CN105306573A - Method for scheduling original data of medical image, and medical image transmission system - Google Patents

Method for scheduling original data of medical image, and medical image transmission system Download PDF

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CN105306573A
CN105306573A CN201510740238.2A CN201510740238A CN105306573A CN 105306573 A CN105306573 A CN 105306573A CN 201510740238 A CN201510740238 A CN 201510740238A CN 105306573 A CN105306573 A CN 105306573A
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data
medical image
initial data
medical
terminal
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CN105306573B (en
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黄辉
郭威
王晓晖
曾伟平
王政良
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Hangzhou Mindray Digital Technology Co ltd
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ZHEJIANG GREEN LANDER INFORMATION TECHNOLOGY CO LTD
Beijing Shen Mindray Medical Electronics Technology Research Institute Co Ltd
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    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/50Network services
    • H04L67/60Scheduling or organising the servicing of application requests, e.g. requests for application data transmissions using the analysis and optimisation of the required network resources
    • H04L67/63Routing a service request depending on the request content or context
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/12Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks

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  • Engineering & Computer Science (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Signal Processing (AREA)
  • Health & Medical Sciences (AREA)
  • Computing Systems (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The invention relates to a method for scheduling original data of a medical image, and a medical image transmission system. The medical image transmission system comprises at least one terminal, at least one original data source, configuration service and data acquisition service, wherein the terminal is provided with a human-computer interface and is used for displaying the medical image and initiating a request for obtaining the original data; the configuration service is used for providing mapping of the original data information and a data source identification; the data acquisition service is respectively communicated with the terminal, the configuration service and the original data source and is used for receiving the request, determining the corresponding data source identification according to the request, obtaining original data node information corresponding to the data source identification from the configuration service, initiating query to the original data source according to the node information, querying to obtain the corresponding original data and feeding the obtained original data back to the terminal. Through setting the configuration service and the data acquisition service, the request is sent at the terminal side according to the user need in order to obtain the original data, so that a large number of unused data is prevented from being transmitted and stored to the terminal, and thus the problems of network congestion, data maintenance and the like, which are possibly caused, are avoided.

Description

Medical image initial data dispatching method and medical image transmission system
Technical field
The present invention relates to medical image filing and communication system (PACS, PictureArchivingandCommunicationSystems) technical field, particularly relates to the medical image transmission system of a kind of medical image initial data dispatching method and use the method.
Background technology
Along with the development of medical skill, the inspection of image class becomes one of important clinical detection methods.By it, three-dimensional, vivider and iconography information intuitively can be obtained; Or by the further analysis to image, extract interested image feature information, more intuitive, clear, clearly can show the abnormal image information of focus, so that doctor utilizes image to diagnose, prevent leaky bucket model, and can guiding clinical treatment.Along with the raising of Imaging processing technology, image information also can be utilized more fully, but creates conflict simultaneously: on the one hand, and doctor, in diagosis process, more and more needs the help of image post-processing system; Be on the other hand, along with improving constantly of manufacturing technology, image documentation equipment precision is also in lifting, and what bring is the increase greatly of view data that single pass generates thereupon, bring very large difficulty to the use of the storage of image data, transmission, reduce the efficiency of doctor's diagosis to a certain extent.
To this, typical solution comprises:
(1) on the image documentation equipment of shooting, three-dimensional reprocessing is carried out, by the Image Saving of reprocessing and upload server.Its advantage to reduce the amount of images uploaded, and alleviates the pressure stored the data of Internet Transmission; But inferior position is underaction, because image information depends on the experience of shooting technician, and the operation of technician sometimes can not meet the demand of clinical diagnosis doctor, so the image be supplied to after the reprocessing of doctor is unfavorable for diagnosis;
(2) special reprocessing work station is set up.Its advantage is that diagnostician independently can carry out three-dimensional post-processing operation as required, thus can make full use of image information; But inferior position is, diagnostician needs the special enterprising line operate of reprocessing work station, reduces diagnosis efficiency greatly;
(3) by mass data, if the thin layer data upload of CT/MR inspection is on server, rebuild when needed.Its advantage is, doctor can obtain Imaging processing function in terminal, does not need special reprocessing work station or equipment place, thus improves operating efficiency; But inferior position is, the storage being uploaded to server of a large amount of detailed data and transmission network bring great pressure, especially wherein most data does not need to use, and this gives the maintenance of data, the safety of backup and database and storage brings great challenge.
Therefore, the method for the initial data scheduling in a kind of favourable medical image last handling process is needed badly.
Summary of the invention
According to a first aspect of the invention, the invention provides a kind of medical image transmission system, comprising: at least one terminal with man-machine interface, the request for obtaining medical image initial data for display of medical image and initiation; At least one initial data source, for providing medical image initial data; Configuration service, for providing the mapping of medical image primary data information (pdi) and data source identification; Data acquisition service, its respectively with described terminal, described configuration service and described initial data sources traffic, for receiving the described request that described terminal is sent, corresponding data source identification is determined according to described request, the initial data nodal information corresponding with described data source identification is obtained from described configuration service, inquiry is initiated to described initial data source according to described initial data nodal information, inquiry obtains corresponding medical image initial data, and the medical image initial data obtained is fed back to described terminal.
According to a second aspect of the invention, the invention provides a kind of medical image initial data dispatching method, comprising: configuration service is set, make it provide the mapping of medical image primary data information (pdi) and data source identification, setting data obtains service, make its respectively with at least one terminal, described configuration service and for providing at least one initial data sources traffic of medical image initial data, wherein, described data acquisition service receives the request for obtaining medical image initial data that at least one terminal described is sent, corresponding data source identification is determined according to described request, the initial data nodal information corresponding with described data source identification is obtained from described configuration service, inquiry is initiated to described initial data source according to described initial data nodal information, inquiry obtains corresponding medical image initial data, and the medical image initial data obtained is fed back to described terminal.
The invention has the beneficial effects as follows: by arranging configuration service and data acquisition service, end side is sent request by user's request and obtains initial data, avoid a large amount of not usage data transmission and be stored into terminal, and then avoiding the problem such as network congestion, data maintenance storage that may cause.
Accompanying drawing explanation
Fig. 1 is the structural representation of the medical image communication system of an embodiment of the present invention;
Fig. 2 is the schematic diagram of the medical image communication system traditional Chinese medicine data model of an embodiment of the present invention;
Fig. 3 is the schematic diagram showing the medical data model that medical image relates in the medical image communication system of an embodiment of the present invention;
Fig. 4 is the schematic flow sheet of the medical image initial data dispatching method of an embodiment of the present invention.
Embodiment
By reference to the accompanying drawings the present invention is described in further detail below by embodiment.
As shown in Figure 1, one embodiment of the present invention provides a kind of medical image transmission system, comprising: at least one terminal 10, at least one initial data source 40, data acquisition service 20 and configuration service 30.Correlation between them is that terminal 10 is initiated to obtain request of data to data acquisition service 20, and data acquisition service 20 obtains original data source information from configuration service 30, then initiates inquiry request to initial data source 40 and obtains result data.Wherein, data acquisition service 20 communicates with initial data source 40 with terminal 10, configuration service 30 respectively.The reciprocal process of whole system is: terminal 10 is initiated to obtain request of data, responded by data acquisition service 20, data acquisition service 20 obtains the nodal information in attachable initial data source from configuration service 30, then inquiry request is initiated to initial data source 40, obtain the initial data on its attachable image documentation equipment, then initial data is fed back to terminal 10 for its display and image manipulation.
Initial data source 40 is for providing medical image initial data, usually, initial data source 40 uses medical data imaging and communication standard (DigitalImagingandCommunicationinMedicine, DICOM), and possess inquiry/extraction service (Query/RetrieveSCP, SCP full name ServiceClassProvider), the effect of this service is to provide inquiry and extracts medical image.The functional representation initial data source 40 of QuerySCP is after receiving relevant inquiring request, and initial data source 40 can receive the follow-up information inquiry of inspection message layer, sequence layer and image bearing layer etc. that will mention, and returns the result meeting querying condition; And the functional representation initial data source 40 of RetrieveSCP is by image initial data to be asked, send to inquiry by DICOM stores service.By this process, initial data source 40 can respond the inquiry request of inquiry end, and returns the qualified initial data inquired, and completes the acquisition of initial data.
In present embodiment, initial data source 40 is provided with DICOM interface (for convenience of description, be called a DICOM interface), data acquisition service 20 is also provided with DICOM interface (being called the 2nd DICOM interface), and the communication between initial data source 40 and data acquisition service 20 is by a DICOM interface and the 2nd DICOM Interface realization.By dicom standard interface, initial data acquisition can be carried out by standardized mode, and standardization also ensure that the initial data source meeting arbitrarily standard can get initial data by data acquisition service 20.
Configuration service 30 provides the mapping of medical image primary data information (pdi) and data source identification.Here, data source identification can be the device id of operator's easy understand of terminal 10, user-friendly, such as can show the list relevant to initial data source in terminal 10, wherein comprise ID and the title in initial data source, namely data source identification is obtain from this list, is the parameter that terminal 10 is initiated to use when requiring the request of acquisition medical image initial data.Medical image primary data information (pdi) is then the DICOM mark of the data acquisition equipment comprising configuration; Data acquisition equipment refers to the equipment gathering medical image initial data, such as nuclear-magnetism equipment etc.In configuration service 30, it wants management data source to identify the corresponding relation identified with the DICOM of concrete data acquisition equipment, thus provides the concrete link information of needs (being called initial data nodal information) to data acquisition service 20.To again make an explanation by embody rule by way of example below.
By configuration service 30, when initial data source 40 changes, only need the data source information revising configuration service 30 management, thus the simplicity of data source amendment can be realized, and do not affect initial data source 40 and terminal 10.
Terminal 10 generally refers to the workbench that doctor uses, and in image section office, each doctor can distribute a station terminal (also known as diagosis terminal), and it has basic function of browse and post-processing function usually.Post-processing function comprises three-dimensional MPR (Multi-plannerReformation, multiplanar reconstruction), VR (VolumeRendering, volume reconstruction), CMPR (CurvedMulti-plannerReformation, curve reestablishing) etc., terminal operator can independently carry out as required.Post-processing function needs the initial data using medical image, such as MR thin layer data etc.Obviously, each terminal 10 has human-computer interaction interface, can display of medical image, can also receive user operation.In the present embodiment, each terminal 10 also has inquiry based on medical data model and acquisition capability, the request can initiating for obtaining medical image initial data according to user operation.
Terminal 10 uses medical data model to carry out ADM image, and here, medical image comprises the image data after medical image initial data and reprocessing.Described herein and medical data model be a kind of tissue and expression way of information.In the present embodiment, medical data model is four layers, patient information layer, inspection message layer, sequence layer and image bearing layer respectively, wherein in patient information layer a patient information correspondence proving Information Level at least one inspection, one in inspection message layer checks at least one sequence in corresponding sequence layer, and a sequence pair in sequence layer answers at least one image in image bearing layer.In this four layer model, every layer is held suitable attribute, and such as, that patient information layer holds is patient's name, and what inspection message layer held is check data, and what sequence layer held is serial ID etc.In a kind of specific implementation, this four layer model can meet dicom standard.
When using these model management data, need to select certain attribute to perform relevant operation according to each layer.Such as, terminal 10 initiates request (for convenience of describing, here involved model during initiation request is called the first medical data model), then need to select certain attribute to perform the inquiry to medical image initial data according to each layer, such as, first perform the inquiry of patient information layer, then from Query Result, select some attributes to perform the inquiry of inspection message layer, by that analogy; And querying condition is the some attributes extracted from this first medical data model, correspondingly, inquire about the result obtained also to be organized according to this first medical data model.When showing medical image, terminal 10 can use aforesaid four layer models, also can only adopt two-layer model to show (for ease of distinguishing, the model involved by display being called the second medical data model here).Second medical data model only comprises sequence layer and image bearing layer.As shown in Figure 3, the showing interface mode of terminal 10 adopts two-layer model, is window sequence and imaging window, with the display window that window sequence is basic on interface, the multiple images belonging to certain sequence can be shown, the corresponding imaging window of each image in a window sequence.Similarly, the second medical data model is also a kind of tissue and expression way of information.
Because terminal 10 adopts medical data model to carry out management data, data comprise the data that normal diagosis process relates to and the initial data obtained after initiating request, like this, the management of terminal 10 pairs of data is unified, the fusion of initial data and non-primary data (image data as after reprocessing) can be realized in terminal, namely using the part of initial data as current check, thus consistent diagosis flow process can be carried out.To again make an explanation by embody rule by way of example below.
After terminal 10 initiates the request requiring to obtain medical image initial data, data acquisition service 20 receives this request.The proprietary protocol that communication between terminal 10 and data acquisition service 20 can be arranged in advance based on both sides realizes.Like this, when terminal 10 needs to obtain initial data, request is initiated directly to data acquisition service 20, thus terminal 10 can be kept apart with initial data source 40, do not need to relate to the contents such as data source Dynamic Changes, dicom standard, but completed the conversion transmiting a request to dicom standard from terminal 10 by data acquisition service 20 by proprietary protocol.In a kind of specific implementation, terminal 10 is separated physically with data acquisition service 20; In another kind of realization, the two physically can become one, and such terminal 10 and data acquisition service 20 are combined together, obtain initial data from initial data source 40 together, from operator's aspect, data acquisition service 20 similarly is what be hidden, but in fact, the two division of labor processes.After data acquisition service 20 receives the request of terminal 10, corresponding data source identification is determined according to this request, data source identification can be carried in the request of terminal 10 transmission, then according to the data source identification determined, the initial data nodal information corresponding with this data source identification is obtained from configuration service 30, inquiry is initiated to initial data source 40 again according to initial data nodal information, inquiry obtains corresponding medical image initial data, and the medical image initial data obtained is fed back to terminal 10.
By data acquisition service 20, as aforementioned, terminal 10 and initial data source 40 can be made to keep apart, make terminal 10 not by the impact of the content such as Dynamic Changes, dicom standard in initial data source 40; Simultaneously, can be implemented in when not affecting terminal 10, carry out the operation such as interpolation, amendment in initial data source 40 easily, the availability of raising system and flexibility, and, the data source information that data acquisition service 20 is provided by configuration service 30 carries out data acquisition operations, can realize the amendment of real-time data source, namely can random growth data source; In addition, be carry out alternately based on proprietary protocol between data acquisition service 20 and terminal 10, data acquisition service 20 can by a series of proprietary protocols of definition, reach the effect coordinating with terminal 10 and realize more sophisticated functions or solve some problem.Inquiry request as by proprietary protocol transmitting terminal 10 instead of the dicom standard interface by standard.The benefit done like this is, terminal 10 can without the need to understanding the content of dicom standard, the independence of practical function; Efficiency of transmission can be improved again.Three-dimensional reconstruction can be placed on service end for another example to have come, then result of calculation be passed to terminal by proprietary protocol, solve some terminal, such as web version terminal, the problem that three-dimensional reconstruction calculates cannot be performed, enrich the function of terminal.
Based on above description, one embodiment of the present invention provide a kind of dispatching method of medical image initial data, as shown in Figure 4, comprising: terminal sends the request that the initial data of check image is specified in inquiry; Data acquisition service receives this request, and determine corresponding data source identification according to this request, then from configuration service, corresponding initial data nodal information is obtained according to this data source identification, and according to this initial data nodal information to initial data corresponding to initial data source request, then the initial data received from initial data source is fed back to terminal.The specific implementation that the method relates to reference to aforementioned medical image transmission system execution mode, can not be described further at this.
Here by the dispatching method of medical image initial data that two embody rule 1 and 2 describe above-mentioned medical image transmission system and relate to.
Embody rule 1 comprises following process s101 ~ s105.
S101, doctor just check a Cranial Computed Tomography inspection of certain patient in terminal, need to obtain this initial data checked.So click in terminal and check initial data, eject and obtain initial data interface, wherein querying condition such as patient ID, patient name, serial number, inspection description, check data, inspection ID, data source etc., these querying conditions can be filled automatically according to the current inspection checked, again input without the need to doctor.
S102, doctor click inquiry on acquisition initial data interface, and terminal from being dynamically connected the data acquisition service configured, and initiates inquiry request.
S103, data acquisition service response inquiry, data source identification is obtained from request, then to the initial data source DICOM node that this data source identification of configuration service acquisition request is corresponding, the namely DICOM mark of corresponding data collecting device, so that data acquisition service obtains the initial data on concrete equipment by nodal information.
S104, data acquisition service return initial data to terminal.
S105, terminal receive initial data image, it can be used as a current newly-built sequence of checking inspection.Terminal can create two window sequences, the location image of a loading current check, and one loads initial data image.Initial data image can automatically switch to 3D pattern after image acquisition completes, and starts diagnosis rapidly for doctor.
Embody rule 2 comprises following process s201 ~ s205.
S201, hospital have newly bought a nuclear-magnetism equipment, MR_A; Attendant configures the DICOM mark of this equipment on new equipment MR_A;
The DICOM mark of MR_A Equipments Setting is added in the data source information that s202, attendant manage in configuration service, and the data source group belonging to MR_A, such as nuclear-magnetism 1 group, wherein there is MR_a below nuclear-magnetism 1 group, the DICOM mark of these 3 equipment of MR_b, MR_c.Then configuration service is made to enable new configuration information;
S203, certain patient have carried out a HC on this new equipment.Diagnostician checks the HC of this patient in diagosis terminal, needs to obtain this initial data checked; Doctor clicks and checks initial data, eject and obtain initial data interface, wherein querying condition such as patient ID, patient name, serial number, inspection description, check data, inspection ID, data source etc., these querying conditions are filled automatically according to the current inspection checked, doctor confirms and clicks inquiry;
S204, data acquisition service response inquiry, first to this inspection data source group of configuration service acquisition request, the DICOM node namely managed in nuclear-magnetism 1 group, comprise MR_a, MR_b, MR_c, the link information that this 4 equipment of MR_A are corresponding, can see comprising MR_A corresponding node information; Then served by DICOM, raw video data can be inquired on MR_A, return to diagosis terminal;
S205, diagosis terminal are without the need to any change, and diagnostician can get this raw video data checked in diagosis terminal, starts diagnosis.
To sum up, in each execution mode of medical image transmission system provided by the invention and medical image initial data dispatching method, the terminal with Imaging processing function can perform inquiry based on medical data model and obtain initial data, realize the unified management with existing diagosis Process fusion and data model, complete post-processing function and normal diagosis diagnostic process, data acquisition service can make terminal and the concrete mode of data acquisition have nothing to do, terminal isolates by data acquisition service from concrete connected mode, terminal only needs to initiate inquiry and obtains request, and realize details without the need to being concerned about, thus when obtain manner changes, large impact is not produced on terminal, data acquisition service can also realize when not affecting terminal, carry out the operations such as the interpolation amendment of data source easily, the availability of raising system and flexibility, simultaneously, data acquisition service can by a series of proprietary protocols of definition, reach the effect coordinating with terminal and realize more sophisticated functions or solve some problem, configuration service mainly completes the management of data source information, realize the simplicity of data source amendment, and, pass through configuration service, extract original data source information part, isolated the direct corresponding annexation of terminal and initial data source, transferred to configuration service to complete mapping, thus the logic of terminal can be simplified, be convenient to realize data source amendment flexibly, and initial data source uses DICOM service, possess Query/RetrieveSCP function, and after receiving acquisition request of data, the image meeting querying condition is sent to request end.Visible, the links of system is all with good expansibility.The advantage that embodiments of the present invention can have comprises: by customer requirement retrieval initial data, avoids transmission and the storage of a large amount of not usage data; Terminal for the seamless fusion of initial data, the consistency of use; The random expansion of data source; And standardized acquisition methods.
It will be appreciated by those skilled in the art that, in above-mentioned execution mode, all or part of step of various method can be carried out instruction related hardware by program and completes, this program can be stored in a computer-readable recording medium, and storage medium can comprise: read-only memory, random asccess memory, disk or CD etc.
Above content is in conjunction with concrete execution mode further description made for the present invention, can not assert that specific embodiment of the invention is confined to these explanations.For general technical staff of the technical field of the invention, without departing from the inventive concept of the premise, some simple deduction or replace can also be made.

Claims (10)

1. a medical image transmission system, is characterized in that, comprising:
There is at least one terminal of man-machine interface, the request for obtaining medical image initial data for display of medical image and initiation;
At least one initial data source, for providing medical image initial data;
Configuration service, for providing the mapping of medical image primary data information (pdi) and data source identification;
Data acquisition service, its respectively with described terminal, described configuration service and described initial data sources traffic, for receiving the described request that described terminal is sent, corresponding data source identification is determined according to described request, the mapping provided based on described configuration service obtains the initial data nodal information corresponding with described data source identification, inquiry is initiated to described initial data source according to described initial data nodal information, inquiry obtains corresponding medical image initial data, and the medical image initial data obtained is fed back to described terminal.
2. the system as claimed in claim 1, is characterized in that, described data acquisition service with at least one terminals physical described is separated or is integrated in one, the proprietary protocol that the communication between the two is arranged in advance based on both sides realizes.
3. the system as claimed in claim 1, is characterized in that, described initial data source provides described medical image initial data based on medical data imaging and communication standard, and is provided with the first medical data imaging and communication standard interface; Described data acquisition service is provided with the second medical data imaging and communication standard interface; Communication between described data acquisition service and described initial data source is by described second medical data imaging and communication standard interface and described first medical data imaging and communication standard Interface realization.
4. the system as claimed in claim 1, is characterized in that, described data acquisition service is physically separated with described configuration service or is integrated in one; In the medical image primary data information (pdi) that described configuration service provides and the mapping of described data source identification, described medical image primary data information (pdi) comprises medical data imaging and the communication standard mark of the data acquisition equipment of configuration, and this data acquisition equipment is for gathering medical image initial data.
5. the system as described in claim 1 or 4, it is characterized in that, described configuration service is by medical image primary data information (pdi) described in the library management of data source configuration information, described configuration service comprises medical data imaging and the communication standard mark of the data acquisition equipment received for basis, changes the data source configuration information amendment service of described data source configuration information storehouse traditional Chinese medicine image primary data information (pdi).
6. the system as claimed in claim 1, it is characterized in that, each at least one terminal described carrys out ADM image based on medical data model, described medical image comprises the image data after medical image initial data and reprocessing, and initiate described request and display of medical image based on described medical data model, described medical data model comprises patient information layer, inspection message layer, sequence layer and image bearing layer, wherein in patient information layer a patient information correspondence proving Information Level at least one inspection, one in inspection message layer checks at least one sequence in corresponding sequence layer, a sequence pair in sequence layer answers at least one image in image bearing layer.
7. a medical image initial data dispatching method, is characterized in that comprising:
Configuration service is set, makes it provide the mapping of medical image primary data information (pdi) and data source identification;
Setting data obtains service, make its respectively with at least one terminal, described configuration service and for providing at least one initial data sources traffic of medical image initial data, wherein, described data acquisition service receives the request for obtaining medical image initial data that at least one terminal described is sent, corresponding data source identification is determined according to described request, the initial data nodal information corresponding with described data source identification is obtained from described configuration service, inquiry is initiated to described initial data source according to described initial data nodal information, inquiry obtains corresponding medical image initial data, and the medical image initial data obtained is fed back to described terminal.
8. method as claimed in claim 7, it is characterized in that, medical data imaging and communication standard mark that configuration service also comprises the data acquisition equipment that basis receives are set, change the described medical image primary data information (pdi) managed in the data source configuration information storehouse of described configuration service, the mapping of medical image primary data information (pdi) and the data source identification provided is provided accordingly.
9. method as claimed in claim 7, is characterized in that, the proprietary protocol that the communication between described data acquisition service and at least one terminal described is arranged in advance based on both sides realizes; Described initial data source provides described medical image initial data based on medical data imaging and communication standard; Communication between described data acquisition service and described initial data source realizes based on described medical data imaging and communication standard.
10. method as claimed in claim 7, it is characterized in that, each at least one terminal described initiates described request and display of medical image based on medical data model, described medical data model comprises patient information layer, inspection message layer, sequence layer and image bearing layer, wherein in patient information layer a patient information correspondence proving Information Level at least one inspection, one in inspection message layer checks at least one sequence in corresponding sequence layer, and a sequence pair in sequence layer answers at least one image in image bearing layer.
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