数字影像病案集成系统探索

摘要

目的 探索数字病案影像系统与医院信息系统整合应用,建立健全我院数字化病案管理信息平台.方法 通过抽查病历,按"必须翻拍、不需要翻拍"对所有病案项目进行分类统计,确定HIS系统病历文件与影像病案翻拍类型项目对应表.纸质病历影像翻拍系统仅制作必须翻拍的纸质病历,不需要翻拍的病案文件通过接口直接从业务系统传输到影像病案系统中,并整合成一份完整的数字影像病案.结果 完成了数字影像病案系统的整合,在保证影像病案质量及完整性的前提下,大大降低影像病案的制作费用.结论 通过纸质病历翻拍的影像病案与通过接口直接传输到影像病案系统中的病案进行集成,形成完整的数字影像病案,节约制作费用.%Objective To explore the integration of the digital imaging medical records system and the hospital information system ( HIS), for a hospital-wide information platform for digital medical records management. Methods All the medical records were classified as " to copy and not to copy" by sampling, and an item corresponding table was developed for both HIS medical record files and imaging records copying types. The imaging copying system for paper-based medical records only covers those must-copy ones, while those medical record files without need to be copied were directly transcoded via the interface to the imaging medical records system from the HIS system. This makes digital imaging medical records complete. Results The digital imaging medical record system is thus integrated, and the cost of making imaging medical records was sizably reduced without compromising the quality and integrity of medical records. Conclusions Imaging medical records produced by copying paper-based ones are integrated with those directly sent via the interface to the imaging medical records system, forming complete digital imaging records, at a much lower cost.