ISO/TS 20498-4:2020
(Main)Traditional Chinese medicine - Computerized tongue image analysis system - Part 4: Peripheral visual instruments
Traditional Chinese medicine - Computerized tongue image analysis system - Part 4: Peripheral visual instruments
This document specifies the performance criteria of peripheral visual instruments in the computerized tongue image analysis system (CTIS), including colour reproduction, distortion and resolution.
Médecine traditionnelle chinoise — Système d’analyse d’images numérisées de la langue — Partie 4: Instruments visuels périphériques
General Information
- Status
- Published
- Publication Date
- 20-Oct-2020
- Technical Committee
- ISO/TC 249 - Traditional Chinese medicine
- Current Stage
- 9093 - International Standard confirmed
- Start Date
- 13-Jun-2024
- Completion Date
- 13-Dec-2025
Overview
ISO/TS 20498-4:2020 specifies performance criteria for peripheral visual instruments used in a Computerized Tongue Image Analysis System (CTIS) for Traditional Chinese Medicine (TCM). The Technical Specification defines measurable requirements for accurate colour reproduction, display resolution, geometric distortion, and the viewing environment to ensure reliable tongue image capture, display and interpretation.
Key SEO terms: ISO/TS 20498-4:2020, CTIS, computerized tongue image analysis system, peripheral visual instruments, colour reproduction, sRGB, CIELAB ΔE.
Key Topics and Requirements
- Colour reproduction
- Devices must accurately reproduce the CTIS colour chart.
- Maximum CIE Lab* colour difference (ΔE*ab) per patch: ≤ 5.
- Conformity is verified by displaying the image of the colour chart and measuring with a colour spectrophotometer against ISO/TS 20498-3 values.
- Recommendation: use primary (CMY/RGB) and grey-scale patches for monitor calibration.
- Display resolution
- Minimum resolution: 1024 × 768 pixels at 4:3 aspect ratio.
- Distortion
- Maximum allowable distortion: ≤ 1% in both horizontal and vertical directions.
- Test method uses a concentric test card (small circle d = 20 mm ±0.1 mm; large circle D = 100 mm ±0.1 mm) and measurements at eight directions to calculate distortion percentage.
- Viewing environment (sRGB)
- Specified viewing parameters include:
- Display luminance: 80 cd/m²
- Adaptive white point: x = 0.3127, y = 0.3291 (D65)
- Encoding ambient illuminance: 64 lux; typical ambient: 200 lux
- Encoding/typical white point: D50 coordinates
- Image surround reflectance: 20%; viewing flare specified (1% encoding, 5% typical)
- Specified viewing parameters include:
- Colour chart data
- Annex A provides sRGB coordinates for color and tongue-specific patches used in CTIS calibration and testing.
Applications and Users
- Intended for manufacturers and integrators of CTIS hardware and display subsystems.
- Useful to:
- Medical device developers (TCM diagnostic devices)
- Clinical imaging departments implementing tongue imaging workflows
- Quality assurance and calibration labs validating display performance
- Regulatory and procurement teams specifying acceptance criteria for CTIS displays
- Ensures consistent tongue colour rendering for clinical assessment, automated analysis, and telemedicine consultations.
Related Standards
- ISO/TS 20498-3 - Computerized tongue image analysis system - Part 3: Colour chart (normative reference)
- IEC 61966-2-1 - sRGB colour space (referenced for colour management)
- Additional medical imaging display QA guidance referenced in the document bibliography (e.g., IEC guidance).
This specification helps ensure that peripheral displays in CTIS deliver reproducible, diagnostically meaningful tongue images by setting clear, testable performance limits for colour, resolution and distortion.
Frequently Asked Questions
ISO/TS 20498-4:2020 is a technical specification published by the International Organization for Standardization (ISO). Its full title is "Traditional Chinese medicine - Computerized tongue image analysis system - Part 4: Peripheral visual instruments". This standard covers: This document specifies the performance criteria of peripheral visual instruments in the computerized tongue image analysis system (CTIS), including colour reproduction, distortion and resolution.
This document specifies the performance criteria of peripheral visual instruments in the computerized tongue image analysis system (CTIS), including colour reproduction, distortion and resolution.
ISO/TS 20498-4:2020 is classified under the following ICS (International Classification for Standards) categories: 11.040.99 - Other medical equipment. The ICS classification helps identify the subject area and facilitates finding related standards.
You can purchase ISO/TS 20498-4:2020 directly from iTeh Standards. The document is available in PDF format and is delivered instantly after payment. Add the standard to your cart and complete the secure checkout process. iTeh Standards is an authorized distributor of ISO standards.
Standards Content (Sample)
TECHNICAL ISO/TS
SPECIFICATION 20498-4
First edition
2020-10
Traditional Chinese medicine —
Computerized tongue image analysis
system —
Part 4:
Peripheral visual instruments
Médecine traditionnelle chinoise — Système d’analyse d’images
numérisées de la langue —
Partie 4: Instruments visuels périphériques
Reference number
©
ISO 2020
© ISO 2020
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting
on the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address
below or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii © ISO 2020 – All rights reserved
Contents Page
Foreword .iv
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Performance . 2
4.1 Colour reproduction . 2
4.2 Display resolution . 2
4.3 Distortion . 2
4.4 Viewing environment . 3
Annex A (informative) sRGB values of colour chart . 5
Bibliography . 6
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
through ISO technical committees. Each member body interested in a subject for which a technical
committee has been established has the right to be represented on that committee. International
organizations, governmental and non-governmental, in liaison with ISO, also take part in the work.
ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/ directives).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www .iso .org/ patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to the
World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www .iso .org/
iso/ foreword .html.
This document was prepared by Technical Committee ISO/TC 249, Traditional Chinese medicine.
A list of all parts in the ISO 20498 series can be found on the ISO website.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www .iso .org/ members .html.
iv © ISO 2020 – All rights reserved
TECHNICAL SPECIFICATION ISO/TS 20498-4:2020(E)
Traditional Chinese medicine — Computerized tongue
image analysis system —
Part 4:
Peripheral visual instruments
1 Scope
This document specifies the performance criteria of peripheral visual instruments in the computerized
tongue image analysis system (CTIS), including colour reproduction, distortion and resolution.
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content
constitutes requirements of this document. For dated references, only the edition cited applies. For
undated references, the latest edition of the referenced document (including any amendments) applies.
ISO/TS 20498-3, Computerized tongue image analysis system — Part 3: Colour chart
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminological databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:/
...










Questions, Comments and Discussion
Ask us and Technical Secretary will try to provide an answer. You can facilitate discussion about the standard in here.
Loading comments...