利用JXTA技术的点对点通信实现医疗服务的互通性
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摘要
随着信息通信技术的发展,电子医疗服务成为了一个新兴的研究领域。电子医疗服务集合了医疗信息学,公共健康和商业学的一个交叉领域,指的是通过互联网及其相关技术来交付或改善健康服务和相关信息。由于不同的医疗服务解决方案是由不同的IT公司开发的,而且这之间没有合适的共用标准,这导致了互通性的问题上升。布莱京郡的医疗服务组织使用两种不同的系统,MAGNA CURA和SYStem Cross。这两个系统在他们自己的工作范围内使用得非常好,但是这两个系统经常需要通信和合作来交换病人的信息,这就产生了互通性问题。
本文研究的目标是提供快速和可靠的点对点解决方案来交换病人的信息,以此达到不同的医疗组织间的信息共用性。这个提出的方案作为布莱京医疗服务组织使用的MAGNA CURA和SYStem Cross的中间件进行了测试。
本次研究的目标是提供快速和可靠的点对点解决方案来交换病人的信息,以此达到不同的医疗组织间的信息共用性。本文提出的方案最后作为布莱京医疗服务组织使用的MAGNA CURA和SYStem Cross的中间件进行了测试。
本文主要研究工作包括了通过深入的文献阅读和分析,半结构化的面对面的采访的定量研究方法来了解研究问题的背景以及实现方案的选择和取舍。我们了解到布莱京的医疗服务组织是分布式,并且使用不同的信息管理系统,在这样的环境下,作者提出了点对点通信的方式。最后作者开发了一个基于JXTA平台的可执行的模型测试了提出的方案。根据检测的结果,在两个提及的系统间,被建议的句法层面的共用性问题已经得到初步解决。
eHealth is an emerging area that boosts up with advancement in Information and Communication Technology (ICT). Due to variety of eHealth solutions developed by different IT firms with no proper shared standards, interoperability issue is then raised.
Blekinge County healthcare organizations use two different systems MAGNA CURA and SYStem Cross. The two systems work well in their own scope. But these systems often need to communicate and coordinate for exchange of patients? information which leads to the problem of interoperability.
The aim of this research study is to provide fast and reliable peer-to-peer solution for exchange of patient information so as to achieve interoperability among healthcare organizations. This proposed solution is tested as a middleware between MAGNA CURA and SYStem Cross currently used by Blekinge County healthcare organizations. A qualitative approach including in-depth literature review and a semi-structured face-to-face interview has been used for understanding the context of research problem. We have tested our approach through an executable prototype. The prototype is implemented using JXTA platform.
We have learned that Blekinge healthcare is decentralized and heterogonous in nature. For such kind of environment, peer-to-peer communication approach is suggested. According to the test result, the suggested syntactic level interoperability between the two mentioned systems has been achieved.
本文研究的目标是提供快速和可靠的点对点解决方案来交换病人的信息,以此达到不同的医疗组织间的信息共用性。这个提出的方案作为布莱京医疗服务组织使用的MAGNA CURA和SYStem Cross的中间件进行了测试。
本次研究的目标是提供快速和可靠的点对点解决方案来交换病人的信息,以此达到不同的医疗组织间的信息共用性。本文提出的方案最后作为布莱京医疗服务组织使用的MAGNA CURA和SYStem Cross的中间件进行了测试。
本文主要研究工作包括了通过深入的文献阅读和分析,半结构化的面对面的采访的定量研究方法来了解研究问题的背景以及实现方案的选择和取舍。我们了解到布莱京的医疗服务组织是分布式,并且使用不同的信息管理系统,在这样的环境下,作者提出了点对点通信的方式。最后作者开发了一个基于JXTA平台的可执行的模型测试了提出的方案。根据检测的结果,在两个提及的系统间,被建议的句法层面的共用性问题已经得到初步解决。
eHealth is an emerging area that boosts up with advancement in Information and Communication Technology (ICT). Due to variety of eHealth solutions developed by different IT firms with no proper shared standards, interoperability issue is then raised.
Blekinge County healthcare organizations use two different systems MAGNA CURA and SYStem Cross. The two systems work well in their own scope. But these systems often need to communicate and coordinate for exchange of patients? information which leads to the problem of interoperability.
The aim of this research study is to provide fast and reliable peer-to-peer solution for exchange of patient information so as to achieve interoperability among healthcare organizations. This proposed solution is tested as a middleware between MAGNA CURA and SYStem Cross currently used by Blekinge County healthcare organizations. A qualitative approach including in-depth literature review and a semi-structured face-to-face interview has been used for understanding the context of research problem. We have tested our approach through an executable prototype. The prototype is implemented using JXTA platform.
We have learned that Blekinge healthcare is decentralized and heterogonous in nature. For such kind of environment, peer-to-peer communication approach is suggested. According to the test result, the suggested syntactic level interoperability between the two mentioned systems has been achieved.
引文
[1] R. Mitchell F,“Information and Communication Technologies and the Global Digital Divide Technology Transfer, Development, and Least Developing Countries,”Comparative Technology Transfer and Society, vol. Volume 1, no:2, 2005, pp.72-87.
[2]“Information and communication technologies,”WIKIPEDIA, www.en.wikipedia.org/wiki/ICT, Mar 15, 2010.
[3] L. A.Ogunsola,“Information and Communication Technologies and the Effects of Globalization: Twenty-First Century Digital Slavery for Developing Countries--Myth or Reality”Electronic Journal of Academic and Special Librarianship, vol. v.6 no.1-2.
[4] G. Eysenbach,“What is eHealth,”Journal of Medical Internet Research, www.jmir.org, April 10, 2010.
[5]“ICT for better Healthcare in Europe,”Europe's Information Society, Thematic Portal, www.ec.europa.eu/information_society/activities/health/index_en.htm, March 5, 2010
[6] D. Sommer, eHealth for a Healthier Europe! opportunities for a better use of healthcare resources, Gartner Sverige AB, 2009.
[7] C. Bossen,“Representations at work: a national standard for electronic health records,”Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work, Banff, Alberta, Canada: ACM, 2006, pp. 69-78.
[8] M. Da Silveira, N. Guelfi, J. Baldacchino, P. Plumer, M. Seil, and A. Wienecke,“A SURVEY OF INTEROPERABILITY IN E-HEALTH SYSTEMS: THE EUROPEAN APPROACH,”International Conference on Health Informatics.
[9] M.E. Mansoor and R. Majeed,“Achieving Interoperability among Healthcare Organizations,”Blekinge Institute of Technology, 2010.
[10] M. Parameswaran, A. Susarla, and A. Whinston,“P2P networking: an information sharing alternative,”Computer, vol. 34, 2001, pp. 31-38.
[11] R. Chen,“Toward Interoperability and knowledge-based Electronic Health Recording using Archetype Methodology,”Link?pings universitet,, 2009.
[12] Report, "National Strategy for eHealth ? Sweden", Ministry of Health and Social Affairs , SALAR, .
[13] Status Report," Sweden's National Strategy of eHealth", Ministry of Health and Social Affairs ? Swedish Association of Local Authorities and Regions, SALAR National Board of Health and Welfare ? Association of Private Care Providers, 2009.
[14] G. Bai and P. Zhang, "Functions for eHealth Communicataion Systems Design", Printfabriken, Karlskrona 2009: Blekinge Institute of Technology, 2009.
[15] A. Dogac, T. Namli, A. Okcan, G. Laleci, Y. Kabak, and M. Eichelberg,“Key Issuesof Technical Interoperability Solutions in eHealth.”
[16] G. Bai and Y. Guo,“Activity Theory Ontology for Knowledge Sharing in E-health,”School of Computing, Blekinge Institute of Technology, SE-372 25 Ronneby, Sweden,
[17] Better health and elderly careservices for the individual and thecommunity, Sweden: Ministry of Health and Social Affairs , SALAR, 2006.
[18] J.Creswell, Research Design: Qualitative, Quantitative and Mixed Method Approaches, Sage Publications, 2002.
[19] A. Sarkissian,“Definition of Prototype Development,”eHow, www.ehow.com, March20 ,2010
[20] S. Chu,“ePrescription: road map from wired to wireless point-of-care order entry,”Enterprise Networking and Computing in Healthcare Industry, 2004. HEALTHCOM 2004. Proceedings. 6th International Workshop on, 2004, pp. 26-33.
[21] F. Sahar and M. Asim,“Citizen Access to eHealth Services in County of Blekinge,”Master Thesis Computer Science, Department of Interaction and System Design School of Engineering Blekinge Institute of Technology, 2009.
[22] M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G.B. Laleci,“A survey and analysis of Electronic Healthcare Record standards,”ACM Comput. Surv., vol. 37, 2005, pp. 277-315.
[23]“Safety first: Using patient identifiers,”MGH HOTLINE. www2.massgeneral.org/pubaffairs/issues2006/071406id.htm, March 21, 2010
[24] R. Craft,“Toward technical interoperability in telemedicine,”Telemedicine Journal and e-Health, vol. 11, Jun. 2005, pp. 384-404.
[25] M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G.B. Laleci,“A survey and analysis of Electronic Healthcare Record standards,”ACM Comput. Surv., vol. 37, 2005, pp. 277-315.
[26] J. Park and S. Ram,“Information systems interoperability: What lies beneath?,”ACM Trans. Inf. Syst., vol. 22, 2004, pp. 595-632.
[27] L.A.E. Al-Safadi,“Semantic-based exchanger of electronic medical records,”Proceedings of the 6th International Conference on Advances in Mobile Computing and Multimedia, Linz, Austria: ACM, 2008, pp. 418-421.
[28] J.S. Hooda, E. Dogdu, and R. Sunderraman,“Health Level-7 compliant clinical patient records system,”Proceedings of the 2004 ACM symposium on Applied computing, Nicosia, Cyprus: ACM, 2004, pp. 259-263.
[29] R. Chen,“Towards Interoperable and Knowledge-Based Electronic Health Records Using Archetype Methodology,”Link?pings universitet, SE-58185 Link?ping, Sweden.
[30] J.S. Hooda, E. Dogdu, and R. Sunderraman,“Health Level-7 compliant clinical patientrecords system,”Proceedings of the 2004 ACM symposium on Applied computing, Nicosia, Cyprus: ACM, 2004, pp. 259-263.
[31] W. Jian, C. Hsu, T. Hao, H. Wen, M. Hsu, Y. Lee, Y. Li, and P. Chang,“Building a portable data and information interoperability infrastructure--framework for a standard Taiwan Electronic Medical Record Template,”Nov. 2007, pp. 102-111.
[32] R. Chen, G. Enberg, and G. O Klein,“Julius– a template based supplementary electronic health recordsystem,”BMC Medical Informatics and Decision Making, May. 2007.
[33]“System architecture.”, www.cambio.se/zino.aspx?articleID=14868, March 22, 2010
[34] W. Yeager and J. Williams,“Secure peer-to-peer networking: the JXTA example,”IT Professional, vol. 4, 2002, pp. 53-57.
[35] D. S. Milojicic, V. Kalogeraki, R. Lukose, K. Nagaraja, J. Pruyne, B. Richard, S. Rollins, and Z. Xu,“Peer-to-Peer Computing,”HP Laboratories Palo Alto HPL-2002-57 (R.1), Jul. 2003.
[36] Chuan Zhu, Guiran Chang, and Wei Ning,“A JXTA-Based SIP Communication System for P2P Wireless Networks,”Wireless Communications, Networking and Mobile Computing, 2008. WiCOM '08. 4th International Conference on, 2008, pp. 1-4.
[37]“What is peer-to-peer (p2p)?,”GigaTribe, Apr. 2010.
[38] B. Leuf, Peer to Peer: Collaboration and Sharing over the Internet, Addison-Wesley Longman Publishing Co., Inc., 2002.
[39]“JXTA.”www.jxta.dev.java.net, March 25,2010
[40] L. Gong,“JXTA: A Network Programming Environment,”IEEE Internet Computing, vol. 5, 2001, pp. 88-95.
[41] Chuan Zhu, Guiran Chang, and Wei Ning,“A JXTA-Based SIP Communication System for P2P Wireless Networks,”Wireless Communications, Networking and Mobile Computing, 2008. WiCOM '08. 4th International Conference on, 2008, pp. 1-4.
[42] N. Maibaum and T. Mundt,“JXTA: a technology facilitating mobile peer-to-peer networks,”Mobility and Wireless Access Workshop, 2002. MobiWac 2002. International, 2002, pp. 7-13.
[43]“Emperical,”American Heritage Dictionary, Apr. 2010.
[44] D.R. R.S.Y,“Collecting data by in-depth interviewing,”University of Sussex at Brighton: 1999.
[45] J. Group, JXTA JXSE Programmers GUide 2.5, Sun Microsystems, Inc., 2007.
[46]“Valid Assessment,”Office of Learning and Teaching, DE&T. www.eduweb.vic.gov.au/edulibrary/public/teachlearn/student/activity5_1a.pdf
[47] W.M. Trochim,“Qualitative Validity.”www.socialresearchmethods.net/kb/, April 20, 2010
[2]“Information and communication technologies,”WIKIPEDIA, www.en.wikipedia.org/wiki/ICT, Mar 15, 2010.
[3] L. A.Ogunsola,“Information and Communication Technologies and the Effects of Globalization: Twenty-First Century Digital Slavery for Developing Countries--Myth or Reality”Electronic Journal of Academic and Special Librarianship, vol. v.6 no.1-2.
[4] G. Eysenbach,“What is eHealth,”Journal of Medical Internet Research, www.jmir.org, April 10, 2010.
[5]“ICT for better Healthcare in Europe,”Europe's Information Society, Thematic Portal, www.ec.europa.eu/information_society/activities/health/index_en.htm, March 5, 2010
[6] D. Sommer, eHealth for a Healthier Europe! opportunities for a better use of healthcare resources, Gartner Sverige AB, 2009.
[7] C. Bossen,“Representations at work: a national standard for electronic health records,”Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work, Banff, Alberta, Canada: ACM, 2006, pp. 69-78.
[8] M. Da Silveira, N. Guelfi, J. Baldacchino, P. Plumer, M. Seil, and A. Wienecke,“A SURVEY OF INTEROPERABILITY IN E-HEALTH SYSTEMS: THE EUROPEAN APPROACH,”International Conference on Health Informatics.
[9] M.E. Mansoor and R. Majeed,“Achieving Interoperability among Healthcare Organizations,”Blekinge Institute of Technology, 2010.
[10] M. Parameswaran, A. Susarla, and A. Whinston,“P2P networking: an information sharing alternative,”Computer, vol. 34, 2001, pp. 31-38.
[11] R. Chen,“Toward Interoperability and knowledge-based Electronic Health Recording using Archetype Methodology,”Link?pings universitet,, 2009.
[12] Report, "National Strategy for eHealth ? Sweden", Ministry of Health and Social Affairs , SALAR, .
[13] Status Report," Sweden's National Strategy of eHealth", Ministry of Health and Social Affairs ? Swedish Association of Local Authorities and Regions, SALAR National Board of Health and Welfare ? Association of Private Care Providers, 2009.
[14] G. Bai and P. Zhang, "Functions for eHealth Communicataion Systems Design", Printfabriken, Karlskrona 2009: Blekinge Institute of Technology, 2009.
[15] A. Dogac, T. Namli, A. Okcan, G. Laleci, Y. Kabak, and M. Eichelberg,“Key Issuesof Technical Interoperability Solutions in eHealth.”
[16] G. Bai and Y. Guo,“Activity Theory Ontology for Knowledge Sharing in E-health,”School of Computing, Blekinge Institute of Technology, SE-372 25 Ronneby, Sweden,
[17] Better health and elderly careservices for the individual and thecommunity, Sweden: Ministry of Health and Social Affairs , SALAR, 2006.
[18] J.Creswell, Research Design: Qualitative, Quantitative and Mixed Method Approaches, Sage Publications, 2002.
[19] A. Sarkissian,“Definition of Prototype Development,”eHow, www.ehow.com, March20 ,2010
[20] S. Chu,“ePrescription: road map from wired to wireless point-of-care order entry,”Enterprise Networking and Computing in Healthcare Industry, 2004. HEALTHCOM 2004. Proceedings. 6th International Workshop on, 2004, pp. 26-33.
[21] F. Sahar and M. Asim,“Citizen Access to eHealth Services in County of Blekinge,”Master Thesis Computer Science, Department of Interaction and System Design School of Engineering Blekinge Institute of Technology, 2009.
[22] M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G.B. Laleci,“A survey and analysis of Electronic Healthcare Record standards,”ACM Comput. Surv., vol. 37, 2005, pp. 277-315.
[23]“Safety first: Using patient identifiers,”MGH HOTLINE. www2.massgeneral.org/pubaffairs/issues2006/071406id.htm, March 21, 2010
[24] R. Craft,“Toward technical interoperability in telemedicine,”Telemedicine Journal and e-Health, vol. 11, Jun. 2005, pp. 384-404.
[25] M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G.B. Laleci,“A survey and analysis of Electronic Healthcare Record standards,”ACM Comput. Surv., vol. 37, 2005, pp. 277-315.
[26] J. Park and S. Ram,“Information systems interoperability: What lies beneath?,”ACM Trans. Inf. Syst., vol. 22, 2004, pp. 595-632.
[27] L.A.E. Al-Safadi,“Semantic-based exchanger of electronic medical records,”Proceedings of the 6th International Conference on Advances in Mobile Computing and Multimedia, Linz, Austria: ACM, 2008, pp. 418-421.
[28] J.S. Hooda, E. Dogdu, and R. Sunderraman,“Health Level-7 compliant clinical patient records system,”Proceedings of the 2004 ACM symposium on Applied computing, Nicosia, Cyprus: ACM, 2004, pp. 259-263.
[29] R. Chen,“Towards Interoperable and Knowledge-Based Electronic Health Records Using Archetype Methodology,”Link?pings universitet, SE-58185 Link?ping, Sweden.
[30] J.S. Hooda, E. Dogdu, and R. Sunderraman,“Health Level-7 compliant clinical patientrecords system,”Proceedings of the 2004 ACM symposium on Applied computing, Nicosia, Cyprus: ACM, 2004, pp. 259-263.
[31] W. Jian, C. Hsu, T. Hao, H. Wen, M. Hsu, Y. Lee, Y. Li, and P. Chang,“Building a portable data and information interoperability infrastructure--framework for a standard Taiwan Electronic Medical Record Template,”Nov. 2007, pp. 102-111.
[32] R. Chen, G. Enberg, and G. O Klein,“Julius– a template based supplementary electronic health recordsystem,”BMC Medical Informatics and Decision Making, May. 2007.
[33]“System architecture.”, www.cambio.se/zino.aspx?articleID=14868, March 22, 2010
[34] W. Yeager and J. Williams,“Secure peer-to-peer networking: the JXTA example,”IT Professional, vol. 4, 2002, pp. 53-57.
[35] D. S. Milojicic, V. Kalogeraki, R. Lukose, K. Nagaraja, J. Pruyne, B. Richard, S. Rollins, and Z. Xu,“Peer-to-Peer Computing,”HP Laboratories Palo Alto HPL-2002-57 (R.1), Jul. 2003.
[36] Chuan Zhu, Guiran Chang, and Wei Ning,“A JXTA-Based SIP Communication System for P2P Wireless Networks,”Wireless Communications, Networking and Mobile Computing, 2008. WiCOM '08. 4th International Conference on, 2008, pp. 1-4.
[37]“What is peer-to-peer (p2p)?,”GigaTribe, Apr. 2010.
[38] B. Leuf, Peer to Peer: Collaboration and Sharing over the Internet, Addison-Wesley Longman Publishing Co., Inc., 2002.
[39]“JXTA.”www.jxta.dev.java.net, March 25,2010
[40] L. Gong,“JXTA: A Network Programming Environment,”IEEE Internet Computing, vol. 5, 2001, pp. 88-95.
[41] Chuan Zhu, Guiran Chang, and Wei Ning,“A JXTA-Based SIP Communication System for P2P Wireless Networks,”Wireless Communications, Networking and Mobile Computing, 2008. WiCOM '08. 4th International Conference on, 2008, pp. 1-4.
[42] N. Maibaum and T. Mundt,“JXTA: a technology facilitating mobile peer-to-peer networks,”Mobility and Wireless Access Workshop, 2002. MobiWac 2002. International, 2002, pp. 7-13.
[43]“Emperical,”American Heritage Dictionary, Apr. 2010.
[44] D.R. R.S.Y,“Collecting data by in-depth interviewing,”University of Sussex at Brighton: 1999.
[45] J. Group, JXTA JXSE Programmers GUide 2.5, Sun Microsystems, Inc., 2007.
[46]“Valid Assessment,”Office of Learning and Teaching, DE&T. www.eduweb.vic.gov.au/edulibrary/public/teachlearn/student/activity5_1a.pdf
[47] W.M. Trochim,“Qualitative Validity.”www.socialresearchmethods.net/kb/, April 20, 2010