Real-World Applications of SR-Based Laboratory Information Rendering System within Filmless Web-Based PACS Environment——Integration of Labs Data in PACS
关键词: 检验信息系统； 整合型医疗照护体系； 检索信息显示； 影像传输管理系统； LIS: Laboratory Information System； IHE: Integrating the Healthcare Enterprise； RID: Retrieve Information for Display； PACS: Picture Archiving and Communication System摘要:
Abstract: Laboratory examinations and imaging studies are essential for clinical decisions logically. Nowadays PACS is getting prevalent in modern medical institutes to provide physicians and medical staff easy ways for efficient images retrieval and utilization. With this beneficial factor of PACS wide spreading, we could make the best of the infrastruc-ture of secure imaging network without adding much cost on it to head for the era of electronic medical records solidly and precisely. The purpose of this article is to introduce a real world implementation of a brand new container within PACS for laboratory information (LI), being converted from traditional database records into standard DICOM struc-tured report (SR) objects, under the guidance of IHE framework, as well as the web page results rendering using re-trieve information for display (RID) profile for enormous laboratory results. Aside from the easy perception of labora-tory data on web pages, we also use online processing and analysis (OLAP) tools to have trend statistics of system utilization. Latest data, mined from OLAP cube, revealed that totally we have 9,293,784 stored SR objects from 336,152 active patients in recent five years with the maximal utilization frequency of RID profile near 10,067 per month, 280 on a daily basis. The interesting features of IHE RD profile introduce the usage of graph and trend curves, making the interpretation of medical data more easily, especially in our study, from LIS. With this new integration of web-based PACS and LIS, users could easily browse all the necessary information on web pages simultaneously in-cluding images, reports and laboratory results without hustling to other applications or reading on paper-based charts to fulfill the goals of paperlessness and medical error reduction. The success of our study consolidates the concepts of IHE to be able to integrate different legacy systems on a common platform for unified and standard data communication. Our experience might be helpful for other medical institutes wishing for web-based medical information integration.
文章引用: 杨宗龙 , 陈为忠 , 黄哲勋 , 梁慧隆 , 潘慧本 (2012) 检验信息在网基无片PACS环境中之实体应用——无片环境之检验信息整合。 临床医学进展， 2， 17-24. doi: 10.12677/acm.2012.22004
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