JP2023107199A - Dental information processing apparatus, dental information processing system, program and dental information processing method - Google Patents

Abstract

To provide a technique capable of providing higher-level information or more useful information to a person concerned.SOLUTION: A dental information processing apparatus comprises: examination result information acquisition means which acquires examination result information indicating a result of a dental examination; treatment record information acquisition means which acquires treatment record information indicating a result of a dental treatment performed to an examination object person after the dental examination; treated examination object person extraction means which compares image information in the examination result information of the previous and present dental examinations with each other and extracts examination object persons recognized that the treatment has been performed in a period between the examination date of the previous dental examination and the examination date of the present dental examination as the treated examination object persons; and treatment record information non-acquired examination object person extraction means which extracts the treated examination object person whose individual identification information does not exist in the treatment record information whose treatment date is within the period as the treatment record information non-acquired examination object person from among the treated examination object persons extracted by the treated examination object person extraction means.SELECTED DRAWING: Figure 1

Description

The present invention relates to a dental information processing apparatus, a dental information processing system, a program, and a dental information processing method.

2. Description of the Related Art There is known a medical image diagnosis support apparatus that superimposes display items determined based on selection by an operator (dentist) on a dentist image (see, for example, Patent Document 1). Patent Literature 1 shows the effect of collectively grasping the oral condition on a digital image without referring to a medical record or the like.

JP 2009-226096 A

However, the information provided by the technology described in Patent Document 1 is limited, and it is difficult to say that useful information is provided. For example, it is difficult to say that advanced information based on past information (past images and findings on past images) is provided to one related party. It is difficult to say that useful information is provided to various parties including

In view of the above circumstances, an object of the present invention is to provide a technology capable of providing more advanced information or useful information to relevant parties.

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. and information indicating the results of dental treatment performed on the subject after the dental examination, the personal identification information, dental Medical treatment record information acquiring means for acquiring medical treatment record information including the treatment date of the medical treatment, treatment contents indicating the treatment site and treatment details, and images in the examination result information of the previous and current dental examinations Extraction of already treated examinees by comparing information and extracting examinees who are deemed to have undergone treatment during the period between the examination date of the previous dental examination and the examination date of the current dental examination. and said medically examined persons for whom said personal identification information does not exist in said medical treatment record information whose date of medical treatment is within said period, among said medically treated persons extracted by said medically treated person extracting means. as an unacquired medical record information examinee extracting means for extracting as a medical record information unacquired examinee.

According to the above, more advanced information or useful information can be provided to the parties concerned (for example, the subject, the dentist, the health insurance association, etc.).

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. and an examination result information acquiring means for acquiring examination result information, including image information scanned by a computer, and information indicating a dentist's evaluation of the examination result information, the examination identifying the examination result information to be evaluated. Examination evaluation information acquisition means for obtaining examination evaluation information including result identification information, finding information indicating whether or not treatment is necessary, and treatment-required parts; a dental examination information obtaining means for obtaining medical treatment achievement information, which includes the personal identification information, the date of dental treatment, and the contents of treatment indicating the treatment site and treatment details; and a dental examination. a means for extracting a subject requiring medical care who is a subject for whom a predetermined period of time has passed since the examination date of (1) and for whom the finding information in the examination evaluation information indicates that medical care is required, as a subject requiring medical care; From among the persons requiring medical examination extracted by the examination person requiring medical examination extracting means, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical treatment record information are not included. a non-medical examination subject extracting means for extracting a medical examination subject.

According to the above, more advanced information or useful information can be provided to the parties concerned (for example, the subject, the dentist, the health insurance association, etc.).

One aspect of the present invention is a dental information processing system including the dental information processing apparatus described above.

One aspect of the present invention is a program that causes a computer to function as the dental information processing apparatus.

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. an inspection result information acquisition step for acquiring inspection result information, including image information scanned by the dental A step of obtaining medical treatment record information including the treatment date of the medical treatment, and the medical care contents indicating the treatment site and treatment details; and images in the examination result information of the previous and current dental examinations. Extraction of already treated examinees by comparing information and extracting examinees who are deemed to have undergone treatment during the period between the examination date of the previous dental examination and the examination date of the current dental examination. and, from among the medically examined persons extracted by the medically treated persons extraction step, the medically treated persons for whom the personal identification information does not exist in the medical history information whose medical treatment date is within the period. as a subject for whom medical record information has not been obtained, and a step of extracting a subject for whom medical record information has not been obtained.

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. and a test result information obtaining step of obtaining test result information, including image information scanned by a computer, and information indicating a dentist's evaluation of the test result information, the test identifying the test result information to be evaluated. An examination evaluation information acquisition step for obtaining examination evaluation information including result identification information, finding information indicating whether or not treatment is necessary and a site requiring treatment, and a record of dental treatment performed on the subject after the dental examination. a step of obtaining medical treatment record information, which includes the personal identification information, the treatment date of the dental treatment, and the treatment content indicating the treatment site and treatment details; and a dental examination. a step of extracting a person requiring medical care who is a person who has passed a predetermined period from the examination date of (1) and whose finding information in the inspection evaluation information indicates that medical care is required; From among the persons requiring medical examination extracted by the extracting step of extracting persons requiring medical examination, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical record information are not included. and a non-medical examination subject extracting step for extracting as a medical examination subject.

More advanced or useful information can be provided to interested parties.

1 is a configuration example of a system according to an embodiment; It is a conceptual diagram explaining a management apparatus. It is an example of information stored by the management device. It is an example of information stored by the management device. It is a figure explaining transmission/reception etc. of various information. It is a figure explaining transmission/reception etc. of various information. It is a figure explaining transmission/reception etc. of various information. It is a figure explaining transmission/reception etc. of various information. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is a flowchart which shows the operation example of a management apparatus. It is an example of display on the terminal of the subject.

FIG. 1 is a configuration example of a system 1 according to an embodiment. A system 1 according to an embodiment is a system that provides comprehensive services related to dental examinations (medical examinations, examinations). The system 1 includes, for example, a management device 10, an intraoral information transmission device 20, a radiogram interpreter terminal 30, an examinee terminal 40, and a medical history information transmission device 50, as shown in FIG. Each device (management device 10, intraoral information transmission device 20, radiogram interpreter terminal 30, examinee terminal 40, medical history information transmission device 50) is connected to a network (for example, a TCP/IP network, a mobile network, etc.). Connectable.

The intraoral information transmitting device 20 has a function of transmitting intraoral information (hereinafter also referred to as intraoral measurement information) generated by a scanning device (intraoral optical scanner, IOS) 21 that scans the oral cavity to the management device 10. equipment. The intraoral information transmitting device 20 is, for example, a device (personal computer, tablet terminal, etc.) that can be connected (wired or wirelessly) to the scanning device 21 . Software that supports scanning by the scanning device 21 may be installed in the intraoral information transmitting device 20 . The intraoral information is a 3D image or a 2D image (photograph) obtained by a digital camera or the like. In addition to the function of generating 3D data, the scanning device 21 also has a digital camera function (a function of generating 2D data such as jpeg). Diagnosis (measurement) is possible. In the following description, 3D images and 2D images are collectively referred to as 3D images and the like.

The intraoral information transmitting device 20 is installed (permanently or temporarily), for example, in a clinic specializing in dentistry (dental and oral surgery), a general hospital, a health checkup center in a company or region, or a special venue in a company or region. The scanning device 21 is operated by a dentist or dental hygienist (or dental assistant).

In addition, the intraoral information transmitting device 20 only needs to have a function of transmitting at least the intraoral information to the management device 10. It may be a device that transmits to the management device 10 . Further, the intraoral information transmitting device 20 may be a device formed integrally with the scanning device 21, or receives intraoral information from the device formed integrally with the device and transmits the intraoral information to the management device 10. It may be a device.

Although one intraoral information transmitting device 20 is illustrated in FIG. 1 , the system 1 may include two or more intraoral information transmitting devices 20 .

The radiogram interpreter terminal 30 is a device having a function of transmitting finding information (comment information) by a radiogram interpreter (expert such as a dentist) who interprets intraoral information to the management device 10 . The intraoral information transmitting device 20 is, for example, a device (personal computer, tablet terminal, etc.) that receives intraoral information from the management device 10 , displays the intraoral information, and transmits finding information to the management device 10 . The radiogram interpreter terminal 30 is, for example, installed (permanently or temporarily) at the radiogram interpreter's home or workplace (inside a doctor's office, etc.), or is carried by the radiogram interpreter.

In addition, the intraoral information transmitting device 20 only needs to have a function of transmitting at least the finding information to the management device 10. It may be a device different from the device that projects the information.

Although one radiogram interpreter terminal 30 is illustrated in FIG. 1 , the system 1 may include two or more radiogram interpreter terminals 30 .

The subject terminal 40 is a device having a function of allowing the subject to confirm intraoral information. The subject terminal 40 is, for example, a device (a personal computer, a tablet terminal, a smart phone, etc.) that receives intraoral information and the like from the management device 10 and displays the intraoral information and the like. The subject terminal 40 is installed, for example, in the subject's home or the like, or is carried by the subject.

The terminal 40 of the subject to be examined only needs to have at least a function of allowing the subject to check the intraoral information, and may be a device different from the device that receives the intraoral information, for example.

Although one terminal 40 of the subject is illustrated in FIG. 1, the system 1 may include two or more terminals 40 of the subject.

The medical history information transmitting device 50 is a device having a function of outputting medical history information (described later). The medical history information transmission device 50 is, for example, a device (server, personal computer, etc.) that transmits medical history information to the management device 10 . The medical history information transmitting device 50 is installed, for example, in a health insurance association (or an organization related to the association, or a consignee (including a data center) commissioned by the association).

It should be noted that the medical care record information transmitting device 50 only needs to have at least the function of outputting the medical care record information. It may be a device (server, personal computer, etc.) that

In addition, although one unit of medical history information transmitting device 50 is illustrated in FIG. 1 , the system 1 may include two or more medical history information transmitting devices 50 .

The management device 10 is a device having a function of transmitting various types of information (intraoral information, finding information, medical history information, etc.). The management device 10 is, for example, a device (server, personal computer, etc.) that receives various types of information, stores various types of information, and transmits various types of information. The management device 10 also has a function of manipulating (searching and extracting) stored information and a function of generating new information from the stored information. The management device 10, for example, to an organization that operates the service (integrated service related to dental examination) (or an organization related to the service, a contractor (including a data center) entrusted by the organization) Installed.

A system including the management device 10 that constitutes the system 1 may be referred to as a dental information processing system. In other words, a system comprising one or more of the intraoral information transmission device 20, the radiogram interpreter terminal 30, the subject terminal 40, and the medical result information transmission device 50, and the management device 10 is referred to as a dental information processing system. can be called.

FIG. 2 is a conceptual diagram explaining the management device 10. As shown in FIG. The management device 10 includes an input/output unit (communication unit) 101, a processing unit 102, and a storage unit 103, as shown in FIG. The input/output unit 101 is implemented by, for example, an input/output driver or a NIC (Network Interface Card). The processing unit 102 is implemented by, for example, a CPU. The processing unit 102 is in charge of various calculations (information extraction, comparison, judgment, determination, analysis, prediction, etc.). The storage unit 103 is implemented by an HDD, SSD (Solid State Drive), or the like. The management device 10 may be connectable to the display section and the operation section, or may include the display section and the operation section.

Note that other devices (the intraoral information transmitting device 20, the radiogram interpreter terminal 30, the subject terminal 40, and the medical history information transmitting device 50) are also servers, personal computers, and smartphones, and are shown in FIG. Since the configuration is the same as that of the management device 10, the description is omitted.

The management device 10 stores information (test result information, test evaluation information, medical record information, prosthetic information, etc.) as shown in FIG. 2B in the storage unit 103 .

3 and 4 are examples of information stored by the management device 10. FIG. FIG. 3A is an example of test result information stored in the management device 10. FIG. The inspection result information shown in FIG. 3A includes items of inspection result identification information, personal identification information, examination date, and intraoral information (3D image, etc.).

The inspection result identification information is identification information that can uniquely identify the inspection result information. For example, it may be a combination of identification information that can identify the intraoral information transmitting device 20, a date, and a serial number. Personal identification information is identification information that can uniquely identify a person to be examined. For example, the personal identification information may be a combination of "insurer number", "symbol" and "number" of the health insurance card (health insurance card). "Insurer number" is a number that identifies the insurer (health insurance association). "Symbol" is the identification number of the establishment within the insurer. "Number" is an individual identification number within the business. In addition, my number may be sufficient as personal identification information. Also, the personal identification information may be numbered (issued) in this service. The date of examination is the date of examination by the scanning device 21 (the date of acquisition of intraoral information). The intraoral information (3D image, etc.) is image information for 3D display of the state of the oral cavity obtained by scanning (measurement) by the scanning device 21 . The intraoral information (3D image, etc.) may further include analysis information (depth of periodontal pocket, information on occlusion (occlusion), etc.).

Although it has been described that the intraoral information transmitting device 20 transmits intraoral information to the management device 10, the intraoral information transmitting device 20 transmits test result information including intraoral information as shown in FIG. may be sent to The management device 10 receives the test result information transmitted by the intraoral information transmission device 20 and stores it in the storage unit 103 .

FIG. 3B is an example of inspection evaluation information stored by the management device 10 . The inspection result information shown in FIG. 3B includes items of inspection result identification information, personal identification information, evaluation date, evaluator, and finding information.

The inspection result identification information is identification information that can uniquely identify the inspection result information as described above, but the inspection result identification information in the inspection evaluation information indicates the inspection result of the evaluation target (interpretation target). The personal identification information is identification information that can uniquely identify the examinee as described above, and the personal identification information in the examination evaluation information indicates the examinee to be evaluated (interpretation target).
The evaluation date is the date of evaluation (finding). The evaluator is the person who made the evaluation (finding) (that is, the name of the dentist who entered the finding information, etc.).

The finding information is the content of evaluation by the evaluator. The "past treatment status" of the finding information is stored when treatment is performed or when a prosthesis is implanted. The “situation of past medical treatment, etc.” may be stored in a format that facilitates information processing (a format suitable for information processing). For example, the "treatment status" of the "past treatment status" may be stored as a combination of code information indicating the treated site and code information indicating the treatment content. In addition, the ``prosthesis implantation status'' in the ``past treatment status'' may be stored as a combination of code information indicating the prosthesis-embedded site and code information indicating the prosthesis. It should be noted that it is not always necessary to store the code information, and the input contents of the evaluator may be stored as they are, and the information may be processed by sentence analysis (morphological analysis, dictionary) or the like.

The "comprehensive comment" of the finding information is comprehensive comment information about teeth, gums, and the like. The “past medical treatment status” may be stored in a format that facilitates information processing. A "comprehensive comment" may be indicated by code information indicating the necessity of comprehensive treatment. As an example, the "comprehensive comment" includes code information (eg, "0") indicating that treatment is unnecessary, code information (eg, "1") indicating that it is preferable to consult a dentist, and treatment Code information (for example, "2") indicating that it is necessary (treatment required (normal)) and code information (for example, "3") indicating that early treatment is necessary (treatment required (urgent)) Any may be stored. It should be noted that it is not always necessary to store the code information, and the input contents of the evaluator may be stored as they are, and the information may be processed by text analysis or the like.

"Future treatment, etc. (tooth)" in the finding information is stored for each tooth when there is a tooth that requires treatment, etc. in the future (tooth requiring treatment). FIG. 3(B) is an example in which there are two sites requiring treatment. "Future treatment, etc. (teeth)" includes items such as "extent of treatment required," "treatment method," "treatment period," "treatment cost," and "prevention/coping method." Each item may be stored in a format that facilitates information processing. For example, "level of treatment required" includes code information indicating that treatment is required (treatment required (normal)) and code information indicating that early treatment is required (treatment required (urgent)). may be stored. Code information indicating a treatment method may be stored in the “treatment method”. The "treatment period" may store the years and months required for treatment and the number of hospital visits. Code information indicating a preventive method may be stored in the "preventive method". It should be noted that it is not always necessary to store the code information, and the input contents of the evaluator may be stored as they are, and the information may be processed by text analysis or the like.

"Future treatment, etc. (gums)" in the finding information is stored when there are gums that require treatment, etc. in the future (gums that require treatment). "Future treatment, etc. (gingiva)" is similar to "Future treatment, etc. (teeth)," including "extent of treatment required," "treatment method," "treatment period," "treatment cost," and "prevention/treatment." method”, etc. Each item of "future treatment, etc. (gums)" may be stored in a format that facilitates information processing, like each item of "future treatment, etc. (teeth)". It should be noted that it is not always necessary to store the code information, and the input contents of the evaluator may be stored as they are, and the information may be processed by text analysis or the like.

Although it has been described that the radiogram interpreter terminal 30 transmits the finding information to the management apparatus 10, the radiogram interpreter terminal 30 may transmit examination evaluation information including finding information as shown in FIG. 3B to the management apparatus 10. . The management device 10 receives the examination evaluation information transmitted by the radiogram interpreter terminal 30 and stores it in the storage unit 103 .

FIG. 4A is an example of medical record information stored in the management device 10. As shown in FIG. The medical care record information shown in FIG. 4A includes items of date of acquisition, medical care record identification information, personal identification information, medical care date, doctor, and medical care details.

The date of acquisition is the date of reception of the medical care record information (the date of input of the medical care record information when the medical care record information is acquired on a paper medium). The medical record identification information is identification information that can uniquely identify the medical record information. The personal identification information is identification information that can uniquely identify the subject as described above, and the personal identification information in the medical treatment record information indicates the person to be medically treated (the person who received the medical treatment). The medical treatment date is the date of medical treatment. A medical practitioner is a person who performed medical treatment (the name of a dentist who performed medical treatment, etc.). The content of medical care indicates the content (results) of medical care.

The “medical care content” of the medical care record information may be stored in a format that facilitates information processing (a format suitable for information processing). For example, the "contents of medical care" may be stored as a combination of code information indicating the treatment site and code information indicating the content of the treatment. It should be noted that the code information does not necessarily have to be stored, and the information may be processed by text analysis or the like.

Note that the medical service record information may be a medical receipt (medical fee statement) or may be information based on the medical receipt. The medical record identification information may be information that can identify individual medical bills, or information based on information that can identify individual medical bills. Further, the medical record identification information may be numbered (issued) in this service.

Although it has been explained that the medical care record information transmitting device 50 transmits the medical care record information to the management device 10, the medical care record information transmitting device 50 transmits the medical care record information as shown in FIG. ) may be sent to the management device 10. The management device 10 receives the medical history information transmitted by the medical history information transmitting device 50 and stores it in the storage unit 103 .

FIG. 4B is an example of prosthesis information stored by the management device 10 . Prosthesis information is stored when a prosthesis is made (when there is a prosthesis). The prosthesis information shown in FIG. 4B includes personal identification information and history items. The “history” of prosthesis information is stored for each prosthesis history (result). The 'history' consists of items of 'implantation date', 'clinician (dentist who implanted)', and 'details of prosthesis'. Each item may be stored in a format that facilitates information processing. As an example, the "contents of the prosthesis" is stored as a combination of code information indicating the target site (the site where the prosthesis is embedded) and code information indicating the prosthesis (implantation of dentures, crowns, bridges, etc.). may It should be noted that the code information does not necessarily have to be stored, and the information may be processed by text analysis or the like.

The management device 10 generates prosthesis information based on, for example, medical record information, and stores it in the storage unit 103 .

FIG. 4C is an example of medical care content determination result information stored in the management device 10 . The medical care content determination result information is information including the determination result automatically or by the dentist regarding the suitability of the treatment that has already been performed. The medical care content determination result information shown in FIG. 4C stores medical care record identification information, the date of determination, the person who made the determination, and the content of the determination.

The medical record identification information is identification information that can uniquely identify the medical record information as described above, and the medical record identification information in the medical care record determination result information indicates the medical record information to be determined. The judgment date is the date when the judgment was made. The judge is the person who made the judgment (the name of the dentist who made the judgment, etc.), but when the management device 10 makes the judgment, the fact that the management device 10 made the judgment (for example, “automatic”, etc.) is stored. The determination content indicates the content of determination (determination result).

The “determination content” of the medical content determination result information may be stored in a format that facilitates information processing. For example, the “determination details” may be stored as code information indicating the determination result. As an example, the "comprehensive comment" includes code information indicating that it is appropriate (e.g., "0"), code information indicating that it is suspected of being inappropriate (e.g., "1"), and information indicating that it is inappropriate. (for example, "2") may be stored. If there are a plurality of treatment sites to be determined, the information may be stored as a combination of code information indicating the treatment site and code information indicating the determination result. It should be noted that the code information does not necessarily have to be stored, and the input contents of the judge may be stored as they are, and the information may be processed by sentence analysis or the like.

Although it has been described that the radiogram interpreter terminal 30 transmits examination evaluation information to the management device 10 , it is also possible to transmit medical content determination result information to the management device 10 in addition to the examination evaluation information.

The management device 10 may also store attribute information (age, sex, etc.) of the subject. The management device 10 may access an external device (whether inside or outside the system 1) to obtain the attribute information without storing the attribute information of the subject by itself.

5 to 9 are diagrams for explaining transmission and reception of various information. FIG. 5 shows the flow of transmission and reception of test result information between the intraoral information transmission device 20 and the management device 10 . In the description of FIG. 5, the intraoral information transmitting device 20 is assumed to be a device that can be connected to the scanning device 21 . Further, the scanning device 21 generates (finishes generation) the intraoral information of the subject based on the operation of the operator (dentist, dental hygienist, etc.), and the intraoral information transmitting device 20 already generates the intraoral information. is obtained.

The intraoral information transmitting device 20 generates test result information including intraoral information (step S1). For example, the intraoral information transmitting device 20 generates test result information as shown in FIG. 3(A) based on the operator's operation (when there is an operation). Although the test result information includes personal identification information, the intraoral information transmitting device 20 acquires (inputs) the personal identification information at the time of examination.

The intraoral information transmitting device 20 transmits the test result information to the management device 10 (step S2). The management device 10 receives and stores the inspection result information (step S3).

FIG. 6 shows the flow of transmission and reception of examination evaluation information between the radiogram interpreter terminal 30 and the management apparatus 10 .

The management device 10 transmits examination result information to the radiogram interpreter terminal 30 (step S11). For example, based on a request from the radiogram interpreter terminal 30 (information indicating a desire to create a finding), the management device 10 generates inspection result information for which finding information has not been created (inspection result information without inspection evaluation information). is extracted and transmitted to the radiogram interpreter terminal 30 .

The radiogram interpreter terminal 30 receives and displays the examination result information (step S12). The radiogram interpreter terminal 30 acquires finding information through a finding input operation by an operator (radiogram interpreter) (step S13). That is, the radiogram interpreter terminal 30 receives an input operation from the operator for each item of finding information in the examination evaluation information shown in FIG. 3(B). The input of each item of finding information may be in a selection format. For example, the radiogram interpreter terminal 30 may accept an operation of selecting "no treatment required/required treatment/required early treatment" as a comprehensive comment.

The radiogram interpreter terminal 30 generates examination evaluation information including finding information (step S14). For example, the radiogram interpreter terminal 30 generates examination evaluation information as shown in FIG. 3B based on the operator's operation (when there is an operation).

The radiogram interpreter terminal 30 transmits the examination evaluation information to the management device 10 (step S15). The management device 10 receives and stores the inspection evaluation information (step S16).

Note that the radiogram interpreter operates the radiogram interpreter terminal 30 to log in to the management apparatus 10 (logs in by entering the radiogram interpreter's identification information and password), searches for pre-evaluation (non-evaluation) examination result information, Pre-evaluation inspection result information may be displayed on the terminal 30 . Then, the radiogram interpreter confirms the examination result information (intraoral information), performs the work of inputting the findings information, and performs a predetermined operation after the input, so that the radiogram interpreter terminal 30 receives the examination evaluation information including the findings information. You may transmit to the management apparatus 10. FIG. That is, the radiogram interpreter terminal 30 may access the management device 10 and register examination evaluation information in the management device 10 .

FIG. 7 shows the flow of transmission and reception of medical history information between the medical history information transmission device 50 and the management device 10 .

The medical history information transmission device 50 transmits the medical history information to the management device 10 (step S21). For example, the medical history information transmitting device 50 transmits the medical history information as shown in FIG. do.

The management device 10 receives and stores the medical history information (step S22). The management device 10 generates and stores (newly creates or adds) prosthetic information (history) as shown in FIG. 4B based on the medical record information (step S23). In other words, if the management device 10 does not store prosthetic information for a certain subject, it newly creates and stores prosthetic information for the subject, and stores prosthetic information for a certain subject. In this case, the current history is added to the prosthetic information of the subject.

FIG. 8 shows the flow of transmission and reception of information between the terminal 40 of the subject to be inspected and the management apparatus 10 .

The subject terminal 40 transmits inspection result request information requesting inspection results to the management device 10 (step S31). For example, the subject terminal 40 transmits the inspection result request information to the management device 10 based on the operation of the subject who has finished the inspection (when there is an operation). The management device 10 receives the inspection result request information (step S32).

The management device 10 generates display information based on the inspection result information of the subject (step S33). Details of the step S33 will be described later. The management device 10 transmits the display information to the subject terminal 40 (step S34). The subject terminal 40 receives and displays the display information (step S35). For example, a screen as shown in FIG. 17 is displayed on the display unit.

In addition, when the subject operates the subject terminal 40 to log in to the management device 10 (login by inputting personal identification information or member information different from the personal identification information and password), the display generated by the management device 10 information may be displayed. In other words, the subject terminal 40 may access the management device 10 and display its own inspection result information and the like.

9 to 11 are flow charts showing an operation example of the management device 10. FIG. Specifically, each of FIGS. 9 to 11 shows details of the first example of the process of generating display information to be displayed on the terminal 40 of the person to be inspected (the process of step S33 in FIG. 8) by the management device 10. to third examples, respectively.

(first example)
The management device 10 compares the current examination result information (current 3D image, etc.) with the previous examination result information (previous 3D image, etc.), ) is specified (step S100). That is, the management device 10 may compare (image processing, image analysis) the 3D images of the previous time and the current time, and identify changed parts of the intraoral situation. Changes in oral conditions include, for example, occurrence of caries/progression of caries/repair of caries (treatment)/wear/breakage of teeth/occurrence of chipping/progress of breakage and wear of teeth/repair of breakage and wear ( treatment)/addition of prosthesis/deterioration or lack of prosthesis/change in depth of periodontal pocket/occurrence of periodontal disease/progression of periodontal disease/improvement of periodontal disease (treatment). As for the change in the depth of the periodontal pocket, instead of or in addition to comparing the previous and current 3D images, the previous and current numerical values may be compared.

The management device 10 refers to the specified changed portion and various information in the storage unit 103, and reports changes (including changes in the depth of the periodontal pocket and changes in the state of occlusion) such as the current 3D image. Generate display information (screen information) including information, information on treatment history including the status of prosthesis implantation, treatment method, treatment period, treatment cost, preventive method, coping method, etc. ( step S101). Note that the management device 10 generates screen information so that the relevant parts (parts shown as changed parts, parts shown as history of treatment, parts shown as treatment methods, etc.) are reported on the 3D image or the like. good too.

When generating the display information (screen information), the management device 10, regarding the treatment history, if the current examination evaluation information exists (examination evaluation information corresponding to the current examination result information of the subject is If it is stored in the storage unit 103), it is extracted from the inspection evaluation information of this time. Note that, if the current inspection evaluation information does not exist, the management device 10 may extract from the previous inspection evaluation information (inspection evaluation information corresponding to the previous inspection result information of the subject). Note that the management device 10 may extract the treatment history from the prosthetic information if the prosthetic information exists (if the prosthetic information of the subject is stored in the storage unit 103). In addition, the management device 10 extracts the treatment method, the treatment period, the treatment cost, the preventive method, and the coping method from the current test evaluation information if the current test evaluation information exists. If the information does not exist, it may be extracted from the previous inspection evaluation information, or may be left blank (unoutput).

(Second example)
The management device 10 compares the current inspection evaluation information (current finding information) with the previous inspection evaluation information (previous finding information), and determines the change part and change content (change part etc.) of the intraoral situation. Identify (step S110). For example, the management device 10, if a tooth stored in "Future treatment etc. (teeth)" in the present finding information is not stored in "Future treatment etc. (teeth)" in the previous finding information, , the tooth is identified as a changed portion or the like (occurrence of caries). In addition, the management device 10 stores "Future treatment, etc. (teeth)" in the previous finding information for teeth that are stored as "Treatment required (urgent)" in "Future treatment, etc. (teeth)" in the present findings information. If the tooth is stored as "requiring treatment (normal)", the tooth is specified as a changed portion (progression of caries).

The management device 10 refers to the specified changed portion and various information in the storage unit 103, and information notifying the change such as the current 3D image, information related to the treatment history including the state of implanting the prosthesis, treatment Display information (screen information) is generated that includes information on the method, treatment period, treatment cost, prevention method, coping method, etc. as display contents (step S111). Note that the management device 10 generates screen information so that the relevant parts (parts shown as changed parts, parts shown as history of treatment, parts shown as treatment methods, etc.) are reported on the 3D image or the like. good too.

When generating the display information (screen information), the management device 10 extracts the treatment history from the current examination evaluation information. Note that the management device 10 may extract the treatment history from the prosthesis information if the prosthesis information exists. In addition, the management device 10 extracts the treatment method, treatment period, treatment cost, preventive method, and coping method from the current examination evaluation information.

(Third example)
The management device 10 compares the current examination result information (current 3D image, etc.) with the previous examination evaluation information (finding information), and identifies the changed part and the changed contents (changed part, etc.) of the intraoral situation. (step S120). For example, if a tooth that is not stored in "future treatment (tooth)" in the previous finding information is found to be carious in the current 3D image or the like, the management device 10 replaces the tooth with a changed portion or the like. Identify as (occurrence of caries). In addition, the management device 10, in the case where treatment (prosthesis, etc.) is recognized for a tooth stored as "requiring treatment (urgent)" in "future treatment, etc. (teeth)" in the previous finding information, Identifies teeth as alterations, etc. (repair of caries/addition of prosthesis).

The management device 10 refers to the specified changed portion and various information in the storage unit 103, and information notifying the change such as the current 3D image, information related to the treatment history including the state of implanting the prosthesis, treatment Display information (screen information) is generated that includes information on the method, treatment period, treatment cost, prevention method, coping method, etc. as display contents (step S121). Note that the management device 10 generates screen information so that the relevant parts (parts shown as changed parts, parts shown as history of treatment, parts shown as treatment methods, etc.) are reported on the 3D image or the like. good too.

When generating the display information (screen information), the management device 10 extracts the treatment history from the current examination evaluation information, if the current examination evaluation information exists. Note that the management device 10 may extract from the previous inspection evaluation information if the current inspection evaluation information does not exist. Note that the management device 10 may extract the treatment history from the prosthesis information if the prosthesis information exists. In addition, the management device 10 extracts the treatment method, the treatment period, the treatment cost, the preventive method, and the coping method from the current test evaluation information if the current test evaluation information exists. If the information does not exist, it may be extracted from the previous inspection evaluation information, or may be left blank (unoutput).

8 to 11, the management device 10 has the function of generating the display screen of the terminal 40 of the subject to be examined. It also has a function to output information about the fact, a function to output the judgment result of the appropriateness of the medical treatment performed after the examination, and a function to output the fact that medical treatment record information has not been obtained for the medical treatment that may actually be performed. .

12 to 16 are flow charts showing an operation example of the management device 10. FIG. FIG. 12 is a flow chart showing the flow of processing by the management device 10 up to the output of information indicating that the necessary medical care has not been performed after the examination.

The management device 10, at a predetermined time (for example, a predetermined time every day) or at an appropriate timing, is a person who has undergone an examination for which a predetermined period (for example, six months) has passed since the examination date. The examinee whose finding is that medical care is required is extracted as a medical care examinee (step S130). For example, the management device 10 refers to the test result information stored in the storage unit 103, and is test result information that has passed a predetermined period from the test date, and is test evaluation information in which a finding requires medical treatment (for example, a finding (examination evaluation information in which code information indicating that treatment is required (normal) or code information that indicates that treatment is required (urgent) is stored in the "comprehensive comment" of the information) is extracted. Subsequently, the management device 10 extracts the personal identification information of the extracted examination evaluation information as the personal identification information of the person requiring medical treatment.

The management device 10 extracts, from among the persons requiring medical examination, persons requiring medical examination who have not undergone medical treatment after each examination date as unmedical examination persons (step S131). Specifically, the management device 10 refers to the storage unit 103, and among the personal identification information extracted in step S130, each individual identification information extracted in step S130 and each examination date (each examination date). Personal identification information that does not store medical care results information (that is, medical care results information of medical care performed after each examination date) including medical care dates after the examination date in the result information) extracted as personal identification information.

The management device 10 transmits information to the subject terminal 40 of each unmedicated subject to the effect that necessary medical care is not being performed (step S132). Then, the flowchart of FIG. 12 ends.

FIG. 13 is a flow chart showing the flow of processing by the management device 10 up to outputting the judgment result of the suitability of the treatment performed after the examination. Specifically, FIG. 13 is a flow chart showing the flow of processing in which the management device 10 determines whether treatment is appropriate based on test result information (intraoral information) and outputs the determination result.

For example, the management device 10 extracts pre-determination (undetermined) medical care at a predetermined time (for example, a predetermined time every day) or at an appropriate timing. Specifically, the management device 10 extracts the medical care record identification information of the medical care record information for which the medical care content determination result information is not stored from among the medical care record information stored in the storage unit 103 (step S140).

The management device 10 extracts, from medical care before determination, medical care in which test result information before the treatment and test result information after the treatment are stored (step S141). Specifically, the management device 10 stores the personal identification information (that is, although the medical treatment has already been performed, the content of the medical treatment is As test result information including the identification information of the subject who has not been treated, the test result information that is the test date before the medical treatment date included in the medical treatment record information, and the medical treatment date included in the medical treatment record information It extracts medical record information that stores test result information that is the later test date.

The management device 10 determines the appropriateness of the medical care extracted in step S141 (pre-judgment medical care that stores test result information before the treatment and test result information after the treatment). (step S142). That is, the management device 10 compares (image processing, image analysis) the previous and current 3D images, etc., and determines the appropriateness of the treatment performed between the previous time and the current time.

For example, the management device 10 identifies the site where the treatment was performed based on the inspection result information of the inspection before the treatment (previous 3D image, etc.) and the inspection result information of the inspection after the treatment (current 3D image, etc.). do. In addition, the management device 10 identifies the treatment-requiring site based on the previous 3D image or the like.

The management device 10 identifies a region to be treated based on the previous 3D image and the current 3D image, and a region requiring treatment based on the previous 3D image. If the sites match, the treatment is determined to be appropriate. On the other hand, the management device 10 identifies a region that has been treated based on the previous 3D image or the like and the current 3D image or the like, and identifies a region that requires treatment based on the previous 3D image or the like. If the specified site does not match, the treatment is determined to be inappropriate.

The management device 10 generates medical care determination result information including the determination result of step S142 (step S143). For example, the management device 10 generates medical care content determination result information as shown in FIG. 4(C). In addition, the management device 10 stores information indicating that the management device 10 has made a decision (for example, code information indicating that it is “automatic”) in the “determiner” of the medical care content determination result information. Generate result information.

The management device 10 stores the medical care content determination result information generated in step S143 in the storage unit 103 (step S144). The management device 10 transmits the determination result of step S142 to the medical history information transmission device 50 (step S145). For example, the management device 10 transmits the medical care content determination result information generated in step S<b>143 to the medical care record information transmission device 50 . Then, the flowchart of FIG. 13 ends.

(Method of referencing medical record information)
Note that the management device 10 may refer to the medical record information, grasp the contents of the medical care (determine from the code information or analyze the text), and determine the appropriateness of the treatment. For example, the management device 10 identifies the region that was treated based on the previous 3D image and the current 3D image, and the region that was grasped from the medical record information (actually treated region). is consistent with the treatment, the treatment is determined to be appropriate. On the other hand, the management device 10 identifies a region that has been treated based on the previous 3D image and the like and the current 3D image, etc., and the region grasped from the medical record information (actually treated region). are not consistent, the treatment may be determined to be inappropriate.

FIG. 14 is a flow chart showing the flow of processing by the management device 10 up to the output of the judgment result of the suitability of the treatment performed after the examination. Specifically, FIG. 14 shows, as an example different from FIG. 13, the flow of processing in which the management device 10 judges the appropriateness of treatment based on the examination evaluation information (finding information) and outputs the judgment result. It is a flow chart.

The management device 10 extracts pre-determination (undetermined) medical treatment, as in step S140 of FIG. 13 (step S150).

The management device 10 stores examination evaluation information corresponding to the examination evaluation information before the treatment and examination evaluation information corresponding to the examination evaluation information after the treatment from among medical care before judgment. Medical treatment before evaluation is extracted (step S151). Specifically, the management device 10 selects, from among the medical care record information in which the medical care content determination result information is not stored, the information included in the medical care record information as examination evaluation information including the personal identification information included in the medical care record information. Stores test evaluation information corresponding to test result information whose test date is earlier than the medical treatment date, and test evaluation information corresponding to test result information whose test date is later than the medical treatment date included in the medical treatment record information. extract the medical record information that

The management device 10 stores the medical care extracted in step S151 (test evaluation information corresponding to the test result information before the treatment and test evaluation information corresponding to the test result information after the treatment). The propriety of the previous medical treatment) is determined based on the examination evaluation information (finding information) before and after the treatment (step S152). That is, the management device 10 compares the findings information of the previous time and this time (compares by code information or text analysis), and determines the suitability of the treatment performed between the previous time and this time.

For example, the management device 10 can store examination evaluation information (previous finding information (“future treatment, etc.”) corresponding to examination result information of an examination before treatment and an examination corresponding to examination result information of an examination after treatment. Based on the evaluation information (observation information of this time (such as “future treatment, etc.”)), the site where the treatment was performed is specified. In addition, the management device 10 identifies the treatment-requiring site based on the previous finding information (such as “future treatment, etc.”).

The management device 10 identifies a region that has been treated based on the previous finding information and the current finding information, and a region that has been identified as a treatment-requiring region based on the previous finding information. If there is a match, the treatment is determined to be appropriate. On the other hand, the management device 10 identifies the site that was treated based on the previous finding information and the current finding information, and the site that was specified as the treatment-requiring site based on the previous finding information. is not consistent, the treatment is determined to be inappropriate.

As in step S143 of FIG. 13, the management device 10 stores medical care content determination result information including the determination result of step S152 (step S153). As in step S144 of FIG. 13, the management device 10 stores the medical care content determination result information generated in step S153 in the storage unit 103 (step S154). As in step S145 of FIG. 13, the management device 10 transmits the determination result (for example, medical care content determination result information) in step S152 to the medical history information transmission device 50 (step S145). Then, the flowchart of FIG. 14 ends.

(Method of referencing medical record information)
Note that the management device 10 may refer to the medical record information, grasp the contents of the medical care (determine from the code information or analyze the text), and determine the appropriateness of the treatment. For example, the management device 10 identifies a region that has been treated based on the previous finding information and the current finding information, and a region that is grasped from the medical record information (actually treated region). , if there is a match, the treatment is determined to be appropriate. On the other hand, the management device 10, when the site identified as the site treated based on the previous finding information and the current finding information does not match the site grasped from the medical record information, determines that the treatment is inappropriate.

FIG. 15 is a flow chart showing the flow of processing by the management device 10 up to outputting the judgment result of the suitability of the treatment performed after the examination. Specifically, FIG. 15 shows, as an example different from FIGS. 13 and 14, a person (for example, a dentist who interprets the examination result information) determines whether or not the treatment is appropriate, and the management device 10 outputs the determination result. 4 is a flowchart showing the flow of processing;

The management device 10 extracts pre-determination (undetermined) medical treatment, as in step S140 of FIG. 13 (step S160).

The management device 10 generates treatment appropriateness determination information for determining the appropriateness of the medical treatment before determination (step S161). For example, the management device 10 uses, as the treatment suitability determination information for judging the suitability of one medical treatment extracted in step S160, the medical treatment record information of the medical treatment and the test result information (previous 3D image, etc.) and examination result information after the medical care (current 3D image, etc.). In place of or in addition to the test result information before the medical care and the test result information after the medical care, the management device 10 provides test evaluation information (previous finding information) corresponding to the test result information before the medical care. and information for determining suitability for treatment including test evaluation information (current finding information) corresponding to test result information after medical care may be generated.

The management device 10 transmits the treatment suitability determination information generated in step S161 to the radiogram interpreter terminal 30 (step S162). Note that, when receiving the treatment suitability determination information, the radiogram interpreter terminal 30 displays the treatment suitability determination information based on the operation of the radiogram interpreter or not. The radiogram interpreter terminal 30 receives an input from the radiogram interpreter regarding the suitability of the treatment indicated by the information for determining suitability of treatment. The radiogram interpreter terminal 30 transmits to the management device 10 the determination result of the suitability of the treatment received from the radiogram interpreter.

The management device 10 receives the determination result of the appropriateness of the treatment from the radiogram interpreter terminal 30 (step S163). The management device 10 stores the medical care content determination result information including the determination result received in step S163 in the storage unit 103 (step S164). The management device 10 transmits the determination result (for example, medical care content determination result information) received in step S163 to the medical care record information transmission device 50 (step S164). Then, the flowchart of FIG. 15 ends.

Note that the management apparatus 10 may acquire the judgment result of the appropriateness of the treatment from the radiogram interpreter in the flow of receiving the findings from the radiogram interpreter (FIG. 6). For example, when transmitting the test result information (step S11 in FIG. 6), the management device 10 may, instead of or in addition to the test result information, include information for determining suitability for treatment (for determining information) may be transmitted to the radiogram interpreter terminal 30 . Note that the radiogram interpreter terminal 30 that has received the treatment suitability determination information (treatment suitability determination information including the current examination result information) receives an input from the radiogram interpreter regarding the appropriateness of the treatment in addition to the findings. The radiogram interpreter terminal 30 transmits the examination evaluation information and the determination result of the appropriateness of the treatment to the management apparatus 10 (they may be transmitted separately or may be transmitted as one piece of information).

FIG. 16 is a flow chart showing the flow of processing by the management device 10 up to outputting that no medical treatment record information has been obtained for the medical treatment that is likely to be actually performed.

At a predetermined time (for example, at a predetermined time every day) or at an appropriate timing, the management device 10 determines whether the person to be examined who has received medical treatment during the period between the previous examination and the current examination. extracted as a person (step S170). For example, the management device 10 refers to the inspection result information stored in the storage unit 103, and based on the inspection result information of the previous inspection and the inspection result information of the current inspection, The personal identification information of the subject who received treatment during the period between 1 and 2 is extracted as the personal identification information of the subject who has been treated. That is, the management device 10 compares (image processing, image analysis) the 3D images of the previous time and the current time, and identifies the subjects who are recognized to have undergone treatment between the previous time and the current time as medically treated subjects. , to extract personally identifiable information. Note that the management device 10 refers to the inspection evaluation information stored in the storage unit 103, and based on the previous inspection evaluation information and the current inspection evaluation information, determines the period between the previous inspection and the current inspection. The personal identification information of the subject who received medical treatment may be extracted as the personal identification information of the subject who has been treated.

The management device 10 extracts, from among the examined subjects who have undergone medical treatment, those for whom the medical history information for the period between the previous examination and the current examination is not stored, as subjects whose medical history information has not been obtained. (step S171). Specifically, the management device 10 refers to the storage unit 103, and out of the personal identification information extracted in step S170, medical history information including each individual identification information and each medical treatment date within the above period is The personal identification information that does not exist is extracted as the personal identification information of the examinee whose medical history information has not yet been obtained.

The management device 10 transmits information indicating that the medical history information has not been acquired to the medical history information transmitting device 50 for the subject whose medical history information has not yet been acquired (step S172). Then, the flowchart of FIG. 16 ends.

(Prediction function)
The management device 10 has a prediction function regarding prostheses, natural teeth, and diseases (periodontal disease, etc.). For example, the management device 10 predicts the time to replace a prosthesis, the time to break a prosthesis, the time to break a natural tooth, the time to lose a natural tooth, the time to develop a disease (eg, periodontal disease), and the like. The management device 10 may predict the replacement timing of the prosthesis using machine learning. The following is an example.

(Prediction of prosthesis replacement timing)
The management device 10 prepares a learned model (hereinafter referred to as a learned model M1) derived from an examinee who has actually replaced the prosthesis and for whom the 3D image and the like before the replacement has been stored. , a prediction target 3D image, etc., to predict the replacement time of the prosthesis. Hereinafter, the examinee involved in the generation of the learned model M1 (the examinee who actually replaced the prosthesis and who has stored the 3D image before the replacement) will be referred to as the model subject. .

Generation of the trained model M1 will be described. The learned model M1 is generated by a model generation device 61 (not shown). That is, the model generation device 61 generates the learned model M1.

Note that the management device 10 may be the model generation device 61 , or a device different from the management device 10 may be the model generation device 61 . That is, the management device 10 may generate the learned model M1, or a device different from the management device 10 may generate the learned model M1. The same applies to generation of the learned model M2 and the like.

The model generation device 61 uses a learning data set with a 3D image of a model subject as an input sample and a period from the acquisition of the 3D image to the replacement of the prosthesis as an output sample. model M1) is trained to generate a learned model M1. An input sample is the data input to the input layer when training a learning model. An output sample is correct data (teacher data) for comparison with an output value output from an output layer during training of a learning model.

An input sample and an output sample are paired, and a training data set is composed of a plurality of pairs. For example, when an examination is performed on a certain day in June 2021, and model subject A, who had a prosthesis implanted before the examination, replaces the prosthesis on a certain day in November 2021, learning data The set includes one pair derived from model subject A, that is, an input sample such as a 3D image of an examination on a certain day in June 2021, and five months (June 2021) as an output sample corresponding to the input sample. and a pair of period information indicating a certain date to a certain date in November 2021). In addition, model subject B, who had undergone two inspections on a certain day in April 2020 and a certain day in April 2021 and had a prosthesis implanted before the first inspection, had a prosthesis on a certain day in December 2021. When the object is exchanged, the training data set contains two pairs derived from the model subject B, that is, the 3D image of the inspection on a certain day in April 2020, which is the input sample, and the output corresponding to the input sample. A pair of period information indicating 20 months (a period between a certain day in April 2020 and a certain day in December 2021) as a sample, and a 3D image of an examination on a certain day in April 2021, which is another input sample. and a pair of period information indicating eight months (a period between a certain day in April 2021 and a certain day in December 2021) as an output sample corresponding to the input sample.

The input sample may be a portion of the 3D image, etc. (sometimes referred to as a "partial 3D image, etc.") rather than the entire 3D image, etc. (sometimes referred to as the "whole 3D image, etc."). That is, a partial 3D image or the like may be used as an input sample instead of the entire 3D image or the like. Specifically, a partial 3D image of a portion of the replacement prosthesis (or the replacement prosthesis and its surroundings) or the like may be used as the input sample.

The output sample (the period from the acquisition of the 3D image, etc., to the replacement of the prosthesis) is acquired from the clinical record information of the model subject. If the model subject's medical history information does not exist, it may be acquired by hearing from the model subject.

For all pairs, the model generation device 61 inputs the input sample to the input layer of the learning model and calculates the error between the output value output from the output layer and the output sample (teacher data) corresponding to the input sample. The parameters of the learning model are changed (the learning model is trained) so that the error becomes as small as possible, and the learned model M1 is generated.

The learned model M<b>1 generated as described above is stored in the storage unit 103 of the management device 10 . If the management device 10 is not the model generation device 61 , the management device 10 acquires the learned model M<b>1 via a network or medium, and stores it in the storage unit 103 .

Prediction of the replacement time of the prosthesis by the learned model M1 will be described. The management device 10 inputs a 3D image or the like to be predicted (for example, a 3D image or the like stored in the storage unit 103 in which a prosthesis is captured) to the learned model M1, and Get the output value from the model M1.

The output value output from the trained model M1 is the prediction period from the acquisition of the prediction target 3D image or the like to the replacement of the prosthesis. Therefore, the management device 10, for example, inputs the 3D image and the like of the examination on a certain date in March 2021 to the learned model M2 on a certain date in January 2022, and obtains 24 months as an output value from the learned model M2. In that case, March 2023, 24 months after March 2021 (or 14 months later, which is the period from January 2022 to March 2023), is predicted as the time to replace the prosthesis.

Note that when the learned model M1 is generated using a partial 3D image or the like as an input sample, the management device 10 generates a A partial 3D image of a part, etc.) is input to the learned model M1. For example, the management device 10 may cut out a partial 3D image or the like from a prediction target 3D image or the like (whole 3D image or the like) and input the cut out partial 3D image or the like to the learned model M1.

In the above example, the replacement timing of the prosthesis is predicted in units of months, but may be predicted in units of days or years. In other words, the output sample (the period from the acquisition of 3D images, etc. to the replacement of the prosthesis) is generated in days (years) instead of months, and the replacement time of the prosthesis is generated in units of days (years). You can predict. The same applies to other predictions (prediction of prosthesis breakage time, prediction of natural tooth breakage time, prediction of natural tooth dropout time, prediction of disease onset time).

Alternatively, a trained model may be generated for each type of prosthesis to predict the replacement time for each type of prosthesis. Alternatively, a trained model may be generated for each prosthesis-embedding site to predict the replacement time for each prosthesis-embedding site. The same applies to other predictions (prediction of prosthesis breakage time, prediction of natural tooth breakage time, prediction of natural tooth dropout time, prediction of disease onset time).

Alternatively, a trained model may be generated for each model subject's attributes (age, theory, etc.) to predict the replacement time for each type of prosthesis. The same applies to other predictions (prediction of prosthesis breakage time, prediction of natural tooth breakage time, prediction of natural tooth dropout time, prediction of disease onset time).

Also, a learned model that takes into consideration the time of implanting the prosthesis may be generated to predict the time of replacement of the prosthesis. For example, a trained model may be generated for each prosthesis implantation time (less than one year after implantation, one to five years, five years or more) to predict the replacement time for each type of prosthesis. Alternatively, a trained model may be generated using 3D images and the like and implantation timing (elapsed time after implantation) as input samples to predict the replacement timing for each type of prosthesis. The same applies to other predictions (prediction of prosthesis failure time, etc.).

(Prediction of prosthesis failure time)
Predicting when the prosthesis will fail is similar to predicting when the prosthesis will be replaced. Prediction of the failure time of the prosthesis will be explained, focusing on differences from the prediction of the replacement time of the prosthesis.

The management device 10 prepares a learned model (hereinafter referred to as a learned model M2) derived from an examinee whose prosthesis has actually been damaged and for whom 3D images and the like before the damage have been stored. , a prediction target 3D image, etc., to predict the failure time of the prosthesis.

Generation of the trained model M2 will be described. The learned model M2 is generated by a model generation device 62 (not shown). That is, the model generation device 62 generates the learned model M2. The model generation device 62 may be the same as the model generation device 61 that generates the trained model M1.

The model generation device 62 uses a 3D image or the like of a model subject (a subject whose prosthesis has actually been damaged and who has stored a 3D image or the like before the damage) as an input sample, and uses the 3D image or the like as an input sample. A learning model (a model based on the learned model M2) is trained using a learning data set in which the output sample is the period from the acquisition of the image or the like to the breakage of the prosthesis, and the learned model M2 is generated.

The input sample may be a partial 3D image or the like instead of the entire 3D image or the like. Specifically, a partial 3D image of a portion of the damaged prosthesis (or the damaged prosthesis and its surroundings) or the like may be used as the input sample.

The output sample (the period from the acquisition of the 3D image or the like to the breakage of the prosthesis) is acquired from the medical history information of the model subject. If the prosthesis is damaged, you will have to visit the hospital several times for replacement or re-implantation of the prosthesis. Get the date of treatment. If there is no corresponding medical record information, it may be acquired by hearing from the model subject.

Prediction of the failure time of the prosthesis by the learned model M2 will be described. The management device 10 inputs a prediction target 3D image or the like (for example, a 3D image or the like stored in the storage unit 103 in which a prosthesis is captured) to the learned model M2, Get the output value from the model M2.

The output value output from the trained model M2 is the prediction period from the acquisition of the prediction target 3D image or the like to the breakage of the prosthesis. Therefore, the management device 10, for example, inputs the 3D image and the like of the examination on a certain date in March 2021 to the learned model M2 on a certain date in January 2022, and obtains 24 months as an output value from the learned model M2. In that case, March 2023, 24 months after March 2021 (or 14 months later, which is the period from January 2022 to March 2023), is predicted as the failure time of the prosthesis.

Note that when the learned model M2 is generated using a partial 3D image or the like as an input sample, the management device 10 generates a A partial 3D image of a part, etc.) is input to the learned model M2. For example, the management device 10 cuts out a partial 3D image or the like from a prediction target 3D image or the like (whole 3D image or the like), and inputs the cut out partial 3D image or the like to the learned model M2.

(Prediction of natural tooth breakage time)
Predicting the time of failure of natural teeth is similar to predicting the time of failure of prostheses. The prediction of the time of natural tooth failure will be explained, focusing on the difference from the prediction of the time of failure of the prosthesis.

The management device 10 prepares a learned model (hereinafter referred to as a learned model M3) derived from an examinee who has actually damaged a natural tooth and for whom a 3D image or the like before the damage has been stored. , a prediction target 3D image or the like is input to predict the time of natural tooth breakage.

Generation of the trained model M3 will be described. The learned model M3 is generated by a model generation device 63 (not shown). That is, the model generation device 63 generates the learned model M3. The model generation device 63 may be the same as the model generation device 61 that generates the trained model M1 and the model generation device 62 that generates the trained model M2.

The model generation device 63 uses as an input sample a 3D image or the like of a model subject (a subject whose natural teeth are actually damaged and whose 3D image or the like before the damage has been stored). A learning model (a base model for the learned model M3) is trained using a learning data set whose output sample is the period from the acquisition of the image to the breakage of the natural tooth, and the learned model M3 is generated.

The input sample may be a partial 3D image or the like instead of the entire 3D image or the like. Specifically, a partial 3D image of a portion of a damaged natural tooth (or a damaged natural tooth and its surroundings) or the like may be used as an input sample.

An output sample (a period from acquisition of a 3D image or the like to damage to natural teeth) is acquired from the medical record information of the model subject. If a natural tooth is damaged, you will have to visit the hospital several times for the placement of the prosthesis. do. If there is no corresponding medical record information, it may be acquired by hearing from the model subject.

Prediction of the natural tooth breakage time by the learned model M3 will be described. The management device 10 inputs a 3D image or the like to be predicted (for example, a 3D image or the like stored in the storage unit 103 in which a damaged natural tooth is captured) to the learned model M3, An output value is obtained from the trained model M3.

The output value output from the trained model M3 is the prediction period from the acquisition of the prediction target 3D image or the like to the breakage of the natural tooth. Therefore, the management device 10, for example, inputs the 3D image and the like of the inspection on a certain date in March 2021 to the learned model M3 on a certain date in January 2022, and obtains 24 months as an output value from the learned model M3. In this case, March 2023, 24 months after March 2021 (or 14 months later, which is the period from January 2022 to March 2023), is predicted as the natural tooth breakage time.

Note that when the trained model M3 is generated using a partial 3D image or the like as an input sample, the management device 10 generates a partial 3D image or the like (prediction target natural tooth (or prediction target natural tooth and its surroundings) A partial 3D image of a part, etc.) is input to the learned model M3. For example, the management device 10 cuts out a partial 3D image or the like from a prediction target 3D image or the like (whole 3D image or the like), and inputs the cut out partial 3D image or the like to the learned model M3.

(Prediction of when natural teeth fall out)
Predicting when natural teeth will fall out is similar to predicting when natural teeth will break. That is, the management device 10 establishes a learned model (hereinafter referred to as a learned model M4 ), by inputting a 3D image or the like to be predicted, the natural tooth dropout time is predicted.

The learned model M4 is generated by a model generation device 64 (not shown). The model generation device 64 may be the same as other model generation devices (the model generation device 61, the model generation device 62, and the model generation device 63 that generates the trained model M3). The model generating device 64 uses a 3D image or the like of a model subject (a subject who has actually lost natural teeth and who has already stored a 3D image or the like before the loss) as an input sample, and uses the 3D image as an input sample. A learning model (a base model for the learned model M4) is trained using a learning data set whose output sample is the period from the acquisition of the image until the natural tooth falls out, and the learned model M4 is generated. A partial 3D image or the like (a partial 3D image or the like of a portion of a fallen natural tooth (or a fallen natural tooth and its surroundings)) may be used as an input sample.

The management device 10 inputs a 3D image or the like to be predicted (for example, a 3D image or the like stored in the storage unit 103 and in which a fallen natural tooth is captured) to the learned model M4, An output value is obtained from the trained model M4.

The output value output from the learned model M4 is the prediction period from the acquisition of the prediction target 3D image or the like until the natural tooth falls out. Therefore, the management device 10, for example, inputs the 3D image and the like of the examination on a certain date in March 2021 to the learned model M4 on a certain date in January 2022, and obtains 24 months as an output value from the learned model M4. In this case, March 2023, 24 months after March 2021 (or 14 months later, which is the period from January 2022 to March 2023), is predicted as the natural tooth deciduous time.

Note that when the trained model M4 is generated using a partial 3D image or the like as an input sample, the management device 10 generates a partial 3D image or the like (prediction target natural tooth (or prediction target natural tooth and its surroundings) A partial 3D image of a part, etc.) is input to the learned model M4.

(Prediction of disease onset time)
Predicting the onset of disease is similar to the other predictions described above. A brief description will be given below. The management device 10 adds a prediction target to a trained model (hereinafter referred to as a trained model M5) derived from an inspected person who has actually developed the disease and for whom a 3D image or the like before the onset has been stored. The onset time of the disease can be predicted by inputting a 3D image or the like. The generation of the trained model M5 is the same as the generation of the trained models M1 to M4, so the explanation is omitted.

In the above example, the management device 10 predicts the replacement time of the prosthesis by machine learning, but the management device 10 may predict the replacement time of the prosthesis by other methods. The replacement timing of the prosthesis may be predicted by image recognition (similarity). For example, prepare groups of partial 3D images classified by replacement time (for example, a group of partial 3D images replaced within a year, a group of partial 3D images replaced between 1 and 3 years, a group of partial 3D images replaced in 3 years, etc. Groups of partial 3D images, etc. that have been replaced in ~5 years, groups of partial 3D images, etc. that have been replaced in 5 years or more, etc.), and the degree of similarity between the partial 3D image, etc. to be predicted and the images in each group , and the replacement timing of the group having the highest similarity to the prediction target partial 3D image or the like may be output as a prediction value based on the prediction target partial 3D image or the like.

The management device 10 generates display information (display screen) including prediction results (prosthesis replacement time, prosthesis breakage time, natural tooth breakage time, natural tooth loss time, disease onset time, etc.), It may be transmitted to the subject terminal 40 .

FIG. 17 shows an example of display on the terminal 40 of the subject. The subject terminal 40 receives the display information (screen information) from the management device 10 and displays it on the display unit (step S35 in FIG. 8). For example, the screen shown in FIG. 17 is displayed. The display is an example, and the display (display items, display contents) differs depending on the condition of the subject.

The screen shown in FIG. 17 includes information on changes in the intraoral conditions of the subject (symbols A to E), information on treatment history including the state of prosthesis implantation (symbol G), Information (symbol F, symbol H) on treatment method, treatment period, treatment cost, preventive method, and coping method is displayed.

Code A: “occurrence of periodontal disease”, Code B: “occurrence of tooth decay”, Code C: “Deterioration (0.5→1.0)”, Code D: “Deterioration (1.5→2.5)” ” and “deterioration” of symbol E are displays based on changes in the intraoral situation (changes identified in step S100 in FIG. 9, step S110 in FIG. 10, and step S120 in FIG. 11).

Code F: ``I need early treatment'', ``It is a decayed tooth that progresses quickly'', ``The part that has decayed...'', ``The treatment period is about 1 month, the cost is about XX yen'', and ``I don't want it to progress. Please try to brush well” is information based on the “Future treatment (teeth)” of the examination evaluation information (FIG. 3B).

"Zirconia crown" and "2019/6 implantation" of the code|symbol G are the information based on prosthetic information (FIG. 4(B)). "Replacement recommended in 3 years" of code G is information based on "zirconia crown", "2019/6 implantation", and current time (year and month). In other words, "3 years" is a table that associates the type of prosthesis with the recommended replacement time (a table that indicates how many years after the time of implantation is the recommended replacement time for each type of prosthesis). etc. are stored in advance, and information obtained based on the table or the like is displayed.

The code H, "minor periodontal disease" and "try to brush correctly", is information based on "future treatment, etc. (gums)" in the examination evaluation information (Fig. 3(B)).

The display content of symbol I, ``for left meshing, .

"Online dental consultation..." of symbol J is link information to a screen relating to online dental consultation.

As described above, the management device 10 displays display information including various prediction contents (prosthesis replacement time, prosthesis breakage time, natural tooth breakage time, natural tooth dropout time, disease onset time, etc.). (display screen), and the subject terminal 40 may display various prediction contents.

Although the embodiment has been described, the specific configuration is not limited to the above-described embodiment, and includes design and the like within the scope of the present invention.

(1) In the above embodiment, the subject terminal 40 displays the information (which may include prediction information) generated by the management device 10 (see FIGS. 8 and 17). ), similar information to other devices instead of or in addition to the subject terminal 40 (the configuration of the screen, etc. may be the same or different). For example, it may be possible to access from equipment (for example, a personal computer, etc.) of a dentist who treats after the examination (access may be restricted by a password, etc.). This allows, for example, a dentist who treats after an examination to share information (which may include predictive information) with the examinee who visits the examination. Further, for example, access may be allowed from the radiogram interpreter terminal 30 (access may be restricted by a password or the like). As a result, for example, the radiogram interpreter can refer to additional information (which may include prediction information) other than the 3D image or the like when creating the current finding.

(2) In the above embodiment, an example in which the management device 10 generates the display screen of the terminal 40 of the person to be inspected has been described, but the display screen of the terminal 40 of the person to be inspected may be generated by another device. For example, the management device 10 may transmit information necessary for screen generation to the terminal 40 of the subject, and the terminal 40 of the subject (for example, an application of the terminal 40 of the subject) may generate the display screen.

(3) In the above embodiment, an example in which the management device 10 transmits various types of information (for example, step S34 in FIG. 8, step S132 in FIG. 12, step S145 in FIG. 13, step S155 in FIG. 14, Step S165 in FIG. 15, step S172 in FIG. 16), various information may be displayed or printed. As an example, the management device 10 may display the list of non-medical examination subjects extracted in step S131 of FIG. Alternatively, the list may be printed (output to a printer). The same applies to other information including prediction results.

(4) In the above embodiment, the management device 10 identifies the changed parts (for example, see FIGS. 9 to 11), but even if another device other than the management device 10 identifies the changed parts, good. In a mode in which another device identifies the changed portion or the like, the management device 10 can communicate with the different device and acquires information indicating the changed portion or the like from the different device.

(5) In the above embodiment, the management device 10 operates the database such as extracting information (for example, see FIG. 12). may In a mode in which another device operates the database, the management device 10 can communicate with the different device and acquires the operation result (extraction result) from the different device.

(6) In the above-described embodiment, the management device 10 determines whether or not the treatment is appropriate (see FIGS. 13 and 14). good. In a mode in which another device determines the suitability of treatment, the management device 10 can communicate with the different device and obtains determination results from the different device.

(7) In the above embodiment, the management device 10 includes test result information (FIG. 3A), test evaluation information (FIG. 3B), medical history information (FIG. 4A), and prosthetic information (FIG. 4). (B)) and medical care content determination result information (FIG. 4(C)) have been described, but another device different from the management device 10 may store part or all of the above good. In a mode in which another device stores part or all of the information, the management device 10 can communicate with the different device and obtains necessary information from the different device.

(8) In the above embodiment, the management device 10 executes various processes, but some of the processes described as the processes executed by the management device 10 may be executed by another device. In relation to this, the management device 10 does not need to acquire and store some information. In other words, when a process using certain information is not executed, the information need not be acquired and stored. For example, if the processing using the medical record information (such as the processing in FIG. 16) is not performed, the management device 10 does not need to store the medical record information.

As for the above (4) to (8), etc., the processing unit 102 may be a server on the cloud, and the storage unit 103 may be a cloud data storage.

(9) In the above embodiment, the intraoral information includes 3D images and 2D images, but the intraoral information may be either a 3D image or a 2D image. However, the use of the 3D image and the 2D image enables more precise diagnosis (measurement) than the use of either one.

As mentioned above, although embodiment was described, according to embodiment, the following structures are included.
(1) intraoral measurement information acquiring means (for example, input/output unit 101) for acquiring intraoral measurement information (for example, test result information in FIG. 3A) obtained by measuring the intraoral situation of the subject; Finding information acquisition means (for example, input/output unit 101) for acquiring the finding information of the dentist (for example, examination evaluation information in FIG. 3B) with respect to the intraoral measurement information, and outputting information related to the oral cavity or medical treatment output means (for example, input/output unit 101), wherein the output means is information generated based on each of the intraoral measurement information in the current and previous measurements of at least one subject, or at least Information generated based on each of the finding information for each of the intraoral measurement information in the current and previous measurements of one subject, or the intraoral measurement in the current measurement of at least one subject A dental information processing apparatus (for example, a management apparatus 10) that outputs information and information generated based on the finding information with respect to the intraoral measurement information in the previous measurement of the subject.

According to the above configuration, more advanced information or useful information can be provided to the concerned parties. For example, according to the above configuration, more advanced information or useful information based on past information (past images and findings on past images) can be provided to interested parties (e.g., examinees, dentists, health insurance associations, etc.). etc.).

(2) The output means outputs information about changes in the intraoral situation of a subject based on the intraoral measurement information in the current and previous measurements of the subject (for example, FIG. 8, 9), the dental information processing apparatus according to (1).

According to the above configuration, changes in the intraoral situation can be provided to relevant parties (for example, the subject, the dentist).

(3) The output means outputs information on changes in the intraoral situation of a subject based on each of the finding information for each of the intraoral measurement information in the current and previous measurements of the subject. (see, for example, FIGS. 8 and 10).

According to the above configuration, changes in the intraoral situation can be provided to relevant parties (for example, the subject, the dentist).

(4) Changes in the intraoral situation of a person to be examined based on the finding information for the intraoral measurement information in the current measurement of the person to be examined and the intraoral measurement information in the previous measurement of the person to be examined The dental information processing apparatus according to (1), which outputs information about (see, for example, FIGS. 8 and 11).

According to the above configuration, changes in the intraoral situation can be provided to relevant parties (eg, a subject, a dentist who treats the patient, etc.).

(5) Any one of (1) to (4), wherein the output means outputs information relating to the history of treatment including the state of implanting the prosthesis (see, for example, FIGS. 9 to 11). The dental information processing device according to .

According to the above configuration, it is possible to provide the treatment history to related parties (for example, the person to be examined, the dentist who treats the patient, etc.).

(6) The finding information includes information on one or more of information on treatment method, treatment period, treatment cost, preventive method, and coping method for the finding requiring medical care (see, for example, FIG. 3(B)) , the output means is characterized in that it outputs one or more information (see, for example, FIGS. 9 to 11) of information on treatment methods, treatment periods, treatment costs, preventive methods, and coping methods (1 ) to (5), the dental information processing apparatus.

According to the above configuration, it is possible to provide treatment methods and the like to relevant parties (for example, the person to be examined, the dentist who treats the patient, etc.).

(7) medical care record information acquisition means (for example, input/output unit 101) for acquiring medical care record information (for example, medical care record information in FIG. 4A) of dental care performed on the subject; is, if the medical care record information of the subject whose finding information for the intraoral measurement information in one examination requires medical care has not been acquired by the medical care record information acquisition means after the examination, A dental information processing apparatus according to any one of (1) to (6), which outputs information to the effect that necessary medical care has not been performed for the patient (see, for example, FIG. 12).

According to the above configuration, it is possible to provide a relevant person (for example, a person to be examined) with information that necessary medical care has not been performed.

(8) The output means outputs information on the appropriateness of treatment given to a person to be examined based on the intraoral measurement information in the current and previous measurements of the person to be examined (see, for example, FIG. 13). ), the dental information processing apparatus according to any one of (1) to (7).

According to the above configuration, it is possible to provide relevant parties (for example, a health insurance association, etc.) with information about the appropriateness of the treatment that has been performed.

(9) medical care record information acquisition means (for example, input/output unit 101) for acquiring medical care record information (for example, medical care record information in FIG. 4A) of dental care performed on the subject; is based on the intraoral measurement information in the current and previous measurements of one subject, and the medical history information of the subject in the period between the current and previous measurements. The dental information processing apparatus according to any one of (1) to (7), characterized in that it outputs information on the propriety of the treatment performed (see "Aspect of Referencing Medical Record Information").

According to the above configuration, it is possible to provide relevant parties (for example, a health insurance association, etc.) with information about the appropriateness of the treatment that has been performed.

(10) The output means outputs information regarding the appropriateness of the treatment given to the subject based on each of the finding information for each of the intraoral measurement information in the current and previous measurements of the subject. (see, for example, FIG. 14).

According to the above configuration, it is possible to provide relevant parties (for example, a health insurance association, etc.) with information about the appropriateness of the treatment that has been performed.

(11) medical care record information acquisition means (for example, input/output unit 101) for acquiring medical care record information (for example, medical care record information in FIG. 4A) of dental care performed on the subject; , each of the findings information for each of the intraoral measurement information in the current and previous measurements of one subject, and the medical history information of the subject in the period between the current and previous measurements The dental information processing apparatus according to any one of (1) to (7), which outputs information regarding the appropriateness of the treatment given to the subject based on the information (see "mode of referring to medical record information").

According to the above configuration, it is possible to provide relevant parties (for example, a health insurance association, etc.) with information about the appropriateness of the treatment that has been performed.

(12) Medical practice information acquisition means for acquiring medical practice information of dental practice performed on the subject, and the output means outputs the intraoral measurement information in the current measurement and the information in the previous measurement of the subject A person to be examined having a difference from the intraoral measurement information, and the medical treatment record information of the dental treatment given to the person during the period between the current and previous measurements is the medical care record information acquisition means. (1) to (11) characterized by outputting information to the effect that the medical history information of the person to be examined in the period is not obtained (see, for example, FIG. 16) if not acquired by A dental information processing apparatus according to any one of the above.

According to the above configuration, it is possible to provide a relevant person (for example, a health insurance association, etc.) with information that there is a possibility that the results of the performed medical treatment have not been reported.

(13) Intraoral measurement information acquiring means for acquiring intraoral measurement information obtained by measuring the intraoral condition of the person to be inspected; and output means for outputting information related to the oral cavity or diagnosis, wherein the output means outputs the intraoral measurement information acquired by the intraoral measurement information acquisition means and the medical history information obtained by the medical history information acquisition means. or based on the medical care record information acquired by the medical care record information acquisition means, the information relating to the oral cavity or the medical care is output.

According to the above configuration, more advanced information or useful information can be provided to the concerned parties. For example, according to the above configuration, more advanced information or useful information based on whether or not the medical record information is acquired or the contents of the medical record information can be provided to the relevant parties (e.g., examinees, dentists, health insurance associations, etc.). ).

(14) The output means outputs information about changes in the intraoral situation of the subject based on the intraoral measurement information in the current and previous measurements of the subject (for example, FIG. 8, 9), the dental information processing apparatus according to (13).

According to the above configuration, changes in the intraoral situation can be provided to relevant parties (for example, the subject, the dentist).

(15) The output means according to (13) or (14), characterized in that the output means outputs information relating to the history of treatment including the state of implanting the prosthesis (see, for example, FIGS. 9 to 11). Dental information processor.

According to the above configuration, it is possible to provide the treatment history to related parties (for example, the person to be examined, the dentist who treats the patient, etc.).

(16) The output means is a subject having a difference between the intraoral measurement information in the current measurement and the intraoral measurement information in the previous measurement of the subject, and If the medical care record information of the dental care given to the subject during the period between the measurements has not been acquired by the medical care record information acquisition means, the medical care record information of the subject for the period has not been obtained. The dental information processing apparatus according to any one of (13) to (15), which outputs information to the effect that there is no such information (see, for example, FIG. 16).

According to the above configuration, it is possible to provide a relevant person (for example, a person to be examined) with information that necessary medical care has not been performed.

(17) Based on at least the intraoral measurement information, prediction means (for example, "prediction function ”), the dental information processing apparatus according to any one of (1) to (16).

According to the above configuration, it is possible to provide the prediction results to the parties concerned (for example, the person to be examined, the dentist who treats the patient, etc.).

(18) A dental information processing system including the dental information processing apparatus (eg, management apparatus 10) according to any one of (1) to (17).

(19) A program that causes a computer to function as the dental information processing apparatus (for example, the management apparatus 10) according to any one of (1) to (17).

(20) an intraoral measurement information acquisition step of acquiring intraoral measurement information obtained by measuring the intraoral condition of the subject; an output step of outputting information related to internal or clinical practice, wherein the output step is generated based on the respective intraoral measurement information in current and previous measurements of at least one subject. or information generated based on each of the finding information for each of the intraoral measurement information in the current and previous measurements of at least one subject; and outputting information generated based on the finding information for the intraoral measurement information in the previous measurement of the subject.

(21) an intraoral measurement information acquiring step of acquiring intraoral measurement information obtained by measuring the intraoral condition of the person to be inspected; and an outputting step of outputting information related to intraoral or medical treatment, wherein the outputting step includes the intraoral measurement information acquired by the intraoral measurement information acquisition step and the medical treatment record information. A dental information processing method, characterized by outputting information related to the oral cavity or medical care based on whether or not the medical care record information is acquired by an acquisition step or based on the medical care record information acquired by the medical care record information acquisition step. .

A program for realizing the functions of the devices according to the above-described embodiments (for example, the management device 10, the intraoral information transmission device 20, the radiogram interpreter terminal 30, the subject terminal 40, and the medical history information transmission device 50) may be stored in a computer-readable storage medium, and the program stored in the storage medium may be loaded and executed by a computer system to perform processing. The “computer system” referred to here may include an operating system (OS) or hardware such as peripheral devices. In addition, "computer-readable storage medium" includes a flexible disk, a magneto-optical disk, a ROM (Read Only Memory), a writable non-volatile memory such as a flash memory, a portable medium such as a DVD (Digital Versatile Disc), It refers to a storage device such as a hard disk built into a computer system.

Furthermore, "computer-readable storage medium" means a volatile memory (e.g., It also includes a device such as a DRAM (Dynamic Random Access Memory) that holds a program for a certain period of time. Moreover, the above program may be transmitted from a computer system storing this program in a storage device or the like to another computer system via a transmission medium or by a transmission wave in a transmission medium. Here, the "transmission medium" for transmitting the program means a medium having a function of transmitting information, such as a network (communication network) such as the Internet or a communication line (communication line) such as a telephone line. Also, the above program may be for realizing part of the functions described above. Furthermore, the above program may be a so-called difference file (difference program) that can realize the functions described above in combination with a program already stored in the computer system.

DESCRIPTION OF SYMBOLS 10... Management apparatus 101... Input-output part 102... Processing part 103... Storage part 20... Intra-oral information transmission device 30... Radiogram interpreter terminal 40... Examinee's terminal 50... Medical record information transmission device

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. an inspection result information acquisition step for acquiring inspection result information, including image information scanned by the dental A step of obtaining medical treatment record information including the treatment date of the medical treatment, and the medical care contents indicating the treatment site and treatment details; and images in the examination result information of the previous and current dental examinations. Extraction of already treated examinees by comparing information and extracting examinees who are deemed to have undergone treatment during the period between the examination date of the previous dental examination and the examination date of the current dental examination. and, from among the medically examined persons extracted by the medically treated persons extraction step, the medically treated persons for whom the personal identification information does not exist in the medical history information whose medical treatment date is within the period. as a subject for whom medical history information has not been obtained , and a step of extracting a subject for whom medical history information has not been obtained.

One aspect of the present invention is information indicating the results of a dental examination, which includes personal identification information for identifying a person to be examined, the date of the dental examination, and the intraoral optical scanner for the oral cavity of the person to be examined. and a test result information obtaining step of obtaining test result information, including image information scanned by a computer, and information indicating a dentist's evaluation of the test result information, the test identifying the test result information to be evaluated. An examination evaluation information acquisition step for obtaining examination evaluation information including result identification information, finding information indicating whether or not treatment is necessary and a site requiring treatment, and a record of dental treatment performed on the subject after the dental examination. a step of obtaining medical treatment record information, which includes the personal identification information, the treatment date of the dental treatment, and the treatment content indicating the treatment site and treatment details; and a dental examination. a step of extracting a person requiring medical care who is a person who has passed a predetermined period from the examination date of (1) and whose finding information in the inspection evaluation information indicates that medical care is required; From among the persons requiring medical examination extracted by the extracting step of extracting persons requiring medical examination, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical record information are not included. and a non-medical examination subject extracting step of extracting as a medical examination subject .

Claims (12)

Information indicating the results of a dental examination, which includes personal identification information for identifying the subject, the date of the dental examination, and image information obtained by scanning the oral cavity of the subject with an intraoral optical scanner, inspection result information acquiring means for acquiring inspection result information;
Information indicating the results of dental treatment performed on the subject after the dental examination, including the personal identification information, the date of dental treatment, and the details of treatment indicating the treatment site and treatment details medical record information acquisition means for acquiring record information;
By comparing the image information in the examination result information of the previous dental examination and the current dental examination, it is recognized that the treatment was performed during the period between the examination date of the previous dental examination and the examination date of the current dental examination. a medically examined examinee extracting means for extracting a person as a medically treated examinee;
The medical examination subject whose medical treatment date is within the period and for which the personal identification information does not exist in the medical examination record information is selected from the medical examination subjects extracted by the medical examination subject extracting means. 1. A dental information processing apparatus, comprising extracting means for extracting an unacquired medical record information examinee as an information unacquired examinee. Information indicating the dentist's evaluation of the examination result information, which includes examination result identification information for identifying the examination result information to be evaluated, and finding information indicating whether or not treatment is necessary and the area requiring treatment. , inspection evaluation information acquisition means for acquiring inspection evaluation information;
Extracting means for extracting persons requiring medical treatment who are persons who have passed a predetermined period from the date of dental examination and whose finding information in the examination evaluation information indicates that medical treatment is required, as persons requiring medical treatment. and,
Among the subjects requiring medical examination extracted by the examination subject requiring medical examination extracting means, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical record information are not included. 2. A dental information processing apparatus according to claim 1, further comprising a non-medical examination subject extracting means for extracting a medical examination subject. Information indicating the results of a dental examination, which includes personal identification information for identifying the subject, the date of the dental examination, and image information obtained by scanning the oral cavity of the subject with an intraoral optical scanner, inspection result information acquiring means for acquiring inspection result information;
Information indicating the dentist's evaluation of the examination result information, which includes examination result identification information for identifying the examination result information to be evaluated, and finding information indicating whether or not treatment is necessary and the area requiring treatment. , inspection evaluation information acquisition means for acquiring inspection evaluation information;
Information indicating the results of dental treatment performed on the subject after the dental examination, including the personal identification information, the date of dental treatment, and the details of treatment indicating the treatment site and treatment details medical record information acquisition means for acquiring record information;
Extraction means for extracting persons requiring medical treatment who are persons who have passed a predetermined period from the examination date of the dental examination and whose finding information in the examination evaluation information indicates that medical treatment is required, as persons requiring medical treatment. and,
From among the persons requiring medical examination extracted by the examination person requiring medical examination extracting means, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical treatment record information are not included. A dental information processing apparatus, comprising an unmedicated examinee extracting means for extracting as a medically examined examinee. 1. An output means for comparing image information in the inspection result information of the previous and current dental inspections, and outputting information relating to changes in intraoral conditions of the person to be inspected. Item 4. The dental information processing apparatus according to any one of Item 3. An output means is provided for comparing the finding information in each of the examination evaluation information with the examination result information of the previous and current dental examinations, and outputting information regarding changes in the intraoral conditions of the subject. 4. A dental information processing apparatus according to claim 2 or 3. Stores a learned model that has been learned by using image information obtained by scanning the oral cavity of a subject in a dental examination with an intraoral optical scanner as an input sample, and using the period from the examination date of the dental examination to the replacement of the prosthesis as an output sample. means and
prediction means for inputting image information to be predicted into the learned model, obtaining a period until replacement of the prosthesis from the learned model as an output value, and predicting the replacement time of the prosthesis. The dental information processing apparatus according to any one of claims 1 to 5. Stores a trained model that has been learned by using image information obtained by scanning the oral cavity of a subject in a dental examination with an intraoral optical scanner as an input sample, and using the period from the examination date of the dental examination to the breakage of the prosthesis as an output sample. means and
prediction means for inputting image information to be predicted into the learned model, obtaining a period until damage to the prosthesis from the learned model as an output value, and predicting the time of damage to the prosthesis. The dental information processing apparatus according to any one of claims 1 to 5. Image information obtained by scanning the oral cavity of a subject during a dental examination with an intraoral optical scanner is used as an input sample, and the period from the date of the dental examination until the natural tooth is damaged or fallen off or the period until the onset of disease is an output sample. and the learned model trained as a storage means,
Image information to be predicted is input to the learned model, and the period until the natural tooth is damaged or fallen off or the period until the onset of disease is obtained from the learned model as an output value, and the time of natural tooth breakage or falling out is obtained. 6. The dental information processing apparatus according to any one of claims 1 to 5, further comprising predicting means for predicting an onset time of the disease. A dental information processing system comprising the dental information processing apparatus according to any one of claims 1 to 8. A program that causes a computer to function as the dental information processing apparatus according to any one of claims 1 to 8. Information indicating the results of a dental examination, which includes personal identification information for identifying the subject, the date of the dental examination, and image information obtained by scanning the oral cavity of the subject with an intraoral optical scanner, an inspection result information acquisition step for acquiring inspection result information;
Information indicating the results of dental treatment performed on the subject after the dental examination, including the personal identification information, the date of dental treatment, and the details of treatment indicating the treatment site and treatment details a medical record information acquisition step for acquiring record information;
By comparing the image information in the examination result information of the previous dental examination and the current dental examination, it is recognized that the treatment was performed during the period between the examination date of the previous dental examination and the examination date of the current dental examination. a medically examined examinee extraction step of extracting a person as a medically treated examinee;
From among the medically examined persons extracted by the medically treated persons extracting step, the medically examined persons whose medical treatment date is within the period and for which the personal identification information does not exist in the medical treatment record information are selected. A dental information processing method, comprising: a step of extracting an unacquired medical record information examinee for extracting an unacquired information examinee. Information indicating the results of a dental examination, which includes personal identification information for identifying the subject, the date of the dental examination, and image information obtained by scanning the oral cavity of the subject with an intraoral optical scanner, an inspection result information acquisition step for acquiring inspection result information;
Information indicating the dentist's evaluation of the examination result information, which includes examination result identification information for identifying the examination result information to be evaluated, and finding information indicating whether or not treatment is necessary and the area requiring treatment. , an inspection evaluation information acquisition step for acquiring inspection evaluation information;
Information indicating the results of dental treatment performed on the subject after the dental examination, including the personal identification information, the date of dental treatment, and the details of treatment indicating the treatment site and treatment details a medical record information acquisition step for acquiring record information;
A step of extracting a person requiring medical care who is a person who has passed a predetermined period from the date of the dental examination and whose finding information in the examination evaluation information indicates that medical care is required as a person who needs medical care. and,
From among the persons requiring medical examination extracted by the extracting step of extracting persons requiring medical examination, examination subjects for whom the medical treatment date is after the examination date of the dental examination and for which the personal identification information does not exist in the medical record information are not included. A dental information processing method, comprising a step of extracting a non-medical examination subject for extraction as a medical examination subject.

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