摘要
目的：放射腫瘤科的治療資料一向以科內紙本存檔為主。若要統合兩院區的病患資料，則需要一個雙邊整合系統以利於病人資料傳遞。同時，目前癌症治療趨於多科醫療整合模式。統合性癌症患者資料的系統建立可以協助病患資訊整合，加強治療品質。本文中，我們欲研發整合性系統以符合上述目的。材料與方法：各分院區已通用的系統包括醫療資訊系統（HIS）、影像擷取及傳輸系統（PACS），還有病摘系統。我們在病摘系統上建置放射線治療新病人評估記錄，並且在HIS系統上根據台灣癌症登記資料庫所需資料建立放射線治療紀錄摘要。此外將治療系統上的計畫圖轉成醫療數位影像傳輸協定（DICOM）檔案上傳PACS。結果：參與同一患者治療的醫師可以透過上述系統的資料了解放射線治療進行時的評估、治療計畫，以及最終執行情況。此系統同時也提供癌症登記相關資訊以收錄資料。此外，病患也可以透過上述系統更加了解自己所接受的放射線治療細節等資訊結論：自透過連結放射腫瘤科內的電子資訊、HIS、以及PACS可以提供患者整合性的治療資訊，不僅僅方便醫師之間的醫學討論，更能夠增進醫師與病患之間的溝通與關係。
並列摘要
Purpose: Multiple treatment sites of one radiation oncology department need an integrated system to assure the effectiveness of patient information communication. A patient centered union data-base was needed to improve the quality of multimodality treatment. We tried to create a system to meet these necessities. Materials and Methods: The previous intranet information system was system was modified. We set up a database to restore radiation oncology completion information at HIS, and another data-base to restore initial notes from radiation oncology in the hospital’s previous summarized system. All the items from radiation completion notes followed the Taiwan Cancer Database to facilitate data collection. Also, the images from the planning system were transformed to DICOM and sent on to PACS. Results: Physicians involved in a patient’s treatment comprehend the evaluation, treatment planning, and final treatment of radiotherapy via above systems. The systems provide sufficient relative information for the Taiwan Cancer Database collection. In addition, detailed information from radiation therapy can be revealed to the patient through the images on PACS. Conclusion: The connection of radiation electronic management data system, HIS, and PACS provide integrated information on cancer patient treatment. The information facilitates the communication not only between physicians, but also between physician and patient.