通过工作列表实现数字化网络各系统之间患者信息的一致性

The guarantee of the consistency of patient information through modality worklist among PACS, RIS and imaging equipments

目的 实现图像存储与传输系统 (picturearchivingandcommunicationsystem ,PACS)、放射学信息系统 (radiologyinformationsystems,RIS )、影像设备之间患者检查信息的一致性。方法我院引进GESigna 1.5T磁共振、数字乳腺 ,Agfa数字X线摄影、计算机X线摄影及GECT等数字化医学设备。GEPACS是英文系统 ,所以前期医院在未解决信息一致性时只通过PACS对检查影像进行保存 ,通过PACS系统中简单的信息管理工作 ,并没有真正意义上的worklist。 2个月后 ,我院采用国际上先进的解决方法即通过医学数字成像及通讯 (digitalimagingandcommunicationinmedicine,DICOM)标准的工作列表 (worklist)的方法实现信息的一致性。在RIS系统中将患者中文信息转换为英文信息 ,保存并为worklist提供患者的英文信息。结果 我院在集成PACS和RIS的 2年多时间以来 ,通过worklist来保证RIS与影像设备患者检查信息的一致性 ,取得了非常好的效果。在所有诊断工作站上 ,诊断医生通过中文RIS系统 ,对病人的信息进行编辑、修改、产生。结论 通过worklist实现PACS、RIS、影像设备之间患者检查信息的一致性是可行的。

Objective To realize the consistency of patient information through modality worklist among picture archiving and communication system (PACS), radiology information systems (RIS), and imaging equipments. Methods Many digital modalities including GE Signa 1.5 T MR system, digital mammography, Agfa digital radiography, computed radiography, GE CT, and etc were installed in our hospital. Since the GE PACS system was in English version, the images were saved and the information was managed to PACS without a truly worklist. Two months later, while still using the previous PACS, the consistency of patient information was resolved through modality worklist by adopting the international advanced approach to realize thread worklist of digital imaging and communication in medicine. The information in Chinese will be transformed into information in English in RIS system and saved as the English information to worklist. Results After the implementation and integration of PACS and RIS was achieved in my hospital, the consistency of patient information was guaranteed through modality worklist between RIS and imaging equipments and the first-rate effect was acquired. The patient information could be checked, edited, and created by using the Chinese RIS system on all diagnostic workstations. Conclusion The consistency of patient information through modality worklist was realized among PACS, RIS, and imaging equipments, yet at present, the question of guarantee the consistency of patient information must be thought over in PACS building.