健保IC卡存取服務之研究以Web Service為基礎

Service to Access the National Health Insurance IC Card Based on the Web Service

因應全球e 化的趨勢，健保局實施健保IC 卡以整合取代舊有健保紙卡的 功能，提供民眾更簡單、方便及安全的保險恁證。健保局為了使健保IC 卡的 請卡機能夠與醫療院所現有醫療資訊率統整合，因此提供很多作業平台的請 卡機控制軟體以供使用。但是，目前健保局所提供的請卡機控制軟體僅適用 於本機C client si te ）方式執行的醫療資訊在統C HIS ） ，並不適用於Web-Based醫療資訊在統CWeb-Based HIS） ，這造成Web-Based 醫療資訊系統無 法控制健保IC 卡的請卡機。 有鑑於此，本研究提出Web Service 為基礎的健保IC 卡存取服務方法， 藉此運用Web Service 具有跨平台與分散式等特性。新增兩個Web Service 棋 組，分別為請卡服務請求者與讀卡服務提供者，透過兩者的協助來完成整個 健保IC 卡存取過程的支援。本研究除了解決Web-Based 醫療資訊系統無法存取 健保IC 卡問題之外，更可以達到健保局期望，與各醫療院所現有的醫療資訊 率統達到最大的相容性。

As the trend of e-Hospital, the bureau of National Health Insurance (NHI) starts to provide the IC Card to replace the card in paper. With this new card, the public have a more convenient and safe certification for receiving the healthcare. For integrating with the existing Hospital Information System (HIS), the NHI provides many versions of control program (or called device drivers) such that the computers run on different platforms (such as Dos, Windows and Unix) in different operating modes (such as single machine and client-server) can easily access the IC-carder reader. However, the NHI did not provide the suitable control program to access the card reader for the web-based HIS since the web-based system is inherently forbidden to access the peripheral devices. Consequently, the Web-Based HIS can t read data from the National Health Insurance IC Card. In this paper, we propose a method to overcome the above problem. The method utilizes the property of the web service that can operate in a distributed system under different platforms. The main concept of the method is to add two web services: Card-Reader-Service Requester and Card-Reader-Service Provider to the web server side and the local side, respectively. Through the coordination between the requester and provider, the web-based HIS can read data from the IC Card. Consequently, the method can resolve the inherent problem that the client side in the web-based system cannot directly access data from the devices connected to the client. Thus with the proposed method, the web-based HIS can also access the IC-card like the client-server system and solve the problems that the NHI does not provide the control program of the card reader for the web-based HIS.