基于区域平台的pacs影像系统应用.doc

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基于区域平台的pacs影像系统应用,基于区域平台的pacs影像系统应用1.6万字自己原创的毕业论文,仅在本站独家出售,重复率低,推荐下载使用摘要 随着国内医疗体制的逐步完善与医疗市场的进一步开放,数字化医院越来越成为社会关注的热点,成为影响医疗水平,服务质量和医院竞争力的重要因素。目前,医院的his(医院信息系统)、lis(检验科信息系统)已相当成熟,支...
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基于区域平台的PACS影像系统应用

1.6万字
自己原创的毕业论文,仅在本站独家出售,重复率低,推荐下载使用

摘要 随着国内医疗体制的逐步完善与医疗市场的进一步开放,数字化医院越来越成为社会关注的热点,成为影响医疗水平,服务质量和医院竞争力的重要因素。目前,医院的HIS(医院信息系统)、LIS(检验科信息系统)已相当成熟,支撑着医院正常运作;然而,由于像RIS(放射科信息系统)、PACS(图像归档与通信系统)等信息系统涉及到各种医疗信息的集成问题,一直以来都没有得到很好的应用。
本文着重对平台建设和远程会诊系统应用进行研究和学习,通过对HL7和DICOM标准的剖析,充分吸收了IHE技术框架的设计思想,提出了一个数字化医院的解决方案。
为了实现医疗数据的交换与共享,国外的一些权威机构已经制定了一些行业标准,如HL7和DICOM。随着越来越多的设备供应商和软件开发商对标准的遵循,使得原先各自独立的医疗信息的共享成为可能。
对于异构医疗信息系统之间的集成来说。这些医疗数据交换标准是必须的,但尚不足够。在医疗环境中很多医疗信息系统虽然应用了HL7、DICOM等标准,但是它们的实现方式各不相同,导致它们实际上并不能互相通讯,很多时候仍旧不得不依赖手工方式。为此,RSNA和HIMSS于1998年联合发起了IHE(Integrating the Healthcare Enterprise)项目。它是一项推进整合现代医疗保健机构信息系统的倡议,其基本目标是确保提供给医疗保健专业人员对病人诊断必需的所有信息是正确的、可用的。IHE倡议既是鼓励整合的一个过程,也为其提供了一个论坛。为了获得特定的临床应用目标,它在现有消息通讯标准(如DICOM和HL7)的基础上定义了一个技术框架,其中包含了为实现这个框架的一个严格的验证过程。
基于HL7等标准,建立区域卫生信息平台,消除信息“孤岛”,从而实现区域内的医疗信息互联互通。区域平台的建设是使用符合国际和国家信息标准的HIE(Healthcare Information Exchange,卫生信息交换平台)的技术方案,将各业务子系统、医疗机构、医疗保险组织和区域卫生管理系统无缝链接,让信息得以在各个体系内互联互通。

关键字 图像存档通信系统,医用信息系统集成,卫生信息交换平台,医学数字成像与通信标准,PACS,应用

Based on the regional platform system application of PACS image
Abstract With the improvement of domestic medical system and further opening of medical market, digitalized hospital has become the cynosure of the society and an important factor which affects the level of medical treatment, service quality and competition ability of hospital. Recently, HIS and LIS have matured, supporting the daily operation of hospital. However, the applications of information systems such as RIS, PACS still cannot be well achieved, because they involve problems relating to the integration of diverse medical information.
This article through to the HL7 and DICOM standard, fully absorb the design idea of IHE technical framework, put forward a solution of digital hospital, and focus on study and application of PACS image based on the regional platform are introduced.
To achieve the exchange and share of medical data, some authoritarian structures have established a series of standards, such as HL7 and DICOM. With more and more equipment venders and software development corporations following these standards, the share of independent medical information becomes possible.
For the integration of heterogeneous medical information systems, these data exchange standards are indispensable and far from enough. Standards such as DICOM, HL7 etc. have been applied in many medical information systems, but in fact they cannot communicate with each other for their different ways of implementation. Therefore the exchange of information still relies on manual operation in many cases. For this reason RSNA and HIMSS jointly launched IHE(Integrating the Healthcare Enterprise) project in 1998. It is an initiative designed to stimulate the integration of the information systems that support modern healthcare institutions. Its fundamental objective is to ensure that in the care of patients all required information for medical decisions is both correct and available to healthcare professionals.
Based on HL7 standard, the establishment of regional health information platform, elimination information ”isolated island”, so as to realize regional medical information connectivity. Regional platform construction is the use of information with international and national standards of HIE (Healthcare Information Exchange) of the technical scheme, each business subsystem, medical institutions and medical insurance organization and regional health management system seamlessly, allowing information to connectivity within the system.
Keywords Picture Archiving and Communication System(PACS),Integrating the Healthcare Enterprise(IHE),Healthcare Information Exchange(HIE),Digital Imaging and Communication in Medicine(DICOM),PACS,Application

目录
第一章 绪论 1
1.1 PACS的概念 1
1.2 PACS的发展历程[4][5] 4
1.3 PACS国内外发展状况研究 5
1.3.1 国外发展状况研究[6] 5
1.3.2 国内发展状况研究 6
第二章PACS相关标准的研究 9
2.1 HL7标准[12] 9
2.1.1 HL7的概念 9
2.1.2 HL7的组成 9
2.2 DICOM标准 10
2.2.1 DICOM的概念 10
2.2.2 DICOM的组成[17][18] 11
2.2.3 DICOM的相关概念[19][20][21..