) 83.8 4.4 5.3 6.6 100 36
450 400 350 300 250 200 150 100 50 0 382 20 24 30 4-30 ( ) (PACS) 370 225 (60.8%) 77 (20.8%) 25 (6.8%) 43 (11.6%) 4-31 (PACS) 43 25 77 225 370 () 11.6 6.8 20.8 60.8 100 37
250 200 150 100 50 0 43 25 77 225 4-31 (PACS) ( ) (RIS) 389 140 (36.0%) 27 (6.9%) 46 (11.8%)176 (45.2%) 4-32 (RIS) 140 27 46 176 389 () 36.0 6.9 11.8 45.2 100 38
200 150 140 176 100 50 27 46 0 4-32 (RIS) ( ) (CIS) 357 248 (69.5%) 27 (7.6%) 14 (3.9%)68 (19.0%) 4-33 (CIS) 27 14 68 248 357 () 7.6 3.9 19.0 69.5 100 39
300 250 200 150 100 50 0 27 14 68 248 4-33 (CIS) ( ) (Handheld) (74.9%) 18 (5.0%) 11 (3.1%) 61 (17.3%) 4-34 (Handheld) 18 11 61 269 359 () 5.0 3.1 17.3 74.9 100 40
300 250 200 150 100 50 0 18 11 61 269 4-34 (Handheld) ( ) 390 43 (11.0%) 71 (18.2%) 81 (20.8%) 4-35 195 43 71 81 390 () 50.0 11.0 18.2 20.8 100 41
250 200 150 100 50 0 195 43 71 81 4-35 ( ) (E-mail) 435 317 (72.9%) 30 (6.9%) 44 (10.1%) 44 (10.1%) 4-36 (E-mail) 317 30 44 44 435 72.9 6.9 10.1 10.1 100 42
350 300 317 250 200 150 100 50 30 44 44 0 4-36 (E-mail) ( ) (32.9%) (33.7%) 33.4% 4-37 127 35 95 129 386 (%) 32.9 9.1 24.6 33.4 100 43
140 120 100 80 60 40 20 0 127 35 95 129 4-37 ( ) 411 181 (44.0%) 49 (11.9%) 95 (23.1%) 86 (20.9%) 4-38 181 49 95 86 411 () 44.0 11.9 23.1 20.9 100 44
200 150 100 50 0 181 49 95 86 4-38 ( ) 20.8% 37.1% 4-39 79 57 103 141 380 (%) 20.8 15.0 27.1 37.1 100 160 140 120 100 80 60 40 20 0 79 57 103 141 4-39 45
( ) 51 49 (13.2%) 106 (28.5%) 141 4-40 51 49 106 166 372 (%) 13.7 13.2 28.5 44.6 100 4-40 ( ) (DICOM3.0) DICOM3.0 (56.1%) 4-41DICOM3.0 29 24 103 201 357 (%) 8.1 6.7 28.8 56.1 100 46
250 200 150 100 50 0 29 24 103 201 4-41DICOM3.0 ( ) (HL7) (HL7) 198 (58.9%) 106 (31.5%) 22 (6.5%) 10 (3.0%) 4-42 (HL7) 10 22 106 198 336 (%) 3.0 6.5 31.5 58.9 100 47
250 200 150 100 50 0 10 22 106 198 4-42 (HL7) ( ) 372 72 (19.4%) 46 (12.4%) 92 (24.7%) 162 (43.5%) 4-43 72 46 92 162 372 (%) 19.4 12.4 24.7 43.5 100 48
180 160 140 120 100 80 60 40 20 0 72 46 92 162 4-43 ( ) 371 158 (42.6%) 101 (27.2%)37 (10.0%) 75 (20.2%) 4-44 75 37 101 158 371 (%) 20.2 10.0 27.2 42.6 100 49
180 160 140 120 100 80 60 40 20 0 75 37 158 101 4-44 ( ) 184 (48.7%) 72 (19.0%) 31 (8.2%) 91 (24.1%) 4-45 72 31 91 184 378 (%) 19.0 8.2 24.1 48.7 100 50
200 184 150 100 50 0 72 31 91 4-45 ( ) (197 ) 76 (20.7%) 30 (8.2%) 65 (17.7%) 4-46 76 30 65 197 368 (%) 20.7 8.2 17.7 53.5 100 51
4-46 ( ) 101 (27.0%) 91 (24.3%) 148 (39.6%) 34 (9.1%) 4-47 101 34 91 148 374 (%) 27.0 9.1 24.3 39.6 100 52
160 140 120 100 80 60 40 20 0 101 34 91 148 4-47 ( ) 44.8% (27.8%) 4-48 177 34 74 110 395 (%) 44.8 8.6 18.7 27.8 100 53
177 34 74 110 4-48 ( ) 132 (34.4%) 33.9% 44 (11.5%) 78 (20.3%) 4-49 132 44 78 130 384 (%) 34.4 11.5 20.3 33.9 100 54
140 120 100 80 60 40 20 0 132 44 78 130 4-49 ( ) 115 (30.9%) 133 (35.8%) 4-50 115 43 81 133 372 (%) 30.9 11.6 21.8 35.8 100 55
140 120 100 80 60 40 20 0 115 43 81 133 4-50 ( ) (47.3%) 4-51 84 31 80 175 370 (%) 22.7 8.4 21.6 47.3 100 56
200 180 160 140 120 100 80 60 40 20 0 84 31 80 175 4-51 ( ) 85.8% 4-52 69 417 486 14.2 85.8 100 57
500 400 417 300 200 100 69 0 4-52 ( ) (89.3%) 4-53 343 41 384 (%) 89.3 10.7 100 58
400 350 300 250 200 150 100 50 0 343 41 4-53 ( ) (83.7%) 4-54 420 82 502 (%) 83.7 16.3 100 500 400 420 300 200 100 82 0 4-54 59
( ) (54 ) Wolters Kluwer 4-55 MIMS First Databank 1 8 4 54 4 71 (%) 1.4 11.3 5.6 76.1 5.6 100 4-55 60
( ) (41.3%) 4-56 30 33 45 1 109 (%) 27.5 30.3 41.3 0.9 100 50 40 30 20 10 0 30 33 45 1 4-56 ( ) (47.5%) (21.3%) (26.3%) 4-57 38 17 21 4 80 (%) 47.5 21.3 26.3 5 100 61
4-57 ( ) 4-58 () () () 22 29 12 5 68 (%) 32.4 42.6 17.6 7.4 100 62
4-58 ( ) 80-43 22 PC 10 PC 5 4-59 PC PC - Client/ Server HIS 10 22 43 1 1 3 80 (%) 12.5 28.2 53.8 1.2 1.2 3.8 100 63
4-59 ( ) Oracle 28 SQL Server Sybase 20% 4-60 SQL Server Oracle Sybase 14 28 13 14 69 (%) 20.3 40.6 18.8 20.3 100 64
4-60 65
591 60 () 42 4-61 1 41 12 3 1 58 (%) 1.7 70.7 20.7 5.2 1.7 100 4-61 66
() 56 4-62 47 9 2 1 59 (%) 79.7 15.3 3.4 1.7 100 4-62 () 4-63 5 25 21 7 1 59 (%) 8.5 42.4 35.6 11.9 1.7 100 67
4-63 () 73.3% 4-64 12 32 12 3 1 60 (%) 20 53.3 20 5 1.7 100 4-64 68
() 44 4-65 19 25 11 1 56 (%) 33.9 44.6 19.6 1.8 100 4-65 () (35.1%) 4-66 2 18 27 9 1 57 (%) 3.5 31.6 47.4 15.8 1.8 100 69
27 18 9 2 1 4-66 () 39 4-67 8 31 12 6 1 58 (%) 13.8 53.4 20.7 10.3 1.7 100 4-67 70
() 4-68 3 17 19 14 5 58 (%) 5.2 29.3 32.8 24.1 8.6 100 17 19 14 3 5 4-68 () (67.2%) 4-69 9 30 14 5 58 (%) 15.5 51.7 24.1 8.6 100 71
4-69 () 4-70 6 28 16 7 1 58 (%) 10.3 48.3 27.6 12.7 1.7 100 4-70 72
590 324 227 39 () 4-71 288 235 523 (%) 55.1 44.9 100 400 300 200 100 288 235 0 4-71 () (42.5%) (42.9%) 73
4-72 38 111 112 261 (%) 14.6 42.5 42.9 100 90 80 70 60 50 40 30 20 10 0 81 59 35 53 25 19 4-72 () 81% 30.8% 4-73 20%~40% 41%~60% 61%~80% 81%~100% 20% 24 30 32 48 57 85 276 (%) 8.7 10.9 11.6 17.4 20.7 30.8 100 74
300 250 200 150 100 50 0 24 30 32 48 57 85 276 4-73 () (43.4%) 4-74 20%~40% 41%~60% 61%~80% 81%~100% 20% 121 44 23 31 35 25 279 (%) 43.4 15.8 8.2 11.1 12.5 9.0 100 75
140 120 100 80 60 40 20 0 121 44 23 31 35 25 4-74 () 76.1% 4-75 20%~40% 41%~60% 61%~80% 81%~100% 20% 210 26 16 8 4 12 276 (%) 76.1 9.4 5.8 2.9 1.4 4.3 100 76
250 210 200 150 100 50 0 26 16 8 4 12 4-75 () 29.8% 21.7% 20% 60% 16.2% 4-76 20%~40% 41%~60% 61%~80% 81%~100% 20% 81 59 35 53 25 19 272 (%) 29.8 21.7 12.9 19.5 9.2 7 100 77
90 80 70 60 50 40 30 20 10 0 81 59 35 53 25 19 4-76 () 322 322 4-54 78
4-77 258 93 171 102 93 150 190 156 239 63 80.4 (%) 28.9 53.1 31.7 28.9 46.4 59.0 48.4 74.2 19.6 4-77 () 324 (47.5%) (40.7%) 15.4% 73 (22.5%) 79
4-78 154 82 132 50 73 (%) 47.5 25.3 40.7 15.4 22.5 4-78 80
() 44.1% 4-79 98 46 14 64 222 (%) 44.1 20.7 6.3 28.8 100 120 100 80 60 40 20 0 98 46 14 64 4-79 81
() (75.2%) 4-80 33 101 39 4 1 178 (%) 18.5 56.7 21.9 2.2 0.6 100 4-80 () (77.6%) 4-81 36 103 38 1 1 179 (%) 20.1 57.5 21.2 0.6 0.6 100 82
4-81 () 4-82 17 65 69 25 1 177 (%) 9.6 36.7 39 14.1 0.6 100 4-82 83
() (84%) 4-83 67 123 26 9 1 226 (%) 29.6 54.4 11.5 4.0 0.4 100 4-83 () 4-84 38 139 43 5 2 227 (%) 16.7 61.2 18.9 2.2 0.9 100 84
4-84 () 4-85 11 51 111 47 5 225 (%) 4.9 22.7 49.3 20.9 2.2 100 4-85 85
() 72.2% 4-86 42 122 44 18 1 227 (%) 18.5 53.7 19.4 7.9 0.4 100 4-86 () 75.7% 4-87 47 124 42 12 1 226 (%) 20.8 54.9 18.6 5.3 0.4 100 86
4-87 () 4-88 16 62 90 54 2 224 (%) 7.1 27.7 40.2 24.1 0.9 100 100 90 80 60 62 54 40 20 0 16 2 4-88 87
( ) (73.0%) 4-89 38 127 47 13 1 226 (%) 16.8 56.2 20.8 5.8 0.4 100 140 120 100 80 60 40 20 0 38 127 47 13 1 4-89 ( ) 4-90 22 73 100 24 1 220 (%) 10 33.2 45.5 10.9 0.5 100 88
120 100 100 80 73 60 40 20 0 22 24 1 4-90 () (81.9%) 4-91 75 161 43 9 288 (%) 26.0 55.9 14.9 0.3 100 89
180 160 140 120 100 80 60 40 20 0 161 75 43 9 () 4-91 81.3% 4-92 75 160 48 6 289 (%) 26 55.3 16.6 2.1 100 200 160 150 100 50 0 75 48 6 4-92 90
() 4-93 16 90 94 82 7 289 (%) 5.5 31.2 32.5 28.4 2.4 100 100 80 90 94 82 60 40 20 16 7 0 4-93 () 80.4% 4-94 45 189 35 21 1 291 (%) 15.5 64.9 12.0 7.2 0.3 100 91
200 180 160 140 120 100 80 60 40 20 0 45 189 35 21 1 4-94 () (82.4%) 4-95 55 185 32 19 291 (%) 18.9 63.5 11 6.5 100 200 185 150 100 50 55 32 19 0 4-95 92
() 25% 4-96 25 117 72 72 2 288 (%) 8.7 40.6 25 25 0.7 100 140 120 100 80 60 40 20 0 25 117 72 72 2 4-96 () 20% 4-97 33 144 53 57 1 288 (%) 11.5 50 18.4 19.8 0.3 100 93
160 140 120 100 80 60 40 20 0 33 144 53 57 1 4-97 () 4-98 24 115 78 65 4 286 (%) 8.4 40.2 27.3 22.7 1.4 100 150 115 100 78 65 50 0 24 4 4-98 94
() 73.1% 4-99 63 144 48 28 283 (%) 22.3 50.8 17.0 9.9 100 160 140 120 100 80 60 40 20 0 63 144 48 28 4-99 () 74.5% 4-100 54 159 51 22 286 (%) 18.9 55.6 17.8 7.7 100 95
4-100 ( ) 70.6% 4-101 56 146 55 29 286 (%) 19.6 51.0 19.2 10.1 100 200 150 146 100 50 56 55 29 0 4-101 96
() 583 448 (76.8%) 106 (18.2%) 5% 4-102 163 285 106 27 2 583 (%) 28 48.8 18.2 4.6 0.3 100 300 285 250 200 150 100 50 0 163 106 27 2 4-102 () (33.4%) (23.1%) 4-103 12 182 253 120 14 581 (%) 2.1 31.3 43.5 20.7 2.4 100 97
300 250 200 182 253 150 100 120 50 12 0 14 4-103 () (89.4%) 4-104 207 315 59 2 1 584 (%) 35.5 53.9 10.1 0.3 0.2 100 98
4-104 () 75.8% 20.4% 4-105 160 281 119 20 2 582 (%) 27.5 48.3 20.4 3.4 0.3 100 99
300 281 250 200 150 100 160 119 50 0 20 2 4-105 () 90.9% 4-106 249 273 45 4 3 574 (%) 43.4 47.5 7.8 0.7 0.5 100 100
300 250 249 273 200 150 100 50 45 0 4 3 4-106 () 91.7% 4-107 200 317 42 4 1 564 (%) 35.5 56.2 7.4 0.7 0.2 100 101
350 300 317 250 200 150 100 50 0 200 42 4 1 4-107 () (93.3%) 4-108 211 319 34 4 568 (%) 37.1 56.2 6 0.7 100 102
4-108 () 4-109 51 256 122 135 19 583 (%) 8.8 43.9 20.9 23.2 3.2 100 103
300 250 256 200 150 122 135 100 50 0 51 19 4-109 () (85%) 4-110 158 334 68 18 1 579 (%) 27.3 57.7 11.7 3.1 0.2 100 104
4-110 () 4-111 103 258 166 46 5 578 (%) 17.8 44.7 28.7 8.0 0.9 100 105
300 250 258 200 166 150 100 103 50 0 46 5 4-111 () 4-112 71 267 178 62 4 582 (%) 12.2 45.9 30.6 10.7 0.7 100 106
300 267 250 200 150 178 100 50 0 71 62 4 4-112 () 59.4% 4-113 55 289 188 45 2 579 (%) 9.5 49.9 32.5 7.8 0.3 100 107
4-113 () IC 70% IC 10% 4-114 IC 79 335 108 56 4 582 (%) 13.6 57.5 18.6 9.6 0.7 100 108
IC 4-114 IC () IC 67.2% IC 12.4% 4-115 IC 61 329 118 68 4 582 (%) 10.5 56.7 20.3 11.7 0.7 100 109
IC 4-115 IC () IC 65.3% IC 4-116 IC 60 317 165 35 577 (%) 10.4 54.9 28.6 6.1 100 110
IC 4-116 IC 111
........100 () i
() ii
iii
( ) 1 2 3 i
http://www.doh.gov.tw 320 9-315 ii
life@mgt.ncu.edu.tw (03) 422-7151 ext 6547 320 9-315 (03) 426-8691 iii
() ( http://www.doh.gov.tw)() (http://www.doh.gov.tw) (02) 23210151 ext 549 cchslin@doh.gov.tw (03) 422-7151 ext 6547jlin@mgt.ncu.edu.tw (02) 2655-3700 ext 2400chpeng@inqgen.com (03) 422-7151 ext 6547life@mgt.ncu.edu.tw i
1 2 ( ) 3 ( ) 1 ( : ) ( ) 2 ( : ) ( ) 3 4 : 5 5 ()5~10 () 10~15 () 15~20 () 20~25 () 25~30 () 30 1 ( ) ii ( )
2 3 4 5 20 21~40 41~60 61~80 81~100 101~150 151~200 201~250 251~300 301~400 401~450 451~500 500 6 50 51 100 101~200 201~500 501~1000 1000 7 500 501~1000 2501~5000 5001~10000 () 8? iii 1001~2500 10000 8.1 5 6~10 11~24 25~50 51 8.2 9 ( ) () () () () () () () 10 ( ) 20% 20% 20% 20% 11 ( ) ( ) ( ) ( ) 1
iv 1.1.. 1.2.. 1.3.. 1.4.. 1.5.. 1.6.. 1.7.. 1.8.. 1.9.. 1.10.. 1.11.. 1 1.1.. 1.2.. 1.3.. 1.4.. 1.5.. 1.6.. 1.7.. 1.8.. 1.9.. 1.10 IC.. 1.11 IC.. 1.12 IC..
1.13...1.14.. 1.15.. 2 3 1 (LAN) (Backbone) (Ethernet) Gigabit Ethernet ATM Token Ring FDDI 2 Fast Ethernet ADSL Cable Modem T1 ISDN T3 3 Mainframe Clint/Server(C/S) Web BaseThree Tiers v
Web BaseFour Tiers 4 (Mainframe) 1 2 3 4 5 6 6 5 50 () 51~100 101~150 151~200 201~500 501~1000 1001~2000 2001 6 ( ) 6.1 6.2 6.3 6.4 / (LIS) 6.5 6.6 6.7 (PACS) 6.8 (RIS) 6.9 CIS 6.10 Handheld 6.11 6.12 E-mail 6.13 6.14 6.15 6.16 6.17 (DICOM3.0) 6.18 (HL7) 6.19 6.20 6.21 6.22 6.23 6.24 6.25 6.26 6.27 7 vi
7.1 8 ( 9 ) 8.1 Wolters Kluwer MIMS First Databank ( ) 8.2 ( ) 8.3 ( ) ( ) 8.4 () () 8.5 PC PC ( ) 8.6 SQL Server Oracle Sybase ( ) 9 ( ) ( ) 1 ( ) ( ) ( ) ( ) 2 vii
2.1 ( ) ) 20% 20%~40% 41%~60% 61%~80% 81%~100% 2.2 ( ) 20% 20%~40% 41%~60% 61%~80% 81%~100% 2.3 ( ) 20% 20%~40% 41%~60% 61%~80% 81%~100% 2.4 20% 20%~40% 41%~60% 61%~80% 81%~100% 3 ( ) (SOAP) ( ) 4 ( ) 5 5.1.. 5.2.. 5.3.. 5.4.. 5.5.. 5.6.. 5.7.. 5.8.. 5.9.. viii
5.10.. 5.11.. 6 ( ) ( ) 1 2 2.1.. 2.2.. 2.3.. 2.4.. 2.5.. 2.6.. 2.7.. 2.8.. 2.9.. 2.10.. 2.11.. 3 ( ) ix
( ) 1 1.1. 1.2. 1.3. 1.4. 1.5. 1.6. 1.7. 1.8. 1.9. 1.10. 2 ( ) ----------------------------------------------------------------------------------------------------------------------- x
( ) ( ) (http://www.doh.gov.tw) ----------------------------------------------------------------------------------------------------------------------- 320 9-315 xi
() ( http://www.doh.gov.tw)() (http://www.doh.gov.tw) (02) 23210151 ext 549 cchslin@doh.gov.tw (03) 422-7151 ext 6547jlin@mgt.ncu.edu.tw (02) 2655-3700 ext 2400chpeng@inqgen.com (03) 422-7151 ext 6547life@mgt.ncu.edu.tw i
1 ( ) ( ) 2 ( ) 3 5 ()5~10 () 10~15 () 15~20 () 20~25 () 25~30 () 30 4 5 6 ii
99 () 501 ~ 1000 () 100~ 200 () 1000 7 40 () 70 ~ 84 () 40 ~ 55 () 84 201~ 500 () 55 ~ 70 () 8 ~ ~ 9 1 2 3 4 5 10 ( ) 5 () 10~15 () 25~30 () 15~20 () 30~100 () iii 5~10 () 20~25 () 100 11 ( ) 20% 20% 20% 20% 1 1.1.. 1.2.. 1.3.. 1.4.. 1.5.. 1.6.. 1.7.. 1.8.. 1.9.. 1.10..
1 1.1.. 1.2.. 1.3.. 1.4.. 1.5.. 1.6.. 1.7.. 1.8.. 1.9.. 1.10.. 1.11 IC.. 1.12 IC.. 1.13 IC.. 1.14.. 1.15.. 1.16.. 2 3 iv
1 (LAN) 10MB/Sec()10~100 MB/Sec() 100 MB/Sec 2 ADSL Cable Modem 512K 512K 3 ( ) 3.1 3.2 / 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 (PACS) 3.11 3.12 (DICOM 3.0) 3.13 (HL7) 3.14 3.15 3.16 4 v
( ) ( ) 5 DOS Windows 6 1~2 3~5 6~10 11 7 8 ( ) ( ) 1( ) ( ) ( ) ( ) 2 ( ) vi
( ) 20% 20%~40% 41%~60% 61%~80% 81%~100% 3 ( ) 20% 20%~40% 41%~60% 61%~80% 81%~100% 4 ( ) (SOAP) ( ) 5 5.1... 5.2... 5.3... 5.4... 5.5... 5.6... 5.7... 5.8... 5.9... 5.10... 5.11... 5.12... vii
6 ( ) ( ) 1 2 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.13 ( ) 1 viii
1.1. 1.2. 1.3. 1.4. 1.5. 1.6. 1.7. 1.8. 1.9. 1.10. 2 ( ) ----------------------------------------------------------------------------------------------------------------------- ( ) ( ) (http://www.doh.gov.tw) ----------------------------------------------------------------------------------------------------------------------- ix
320 9-315 x