北京生物医学工程

基于数字化影像归档和通信系统的电子申请单集成系统设计

Design of the integration system for electronic application-form based on picture archiving and communication system

作者：陆维嘉严壮志

单位：上海大学通信与信息工程学院(上海200072)

关键词：电子申请单；医学影像归档和通信系统；医院管理信息系统；医学数字影像与通信标准

分类号：

出版年·卷·期（页码）：2013·32·6（606-612）

摘要：

目的根据DICOM接口协议，设计了电子申请单集成系统，使电子化的申请单在电子病历系统与医学影像归档和通信系统(picture archiving and communication system, PACS)之间能够传输和比对，简化临床业务流程。方法通过接口字典文档，HIS系统和PACS系统共同遵循DICOM协议准则。首先设计基本业务流程，然后运用M程序语言编译接口平台，再按照DICOM准则对接接口字典。结果设计完整的从医生开具医嘱到CR、CT、MRI检查终端设备显示的电子申请单集成接口系统，完成身份比对，医嘱比对及影像检查结果匹配等跨系统业务流程的节点传输流程系统。结论系统设计在PACS系统建设中，对医院影像科内的工作流程进行了重新分析，优化设计包括了自动操作和工作合并以及某些设备的迁移，消除不必要的工作步骤以简化流程，扩展采用遵从DICOM标准的成像设备工作列表(MWL)，使患者的基本信息、检查信息、影像信息、诊断信息、检查结果分发信息在流程中完善和统一。

Objective Integration system for electronic application-form is designed according to DICOM protocol to realize the transmission and alignment of the electronic application-form between the electronic anamnesis system and picture archiving and communication system (PACS) in order to simplify the clinical process. Methods Through the document of interface dictionary, HIS and PACS system follow the rule of DICOM protocol. Basic business process is designed first, and then compiler interface platform is compiled with M programming language. Finally, the docking with the dictionary is interfaced according to DICOM standard. Results The integration system for electronic application-form which is from doctor's advice to CR, CT, MRI and terminal display is designed. Identity comparison, order comparison and the transmission systems with node such as matching image results are completed. Conclusions Working process in image department is analyzed in the construction of PACS system. Simplification and optimization including automatic operation, work mergence, and the migration of certain equipments for the process are made. Imaging equipment work list (MWL) is used to make the process perfect and unified.

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