TWI767352B - Medical record image navigation method - Google Patents

Abstract

A medical record image navigation method, implemented by a medical record server, includes the following steps: (A) after receiving an image navigation request from a user, obtain a preview medical record image according to the image navigation request a target image of the data; (B) determining whether the target image of the pre-navigation medical record image data is in a specific image format; (C) when determining that the target image of the pre-navigation medical record image data is not the specific image and (D) obtaining an area of interest that is not smaller than the area of interest and smaller than the target image according to an area of interest of an area of interest data of the image navigation request. target range, and transmit the sub-target images within the target range to the user.

Description

Medical record image navigation method

The present invention relates to an image navigation method, in particular to a medical record image navigation method.

Electronic Medical Record (EMR, Electronic Medical Record) is a digitized medical record that is saved, managed, transmitted and reproduced by electronic equipment (computer, health card, etc.) to replace handwritten paper medical records. Electronic medical records include summaries of discharge records, outpatient medication, blood test reports, and medical images. Among them, summary of discharge medical records such as diagnosis, chief complaint, medical history, physical examination findings, surgery, treatment process, various examination records, etc., outpatient medication such as general medication, special medication, continuous chronic disease, special control drug, influenza vaccine and other prescriptions, blood test report For example, blood routine, biochemical blood, immune serum, virus serum, etc., medical images such as CT, MRI, X-ray and other images.

However, the existing electronic medical record system can only support medical imaging in the format of Digital Imaging and Communications in Medicine (DICOM), such as computed tomography, MRI, ultrasound, etc. image, cannot support such as Tagged Image File Format (TIFF), Portable Network Graphics (PNG), and Joint Photographic Experts Group (JPEG) for pathology (Pathology) image format, the main reason is the complex type of pathological images and the huge amount of data.

Therefore, the purpose of the present invention is to provide a medical record image navigation method that can support various image formats.

Therefore, the medical record image navigation method of the present invention is implemented by a medical record server. The medical record server is connected to a user via a communication network and stores a plurality of medical record data corresponding to a plurality of medical record identification codes. The data includes at least one medical record image data, each medical record image data has at least one image corresponding to at least one image identification code, including a step (A), a step (B), a step (C), and a step (D). ).

In step (A), after the medical record server receives an image navigation request from the client, the image navigation request includes a target medical record identification code, and a target image identification code and an interest area of interest data, the medical record server obtains a target image of a pre-navigation medical record image data according to the target medical record identification code of the image navigation request and the target image identification code of the interest area data.

In step (B), the medical record server determines the pre-navigation medical record image data Whether the target image of the material is in a specific image format.

In step (C), when the medical record server determines that the target image of the preview medical record image data is not in the specific image format, the medical record server divides the target image into N ₁ ×N ₂ Multiple sub-target images, N ₁ >0, N ₂ >0.

In the step (D), the medical record server obtains a target area that is not smaller than the area of interest and smaller than the target image according to the area of interest in the area of interest data, and transmits sub-targets within the target area image to the end of use.

The effect of the present invention is: when the medical record server determines that the target image of the pre-navigation medical record image data is not in the specific image format, the target image of the pre-navigation medical record image data is segmented, and After the target range is obtained, the sub-target images within the target range are transmitted to the user terminal to reduce the data amount of the pre-navigation medical record image data, so as to achieve the effect of supporting various image formats.

11: Medical record server

12: Use side

100: Communication Network

21~28: Steps

241~243: Steps

Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, wherein: FIG. 1 is a block diagram illustrating a medical record server for implementing an embodiment of the medical record image navigation method of the present invention FIG. 2 is a flow chart illustrating the embodiment of the medical record image navigation method of the present invention; FIG. 3 is a schematic diagram illustrating a user terminal 12 according to at least one target medical record image The treatment site information of the data displays an image-text report of the at least one target medical record data in the shape of a human body; and FIG. 4 is a flowchart, which assists FIG.

Before the present invention is described in detail, it should be noted that in the following description, similar elements are designated by the same reference numerals.

Referring to FIG. 1 , a medical record server 11 for implementing an embodiment of the medical record image navigation method of the present invention is described. The medical record server 11 is connected to a user terminal 12 via a communication network 100 and stores multiple records corresponding to multiple records. Each medical record data includes multiple medical record image data, each medical record image data has multiple consecutive images corresponding to multiple image identification codes, and multiple image alphanumerics corresponding to the corresponding images. The report, a data generation time, and a treatment site information related to the human body, the medical record image data are arranged in sequence according to the data generation time included. It is worth noting that, in this embodiment, the medical record identification codes are, for example, the patient's medical record number or identity card number, and the image identification codes are, for example, the file names of the images, and each medical record image data has the The images are, for example, two-dimensional images, and these images can be sequentially combined into three-dimensional images. The text and digital reports of these images are, for example, description reports for the corresponding images. In other embodiments, each medical record data may only include one medical record image. Data, each medical record image data can only have one two-dimensional image and an image text and digital report corresponding to the image, which is not limited.

Referring to FIGS. 1 and 2 , it is described how the medical record server 11 executes the embodiment of the medical record image navigation method of the present invention, and includes the following steps.

In step 21 , the user 12 generates and transmits a medical record image data request to the medical record server 11 . It should be noted that, in this embodiment, the medical record image data request includes a time interval and a target medical record identification code. In other embodiments, the medical record image data request may only include the time interval, which is not limited thereto. .

In step 22, the medical record server 11 obtains a pair of target medical record data corresponding to the target medical record identification code from the medical record data according to the time interval requested by the medical record image data and the target medical record identification code, and from the medical record data Among the medical record image data of the target medical record data, at least one target medical record image data with a data generation time within the time interval is obtained, and the at least one target medical record image data is transmitted to the user terminal 12 . It is worth noting that, in other embodiments in which the medical record image data request includes only the time interval, the medical record server 11 for each medical record data, according to the time interval of the medical record image data request, from the medical record image data Among the medical record image data, at least one target medical record image data with a data generation time within the time interval is obtained, and the at least one target medical record image data is transmitted to the user terminal 12, which is not limited thereto.

In step 23 , the user terminal 12 displays the image-text report of the at least one target medical record data in the shape of a human body according to the treatment site information of the at least one target medical record image data, and an input from a user on the user terminal 12 is performed. The operation generates an image guide The image navigation request is sent to the medical record server 11, and the image navigation request includes the target medical record identification code, and a region of interest data including a target image identification code and a region of interest.

Referring to FIG. 3 , for example, in step 22 , the medical record server 11 obtains a target medical record image data, and the treatment site information of the target medical record image data indicates the heart, and in step 23 , the user terminal 12 displays the human body an image alphanumeric report with a shape and marking the target medical record image data at the position of the heart, and the age of the patient whose target medical record data is displayed in a straight line below, in other embodiments, the patient's birth year can be displayed in a straight line, or It is not limited to the age or birth year of the patient in the form of a circle surrounding the human figure.

In step 24, the medical record server 11 obtains a target image of a pre-navigation medical record image data, the target image data according to the target medical record identification code of the image navigation request and the target image identification code of the ROI data A previous target image of the image, a next target image of the target image, and a pair of target image alphanumeric reports corresponding to the target image. It should be noted that, in this embodiment, the area of interest is, for example, a rectangle, and has a center coordinate, a width, and a height, for example, the center coordinate of the area of interest is, for example, a rectangular coordinate system , its value is for example ( x , y ), the height is for example 2△ x , the width is for example 2△ y , then the four vertices of the range of interest are ( x -△ x , y -△ y ), ( x +△ x , y -△ y ), ( x -△ x , y +△ y ), and ( x +△ x , y +△ y ), but not limited thereto.

Referring to FIG. 4 , the sub-steps included in step 24 are described below.

In step 241, after the medical record server 11 receives the image navigation request, the target medical record data is obtained from the medical record data according to the target medical record identification code of the image navigation request.

In step 242, the medical record server 11 obtains the preview including the corresponding target image identification code from the medical record image data of the target medical record data according to the target image identification code of the ROI data of the image navigation request View medical records.

In step 243, the medical record server 11 obtains the target image and the target image alphanumeric report from the image of the pre-navigation medical record image data according to the target image identification code of the ROI data in the image navigation request , and according to the target image, the previous target image and the next target image are obtained from the images of the pre-navigation medical record image data.

It should be noted that, in this embodiment, the images are continuous images, and the file names of the images are continuous. For example, the file names of the images are ABCD0001, ABCD0002, ..., ABCD9999 , the target image identification code is, for example, ABCD1234, the preview medical record image data with the folder name ABCD can be obtained first, then the target image with the file name ABCD1234 and the previous target image with the file name ABCD1233 can be obtained, and the next target image whose file name is ABCD1235, but not limited thereto.

In step 25, the medical record server 11 determines whether the target image of the pre-navigation medical record image data is in a specific image format. When it is determined that the preview medical record image data is in the specific image format, the process goes to step 26; and when it is determined that the preview medical record image data is If it is not the specific image format, the flow goes to step 27 . It should be noted that, in this embodiment, the specific image format is a medical digital image transmission protocol format, and in other implementations, it can also be other formats with smaller file sizes, which is not limited thereto.

In step 26 , the medical record server 11 transmits the pre-navigation medical record image data to the user terminal 12 .

In step 27, the medical record server 11 divides the target image into N ₁ ×N ₂ sub-target images, and divides the previous target image into N ₁ ×N ₂ sub-previous target images, and The next target image is divided into N ₁ ×N ₂ sub-next target images, where N ₁ >0 and N ₂ >0.

In step 28 , the medical record server 11 obtains a target area larger than the area of interest and smaller than the target image according to the area of interest in the area of interest data, and transmits an alphanumeric report of the target image, the target area The sub-target image, the sub-previous target image and the sub-next target image in the user terminal 12 are sent to the user terminal 12 . It should be noted that, in this embodiment, the target range is larger than the interest range, so that the user end 12 can have sub-target images outside the interest range and within the target range during the translation process As a transition image to achieve a smooth panning effect. In addition, in this embodiment, the target range is, for example, a rectangle, and has the same center coordinates as the range of interest, and the width of the target range is the width of the range of interest plus a first preset value 2Δw , and the height of the target range is the height of the range of interest plus a second preset value 2Δh , for example, the center coordinate of the range of interest is for example in the rectangular coordinate system, and its value is for example ( x , y ), the height of the target range is for example 2△ x , and the width of the target range is for example 2△ y , then the four vertices of the target range are ( x -(△ x +△ w ), y - (△ y +△ h )), ( x +(△ x +△ w ), y -(△ y +△ h )), ( x -(△ x +△ w ), y +(△ y +△ h )), and ( x +(Δ x +Δ w ), y +(Δ y +Δ h )), where Δ w ,Δ h >0, in other embodiments, the first and second preset values may be 0, that is, the range of interest is equal to the target range. It is not limited to this. It should be noted that, in this embodiment, the medical record server 11 transmits the target image in addition to the sub-target images within the target range. The sub-previous target image and the sub-next target image within the range are connected to the user end 12, so that the user end 12 can have the sub-previous target image and the sub-next target image within the target range during the zooming process As a transition image to achieve a smooth scaling effect. In addition, in other implementations where each medical record image data has only one two-dimensional image, since scaling is not required, the medical record server 11 will only obtain the target image in step 24, and in step 27 the medical record The server 11 will only divide the target image into N ₁ ×N ₂ sub-target images, and in step 28 the medical record server 11 will only transmit the sub-target images within the target range to the user 12 , but Not limited to this.

To sum up, in the medical record image navigation method of the present invention, when the medical record server 11 determines that the target image of the pre-navigation medical record image data is not in the specific image format, the pre-navigation medical record image data is The target image, the previous target image, and the next target image are divided, and after the target range is obtained, the sub-target image, the sub-previous target image, and the sub-target image within the target range are transmitted within the target range. The next target image is sent to the user end 12, so that the user end 12 can have children within the target range during the zooming process. The previous target image and the sub-next target image are used as transition images to achieve a smooth zooming effect, and the target range is larger than the range of interest, so that the user end 12 can be within the range of interest in the process of panning The sub-target images outside and within the target range are used as transition images to achieve the effect of smooth panning. In addition, the data volume of the preview medical record image data can be effectively reduced because the entire preview medical record image data is not transmitted. , in order to achieve the effect of supporting various image formats, so it can indeed achieve the purpose of the present invention.

However, the above are only examples of the present invention, and should not limit the scope of implementation of the present invention. Any simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the contents of the patent specification are still included in the scope of the present invention. within the scope of the invention patent.

21~28: Steps

Claims (9)

A medical record image navigation method is implemented by a medical record server, the medical record server is connected to a user via a communication network, and stores a plurality of medical record data corresponding to a plurality of medical record identification codes, each medical record data includes at least A piece of medical record image data, each medical record image data has at least one image corresponding to at least one image identification code, the method includes the following steps: (A) after receiving an image navigation request from the user, the image navigation The request includes a target medical record identification code, and a region of interest data including a target image identification code and a region of interest, according to the target medical record identification code of the image navigation request and the target image identification of the region of interest data code to obtain a target image for previewing medical record image data, step (A) includes the following sub-steps: (A-1) after receiving the image navigation request, identify the target medical record according to the image navigation request obtain a pair of target medical record data corresponding to the target medical record identification code from the medical record data, (A-2) according to the target image identification code of the ROI data requested by the image navigation request, obtain a target medical record data from the target medical record data Obtain the medical record image data including the pre-navigation medical record image data corresponding to the target image identification code, and (A-3) the target image identification code of the ROI data requested according to the image navigation request, from the pre-navigation Obtain the target image from the image of the medical record image data; (B) determine whether the target image of the preview medical record image data is in a specific image format; (C) when it is determined that the target image of the preview medical record image data is not In the case of the specific image format, the target image is divided into N ₁ ×N ₂ sub-target images, N ₁ >0, N ₂ >0; and (D) the ROI according to the ROI data, A target range that is not smaller than the range of interest and smaller than the target image is obtained, and sub-target images within the target range are sent to the user. The medical record image navigation method according to claim 1, wherein, in step (D), the target range is larger than the interest range. According to the medical record image navigation method according to claim 1, each medical record image data has a plurality of consecutive images, wherein, in step (A), a previous target image of the target image and the target image of the target image are also obtained. In the next target image, in step (C), the previous target image is further divided into N ₁ ×N ₂ sub-previous target images, and the next target image is divided into N ₁ ×N ₂ multiple sub-target images. Zhang sub next target image, in step (D), also transmit sub previous target image and sub next target image within the target range. The medical record image navigation method according to claim 1, wherein, in step (B), the specific image format is a medical digital image transmission protocol format. The medical record image navigation method according to claim 1, after step (B), further comprising the following steps: (E) when it is determined that the target image of the preview medical record image data is in the specific image format, transmitting The pre-navigation medical record image data is sent to the user terminal. According to the medical record image navigation method described in claim 1, each medical record image data further has at least one image-text report corresponding to the at least one image, wherein, in step (A), the pre-navigation medical record is also obtained A pair of target image alphanumeric reports corresponding to the target image of the image data, in step (D), also transmit the target video alphanumeric reports to the user. According to the medical record image navigation method described in claim 1, each medical record data includes a plurality of medical record image data, and each medical record image data further has at least one image text report corresponding to the at least one image and a data generation time, The at least one medical record image data is sequentially arranged according to the generation time of the included data. According to the medical record image navigation method described in claim 7, each medical record data includes at least one medical record image data, and before step (A), the following steps are further included: (F) after receiving a medical record image data from the user terminal After the request, the medical record image data request includes a time interval, and for each medical record data, according to the time interval of the medical record image data request, obtain at least one of the medical record image data from the medical record image data. The target medical record image data whose time is within the time interval is generated, and the at least one target medical record image data is sent to the user terminal, so that the user terminal generates the image navigation request according to the target medical record image data of the medical record data. According to the medical record image navigation method described in claim 7, each medical record image data further includes information about a treatment part of the human body, and before step (A), further includes the following steps: (G) after receiving a message from the medical record After the medical record image data request from the user side, the medical record image data request includes a time interval and the target medical record identification code. According to the time interval and the target medical record identification code of the medical record image data request, a medical record data is obtained from the medical record data. Corresponding to the target medical record data of the target medical record identification code, and from the medical record image data of the target medical record data, obtain at least one target medical record image data with a data generation time within the time interval, and convert the at least one target medical record video data transmission sent to the user terminal, so that the user terminal displays the image alphanumeric report of the at least one target medical record data in the shape of a human body according to the treatment site information of the at least one target medical record image data, and an input operation is performed by a user on the user terminal Generate the image navigation request.

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