Building a portable data and information interoperability infrastructure-framework for a standard Taiwan Electronic Medical Record Template

Traditional electronic health record (EHR) data are produced from various hospital information systems. They could not have existed independently without an information system until the incarnation of XML technology. The interoperability of a healthcare system can be divided into two dimensions: functional interoperability and semantic interoperability. Currently, no single EHR standard exists that provides complete EHR interoperability. In order to establish a national EHR standard, we developed a set of local EHR templates. The Taiwan Electronic Medical Record Template (TMT) is a standard that aims to achieve semantic interoperability in EHR exchanges nationally. The TMT architecture is basically composed of forms, components, sections, and elements. Data stored in the elements which can be referenced by the code set, data type, and narrative block. The TMT was established with the following requirements in mind: (1) transformable to international standards; (2) having a minimal impact on the existing healthcare system; (3) easy to implement and deploy, and (4) compliant with Taiwan's current laws and regulations. The TMT provides a basis for building a portable, interoperable information infrastructure for EHR exchange in Taiwan.     

Taiwan's perspective on electronic medical records' security and privacy protection: lessons learned from HIPAA

The protection of patients' health information is a very important concern in the information age. The purpose of this study is to ascertain what constitutes an effective legal framework in protecting both the security and privacy of health information, especially electronic medical records. All sorts of bills regarding electronic medical data protection have been proposed around the world including Health Insurance Portability and Accountability Act (HIPAA) of the U.S. The trend of a centralized bill that focuses on managing computerized health information is the part that needs our further attention. Under the sponsor of Taiwan's Department of Health (DOH), our expert panel drafted the "Medical Information Security and Privacy Protection Guidelines", which identifies nine principles and entails 12 articles, in the hope that medical organizations will have an effective reference in how to manage their medical information in a confidential and secured fashion especially in electronic transactions.     

Multi-layer thermoelectric-temperature-mapping microbial incubator designed for geo-biochemistry applications

We demonstrate a novel, vertical temperature-mapping incubator utilizing eight layers of thermoelectric (TE) modules mounted around a test tube. The temperature at each layer of the TE module is individually controlled to simulate the vertical temperature profile of geo-temperature variations with depth. Owing to the constraint of non-intrusion to the filled geo-samples, the temperature on the tube wall is adopted for measurement feedback. The design considerations for the incubator include spatial arrangement of the energy transfer mechanism, heating capacity of the TE modules, minimum required sample amount for follow-up instrumental or chemical analysis, and the constraint of non-intrusion to the geo-samples during incubation. The performance of the incubator is experimentally evaluated with two tube conditions and under four preset temperature profiles. Test tubes are either empty or filled with quartz sand, which has comparable thermal properties to the materials in the geo-environment. The applied temperature profiles include uniform, constant temperature gradient, monotonic-increasing parabolic, and parabolic. The temperature on the tube wall can be controlled between 20 °C and 90 °C with an averaged root mean squared error of 1 °C.     

Musculoskeletal disorder risk during automotive assembly: current vs. seated

Musculoskeletal disorder risk was assessed during automotive assembly processes. The risk associated with current assembly processes was compared to using a cantilever chair intervention. Spine loads and normalized shoulder muscle activity were evaluated during assembly in eight regions of the vehicle. Eight interior cabin regions of the vehicle were classified by reach distance, height from vehicle floor and front to back. The cantilever chair intervention tool was most effective in the far reach regions regardless of the height. In the front far reach regions both spine loads and normalized shoulder muscle activity levels were reduced. In the middle and close reach regions spine loads were reduced, however, shoulder muscle activity was not, thus an additional intervention would be necessary to reduce shoulder risk. In the back far reach region, spine loads were not significantly different between the current and cantilever chair conditions. Thus, the effectiveness of the cantilever chair was dependent on the region of the vehicle.     

A novel smooth impact drive mechanism actuation method with dual-slider for a compact zoom lens system

In this paper, a novel actuation method for a smooth impact drive mechanism that positions dual-slider by a single piezo-element is introduced and applied to a compact zoom lens system. A mode chart that determines the state of the slider at the expansion or shrinkage periods of the piezo-element is presented, and the design guide of a driving input profile is proposed. The motion of dual-slider holding lenses is analyzed at each mode, and proper modes for zoom functions are selected for the purpose of positioning two lenses. Because the proposed actuation method allows independent movement of two lenses by a single piezo-element, the zoom lens system can be designed to be compact. For a feasibility test, a lens system composed of an afocal zoom system and a focusing lens was developed, and the passive auto-focus method was implemented.