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WO2020204374A2 - Procédé et dispositif pour fournir un rapport de chirurgie basé sur un modèle spécifique à l'utilisateur - Google Patents

Procédé et dispositif pour fournir un rapport de chirurgie basé sur un modèle spécifique à l'utilisateur Download PDF

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Publication number
WO2020204374A2
WO2020204374A2 PCT/KR2020/003177 KR2020003177W WO2020204374A2 WO 2020204374 A2 WO2020204374 A2 WO 2020204374A2 KR 2020003177 W KR2020003177 W KR 2020003177W WO 2020204374 A2 WO2020204374 A2 WO 2020204374A2
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WO
WIPO (PCT)
Prior art keywords
template
item
user
report
screen
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2020/003177
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English (en)
Korean (ko)
Other versions
WO2020204374A3 (fr
Inventor
김효정
조상형
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Osstem Implant Co Ltd
Original Assignee
Osstem Implant Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Osstem Implant Co Ltd filed Critical Osstem Implant Co Ltd
Publication of WO2020204374A2 publication Critical patent/WO2020204374A2/fr
Publication of WO2020204374A3 publication Critical patent/WO2020204374A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/40—ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/258—User interfaces for surgical systems providing specific settings for specific users

Definitions

  • the present invention relates to a medical image processing technology including a dental implant surgery guide design technology.
  • the user After establishing the implant placement plan using the dental implant surgery guide program, the user saves or prints the surgical report that can check the 3D shape format data and the surgery plan of the guide, and performs the surgery while checking it.
  • the surgical report can be directly output by the user, and can be output in the process of producing the designed guide and delivered to the user along with the guide.
  • the surgical report of the implant surgery guide program can be printed out on paper using a 2D printer or loaded on a monitor in the operating room as data in pdf format to check the basic information of the surgery plan for each tooth number.
  • the surgical report uses a fixed template, additional work must be performed separately in order to add information desired by the user, and the same operation must be repeated for each case to be designed.
  • a user-customized template-based surgical report providing method and apparatus are proposed in which a user directly configures a template of a surgical report for an implant surgery guide design result and automatically generates a surgical report according to the configured template.
  • a method of providing a surgery report includes the steps of providing a surgery report template editing screen, reconfiguring a template item selected by a user on the surgery report template editing screen into a template, and reflecting the contents in the reconstructed template. Generating a surgical report.
  • the step of providing the surgery report template editing screen includes providing a surgery report template editing screen including a template selection area, a template design result area, and a template item design area, and the template selection area selects a template or confirms the selected template, and This is a screen where a template is added to create a template, and the template design result area is a screen that enlarges and displays the template page selected in the template selection area, but displays the operation results of the user's own design of the template item of the surgery report.
  • the report template editing screen may be a screen for a user to design a template item of a surgical report.
  • the template item design area consists of User Information, Surgery Information, Surgery Image, Other Items (Appendix), and User Additional Items (Customized). Items can be added or deleted.
  • template items are classified into major categories, and each major category area may provide an entire item selection menu interface capable of adding all items included in the major category to the template.
  • Template items can be added through.
  • the position and size of the template item added by user manipulation can be adjusted.
  • the reconfiguration to the template includes the steps of manually adding a template item by the user, checking the path information on the screen of the template item to be added, and setting the path on the screen without user input according to the path information on the checked screen. At least one of the steps of automatically adding a template item to a path on a corresponding screen by calling a template item may be included.
  • the apparatus for providing a surgical report comprises an output unit for displaying a surgical report template editing screen and a user operation interface for editing a surgical report template, outputting a surgical report, and a surgical report template editing screen including template editing items. And a control unit that reconfigures the template item selected by the user into the template, and reflects the contents in the reconfigured template to generate a surgical report.
  • the surgery report template editing screen includes a surgical report template editing screen including a template selection area, a template design result area, and a template item design area, and the template selection area selects a template or checks the selected template and creates a new template.
  • the template design result area is a screen where the template page selected in the template selection area is enlarged and displayed, but the operation result of the user's own design of the template item of the surgery report is displayed, and the surgical report template editing screen May be a screen for a user to design a template item of a surgical report.
  • the template item design area consists of User Information, Surgery Information, Surgery Image, Other Items (Appendix), and User Additional Items (Customized). Items can be added or deleted.
  • template items are classified into major categories, and each major category area may provide an entire item selection menu interface capable of adding all items included in the major category to the template.
  • the control unit can perform at least one user manipulation of a method of clicking a template item to be added to the template or a drag & drop method of selecting and dragging the item to be added to the template and dropping it into the template design result area.
  • Template items can be added.
  • the control unit may adjust the position and size of the template item added by user manipulation.
  • the control unit manually adds a template item by the user or checks the route information on the screen of the template item to be added, and according to the route information on the checked screen, the control unit loads the template item that has set the route on the screen without user input, and retrieves the corresponding screen. Template items can be automatically added to the path on the screen.
  • a user directly configures a template of a surgical report for the design result of an implant surgery guide and automatically generates a surgical report according to the configured template.
  • it can be effectively used in the preparation and procedure of surgery. For example, by allowing the user to directly configure patient and surgery plan information as a customized template, information that is deemed unnecessary by the user is removed, and a surgical report containing only information that can be referred to in preparation and progress of surgery is generated and Can be printed.
  • FIG. 1 is a view showing the configuration of a surgical report providing apparatus according to an embodiment of the present invention
  • FIG. 2 is a diagram showing a screen of a surgery report provided through a program according to an embodiment of the present invention
  • FIG. 3 is a view showing a surgery report template editing screen according to an embodiment of the present invention.
  • FIG. 4 is a program screen for adding a template item according to an embodiment of the present invention.
  • FIG. 5 is a program screen for adding a template item according to another embodiment of the present invention.
  • FIG. 6 is a program screen in which a user manually adds an image to a surgery report according to an embodiment of the present invention
  • FIG. 7 is a program screen for automatically adding an image to a surgical report through a method of automatically loading an image with a path set;
  • FIG. 8 is a diagram illustrating a flow of a method for providing a surgical report based on a customized template according to an embodiment of the present invention.
  • Combinations of each block in the attached block diagram and each step in the flowchart may be executed by computer program instructions (execution engines), and these computer program instructions are provided on a processor of a general purpose computer, special purpose computer or other programmable data processing device. As it may be mounted, its instructions executed by the processor of a computer or other programmable data processing device generate means for performing the functions described in each block of the block diagram or each step of the flowchart.
  • These computer program instructions may also be stored in a computer usable or computer readable memory that can be directed to a computer or other programmable data processing device to implement a function in a particular way, so that the computer usable or computer readable memory It is also possible to produce an article of manufacture containing instruction means for performing the functions described in each block of the block diagram or each step of the flow chart.
  • each block or each step may represent a module, segment, or part of code containing one or more executable instructions for executing specified logical functions, and in some alternative embodiments mentioned in the blocks or steps. It should be noted that it is also possible for functions to occur out of order. For example, two blocks or steps shown in succession may in fact be performed substantially simultaneously, and the blocks or steps may be performed in the reverse order of a corresponding function as necessary.
  • FIG. 1 is a view showing the configuration of a surgical report providing apparatus according to an embodiment of the present invention.
  • the surgical report providing device 1 is an electronic device capable of executing a medical image processing program such as a dental implant surgery guide design program.
  • Electronic devices include computers, notebook computers, laptop computers, tablet PCs, smartphones, mobile phones, personal media players (PMPs), personal digital assistants (PDAs), and the like.
  • Medical image processing programs include scan programs, CAD programs, etc. in addition to guide design programs. In addition, it can be applied to programs for general medical image processing other than for dental implant surgery.
  • a dental implant surgery guide design program will be described as an example. However, if image processing is possible, the same can be applied to other programs.
  • the image processing process using the program includes registration of surgical patients, acquisition of CT data and oral model data of the registered patient, registration of CT data and oral model data, generation of arch lines from the matched image data, and panoramic images using arch lines ( It consists of a process including creation of panoramic image), determining the position and size of the crown model from the patient's oral model data, positioning the implant structure including the fixture from the patient's CT data, designing the guide shape, and outputting the final guide.
  • the present invention is configured to provide a user-customized surgical report including surgical plan information and guide design information in the process of outputting a final guide designed through implantation plan design.
  • a surgical report providing apparatus 1 includes a data acquisition unit 10, a storage unit 12, a control unit 14, an input unit 16, and an output unit 18. .
  • the data acquisition unit 10 acquires basic image data of a patient.
  • Basic image data includes X-ray data, CT data, MRI data, and oral model data.
  • the data acquisition unit 10 may execute basic image data in a program or load data stored in a web page and a server.
  • CT data, oral model data, etc. may be required as basic data for implant placement.
  • Oral model data can be obtained by scanning a plaster model created after the patient's mouth with a 3D scanner, or by scanning the inside of the patient's mouth using a 3D intra-oral scanner.
  • CT data can be obtained by generating a patient's head tomography images using computed tomography (CT), segmenting the boundary of the tooth from each tomography image, and then combining them into one.
  • CT computed tomography
  • the obtained oral model data and CT data may be stored in the storage unit 12.
  • the storage unit 12 stores information necessary for the operation of the surgical report providing device 1 and information generated according to the operation, and provides information upon request of the control unit 14.
  • the storage unit 12 stores implantation design data and surgery reports generated by the control unit 14.
  • the implantation design data includes information on an implantation position and orientation for an implant structure including a fixture, and information on a guide shape.
  • the implantation design data can be used as a surgical guide during the surgical procedure.
  • the surgical report includes basic patient information, surgically planned tooth number, surgical drilling kit information, implant structure and surgical guide information for each tooth number, captured image centered on the planned fixture, and drilling sequence.
  • the controller 14 generates placement design data including the placement position and direction of the virtual implant structure from the image data, and designs and provides a guide shape. In this case, the controller 14 may perform a simulation of placing a virtual implant structure object in the image data.
  • the image data includes multidimensional images such as 2D and 3D showing the patient's tooth arrangement created for implant placement planning design. For example, various types of images are used, such as basic image data acquired through the data acquisition unit 10, panoramic image data, image data generated through reconstruction, and matching data obtained by matching a plurality of images. Can be.
  • the 3D shape format data of the guide and the surgical report that can confirm the surgery plan of the guide are generated.
  • the surgical report may be replaced with a surgical report or may further include a surgical report.
  • the control unit 14 configures a surgical report template editing screen including a template editing item and reconstructs the template item selected by the user into the template. Then, the surgical report is generated by reflecting the contents in the reorganized template. Editing includes a series of processes such as adding, deleting, and changing template items.
  • the surgery report template editing screen according to an embodiment includes a template selection area, a template design result area, and a template item design area. An embodiment of this will be described later with reference to FIG. 3.
  • the control unit 14 includes an input unit 16 such as a method of clicking a template item to be added to a template, a drag & drop method of selecting and dragging an item to be added to the template and dropping it into the template design result area.
  • Template items can be added by user manipulation through ).
  • the control unit 14 may adjust the position and size of the template item added by user manipulation through the input unit 16.
  • the control unit 14 manually adds a template item by user manipulation through the input unit 16, or checks the route information on the screen of the template item to be added, and according to the checked route information, the route on the screen without user input. You can add a template item by calling the template item that has been set and automatically adding the template item to the path on the screen.
  • the output unit 18 displays a surgery report template editing screen and a user operation interface for editing the surgery report template.
  • the surgical report reflecting the contents of the template is output.
  • FIG. 2 is a diagram showing a screen of a surgery report provided through a program according to an embodiment of the present invention.
  • the surgical report includes information on surgeons and hospitals who establish a surgical plan or perform surgery, patient information and image information of patients who have planned surgery, information on guides that have been designed, information on planned implant structures by tooth number, and implants. Images captured based on the location of the structure, drilling sequence for each fixture, surgery information (Surgery Info.), drill kit information (Drill Kit Info.), implant & guide hole information (Implant & Guide Hole Info.), and others. It includes comments and more.
  • Information on implants and guide holes includes Tooth Number, Manufacturer, Code Name, System, Length, Diameter, Stent Hole Diameter, and stent. Information such as Stent Hole Type may be included.
  • the surgical report which includes patient information to the entire surgical plan, is automatically entered without additional work except for comments in a way that the information entered by the user during the guide design process is called on the basic template provided by the program. .
  • FIG. 3 is a diagram illustrating a surgery report template editing screen according to an embodiment of the present invention.
  • a user-customized template of the surgical report can be directly designed and used as a basic template through the surgical report template editing screen.
  • the surgical report template editing screen includes an area A 310, an area B 320, and an area C 330.
  • a area 310 is a template selection area in which a template can be selected or a template can be added to create a new template by checking the selected template.
  • the template list, page information of the selected template, and the selected template This is the area where basic information is displayed.
  • Area B 320 is an enlarged template page selected in area A 310, and in the enlarged template page, a template design result area in which the result of the user's direct design of template items through area C 330 is displayed. to be. It can provide not only A4 size but also commonly used paper size, and design multiple pages simultaneously by dividing the screen.
  • the C area 330 is a template item design area for designing a template item of a surgical report, and is composed of items that can be added when a template is produced. For example, it consists of User Information, Surgery Information, Surgery Image, Other Items (Appendix), and User Additional Items (Customized).
  • Surgery information may include patient information (Patient Info.), tooth number (Tooth No.), drill kit (Drill Kit), fixture information (Implant Info.), main image (Main Image). .
  • the main image may be a CT image, an oral scan image, or the like.
  • Surgery image information is an axial view image, a sagittal view image, a coronal 3D volume image, a panoramic image, and a parallel image.
  • Drilling Sequence Drilling Sequence
  • Comment includes text and pages.
  • User additional items may include a drilling image (Drill IMG). Meanwhile, the above-described items are some examples listing representative items to aid understanding of the present invention, and it is specified that similar items may be added or changed.
  • a method such as clicking the mouse on the item.
  • a drag & drop method in which an item to be added is clicked and selected, and then the selected item is clicked and dragged and dropped to a desired position in the area B 320 may be used.
  • the position and size of the items added to the B area 320 may be adjusted. For example, you can click and select an item you want to adjust its position or size, then click and drag the selected item to drop it at a desired location. You can adjust the position using a drag & drop method.
  • the size of the template item can be adjusted by clicking a template item to be resized and controlling a border with a mouse.
  • the boundary line control of the mouse is a method of freely adjusting the size of design items by mouse movement by over & clicking the mouse on the boundary line.
  • Template editing allows not only adding templates, but also deleting items. For example, after a user selects an unnecessary template item from among the template items included in the area B 320, the user can delete it by clicking an activated delete icon in the selected template item. When the mouse is over the item to be deleted, the delete icon is activated, and if the delete icon is clicked, the corresponding template item can be deleted. As another example, after the user selects an item to be deleted, the corresponding item may be deleted using the Delete key on the keyboard.
  • FIG. 4 is a program screen for adding a template item according to an embodiment of the present invention.
  • an automatically selected item is placed in a preset position with a line, and the user can modify the position and size.
  • the placement position is based on the basic position included in the major category of each item. For example, as shown in FIG. 4, when the user selects the'Sub-category: Tooth No. button' in the'Large Category: Surgery Information' in the C area 330, the tooth number correct is displayed. It is automatically arranged in a preset position of the area B 320, and the position and size can be arbitrarily modified by the user.
  • 5 is a program screen for adding a template item according to another embodiment of the present invention.
  • all items included in the large category are simultaneously added by selecting an all item selection menu interface (eg, All button). For example, if the user clicks the All button 500 of Surgery Information, the Surgery Information is located at a designated location on the template page, and if another item is located at the designated location, it is already added. Configure the screen layout to be located at the bottom of the item.
  • an all item selection menu interface eg, All button
  • the user can directly add the list of major categories and each item.
  • the additional item is'Video'
  • it provides a method that the user can manually add to the surgery report, and a method that automatically loads the image with the path set.
  • the automatic loading method checks the path information on the screen of the image to be added to the screen, and according to the path information on the screen, loads the image that has set the path on the screen without user input, This is a method of automatically adding video.
  • the path on the screen is path information that matches the actual screen of the program.
  • a surgical report is generated.
  • the user can modify or print the generated surgical report.
  • FIG. 6 is a program screen in which a user manually adds an image to a surgery report according to an embodiment of the present invention.
  • information such as a template list and a template page selected from the template list is provided in the area A 310 of the surgical report template editing screen.
  • a template is changed in the template list, the contents of the surgery report are applied to the changed template and a surgery report is generated.
  • the C area 330 includes a list of basic tools used in a surgical report and a capture image captured by a user during the operation planning process.
  • a user wants to add a capture image to the surgery report, it can be added by clicking an area included in the capture image item in the template. If there is no capture image item, a method of sequentially adding to the last page of the surgical report can be used.
  • FIG. 7 is a program screen for automatically adding an image to a surgery report through a method of automatically loading an image for which a path has been set.
  • an axial view image (700) other than a capture image (Axial view image) (700), a sagittal view image (Sagittal view image) (710), parallel The image on the screen by the user targeting images of a parallel image 720, a coronal 3D volume image 730, a panoramic image 740, and an item added by the user.
  • images are automatically input along a path on a set screen without user input.
  • FIG. 8 is a diagram illustrating a flow of a method for providing a surgical report based on a customized template according to an embodiment of the present invention.
  • the surgery report providing device 1 provides a surgery report template editing screen (S810).
  • the surgery report template editing screen may include a template selection area, a template design result area, and a template item design area.
  • the template selection area is a screen in which a template is added to select a template, check the selected template, and create a new template.
  • the template design result area is a screen in which the template page selected in the template selection area is enlarged and displayed, and the operation result of the user designing the template item of the surgery report is displayed.
  • the surgery report template editing screen is a screen in which the user designs the template items of the surgery report.
  • the template item design area is composed of User Information, Surgery Information, Surgery Image Information, Other Items (Appendix), and User Additional Items (Customized). It is possible to add and delete items through user setting.
  • template items are classified into major categories, and each major category area may provide an entire item selection menu interface for adding all items included in the major category to the template.
  • the surgery report providing device 1 reconstructs the template item selected by the user on the surgery report template editing screen into the template (S820). For example, template items using a mouse-click method to add a template item to a template, a drag & drop method (Drag & Drop) in which the item to be added to the template is selected and dragged to move to the template design result area. Add At this time, the position and size of the template item added by user manipulation can be adjusted.
  • the surgical report providing device 1 is a method of manually adding an image by a user, and a path on the screen of the image to be added. According to the path information on the screen after checking the information, a method of automatically adding an image to the path on the screen by calling the image that has set the path on the screen without user input is used.
  • the surgical report providing device 1 generates a surgical report by reflecting the contents on the reconstructed template (S830).
  • Surgical reports can be saved and printed. For example, it may be saved in the form of a pdf file, and displayed on a screen or output to the outside through a printing device.

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Abstract

L'invention concerne un procédé et un dispositif de fourniture de rapport de chirurgie basé sur un modèle spécifique à l'utilisateur. Un procédé pour fournir un rapport de chirurgie selon un mode de réalisation comprend les étapes consistant à: fournir un écran d'édition de modèle de rapport de chirurgie; la reconstruction, dans un modèle, d'un élément de modèle sélectionné par un utilisateur dans l'écran d'édition de modèle de rapport de chirurgie; et la génération d'un rapport de chirurgie au moyen de l'application de contenus au modèle reconstruit.
PCT/KR2020/003177 2019-04-05 2020-03-06 Procédé et dispositif pour fournir un rapport de chirurgie basé sur un modèle spécifique à l'utilisateur Ceased WO2020204374A2 (fr)

Applications Claiming Priority (2)

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KR10-2019-0040305 2019-04-05
KR1020190040305A KR102322518B1 (ko) 2019-04-05 2019-04-05 사용자 맞춤형 템플릿 기반 수술 보고서 제공방법 및 그 장치

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WO2020204374A2 true WO2020204374A2 (fr) 2020-10-08
WO2020204374A3 WO2020204374A3 (fr) 2020-12-03

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KR20230137533A (ko) 2022-03-21 2023-10-05 오스템임플란트 주식회사 이미지를 이용한 레포트 제공 방법, 디바이스 및 기록매체
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JP6060144B2 (ja) * 2011-03-25 2017-01-11 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 画像データに基づくレポートの生成
KR101453431B1 (ko) * 2012-09-04 2014-10-21 서울대학교병원 (분사무소) 의무기록서식 작성시스템 및 그 제어방법
JP2016101297A (ja) * 2014-11-28 2016-06-02 株式会社トプコン 眼科情報処理システムおよび眼科情報処理方法

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CN114999604A (zh) * 2022-06-20 2022-09-02 上海妙一生物科技有限公司 一种临床研究项目的访视报告生成方法和装置

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