PACS and patient data management systems

It is important for a PACS to have access to the patient data, as well as to the images themselves, for the purpose of sophisticated image archiving, retrieving, viewing and interpretation. There are many kinds of patient data concerning image examinations (i.e., patient name, ID, age, examination date and time, examined regions, methods, findings on images, diagnoses or diagnostic impressions, etc.). Some of them are acquired from image examination apparatus, some are supplied by diagnostic radiologists, while some need be retrieved from the radiology and hospital information systems. To facilitate this data exchange, a PACS-RIS-HIS coupling is required. The author has constructed at Tokyo University Hospital a small PACS called TRACS, which adopts one of the possible PACS-RIS-HIS coupling configurations.