TWI833507B - Telemedicine consultation method and system - Google Patents

Abstract

A remote medical consultation method, in which a first information processing device from a local terminal and a second information processing device from a remote terminal establish a connection through an information exchange server, so that the second information processing device transmits an information message through the information exchange server. The remote terminal multimedia information is sent to the first information processing device, and a local terminal multimedia information is received from the first information processing device through the information exchange server. The local terminal multimedia information includes local terminal video images captured by the PTZ camera. And after the second information processing device determines that the mouse cursor is on the displayed local video image and detects an action command of the mouse, it sends the action command to the PTZ through the information exchange server and the first information processing device. Camera, allowing the PTZ camera to control its lens rotation, tilt or zoom according to the action command.

Description

Telemedicine consultation methods and systems

The present invention relates to a remote medical consultation method, and in particular, to a remote medical consultation method applied between a local medical institution and a remote medical institution.

Amid the raging COVID-19 epidemic, video diagnosis and treatment has become a general trend, especially telemedicine, which is more helpful to people in need of medical treatment in rural areas, outlying islands, and mountainous areas. It not only improves the quality of medical care in rural areas, but also reduces the need for people in remote areas to go to large urban hospitals for medical treatment. Frequency, time cost and burden. Therefore, providing a complete telemedicine consultation system between remote local medical institutions and urban remote medical institutions is the subject of the present invention.

Therefore, the purpose of the present invention is to provide a telemedicine consultation method and a telemedicine consultation system that implements the method, which are used between remote local medical institutions and urban remote medical institutions, so as to Improve the quality of medical treatment for people in rural areas and reduce the frequency, time cost and burden of people in rural areas going to large hospitals in urban areas for medical treatment.

Therefore, a remote medical consultation method of the present invention is applied between a local medical institution and a remote medical institution. The local medical institution is equipped with a first medical information record of the patient's diagnosis and treatment record. system, a PTZ camera and a first information processing device electrically coupled to the first medical information system and the PTZ camera; the remote medical institution is equipped with a second medical information system that records the patient's diagnosis and treatment records and a A second information processing device electrically coupled to the second medical information system; the remote medical consultation method includes the following steps.

An information exchange server receives a consultation notification from the first information processing device and a consultation data related to the consultation notification, and converts the data format of the consultation data into a converted format accepted by the second medical information system. After consulting the data, the consultation notice and the converted consultation data are transmitted to the second information processing device; the consultation notice is generated by the first medical information system according to a consultation demand, and the consultation data is generated by the first medical information system. Provided by medical information system.

The second information processing device provides the converted consultation data to the second medical information system, and establishes a connection with the first information processing device through the information exchange server according to the consultation notification to use the information exchange server. Send a remote multimedia information to the first information processing device, and receive a local multimedia information sent from the first information processing device through the information exchange server; wherein the remote multimedia information includes a remote multimedia information. The remote terminal video image and a remote terminal audio, the local terminal multimedia information includes a local terminal video image and a local terminal audio captured by the PTZ camera.

After the second information processing device determines that a cursor of a mouse is on the local video image displayed by it and detects an action command of the mouse, it sends the action command to the third information exchange server through the information exchange server. An information processing device; and the first information processing device transmits the action command to the PTZ camera, so that the PTZ camera controls its lens to rotate left and right, tilt up and down, or zoom according to the action command.

Furthermore, the present invention implements a remote medical consultation system that implements the above method, and is applied between a local medical institution and a remote medical institution. The local medical institution is provided with a record of patient diagnosis and treatment. The first medical information system, the remote medical institution is equipped with a second medical information system that records the patient's diagnosis and treatment records; the remote medical consultation system includes a PTZ camera installed in the local medical institution and A first information processing device electrically coupled to the first medical information system and the PTZ camera, a second information processing device located in the remote medical institution and electrically coupled to the second medical information system, and An information exchange server communicates with the first information processing device and the second information processing device through the network.

The first information processing device receives a consultation notification generated by the first medical information system based on a consultation requirement and consultation data related to the consultation notification.

The information exchange server receives the consultation notification and the consultation data from the first information processing device, converts the consultation data into converted consultation data accepted by the second medical information system, and then sends the consultation notification and transmit the converted consultation data to the second information processing device.

The second information processing device provides the converted consultation data to the second medical information system, and establishes a connection with the first information processing device through the information exchange server according to the consultation notification to use the information exchange server. Send a remote multimedia information to the first information processing device, and receive a local multimedia information sent from the first information processing device through the information exchange server, wherein the remote multimedia information includes a remote multimedia information. The remote terminal video image and a remote terminal audio, the local terminal multimedia information includes a local terminal video image and a local terminal audio provided by the PTZ camera.

After the second information processing device determines that a cursor of a mouse is on the local video image displayed by it and detects an action command of the mouse, it sends the action command to the third information exchange server through the information exchange server. An information processing device; the first information processing device transmits the action command to the PTZ camera, so that the PTZ camera controls its lens to rotate left and right, tilt up and down, or zoom.

In some implementations of the present invention, the first information processing device simultaneously displays the local video image, and the cursor is simultaneously displayed on the local video image displayed by the first information processing device and the second information processing device. In the video image.

In some embodiments of the present invention, the action command is that when the left button of the mouse is long pressed and the cursor is moved to a direction in the local video image, the PTZ camera controls its movement according to the action command. The lens rotates left and right and/or tilts up and down to capture the scene pointed to by the direction; the action command is that when the mouse wheel is rolled forward, the PTZ camera controls its lens to zoom in to reduce the shooting range according to the action command. The action command is that when the mouse wheel is rolled back, the PTZ camera controls its lens to zoom out according to the action command to expand the shooting range.

In some implementations of the present invention, the first information processing device and the second information processing device also provide a message input field in the display screen for inputting a text message to record the text message, and exchange the information through the The servers send each other's text messages to each other's display screen for display and recording.

In some embodiments of the present invention, the first information processing device is also electrically connected to a facial features mirror to receive a facial features image captured and transmitted by the facial facial features mirror, and transmit the facial features image through the information exchange server. The image is sent to the second information processing device for display.

In some implementations of the present invention, the first information processing device and the second information processing device are also configured to input a consultation record related to the consultation notification and store the consultation record.

In some implementations of the present invention, after the first information processing device and the second information processing device decide to end the connection, the first information processing device notifies the information exchange server to end the connection and provides the remote The remote multimedia information and the consultation record and the facial features image stored therein are given to the first medical information system, so that the first medical information system records the remote multimedia information, the consultation record and the facial features image in the consultation notice. in the medical record folder of a corresponding patient; and the second information processing device notifies the information exchange server to terminate the connection, and provides the consultation record stored by it to the information exchange server, and the information exchange server After the consultation record is converted into one of the converted consultation records in a data format acceptable to the first medical information system, the converted consultation record is transmitted to the first medical information system through the first information processing device, so that the first medical information system The medical information system stores the converted consultation record in the patient's medical record folder corresponding to the consultation notice. At the same time, the second information processing device provides the local multimedia information and the stored consultation record and facial features. The image is given to the second medical information system, causing the second medical information system to store the local multimedia information, the consultation record and the facial features image in a patient corresponding to the consultation notice established based on the converted consultation data. in the medical records folder.

In some implementations of the present invention, the information exchange server also backs up the remote multimedia information, the local multimedia information and the facial features mirror image therein.

The function of the present invention is to integrate the information exchange server with the medical information system of the medical institution, provide cooperative medical institutions with remote consultation, and provide local patients with medical records and examinations. Report the data to the remote medical institution, and transmit the local multimedia information and facial features images taken by the facial lens at the local medical institution to the remote medical institution for consultation by the remote doctor. Physicians on both sides of the consultation can conduct remote consultations and provide suggested responses on their respective terminals, and exchange consultation-related records and multimedia information between the two parties through the information exchange server and automatically store them in their respective medical information systems, thereby improving Improve the quality of medical care for people in rural areas and reduce the frequency, time cost and burden of people in rural areas going to large urban hospitals for medical treatment.

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

Referring to Figure 1, it is the main process of an embodiment of the telemedicine consultation method of the present invention. Referring also to Figure 2, this method is applied to a local medical institution (consultation end, such as a rural health clinic). Between a hospital and a clinic) and a remote medical institution (the client being consulted, such as a large urban hospital), the local medical institution has a first medical information system (Hospital Information System, referred to as HIS) 1. A PTZ camera 2 (referring to a camera whose lens can be controlled to perform different functions such as left and right rotation (Pan), up and down tilt (Tile), and zoom (Zoom)) and a first medical information system 1 and the PTZ camera 2 The first information processing device 3 is electrically coupled. The first medical information system 1 mainly records the diagnosis and treatment records (such as electronic medical records) of patients on the ground and stores them in corresponding medical record folders. The first information processing device 3 is a computer device used by doctors at local medical institutions and can access information in the first medical information system 1 according to the doctor's authority.

The remote medical institution is provided with a second medical information system 4 and a second information processing device 5 electrically coupled to the second medical information system 4. The second medical information system 4 mainly records the patients at the remote end. The diagnosis and treatment records (such as electronic medical records) are stored in the corresponding medical record folder. The second information processing device 5 is a computer device used by doctors of the remote medical institution and can access the medical records according to the doctor's authority. Information in the second medical information system 1. As shown in FIG. 2 , the first information processing device 3 and the second information processing device 5 communicate with each other through an information exchange server 6 installed in the network to exchange information and messages.

Before starting remote consultation, first, the second medical information system 4 can provide a consultation schedule (that is, doctors who can perform consultation and time slots) to the information exchange server 6 through the second information processing device 5. The information exchange server 6 converts the consultation schedule into a converted consultation schedule in a data format acceptable to the first medical information system 1, and then transmits the converted consultation schedule through the first information processing device 3 To the first medical information system 1, the first medical information system 1 integrates the converted consultation schedule into its registration function to provide the converted consultation schedule for a patient at the local end through the third A medical information system 1 performs consultation registration.

Therefore, when the local patient needs consultation with a doctor from a remote medical institution, the patient can first check the converted consultation schedule through the registration function provided by the first medical information system 1 and make an appointment. (such as online registration), after completing the appointment, as shown in step S1 in Figure 1, the first medical information system 1 will generate a consultation notification and read a consultation data required by the consultation clinic from the patient's diagnosis and treatment record recorded therein. (For example, the patient's basic information and relevant medical record information that the remote medical hospital needs to know, etc.). Then, in steps S2 and S3 of Figure 1 , the first medical information system 1 uses the first information processing device 3 to process the The consultation notice and the consultation data are sent to the information exchange server 6 .

Then, as shown in step S4 of Figure 1 , after the information exchange server 6 receives the consultation notification and the consultation data from the first information processing device 3, the information exchange server 6 will conduct consultation through the predefined two-party consultation process. The field format of data exchange is used to convert the consultation data into converted consultation data that can be accepted by the second medical information system 4, and then, in step S5 of Figure 1, the consultation notification and the converted consultation data are sent to the second information processing device 5.

Then, after the second information processing device 5 receives the consultation notification and the converted consultation data, in step S6 of Figure 1 , the second information processing device 5 provides the converted consultation data to the second medical information system. 4. The second medical information system 4 can create an electronic medical record of the patient and a medical record folder that stores the electronic medical record based on the converted consultation data; and allow doctors at remote medical institutions to The relevant medical records of the patient at the local medical institution are checked in advance through the second medical information system 4.

Then, when the consultation is to be started, in step S7 of FIG. 1 , the first information processing device 3 and the second information processing device 5 establish a connection with each other through the information exchange server 6 according to the consultation notification, for example, the first The information processing device 3 and the second information processing device 5 both send an identification information contained in the consultation notice to the information exchange server 6, and the information exchange server 6 confirms that the identification information received from both parties is the same, That is, the two are allowed to establish a connection through the information exchange server 6; then, as shown in step S8 of Figure 1, the second information processing device 5 can send a remote multimedia information to the third through the information exchange server 6. An information processing device 3. The remote multimedia information includes a remote video image (such as an image of a remote doctor captured by a built-in or external lens of the second information processing device 5) and a remote audio. (For example, the voice of the remote doctor is heard by the built-in or external microphone of the second information processing device 5), and the first information processing device 3 displays the remote video image and outputs the remote audio.

At the same time, as shown in step S9 of FIG. 1 , the second information processing device 5 receives a local multimedia information transmitted from the first information processing device 3 through the information exchange server 6 . The local multimedia information includes the PTZ. A local video image captured by the camera 2 (such as an image of a local doctor and the patient) and a local audio (such as a local audio signal listened to by a built-in or external microphone of the first information processing device 3 The doctor's voice and/or the patient's voice), and the second information processing device 5 displays the local video image and outputs the local audio. In this way, the doctor at the local end, the patient and the doctor at the remote end can see each other's images and hear each other's voices at the same time, so as to conduct a video consultation on the patient.

At this time, if the doctor at the remote end wants to view different parts of the patient's body or wants to see a certain part of the patient's body more clearly, the doctor at the remote end can move with the second information processing device 5 A cursor of a mouse electrically coupled to the local video image, and operating the mouse to generate and output an action command to the second information processing device 5, whereby, in step S10 of Figure 1, When the second information processing device 5 determines that the cursor of the mouse is on the local video image displayed and detects the action command output by the mouse, in step S11 of Figure 1 , the second information processing device 5 The information processing device 5 sends the action command to the first information processing device 3 through the information exchange server 6 .

And as shown in step S12 of Figure 1, after receiving the action command, the first information processing device 3 sends the action command to the PTZ camera 2, so that the PTZ camera 2 controls its lens to rotate left and right (Pan) according to the action command. , tilt up and down (Tile) or zoom (Zoom) (the lens expands or reduces the shooting range) to adjust the scene presented in the local video image captured. For example, as shown in Figure 3, the local video image can be divided outward from the position of the cursor (such as the center point shown in the figure) into top/bottom, left/right, top left/top right, and In the lower left/lower right direction, when the left mouse button is long pressed and the cursor is moved in one of the directions of up/down, left/right, upper left/right, lower left/lower right in the local video image, the The lens of the PTZ camera 2 rotates left and right and/or tilts up and down according to the action command to shoot along the direction and adjust the scene presented by the video image on the ground; and if the action command is that the mouse wheel is rolled forward At this time, the PTZ camera 2 controls its lens to zoom in according to the action command to reduce the shooting range, so that the scene range presented by the local video image becomes smaller (enlarges the scene), and if the action command is the When the mouse wheel is rolled back, the PTZ camera controls its lens to zoom out according to the action command to expand the shooting range (zoom out), so that the scene range presented by the local video image becomes larger (shrinks the scene) . In this way, the local doctor does not need to assist in adjusting the zoom or shooting angle of the PTZ camera 2 lens. The remote doctor only needs to intuitively operate the mouse cursor to move or scroll the mouse on the local video image. The movement or shooting angle of the lens of the PTZ camera 2 can be controlled, and various parts of the patient's body can be easily and clearly viewed through video images, which helps the remote doctor to accurately judge the patient's injury and illness.

It is worth mentioning that the cursor of the mouse controlled by the second information processing device 5 will be displayed simultaneously in the local video images displayed by the first information processing device 3 and the second information processing device 5 .

In addition, the first information processing device 3 and the second information processing device 5 can also respectively provide a message input field in their display screens for doctors on both sides to input a text message (such as a medical consultation record or communication message) for recording. The text message is sent to each other through the information exchange server 6 to the display screen of the other party for display and recording. In addition, the first information processing device 3 and the second information processing device 5 can also provide a record window (not shown) on the display screen for the doctor to input a consultation record related to the consultation notice (such as issuing a medical order). ) and store the consultation record.

In addition, as shown in Figure 2, the first information processing device 3 can also be externally connected (electrically connected) to a facial features mirror 7 to receive a facial features image generated by the facial features mirror 7 taking the affected part of the patient's facial features, and The first information processing device 3 transmits the facial features image to the second information processing device 5 for display through the information exchange server 6. Specifically, the facial features image is part of the local multimedia information.

In addition, if another remote medical institution (another client being consulted) needs to temporarily join the consultation, the first medical information system 1 can send out a message through the first information processing device 3 and the information exchange server 6. The consultation notification and the consultation data are sent to a third information processing device 8 of the other remote medical institution, and the information exchange server 6 will convert the consultation data into a first information processing device of the other remote medical institution. The third medical information system 9 can accept a converted consultation data, and then transmit the converted consultation data to the third information processing device 8. After the third information processing device 8 receives the consultation notification and the converted consultation data, Provide the converted consultation data to the third medical information system 9 so that the third medical information system 9 creates an electronic medical record of the patient and a medical record folder for storing the electronic medical record based on the converted consultation data, And the third information processing device 8 can conduct a three-party connection with the first information processing device 3 and the second information processing device 5 through the information exchange server 6 according to the consultation notification. At this time, the information exchange server 6 That is, the local multimedia information, the text message and the facial features image (if any) output by the first information processing device 3 will be sent to the second information processing device 5 and the third information processing device 8 respectively. , transmit the remote multimedia information and the text message (if any) output by the second information processing device 5 to the first information processing device 3 and the third information processing device 8 respectively, and transmit the third information processing device 3 to the third information processing device 8. The other remote multimedia information and the text message (if any) generated by the third information processing device 8 are sent to the first information processing device 3 and the second information processing device 5 respectively.

Moreover, when only the first information processing device 3 and the second information processing device 5 are connected, as shown in steps S13 and S14 in Figure 1 , the information exchange server 6 will determine whether the first information processing device 3 is connected at any time. Whether the connection with the second information processing device 5 is terminated, if not, the first information processing device 3 returns to step S9 and repeats the above actions, and the second information processing device 5 returns to step S8 and repeats the above actions; if so, The first information processing device 3 executes step S15 to notify the information exchange server 6 to terminate the connection, and the first information processing device 3 executes step S16 to provide the remote terminal multimedia information and the consultation record stored therein. The facial features image (if any) is given to the first medical information system 1, causing the first medical information system 1 to execute step S17 to record the remote terminal multimedia information and the consultation record and the facial features image in the consultation document. The notification is placed in the corresponding patient's medical record folder.

At the same time, when the connection is terminated, as shown in step S18 in Figure 1 , the second information processing device 5 notifies the information exchange server 6 to terminate the connection, and provides the consultation record stored in it to the information exchange server 6 to The information exchange server 6 converts the consultation record into a converted consultation record in a data format acceptable to the first medical information system 1, and then transmits the converted consultation record to the first information processing device 3 through the first information processing device 3. The first medical information system 1 causes the first medical information system 1 to store the converted consultation record provided by the second information processing device 5 in the patient's medical record folder corresponding to the consultation notice; and, The second information processing device 5 executes step S19 to provide the local multimedia information and the recorded consultation record and the facial features image to the second medical information system 4, causing the second medical information system 4 to execute step S20. The local multimedia information, the consultation record and the facial features image are stored in the patient's medical record folder corresponding to the consultation notice. Similarly, when the third information processing device 8 has a three-way connection with the first information processing device 3 and the second information processing device 5, the third information processing device 8 will also perform the above actions when the connection is terminated. At this point, the remote consultation process is completed.

It is worth mentioning that the information exchange server 6 can also back up the remote multimedia information, the local multimedia information and the ophthalmoscope image in the above process to ensure information security and provide doctors on both sides with information. use.

In summary, through the information exchange server 6 and the medical information systems 1 and 4 of the medical institution, the above embodiment can provide cooperative medical institutions with remote consultation outpatient appointments and emergency consultations, and provide The medical records and examination report data of local patients are sent to the remote medical center, and the local multimedia information and facial features images taken by the ophthalmoscope at the local medical center are transmitted to the remote medical center. A place for remote doctors to consult, and doctors on both sides of the remote consultation can conduct remote consultations and suggestions and replies on their respective terminals, and exchange consultation-related records and multimedia information of both or more parties through the information exchange server 6 And automatically stored in the respective medical information systems 1, 4, 9, thereby solving the problem that the medical needs of local patients are unpredictable, and the departments of local medical institutions are limited, so that the local medical public can choose the department. Due to the limitations and the fact that local medical institutions and remote medical institutions use different medical information systems, the electronic medical record formats of the same patient are incompatible, and the electronic medical record information needs to be entered repeatedly, resulting in lengthy manual operations and other problems. By improving the medical quality of people in rural areas seeking medical treatment and reducing the frequency, time cost and burden of people in rural areas seeking medical treatment in large urban hospitals, the efficacy and purpose of the present invention can be truly achieved.

However, the above are only examples of the present invention, and should not be used to limit the scope of the present invention. All simple equivalent changes and modifications made based on the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of this invention.

1:The first medical information system 2:PTZ camera 3: First information processing device 4: The second medical information system 5: Second information processing device 6:Information exchange server 7: facial features mirror 8:Third information processing device 9:Third medical information system S1~S20: steps

Other features and effects of the present invention will be clearly shown in the embodiments with reference to the drawings, in which: Figure 1 is the main process steps of an embodiment of the remote medical consultation method of the present invention; Figure 2 is the remote medical consultation method of the present invention. A block diagram of the main devices of an embodiment of the medical consultation system; and FIG. 3 is an illustration of this embodiment of the mouse cursor facing up/down, left/right, upper left/upper right, lower left/lower right in a local video image. Schematic diagram of equal-azimuth movement.

1:The first medical information system

2:PTZ camera

3: First information processing device

4: The second medical information system

5: Second information processing device

6:Information exchange server

S1~S20: steps

Claims (10)

A remote medical consultation method is applied between a local medical institution and a remote medical institution. The local medical institution is equipped with a first medical information system and a PTZ that records the patient's diagnosis and treatment records. A camera and a first information processing device electrically coupled to the first medical information system and the PTZ camera; the remote medical institution is equipped with a second medical information system that records the patient's diagnosis and treatment records and a first information processing device that is electrically coupled to the first medical information system and the PTZ camera. A second information processing device electrically coupled to the medical information system; the remote medical consultation method includes: an information exchange server receiving a consultation notification from the first information processing device and a consultation data related to the consultation notification, After converting the data format of the consultation data into a converted consultation data accepted by the second medical information system, the consultation notice and the converted consultation data are transmitted to the second information processing device; wherein the consultation notice is provided by The first medical information system generates based on a consultation demand, and the consultation data is provided by the first medical information system; the second information processing device provides the converted consultation data to the second medical information system, and based on the The consultation notification establishes a connection with the first information processing device through the information exchange server, so as to send a remote multimedia information to the first information processing device through the information exchange server, and receive the first information processing device through A local multimedia information sent from the information exchange server; wherein the remote multimedia information includes a remote video image and a remote audio, and the local multimedia information includes a video captured by the PTZ camera Local video images and local audio; After the second information processing device determines that a cursor of a mouse is on the local video image displayed by it and detects an action command of the mouse, it sends the action command to the third information exchange server through the information exchange server. An information processing device; and the first information processing device transmits the action command to the PTZ camera, so that the PTZ camera controls its lens to rotate left and right, tilt up and down, or zoom according to the action command; wherein the first information processing device also communicates with A facial features mirror is electrically connected to receive a facial features image captured and transmitted by the facial features mirror, and transmit the facial features image to the second information processing device for display through the information exchange server; the first information processing device and The second information processing device can also input a consultation record related to the consultation notice and store the consultation record; after the first information processing device and the second information processing device decide to terminate the connection, the first information processing device Notify the information exchange server to terminate the connection, and provide the remote terminal multimedia information, the consultation record and the facial features image stored therein to the first medical information system, so that the first medical information system will transmit the remote terminal multimedia information The information and the consultation record and the facial features image are recorded in a patient's medical record folder corresponding to the consultation notice; and the second information processing device notifies the information exchange server to end the connection and provides the consultation stored therein Recorded to the information exchange server, the information exchange server converts the consultation record into one of the data formats acceptable to the first medical information system. After the converted consultation record, the converted consultation record is passed through the first information system. processing device transmission to the first medical information system, causing the first medical information system to store the converted consultation record in the patient's medical record folder corresponding to the consultation notice, and at the same time, the second information processing device provides the local terminal The multimedia information and the stored consultation record and the facial features image are provided to the second medical information system, so that the second medical information system stores the local multimedia information, the consultation record and the facial features image in the post-conversion consultation The data is created in a patient's medical record folder corresponding to the consultation notice. The telemedicine consultation method as described in claim 1, wherein the first information processing device simultaneously displays the local video image, and the cursor is simultaneously displayed on the first information processing device and the second information processing device. This is in the local video image. The telemedicine consultation method as described in claim 1, wherein the action command is that when the left button of the mouse is long-pressed and the cursor is moved to a direction in the local video image, the PTZ camera moves according to the The action command controls its lens to rotate left and right and/or tilt up and down to capture the scene pointed to in that direction; the action command is that when the mouse wheel is rolled forward, the PTZ camera controls its lens to zoom in according to the action command. Shooting range, the action command is when the mouse wheel is rolled back, the PTZ camera controls its lens to zoom out according to the action command to expand the shooting range. The telemedicine consultation method as described in claim 1, wherein the first information processing device and the second information processing device also provide a message input field in the display screen for inputting a text message to record the text message, And send each other's text messages through the information exchange server to the other party's display screen for display and recording. The telemedicine consultation method as described in claim 1, wherein the information exchange server also backs up the remote multimedia information, the local multimedia information and the otoscope image. A remote medical consultation system is applied between a local medical institution and a remote medical institution. The local medical institution is equipped with a first medical information system that records the patient's diagnosis and treatment records. The remote medical institution The remote medical institution is equipped with a second medical information system that records the patient's diagnosis and treatment records; the remote medical consultation system includes: a PTZ camera installed at the local medical institution and is connected with the first medical information system and the A first information processing device electrically coupled to the PTZ camera, which receives a consultation notification generated by the first medical information system based on a consultation requirement and a consultation data related to the consultation notification; located in the remote medical institution A second information processing device electrically coupled to the second medical information system; an information exchange server that communicates with the first information processing device and the second information processing device through the network; and a facial lens , which is electrically connected to the first information processing device; wherein the information exchange server receives the consultation notification and the consultation data from the first information processing device, and converts the consultation data into the second medical information system After accepting the converted consultation data, transmit the consultation notification and the converted consultation data to the second information processing device; The second information processing device provides the converted consultation data to the second medical information system, and establishes a connection with the first information processing device through the information exchange server according to the consultation notification to use the information exchange server. Send a remote multimedia information to the first information processing device, and receive a local multimedia information sent from the first information processing device through the information exchange server, wherein the remote multimedia information includes a remote multimedia information. The remote terminal video image and a remote terminal audio, the local terminal multimedia information includes a local terminal video image and a local terminal audio provided by the PTZ camera; the second information processing device determines that a cursor of a mouse is in After it displays the local video image and detects an action command of the mouse, it sends the action command to the first information processing device through the information exchange server; the first information processing device transmits the action command The command is sent to the PTZ camera, causing the PTZ camera to control its lens to rotate left and right, tilt up and down, or zoom; the first information processing device receives a facial features image captured and transmitted by the facial features mirror, and transmits the facial features image through the information exchange server. The facial features image is sent to the second information processing device for display; the first information processing device and the second information processing device can also input a consultation record related to the consultation notice and store the consultation record; the first information processing device After the device and the second information processing device decide to terminate the connection, the first information processing device notifies the information exchange server End the connection, and provide the remote terminal multimedia information, the consultation record and the facial features image stored therein to the first medical information system, so that the first medical information system can combine the remote terminal multimedia information and the consultation record with The facial features image is recorded in a patient's medical record folder corresponding to the consultation notice; and the second information processing device notifies the information exchange server to terminate the connection and provides the consultation record stored by it to the information exchange server The information exchange server converts the consultation record into one of the converted consultation records in a data format acceptable to the first medical information system, and then transmits the converted consultation record to the third information processing device through the first information processing device. A medical information system that enables the first medical information system to store the converted consultation record in the patient's medical record folder corresponding to the consultation notice. At the same time, the second information processing device provides the local multimedia information and The consultation record and the facial features image it stores are provided to the second medical information system, so that the second medical information system stores the local multimedia information, the consultation record, and the facial features image in a system created based on the converted consultation data. In the medical record folder of a patient corresponding to the consultation notice. The telemedicine consultation system as described in claim 6, wherein the first information processing device simultaneously displays the local video image, and the cursor is simultaneously displayed on the first information processing device and the second information processing device. This is in the local video image. The telemedicine consultation system as described in claim 6, wherein the action command is that when the left button of the mouse is long-pressed and the cursor is moved to a direction in the local video image, the PTZ camera moves according to the Action instructions Control its lens to rotate left and right and/or tilt up and down to shoot the scene pointed to in that direction; the action command is that when the mouse wheel is rolled forward, the PTZ camera controls its lens to zoom in to reduce the shooting range according to the action command. , the action command is when the mouse wheel is rolled back, the PTZ camera controls its lens to zoom out according to the action command to expand the shooting range. The telemedicine consultation system as described in claim 6, wherein the first information processing device and the second information processing device also provide a message input field in the display screen for inputting a text message to record the text message, And send each other's text messages through the information exchange server to the other party's display screen for display and recording. The telemedicine consultation system as described in claim 6, wherein the information exchange server also backs up the remote multimedia information, the local multimedia information and the otoscope image.