採用IHE技術架構於PACS建置及與HIS/RIS整合之成功個案研究

Experience in Adopting IHE Technical Framework to Integrate PACS and HIS--Successful Case Study of Regional Hospital

醫院導入醫學影像傳輸系統（PACS） 在台灣雖有逐年增加的趨勢，然系 統問之整合仍是導入醫院面臨之共通問題，尤以PACS 與造影儀器、醫院資訊 系統（HIS） 及放射科資訊系統（RIS） 之整合問題為重。醫療企業整合（IHE） 之技術以既有的醫療資訊傳輸標準為基礎，提出整合型的技術架構與流程範 本，可解決整個醫療環境中各異質資訊系統問之整合問題，達到資料共享之目 的。故此，本研究針對國內一家利用IHE 標準架構以整合PACS 及其相關資訊 系統之醫院進行個案研究。 本研究顯示IHE 的參照指引除能評估PACS 廠商的整合能力，提升院內醫 療人員素質外，亦能縮短PACS 之導入時程，降低建置成本，並保有未來系統 之擴充性。而高階主管的充分支持與其對標準的肯定及輔以完整的教育訓練和 自己套措施以降低使用者抗拒，是提昇系統建置成功機率之重要關鍵。本研究除 分享個案醫院導入IHE 的經驗外，亦歸納出建荳PACS 的成功六要件，提供其 它醫院參考之用，並再次驗證標準規範對於醫院異質系統整合之重要性。

Though more and more hospitals adopt PACS in Taiwan, they all meet the same problem of system integration, especially integrating PACS/modalities with HIS and RIS. The Integrating the Healthcare Enterprise (IHE) association proposes an integrated technical framework and process profiles to solve problems of heterogeneous system integration in medical environment for information sharing. Therefore, this research reports the experience of a case hospital that successfully applied IHE framework to integrate its HIS, RIS and PACS in Taiwan. This paper indicates that using the IHE technical framework can help evaluate the integration ability of PACS vendors, enhance staff's ability, shorten the PACS implementation time, reduce the cost, and reserve system's expansibility. The case hospital can successful implement it's PACS because of executive's full support, using the standard, and providing complete training to reduces user's resistance. This paper not only shares the experiences of IHE adoption of a case hospital but also summarizes six key factors to implement PACS successfully. Again, this paper confirms that standard is helpful to integrate heterogeneous system.