CIMD, UDIAT CD, Parc Taulí 1, 08208 Sabadell, Spain.
Eur J Radiol. 2011 May;78(2):250-2. doi: 10.1016/j.ejrad.2010.05.026. Epub 2010 Jun 26.
PACS has been widely adopted as an image storage solution that perfectly fits the radiology department workflow and that can be easily extended to other hospital departments. Integrations with other hospital systems, like the Radiology Information System, the Hospital Information System and the Electronic Patient Record are fully achieved but still challenging aims. PACS also creates the perfect environment for teleradiology and teleworking setups. One step further is the regional PACS concept where different hospitals or health care enterprises share the images in an integrated Electronic Patient Record. Among the different solutions available to share images between different hospitals IHE (Integrating the Healthcare Enterprise) organization presents the Cross Enterprise Document Sharing profile (XDS) which allows sharing images from different hospitals even if they have different PACS vendors. Adopting XDS has multiple advantages, images do not need to be duplicated in a central archive to be shared among the different healthcare enterprises, they only need to be indexed and published in a central document registry. In the XDS profile IHE defines the mechanisms to publish and index the images in the central document registry. It also defines the mechanisms that each hospital will use to retrieve those images regardless on the Hospital PACS they are stored.
PACS 已被广泛采用作为一种图像存储解决方案，非常适合放射科的工作流程，并且可以很容易地扩展到其他医院科室。与其他医院系统的集成，如放射信息系统、医院信息系统和电子病历，已经完全实现，但仍然具有挑战性。PACS 还为远程放射学和远程工作环境创造了完美的环境。更进一步的是区域 PACS 概念，不同的医院或医疗保健企业可以在集成的电子病历中共享图像。在不同的医院之间共享图像的不同解决方案中，IHE（整合医疗企业）组织提出了跨企业文档共享配置文件（XDS），它允许即使不同的医院有不同的 PACS 供应商，也可以共享图像。采用 XDS 具有多个优点，不需要在中央存档中复制图像以在不同的医疗保健企业之间共享，只需要在中央文档注册中心进行索引和发布。在 XDS 配置文件中，IHE 定义了在中央文档注册中心发布和索引图像的机制。它还定义了每个医院将使用的机制来检索这些图像，而无需考虑它们存储在哪个医院的 PACS 中。
