@misc{oai:repo.qst.go.jp:00070742,
 author = {Mukai, Masami and Yokooka, Yuki and Okuda, Yasuo and Tsuji, Hiroshi and Ando, Yutaka and et.al and 向井 まさみ and 横岡 由姫 and 奥田 保男 and 辻 比呂志 and 安藤 裕},
 month = {May},
 note = {Purpose:
National Institute of Radiological Sciences (NIRS) is a hospital located in Chiba and a single radiation department which has 100 beds and 200 outpatients daily. The diagnosis specialized in the radiation/particle therapy.  In 1961, radiation therapy by X rays was begun at NIRS. In addition, charged particle therapy (carbon ion) was begun in 1994, and over 6,500 examples were treated by January, 2012. We have multiple systems such as electronic medical Record systems (EMR), radiology information systems (RIS), laboratory information system (LIS), Picture Archiving and Communication system (PACS), and charged particle therapy treatment management system (TMS). Each system cooperates in a patient demographics information and order information which ordered by CPOE system and realizes a normal use work flow. Our electric medical system and charged particle therapy treatment management system will be updated in March, 2012. We aim to improve interoperability; we report management system that provides linkage between the charged particle therapy treatment management system and electronic medical records system.
Methods:
To develop this mechanism, we adopted the ESI (Enterprise Schedule workflow) integration profile which proposed by radiation oncology domain of IHE. IHE (Integrating the Healthcare Enterprise) is the international project. IHE is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical need in support of optimal patient care. Enterprise Schedule Integration Profile involves the exchange of Schedule, Order, and Results information between Electrical Medical systems and Radiation Oncology treatment management systems. ESI integration profile has 2 actors as follows: 1) Order Placer (OP), 2) Treatment Management System (TMS).
Results:
As a communication procedure between two systems, We adopted nine transactions as follows: 1)Create Radiotherapy Parent Order, 2) Create Radiotherapy Delivery Child Order, 3) Modify Radiotherapy Delivery Child Order, 4)Cancel Radiotherapy Delivery Child Order, 5)Update Radiotherapy Delivery Child Order Status, 6)Update Radiotherapy Parent Order Status, 7) Cancel Radiotherapy Parent Order, 8) Unsolicited Create Radiotherapy Parent Order, 9)Unsolicited Cancel Radiotherapy Parent Order. And we developed a new transaction that notifies Radiology Information system of CT order information via electric medical record system from particle therapy treatment management system.  
Conclusion:
We have built the system which cooperated with the EMR and TMS by a standard method. There is merit in what compatibility can keep when either of an EMR and TMS is updated in the future., ESTRO31},
 title = {Construction of the cooperation between the HIS and TMS by Using IHE ESI integration profile},
 year = {2012}
}