KR20020082258A - System and Method for providing The Remote Medical Image Consulting Service using Internet - Google Patents

Abstract

PURPOSE: A system and method for supplying remote medical image consultation and treatment are provided to perform a medical treatment related consultation and supply a remote medical treatment service to various patients connected to an Internet communication network from a wireless terminal to a remote medical examination and treatment camera. CONSTITUTION: A server is mounted at a host site on a communication network and manages a remote medical treatment image consulting service. A plurality of patients(100) is connected to the server through a communication network and requests a consultation with respect to a disease. A doctor(150) is connected to the server through a communication network and supplies a medical treatment related consultation when a consultation is requested. A consultant supplies a related medical consultation to the patient(100) and connects the doctor(150) to the patient(100) when the patient(100) requests the connection. If a user requests a log-on, a log-on approval unit approves the log-on after a verification procedure. A VOD Dr. DB(141) stores VOD(Video On Demand) information with respect to a medical treatment service. Medical treatment information requested by the patient(100) is extracted from the VOD Dr. DB(141) and pushed to the patient(100).

Description

System and method for providing remote medical image consulting service using internet {System and Method for providing The Remote Medical Image Consulting Service using Internet}

The present invention relates to a system and method for providing a remote medical video consultation service using the Internet, and more specifically, to patients with mild symptoms or patients requiring long-term medication and emergency treatment, without visiting a medical professional directly, The present invention relates to a system and method for providing a remote medical image consultation service using the Internet that can receive a desired medical service (medical counseling and medical treatment) at low cost and easily.

Although the types of care to date have different characteristics, it is obvious that many difficulties arise when the disease occurs in an inevitable situation because the patient needs to be treated and prescribed by looking at the patient. Also, not all patients who visit a hospital or doctor's office require highly specialized treatments, so patients who require long-term medications, such as diabetes, regularly use the same medication unless otherwise noted. As a result, it is very inconvenient for the patient to have to visit the doctor's office to see the doctor.

In measuring the health parameters, very simple measurements (e.g. blood glucose meters) can be obtained with a simple operation.If the measured health parameters are not different from the previous ones and there are no abnormalities in the body, patients from remote locations visit the clinic directly. That should be a waste of time and money. In addition, in the case of office workers, this problem is further exacerbated by having an appointment with a doctor during normal working hours and visiting a clinic directly. It is also unreasonable to have to visit a clinic every time a long-term patient with discomfort renews the prescription. In particular, the long waits that patients often experience in the clinic are difficult to endure for those who have tight time or are uncomfortable.

Normal life, such as patients with high blood pressure, may be able to lead a normal life, but if urgent medical care is needed, for example, a brain bleeding occurs, immediate medical attention is required. Due to the severe limitations, the situation does not come promptly, which threatens the lives of patients.

Due to these existing situations, there is an urgent need for easier and simpler ways for patients and medical practitioners to see and consult, and for immediate medical contact in case of urgent medical care. There is a need for a way to do this.

An object of the present invention for solving the problems of the prior art is to provide medical care to a variety of patient clients (counselors) connected through an internet communication network, ranging from wireless terminals (PCS, PDA, IMT-2000) to telemedicine cameras. Telemedicine video consultation service system using the Internet that can provide quick and easy telemedicine services related to related counseling and related VOD information, relevant patient / doctor client, location information about related hospital, medical treatment and urgent medical prescription, and It is to provide a method.

1 is a view briefly showing the operating environment of the remote medical image consultation service providing system using the Internet according to the present invention;

2 is a configuration diagram of a telemedicine camera used in a telemedicine image consultation service providing system using the Internet according to the present invention;

3 is a view briefly showing the communication between the client, the counselor (professional / general nurse), the patient client according to the present invention,

4 is a view schematically showing an operating environment of a remote medical call center according to the present invention;

5 is a flowchart illustrating an image counseling process provided by a system for providing a remote medical video consultation service using the Internet according to the present invention;

FIG. 6 is a flowchart of an image consultation process viewed from a computer point of view through the remote medical image consultation service providing system shown in FIG. 5;

7 is a simplified summary of the features of the remote medical image consultation service providing system according to the present invention.

※ Explanation of code about main part of drawing ※

100: patient client 110: Internet access device

120: Internet communication network / satellite network 130: Emergency Medical Information Center

131: Public Health 140: Remote Medical Call Center

141: VOD Dr. DB 142: Professional Nurse

143: general nurse 144: geographic information DB

145: customer DB 150: doctor client

In order to achieve the above object, the present invention provides a server, which is installed at a host site on a communication network and manages a telemedicine image consultation service; A plurality of patient clients connected to the server through a communication network and requesting consultation on a disease; A doctor client connected to the server through a communication network to provide a medical consultation (medical treatment) when there is a consultation about the disease, and the server provides a related medical consultation to the patient client, and the patient A counselor that connects the doctor client and the patient client at the client's request, and logon approval means for approving the logon after the verification procedure if the user requests a logon; VOD Dr. VOD stores Video On Demand (VOD) information about health care. A system for providing a remote medical image consultation service using the Internet, including a DB, extracting medical information requested by the patient client from the VOD Dr.DB and pushing the patient client to the patient client is provided. .

Preferably, the method for providing a remote medical image consultation service using the Internet, the method comprising: performing a logon approval by dividing into a general person, a specialist, and a counselor when a user requests a connection through an Internet communication network; Connecting a general person with a counselor who has made the logon approval; When the general person requests a consultation of the specialist, connecting the general practitioner with the specialist who is authorized to log on; If the general person requests medical-related information during consultation with the counselor and the counselor, the pre-built VOD. Extracting medical-related VOD information from a Dr DB and pushing it to the public; When the general person requests an emergency emergency service, connecting to an emergency medical information center that is separately prepared to perform regional emergency medical treatment and performing emergency medical treatment; Providing the remote medical image consultation service using the Internet, when the general public who has been approved for the logon schedules a medical consultation, performing a reservation according to a schedule of a local doctor and a doctor who are registered in advance. A method is provided.

The general Internet medical information system is not only lacking an organic linkage system of information, but also a one-sided service by a medical database including only fragmentary medical common sense. In addition, the medical counseling field is being serviced only by the organic linkage system of services through questions and answers using bulletin boards, one-on-one simple video counseling by e-mail reservation, and distributed object technology according to a predetermined schedule.

However, the telemedicine image counseling according to the present invention seeks to make the most of the advantages of being able to perform all daily tasks online. That is, the present invention relates to medical image medical care / counseling, by providing a remote medical image counseling or linking a doctor in consultation with a counseling nurse (professional / general nurse) in real time, communication between subjects is performed by image, voice, and text. To enable it.

Hereinafter, in the present invention, a client receiving a telemedicine video counseling service and related information is classified into a doctor client and a patient client. The term client used in the present invention means all machines connected to a server through an Internet network. Examples of such a machine include a personal computer and a TV set top box equipped with a special component to enable communication, a telemedicine camera system, and a wireless terminal.

In addition, the term "physician client" refers to a client connected to a group of doctor accounts managed by an internet server and presented with the identifier by a doctor who receives the identifier (ID). The term patient client refers to a remote client provided by an internet server. A client connected according to a procedure determined by a patient who wants to receive a medical burn service.

On the other hand, the term counselor refers to professional counseling nurses and general nurses who have a nurse's license, explain basic medical information and nursing aspects to their client clients, and connect the appropriate professional doctors to the client. Means a counselor who carries out professional counseling (medical) by the subject's inquiry with the qualification of a specialist.

Hereinafter, a system and method for providing a remote medical image consultation service using the Internet according to an embodiment of the present invention will be described in detail with reference to the accompanying drawings.

1 is a view briefly showing an operating environment of a remote medical image consultation service providing system using the Internet according to the present invention.

First, in the remote medical call center 140 including a server installed in the Internet communication network, there are a professional nurse 142 and a general nurse 143, which are counselors, mobile (111), PDA (Personal Digital Assistants: portable) Internet access device, including information terminal 112, IMT-2000 (113), telemedicine imaging camera 114, Internet-enabled general PC 116, Internet TV set top box 117, and multifunction remote control 115 If there is a patient client 100 that accesses the remote medical call center 140 using the 110 and manages an ambulance medical system for each region, and has a patient client 100 requesting urgent medical care, this is a professional nurse 142. Emergency medical information center 130, the emergency medical center for each region managed by the emergency medical information center 130 to provide emergency medical services to the patient client 100 in the region received from the patient client 100 As a doctor When additional contract / call request, there is a general nurses (143) is connected to the patient and the client 100 over pseudo client 150 for an image treatment / counseling remotely receipt thereof.

In addition, the remote medical call center 140, which includes a professional nurse 142, a general nurse 143, etc., stores various video VOD (Video on Demand) information related to medicine and diseases, such as a disease-related encyclopedia. . The database 141 and the location of the patient client and the location information of the hospital or pharmacy to which the doctor clients 100 and 150 belong to the GIS (Geographic Information System) and the GPS (Global Positioning System) Geographic information providing database 144 constructed by using, and a customer database 145 for storing related information (information including personal information, counseling history, counseling result, etc.) of the connected patient client 100.

Here, the Internet TV set top box 117 and the telemedicine image camera 114 of the Internet connection device 110 used by the patient client 100 according to the present invention to access the remote medical call center 140 and Looking at the multi-function remote control 115 is as follows.

First, the Internet TV set-top box 117 is provided with a button (hereinafter referred to as a green cross button) for requesting the client client 100 to connect to the doctor client 150. When the green cross button is clicked, the doctor client ( Direct connection to 150 allows remote access to video care or consultation.

Next, the telemedicine imaging camera (114 in Figure 1) is as follows. FIG. 2 is a block diagram of a telemedicine imaging camera used by patient clients according to the present invention. As shown, the telemedicine imaging camera captures an image using a camera sensor and compresses it to compress the Internet communication network 250. Web camera module 210 and the microphone to transmit to the medical server 260 through, and capture the voice of the patient client using a microphone, compress it and transmit it to the medical server 260 through the Internet communication network 250, Internet phone module 220 for compressing / decompressing the corresponding audio data transmitted through the medical server 260 and outputting it to a speaker, and compressing / decompressing image data transmitted from the medical server 260 to display the corresponding image on a monitor. And a display module 230.

At this time, the web camera module 210 and the Internet telephony module 220 provide much faster speeds (maximum communication speed: about 10 Mbps) than the existing TCP / IP protocol, and are expensive to be built in an internet access device. It includes a TCP / IP chip that can replace functions such as CPU and memory devices with one chip. As a result, it is possible to implement an economical and functional telemedicine camera system.

For this reason, the patient clients according to the present invention, by using a telemedicine imaging camera, one of the Internet access device, through the voice and video, without the help of a PC or set-top box, the corresponding doctor and telemedicine You will be connected to the call center's counselors in real time to receive video and consultation.

Finally, a multifunctional remote controller (115 of FIG. 1) used by patient clients according to the present invention is as follows. Multi-function remote control means that all Internet-connected devices (remote medical image camera, general PC, Internet TV set-top box, PDA, etc.) that can be connected to the Internet, from general PCs to telemedicine video cameras, are connected separately (telephone lines, etc.). Because it can be controlled without a), even if the patient client with an uncomfortable behavior, the one-click button in the multi-function remote control can conveniently receive medical consultation and treatment.

This multi-function remote control is equipped with a microphone, a speaker and a signal modulation circuit in the multi-function remote control to transmit and receive all digitized signals received by the Internet access device from the multi-function remote control. Or, using the provided microphone can perform a karaoke function.

That is, the multifunctional remote controller includes a circuit for modulating a voice analog signal into a digital signal together with voice compression, a speaker for listening to a voice signal received from a corresponding Internet device, and a microphone for receiving a voice of a patient client.

The operation of the telemedicine image consultation service providing system including the Internet access device 110 of FIG. 1 will be described as follows. First, when the patient client 100 is connected to the remote medical call center 140 through the high-speed Internet communication network 120 using the Internet access device 110, a professional nurse 142, a waiting counselor, is connected. Specialized nurse 142, during consultation with the patient client 100, the VOD Dr. Searched in the database 141, the searched VOD (Video On Demand) information is provided to the patient client 100 who requested the data through video, voice, and e-mail, and the patient client 100 requests emergency medical services. In the case (eg, cerebral hemorrhage, etc.), it is possible to connect with the emergency medical information center 130 and provide a regional ambulance emergency service 132 possible.

In addition, during the consultation with the patient client 100, when the patient client 100 requests a connection (request for additional consultation) with the doctor in charge of the disease, it is immediately received by the general nurse 143, Directly connected to the doctor client 150 which is a medical expert, the relevant information of the patient client 100 requesting additional consultation is immediately transmitted to the general nurse 143, or provided to the doctor client 150, the basic at the time of consultation Make it available as a resource.

At this time, when the patient client 100 in consultation requests information about the location of a hospital (pharmacy) in each district, the professional / general nurses 142 and 143 and the doctor client 150 are geographical information in the remote medical call center 140. After searching the location information of the hospital (pharmacy) to which the patient and the doctor client belongs in the provided DB (144), the image, sound to match the environment of the Internet access device 100 used by the patient client 100 Provides via text chat and email. When performing such a process, relevant information of the corresponding patient clients 100 to be added is immediately stored by the customer DB 145.

On the other hand, the patient client 100 accesses the web page according to the present invention, the virtual helper (hereinafter referred to as Dr. Through the avatar 160, various kinds of help may be provided to the patient client 100.

In addition, when the patient client 100 wants to receive a medical appointment service, the general nurse 143 schedules an appointment with the doctor client 150 through video and audio, or the video and voice with the doctor client 150. The patient client 100 connected to the client directly schedules the appointment, or the patient client 100 directly performs a separate process for reservation on the reservation related page on the web page, thereby providing a doctor's client of the hospital at the scheduled time. It is possible to remotely receive the image treatment / consultation from 150.

3 is a diagram briefly showing communication contents between a doctor client, a counselor (general / professional nurse), and a patient client according to an embodiment of the present invention.

As described in FIG. 1, in response to a request for further consultation from the patient client 301, the general nurse connects the doctor client 303 and the patient client 301 through an image and a voice. For this reason, the doctor client 303 performs medical counseling and medical care with the connected patient client 301. In this case, the medical counseling and medical care is possible for video and voice counseling, and information added during the counseling process (the patient client Consultation details, consultation results, etc.) are databased in the customer DB, and the information added to the medical consultation with the professional nurse 302 is also databased in the customer DB. In addition, the location (address) of the hospital / pharmacy and the location (address) of the patient's client within the corresponding regional area are geographical information DB using the Geographical Information System (GIS) and the Global Positioning System (GPS). It is databased within and provided directly to the patient client 301 in the form of an image, voice, text or e-mail, etc., which is suitable for the environment of the Internet access device of the patient client 301 when requesting geographic information from the patient client 301. do.

In addition, when the patient client 301 accesses the web page according to the present invention, Dr. An avatar appears and provides various help to the patient client 301 through an image, voice, text, or e-mail.

On the other hand, as a software for implementing such a telemedicine imaging service in the present embodiment is implemented in the Java 2 (java 2) platform, the above-mentioned Dr. Avatar is an application program installed on the PC. It functions as a front end that connects the user and the central server. The avatar can perform various motions and sound effects according to various motions and actions, and deliver various voices. , Automatic install / uninstall program is provided.

In addition, the server containing the video counseling program stores its information in a database called Oracle 8i, and its modules are composed of programming languages C and Java, which communicate with each other using TCP / IP and various protocols. do.

4 is a view schematically showing an operating environment of a remote medical call center according to the present invention, which will be described in detail as follows.

As shown, when the patient client is connected to the remote medical call center 420 via a Public Switched Telephone Network 422 using a mobile and landline phone in the Internet access device 410, the remote medical Private Branch Exchange (PBX) in the call center 420 and the CTI server 427, and then through the call center DB server 428, the remote medical call center 420 counselors (professional / general nurse, 429) Is connected in real time. In addition, when the patient client is connected to the remote medical call center 420 through an internet communication network using a remote medical imaging camera in the Internet access device 410 and a general PC, a TV set-top box, and a PDA capable of internet, remote medical care. After passing through the web server 423 and the ITI server 425 in the call center 420, through the call center DB server 428, the remote medical call center 420 is connected in real time with a counselor (professional / general nurse, 429). Through the call center DB server 428, the remote medical call center 420 is connected in real time with a counselor (professional / general nurse, 429).

5 is a flowchart illustrating a video counseling process provided by a system for providing a remote medical video consultation service according to the present invention.

First, when a counselor (patient client) makes a consultation request to the video counseling server, the video counseling server that receives the counseling service searches for a counselor (professional nurse) who can consult, and then directly assigns the counselor to the counselor.

Thereafter, the assigned counselors and counselors are connected to each other, and consultation is performed through video, voice, text chat, and the like. During the consultation, if the counselor asks for appropriate medical information, the counselor will ask the VOD Dr. Search the VOD information from the DB, and search the VOD data. DB delivers to counselor (VOD push). The VOD data at this time is prepared as image data in advance and pushed to the counselor.

Subsequently, when a counselor requests further consultation with a specialist for consultation or medical treatment for a disease of interest to the counselor, it is immediately received by a general nurse, who receives the video counseling server. Search for a doctor (doctor client) who can consult. Subsequently, when the image counseling server searches for a counseling specialist and assigns a specialist, the assigned specialist is connected to the counselor, and thereafter, remote video counseling and medical treatment are performed.

FIG. 6 is a flowchart of an image counseling process provided by a computer from a remote medical image counseling service providing system shown in FIG. 5, which will be described in detail as follows.

First, after the counselor connects, the member clicks on registration and guidance (601). At this time, the general, counseling doctor, counseling nurse (professional / general nurse) divided subscription column is generated, and the members are classified to receive. Among the sign-up columns, if a member is registered as a general person, it corresponds to a patient client, if a member is registered as a counseling doctor, it corresponds to a doctor client, and if a member is registered as a counseling nurse, the counselor is given a qualification (602 to 604). ). In this case, the counselor is divided into professional nurses and general nurses, and are granted qualifications.

When the user authentication is made through the above path, the user obtains whether the mail has arrived to the user, and performs a function related to the consultation by the mail (605 to 606).

In addition, if there is a consultation, a function related to consultation is performed by checking whether consultation arrival information has been obtained (607 to 608). At this time, the consultation is configured to be possible by e-mail. In addition, if there is a consultation reservation, related functions are performed (609 to 610), and a simple memo function is provided during connection, so that a memo function can be used if necessary (611 to 612).

On the other hand, these functions are performed on the screen of an Internet TV set top box and a general PC capable of internet, and are performed by button clicks by various tray icons. In addition, Dr. The avatar performs a helper function on the screen.

7 is a view briefly summarizing the features of the remote medical image consultation service providing system according to the present invention.

As illustrated in FIG. 7, when a user connects, sub-windows of various counselors are linked to a main page displayed on the user's screen.

When the user connects to the system, the program should be automatically downloaded from the video consultation channel, and the download time is about 10 seconds. Counselors (doctor clients) and counselors (general / professional nurses) may perform other tasks at the same time as they are always ready to be consulted before connecting. If only a video counseling program is displayed on a monitor on an internet-enabled device among internet access devices, a message (text) and a sound, etc. are simultaneously sent at the time the counselor connects. In addition, the specialist nurse list window of the doctors in each department will appear on the program, and after grasping the basic information (gender, name, age) of the patient, will know the main symptoms.

General nurses can see a database of accessible doctors in the counseling program window so that those with pain in the eye can see the ophthalmologist and those with problems with the digestive system. Until now, the video counseling had to make a reservation in advance and consult with one medical staff. However, the video counseling program according to the present invention is considered until the subject has not diagnosed his or her pathological problem. Consultation with qualified counselors and specialist medical staff is available.

On the other hand, the counselor knows the basic information (age, height, weight, blood type, sex) of the connected patient and the main symptoms, past medical history, and the contents of the patient provided through the counselor and receives the patient in advance. In-depth and detailed telemedicine consultation services can be provided. In addition, by storing and managing the patient's medical records in the customer DB, when the patient wants to consult again, the patient's information can be immediately known, and the database can be used to share user information with other doctors.

In addition, the basic basic solution of the remote video consultation based on the Internet TV set-top box according to the present invention is the same as the PC-based video counseling program, but by introducing the green cross button to the set-top box, It can suggest alternatives when faced with many medical problems.

The video information (VOD information) is data that shows the data that the general public is curious about, such as surgery scenes and basic disease definitions, and can be utilized by professional nurses and doctors. For example, a subject who wishes to undergo LASIK surgery may be able to relieve anxiety and fear of surgery by watching and training in advance.

The database that provides geographic information on the location of hospitals, pharmacies, etc. provides location information of hospitals (pharmacies) in the districts to which counselors (patient clients) belong. That is, the counselor has a wide range of choices in selecting the hospital within the regional area to which the doctor in charge belongs and the hospital within the desired radius, and can find the hospital or pharmacy through the provided location information. In particular, as the division of medicine requires more information of the pharmacy, it is more usefully used.

Dr. Avatar is a medical information function messenger, which is connected to video telemedicine counselors and counselors, and an emergency medical information center, so that a face-to-face professional nurse can be immediately clicked.

While the invention has been described above based on the preferred embodiments thereof, these embodiments are intended to illustrate rather than limit the invention. It will be apparent to those skilled in the art that various changes, modifications, or adjustments to the above embodiments can be made without departing from the spirit of the invention. Therefore, the scope of protection of the present invention should not be limited only by the appended claims, but should be construed as including all such changes, modifications or adjustments.

The present invention is different from the existing video counseling regardless of time and place. In other words, it is possible to fully understand and accept the needs of those who are connected for consultation due to the stability of the overall program.

Although the current forms of care have different characteristics, it is clear that there are various difficulties in the occurrence of patients in inevitable situations since it is necessary to treat and prescribe while looking at the patients.

This situation can be a number of examples, such as the unintentional wallpaper (mountain villages, fishing villages), the determination of the athlete's participation in the game due to unavoidable accidents at the stadium, and the improvement of living standards. Home doctor system, when the form of medical treatment can be done without special doctor's promotion, and frequently need to know the progress of the patient's condition, in the case of local patients, not to find general hospitals in large cities unconditionally, but in terms of preventing time and economic loss There are many examples, such as remote medical care to check the condition or prevent congestion of a large city general hospital.

In addition, there will be many types of applications, such as joining a service network by telemedicine and receiving a fast and efficient medical examination in a special field in the existing system of existing nurses by improving quality of the nursing facility in schools and companies.

Accordingly, the video medical counseling according to the present invention is not simply a level of video chat where only a doctor is connected to a face, but a counselor (general nurse) connects a professional doctor who meets the needs of each patient, thereby providing a text chat to a subject. This is a multimedia (video / voice) medical service that goes beyond one level, and provides effective video counseling.

This will not only solve the current medical problems, but also become a shortcut to the system of one-person-a-week, and will be part of the medical welfare policy project to move forward to advanced medical countries.

Claims (14)

In the remote medical image consultation service providing system using the Internet, A server installed at a host site on a communication network to manage a telemedicine video consultation service; A plurality of patient clients connected to the server through a communication network and requesting consultation on a disease; If connected to the server through a communication network for consultation on the disease (medical), including a medical client (medical) provides a consultation, The server provides a related medical consultation to the patient client and, upon request of the patient client, an agent who connects the doctor client to the patient client, and if the user requests a logon, approves the logon after the verification procedure. Log on approval means; VOD Dr. VOD stores Video On Demand (VOD) information about health care. Including DB, A system for providing remote medical image consultation service using the Internet, wherein the medical information requested by the patient client is extracted from the VOD Dr.DB and pushed to the patient client. The method of claim 1, The counselor, A professional nurse who performs medical-related primary counseling with the patient client connected through the communication network and provides the VOD information according to a request of the patient client; System for providing remote medical video consultation service using the Internet, characterized in that it comprises a general nurse to receive the request when the consultation of the patient client, and connects to the doctor client. The method of claim 1, The patient client, General PC with internet communication means, Internet TV equipped with a green cross button, which is set on a set top box control keyboard and the patient client requests to connect with the doctor client. Telemedicine imaging camera having a module integrated system that can be connected to the patient client, the doctor client and the counselor at the same time image, Multi-function remote control that controls all Internet-enabled Internet access devices without additional connection means, and connects to the remote medical call center through a one-click button, Telemedicine video consultation service providing system using the Internet, characterized in that it comprises a mobile (Mobile) and personal digital assistants (Personal Digital Assistants). The method of claim 1, And the patient client requests an emergency emergency act, the server calls an emergency medical information center that processes first aid for each region, and performs emergency treatment. The method of claim 1, Internet comprising a customer DB that stores various health parameters (blood pressure, body temperature, height, weight, etc.) to the patient-related information (personal information, patient symptoms, prescription details, etc.) of the patient clients subscribed as members Telemedicine image consultation service providing system using a. The method according to claim 1 or 2, The pseudo client, Includes multiple pseudo-subclients for each class, And wherein said general nurse connects each sub-client according to a disease of said patient client when said patient client and said doctor client are connected. The method of claim 1, The pseudo client, A system for providing remote medical image consultation service using the Internet, wherein the VOD information is provided at the request of the patient client during consultation with the patient client. The method of claim 1, A geographic information provision DB constructed by using the GIS (Geographical Information System) and the GPS (Global Positioning System) for the location of the patient client and the location information of the hospital to which the doctor client belongs. Telemedicine image consultation service providing system using the Internet, characterized in that. The method of claim 3, wherein The module integration system, A web camera module for capturing an image using a camera sensor, compressing the image, and transmitting the compressed image to a medical server; An internet telephony module (220) for capturing the voices of the patient clients using a microphone, compressing them to be transmitted to the medical server, and compressing / decompressing the corresponding voice data transmitted through the medical server and outputting them to a speaker; And a display module for compressing / decompressing the image data transmitted from the medical server and displaying the corresponding image on a monitor. The method of claim 3, wherein The multifunctional remote control, Circuitry for intermodulating all digitized signals and analog signals transmitted and received to and from the Internet access device; A speaker for listening to a voice signal received from the Internet access device; Telemedicine video consultation service providing system using the Internet, characterized in that it comprises a microphone for receiving the voice of the patient client. In the telemedicine image consultation service providing method using the Internet, When the user requests a connection through an internet communication network, performing a logon approval by dividing into a general person, a specialist, and a counselor; Connecting a general person with a counselor who has made the logon approval; When the general person requests a consultation of the specialist, connecting the general practitioner with the specialist who is authorized to log on; If the general person requests medical-related information during consultation with the counselor and the counselor, the pre-built VOD. Extracting medical-related VOD information from a Dr DB and pushing it to the public; When the general person requests an emergency emergency service, connecting to an emergency medical information center that is separately prepared to perform regional emergency medical treatment and performing emergency medical treatment; Providing the remote medical image consultation service using the Internet, when the general public who has been approved for the logon schedules a medical consultation, performing a reservation according to a schedule of a local doctor and a doctor who are registered in advance. Way. The method of claim 11, Logon approval step of the agent, Approving a nurse practitioner who performs primary medical consultations with the general public; And when the general person requests an additional consultation with the specialist, approving the general nurse who receives the request and connects the general practitioner with the specialist. The method of claim 11 or 12, The step of connecting the general person and the specialist, After classifying the class according to the symptoms of the public, the method of providing a remote medical image consultation service using the Internet, characterized in that connected to the specialist in charge according to the class of the general public. The method of claim 11, Constructing a location of the patient client and location information of a hospital (pharmacy) to which the doctor client belongs to a database using a Geographical Information System (GIS) and a Global Positioning System (GPS) And; According to the patient client's selection, the method of providing a remote medical image consultation service using the Internet, characterized in that it comprises the step of providing the address and the map of the hospital in each region.