Bandon David, Lovis Christian, Geissbühler Antoine, Vallée Jean-Paul
Service of Medical Informatics, University Hospitals of Geneva, Switzerland.
Acad Radiol. 2005 Aug;12(8):1000-9. doi: 10.1016/j.acra.2005.03.075.
Picture archiving and communication systems (PACS) have the vocation to manage all medical images acquired within the hospital. To address the various situations encountered in the imaging specialties, the traditional architecture used for the radiology department has to evolve.
We present our preliminarily results toward an enterprise-wide PACS intended to support all kind of image production in medicine, from biomolecular images to whole-body pictures. Our solution is based on an existing radiologic PACS system from which images are distributed through an electronic patient record to all care facilities. This platform is enriched with a flexible integration framework supporting digital image communication in medicine (DICOM) and DICOM-XML formats. In addition, a generic workflow engine highly customizable is used to drive work processes.
Echocardiology; hematology; ear, nose, and throat; and dermatology, including wounds, follow-up is the first implemented extensions outside of radiology.
We also propose a global strategy for further developments based on three possible architectures for an enterprise-wide PACS.
图像存档与通信系统（PACS）旨在管理医院内获取的所有医学图像。为应对影像专业中遇到的各种情况，放射科使用的传统架构必须发展。
我们展示了针对企业级PACS的初步成果，该系统旨在支持医学中各种图像生成，从生物分子图像到全身图像。我们的解决方案基于现有的放射学PACS系统，图像通过电子病历分发给所有护理设施。该平台通过支持医学数字图像通信（DICOM）和DICOM-XML格式的灵活集成框架得以丰富。此外，使用了高度可定制的通用工作流引擎来驱动工作流程。
超声心动图、血液学、耳鼻喉科和皮肤科，包括伤口随访，是放射科之外首先实施的扩展领域。
我们还基于企业级PACS的三种可能架构提出了进一步发展的全球战略。
