Many enterprises in developed countries need to perform occupational physical examinations yearly, which can place a heavy load on the hospital system. Some hospitals cannot cope with the demand, resulting in the work being outsourced to physical examination institutes. However, this results in problems with the sharing of examination information. Information systems for hospitals have been developed for decades, and there are now various successful systems; but these systems do not allow integration with outsourcing institutes. This study has developed an information architecture for integrating outsourcing institutes based on relational medical information standards including DICOM, HL7 CDA, and IHE XDS. The proposed architecture can be used for information sharing between the heterogeneous systems used by different hospitals and other types of health-care institutions.