JP6453607B2 - Intraoral examination management system - Google Patents

Description

  The present invention relates to a technique for supporting an oral examination, and more particularly to a technique effective when applied to an oral examination management system that supports an oral examination including an oral cancer examination performed at a dental clinic.

  The top cause of death among Japanese is “cancer”, and there are many deaths such as lung cancer, stomach cancer and colon cancer according to the site. On the other hand, oral cavity and pharyngeal cancer (hereinafter sometimes collectively referred to as “oral cancer”) is one of the main causes of pathogenesis (HPV (human papilloma virus)), although the number of deaths by region is small. Situation that cervical cancer with the same infection) has reached the peak due to the spread of medical examinations centered on companies and medical checkups, but the number of deaths is still increasing It is in. Although oral cancer can survive at a rate of about 80% if detected early, the mechanism and systems (devices) for early detection are scarce in Japan compared to the United States, etc., and early detection is difficult. Is considered as the cause.

  In addition, various lifestyle-related diseases and infections can be traced back to the causes of mastication and occlusal functions related to nutrition intake, as well as the effects of oral bacteria. It has been studied that it can be effectively prevented by caring as upstream as possible, ie, the oral cavity. Survey results show that people who regularly visit dentists tend to have lower annual total medical costs for all illnesses, and regular oral screening is an early detection of oral cancer. In addition to being connected, it has been recognized that it is also effective in curbing medical expenses for the public.

  For example, Japanese Patent Application Laid-Open No. 10-91703 (Patent Document 1) discloses a technique and an approach related to an intraoral examination, in which a color camera is used to photograph the oral cavity of the examinee with a digital camera. The medical examination questionnaire is sent to the intermediary, and the intermediary creates an electronic medical record database on the server based on these, and the dentist who has contracted in advance reads out the electronic medical record of the examinee from the medical examination database Describes a dental health examination system that performs dental health examinations by looking at oral photo images and questionnaire results, completes an electronic medical record and stores it in the examination database, and sends or mails the completed electronic medical record to the examinee. Has been.

  Japanese Patent Laid-Open No. 2002-83060 (Patent Document 2) transmits an intraoral photographic image of a patient to be examined, which is copied by an information terminal equipped with a camera function, to an intermediary, and the intermediary is a dedicated dentist. Or a dental clinic introduction system that performs a dental check on the intraoral photographic image by a dental hygienist and notifies the examinee of the result of the dental check and introduces the registered dental clinic. Has been.

  For example, the Ichikawa City Dental Association, a general incorporated association, is making efforts to enable citizens of Ichikawa City to undergo oral cancer screening at a designated dental clinic (Non-Patent Document 1).

  In addition to the systems and approaches described above, for example, Japanese Patent Application Laid-Open No. 2013-135845 (Patent Document 3) discloses a technique related to a special examination mirror for detecting abnormal intraoral tissues such as oral cancer. An inspection mirror that detects abnormal tissues such as oral cancer that cannot be detected by visual inspection or palpation by detecting fluorescence or other faint light emitted from a target tissue such as the oral cavity. A disease detection system including a scope: VELSCOPE® is described.

JP-A-10-91703 JP 2002-83060 A JP 2013-135845 A

“Oral cancer screening”, [online], Ichikawa Dental Association, [searched on September 30, 2014], Internet <URL: http://ichikawa.cda.or.jp/modules/pico /index.php?content_id=11>

  As mentioned above, it is very important and effective to regularly conduct oral examinations including oral cancer screening, and the most suitable organization to conduct this is examining the oral cavity on a daily basis. It is considered to be a large number of dental clinics. However, Japanese dentists are mainly operated with emphasis on post-onset treatment rather than prevention, and regular oral examinations are also carried out. It is hard to say that this is the case, and the current situation is that there is not much screening for oral cancer.

  In this regard, for example, according to the techniques described in Patent Document 1 and Patent Document 2, it becomes possible for the patient to undergo dental examination and intraoral examination relatively easily. However, with these mechanisms, only a medical examination based on intraoral photographic images of patients taken with a digital camera or the like can be performed, and it can be said that this is a simple screening system that is insufficient in terms of early detection of oral cancer. . Even in the efforts of oral cancer screening as described in Non-Patent Document 1, screening is possible at designated dental clinics, but it is targeted for inspection and palpation, and those who are examined are over 30 years old. Because it is limited, there is an inadequate aspect from the viewpoint of early detection of oral cancer, which is aging.

  Accordingly, an object of the present invention is to enable easy and effective intraoral screening including oral cancer screening in a large number of dental clinics, and to promote regular patient oral screening. An object of the present invention is to provide an oral examination management system that makes it possible.

  The above and other objects and novel features of the present invention will be apparent from the description of this specification and the accompanying drawings.

  Of the inventions disclosed in this application, the outline of typical ones will be briefly described as follows.

  An intraoral examination management system according to a representative embodiment of the present invention is an oral examination management system that supports intraoral examination in a dental clinic, each of which is a dental clinic terminal installed in each of the plurality of dental clinics, Each of the dental clinic terminals has an intraoral examination management server connected via a network.

  The dental clinic terminal includes an inquiry reception unit that accepts input of interview data that is the contents of an inquiry form filled by the patient, image data of the patient's mouth taken in an oral examination performed by a dentist, and The information including the content of the findings related to the intraoral examination inputted by the dentist is obtained as the result data of the intraoral examination, and the examination result transmitted to the intraoral examination management server together with the inquiry data And an acquisition unit. In addition, the intraoral examination management server includes a medical examination result management unit that records the inquiry data and the result data transmitted from the dental clinic terminal, and medical certificate data based on the contents of the inquiry data and the result data. And a medical certificate creation unit that outputs the data to a printer installed in the dental clinic where the dental clinic terminal is installed.

  Among the inventions disclosed in the present application, effects obtained by typical ones will be briefly described as follows.

  That is, according to a typical embodiment of the present invention, it is possible to easily and effectively perform an oral examination including an oral cancer screening in a large number of dental clinics, and a patient can regularly perform intraoral examination. It will be possible to promote screening.

It is the figure which showed the outline | summary about the structural example of the intraoral examination management system which is one embodiment of this invention. It is the flowchart which showed the outline | summary about the example of the whole flow of the regular intraoral examination in one embodiment of this invention. It is the flowchart which showed the outline | summary about the example of the flow of a process of the intraoral examination in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the screen which inputs the content of the questionnaire in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the screen at the time of selecting the image data in one embodiment of this invention. (A), (b) is the figure which showed the outline | summary about the example of the screen at the time of inputting the finding in one embodiment of this invention. It is the figure which showed the outline | summary about the one part example of the medical certificate in one embodiment of this invention. It is the figure which showed the outline | summary about the one part example of the medical certificate in one embodiment of this invention. It is the figure which showed the outline | summary about the example of a data structure of dental clinic master DB in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the data structure of patient master DB in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the data structure of medical examination data DB in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the data structure of image data DB in one embodiment of this invention. It is the figure which showed the outline | summary about the example of the data structure of medical certificate data DB in one embodiment of this invention.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. Note that components having the same function are denoted by the same reference symbols throughout the drawings for describing the embodiment, and the repetitive description thereof will be omitted.

  As mentioned above, it is very important and effective from the viewpoint of early detection and prevention to regularly conduct oral examinations including oral cancer screening for oral cancers whose deaths have increased in recent years. It is. And the most suitable institution for carrying out this is considered to be a dental clinic that examines the oral cavity on a daily basis and has more than a convenience store. At present, there are mechanisms and approaches for intraoral screening in dental clinics, but there are cases where it is limited to visual inspection and palpation, and even if an abnormality is detected at that stage, the cancerous tissue can only be removed. In the case of oral cancer, since the site is the oral cavity, it is relatively easy to see and palpate, but when the lesion is removed, the appearance is greatly affected, and the suicide rate associated with this is also high. There is a strong demand for early detection.

  On the other hand, in the United States and the like with a high awareness of preventive dentistry, for example, examination using a fluorescence visible device such as an examination mirror as described in Patent Document 3 is prevalent in dental clinics, and only for inspection and palpation. Compared to cases, it is effective for early detection of oral cancer and improvement of detection rate.

  Therefore, the intraoral examination management system according to one embodiment of the present invention conveys the risk of oral cancer to the public, promotes regular oral examinations, and has many dental clinics. In addition to visual inspection and palpation, oral examination including oral cancer screening using a fluorescence-visible device can be easily received, and consulting based on the examination results is also conducted to connect to the next examination. This makes it possible to make examinations constant.

  As a result, the number of deaths due to early detection of oral cancer can be reduced, and problems in the oral cavity can be detected at an early stage. Profits of dental clinics through conventional insurance and free oral examinations Improvement is also possible. In addition, it will be possible to instill awareness of preventive medicine through oral care in the public, thereby improving health and thus reducing medical expenses throughout the country.

<System configuration>
FIG. 1 is a diagram showing an outline of a configuration example of an intraoral examination management system according to an embodiment of the present invention. The intraoral examination management system 1 is configured with respect to the intraoral examination management server 100, which is a server system implemented by a server device or a virtual server constructed on a cloud computing environment, via a network 200 such as the Internet. A dental clinic terminal 310 and a color printer 340 respectively installed in the affiliated dental clinic 300 are connected to each other by a wireless or wired LAN (Local Area Network) or the like. Each dental office 300 has a camera 320 such as a digital camera for photographing the inside of the oral cavity of the patient 302, and fluorescence or other weak light emitted from a target tissue such as the oral cavity before detecting cancer. A fluorescence visible device 330 capable of detecting abnormal tissues in the oral cavity is installed. As the fluorescence visible device 330, for example, an inspection mirror (bell scope) described in Patent Document 3 described above can be used.

  A dental clinic terminal 310 operated by a dentist 301 or a staff not shown in each dental clinic 300 is constituted by, for example, a tablet-type terminal that is easy to operate intuitively at a medical examination site. (Personal Computer) or a stationary PC may be used. The dental clinic terminal 310 includes various units such as an inquiry reception unit 311 and an examination result acquisition unit 312 that are implemented as software that operates on an operating system (OS) (not shown).

  The inquiry reception unit 311 has a user interface such as a screen for a staff (or dentist 301) (not shown) to transfer and input the contents of the inquiry form 303 entered when the patient 302 receives an intraoral examination as an inquiry data. provide. The screening result acquisition unit 312 has a function of acquiring the result data of the intraoral screening performed by the dentist 301 on the patient 302 and transmitting it to the intraoral screening management server 100 via the network 200 together with the inquiry data. .

  The acquisition result data of the intraoral examination by the examination result acquisition unit 312 can be obtained, for example, by using digital image data in the oral cavity of the patient 302 taken by the camera 320 or the fluorescence visible device 330 as a short distance such as Wi-Fi (registered trademark) It includes acquiring automatically by wireless communication. In addition to these image data, for example, digital image data photographed by a not-shown X-ray fluoroscopic apparatus or the like may be included. Furthermore, from a plurality of acquired image data, the dentist 301 (or the staff) selects appropriate image data for each part in the oral cavity, results of inspection / palpation, contents of image data, inquiry data, etc. Entering findings based on this is also included. The examination result acquisition unit 312 also provides a user interface such as a screen for receiving selection of image data and input of findings.

  The inquiry reception unit 311 and the examination result acquisition unit 312 are implemented as, for example, application programs installed in the dental clinic terminal 310, but are not limited thereto. For example, the intra-oral examination management server 100 is accessed using a web browser (not shown), and processing is performed via a screen displayed on the web browser by an application program (not shown) installed on the intra-oral examination management server 100. It may be a thing.

  The color printer 340 has a function of printing out a medical certificate 341 based on the medical certificate data created in the intraoral examination management server 100 and transmitted via the network 200. The outputted medical certificate 341 is provided to the patient 302. At that time, based on the medical certificate 341, explanation of the examination result by the dentist 301, consulting for future oral care, and the like are performed.

  In the example of FIG. 1, the color printer 340 is directly connected to the network 200, receives the medical certificate data transmitted from the intraoral examination management server 100, and outputs the medical certificate 341. Not limited to. For example, a terminal such as a PC serving as a printer server or a dental clinic terminal 310 acquires medical certificate data from the intraoral examination management server 100, and the color printer 340 prints a medical certificate 341 based on instructions from these printer servers. It may be configured to output (in other words, the intraoral examination management server 100 causes the color printer 340 to output the medical certificate 341 via a printer server such as the dental clinic terminal 310).

  The intraoral examination management server 100 acquires, accumulates and manages the inquiry data from each dental clinic 300 and the results data of the intraoral examination, and creates medical certificate data based on the acquired data and stores the data of the dental clinic 300. This is a server system having a function of transmitting to the color printer 340 (or printer server).

  The intraoral examination management server 100 includes components such as an examination result management unit 110 and a medical certificate creation unit 120 that are implemented as software running on middleware such as an OS (not shown), a DBMS (DataBase Management System), and a Web server program. Have Each data store includes a dental clinic master database (DB) 101, a patient master DB 102, a medical examination data DB 103, an image data DB 104, and a medical certificate data DB 105, which are implemented by databases and files.

  The examination result management unit 110 has a function of recording the result data and the inquiry data of the oral examination acquired from the dental clinic terminal 310 of each dental clinic 300 via the network 200 in the examination data DB 103 and the image data DB 104. As will be described later, for example, the image data DB 104 manages the image data of the oral cavity taken by the camera 320, the fluorescence visible device 330, etc. in the intraoral examination at the dental clinic 300, and the examination data DB 103 manages other data. To do.

  The medical certificate preparation unit 120 uses, for example, a color printer based on the contents of these data as a trigger when the screening result management unit 110 records the result data and interrogation data of the oral examination in the screening data DB 103 and the image data DB 104. 340 printable medical certificate 341 data is created, information related to the data is recorded in the medical certificate data DB 105, and transmitted to the color printer 340 (or printer server) of the dental clinic 300 via the network 200. Has the function of

  The method of creating the medical certificate data is, for example, based on the inquiry data and the examination result data included in the contents recorded in the examination data DB 103, the findings data by the dentist 301, etc., according to the predetermined logic and conditions. It is automatically determined and created by embedding it in template data (not shown) about the medical certificate 341 together with corresponding image data. The medical certificate data is created as a file in a general format such as PDF (Portable Document Format).

  With the above configuration, in each dental clinic 300, in addition to visual inspection and palpation, intraoral screening including oral cancer screening using the fluorescence visible device 330 is performed, and screening results including image data are input to the dental clinic terminal 310. Then, by transmitting to the intraoral examination management server 100, the data of the medical certificate 341 can be automatically created by the intraoral examination management server 100 and printed out to the color printer 340 of the dental clinic 300.

<Overall flow of oral examination>
FIG. 2 is a flowchart showing an outline of an example of the entire flow of regular oral examination. First, a patient (user) uses an information processing terminal that he / she owns to access a portal site for intraoral examination (S01). This portal site is implemented by, for example, a web server system (not shown), but the web server system may be an independent server system or may be integrated with the intraoral examination management server 100.

  This portal site is intended to widely recognize the need for oral cancer screening and oral screening once a year for the general public. For example, the current number of deaths from oral cancer, etc. It is desirable that the necessity of medical examination should be recognized by actively communicating the fears and dangers, the importance of early detection, etc., such as cases and surgical situations when progressing. In addition, in order to widely inform the existence of the portal site, for example, it cooperates with universities, academic societies, national dental clinics, conducts publicity activities using celebrities, and various media such as SNS (Social Networking Service). It is desirable to conduct advertisements using

  In the portal site, it is possible to search for a partner dental clinic 300 that can receive the intraoral examination of the present embodiment (S02). The search can be performed using, for example, the name of the dental office 300, the name of the dentist 301, the location of the dental office 300, and other conditions as keys.

  Thereafter, the patient (user) applies for an oral examination to the dental clinic 300 selected from the search results (S03). The application may be configured such that the portal site serves as a reservation reception window and receives notifications to the target dental clinic 300, and the application is linked to the home page of the target dental clinic 300. You can go directly from the homepage. It may be done separately by telephone or the like.

  Thereafter, an oral examination for the patient 302 is performed at the dental clinic 300 at the reserved date and time (S04). As described above, in this embodiment, oral cancer screening using the fluorescence visible device 330 can also be performed. Data such as the results of the examination is transmitted from the dental office terminal 310 to the intraoral examination management server 100, and medical certificate data is automatically created by the intraoral examination management server 100, and the medical certificate is obtained from the color printer 340 of the dental office 300. 341 is output.

  Based on the contents of the medical certificate 341 and the findings of the dentist 301, the dentist 301 provides consulting regarding oral care to the patient 302, and the patient 302 is suspected of having oral cancer. (S05: Yes), the dentist 301 immediately introduces the university hospital or the like to the patient 302, and the patient 302 performs a pathological examination, a detailed examination, and the like as needed (S06).

  On the other hand, when there is no suspicion of oral cancer in the patient 302 (S05: No), or when the patient 302 has completed the necessary treatment in step S06, then oral treatment, regular hospital visit, dental checkup, etc. This is made a habit by encouraging the oral care to be repeated regularly and continuously (S07).

<Flow of oral examination>
FIG. 3 is a flowchart showing an outline of an example of the flow of processing of the intraoral examination (step S04 in FIG. 2) in the dental clinic 300. In the dental clinic 300, first, the patient 302 enters patient information, symptom contents, and the like on the questionnaire 303 (S41). Thereafter, the staff of the dental office 300 (or the dentist 301) transfers / inputs the contents entered in the inquiry form 303 via the inquiry reception unit 311 of the dental office terminal 310 (S42). FIG. 4 is a diagram showing an outline of an example of a screen for inputting the contents of the inquiry form 303 displayed by the inquiry reception unit 311 of the dental clinic terminal 310. As described above, here, by making the dental clinic terminal 310 a tablet type, it is possible to easily and quickly input by an intuitive operation on the touch panel while relaxing the place restrictions at the time of input. .

  Returning to FIG. 3, thereafter, the dentist 301 starts an intraoral examination for the target patient 302. Here, if necessary, X-ray panoramic imaging of the oral cavity portion is performed with an X-ray fluoroscopic imaging device (S43), intraoral inspection and palpation is performed (S44), and normal intraoral imaging with the camera 320 (S45), And special imaging | photography (S46) in the oral cavity by the fluorescence visible device 330 is performed. In the example of FIG. 3, it is described that imaging and medical examination are performed in the above order, but the order is not limited to this, and can be performed in parallel when possible. Note that as described above, image data captured by each device is transmitted to the dental clinic terminal 310 by wireless communication such as Wi-Fi or via a medium such as an external storage device.

  When the intraoral examination is completed, the dentist 301 (and the staff) selects image data used for diagnosis from the image data transmitted and recorded to the dental clinic terminal 310 (S47). FIG. 5 is a diagram showing an outline of an example of a screen when selecting image data displayed by the examination result acquisition unit 312 of the dental clinic terminal 310. The example of FIG. 5 shows a case where an image captured by the fluorescence visible device 330 is selected, and image data corresponding to each part is selected from the list of image data captured by the fluorescence visible device 330 displayed on the right side. Is selected by drag and drop. X-ray panoramic imaging and image data captured by the camera 320 can also be selected by similar processing.

  Returning to FIG. 3, the dentist 301 then inputs findings based on the inquiry data input to the dental office terminal 310, the selected image data, the results of inspection and palpation (S <b> 48). FIG. 6 is a diagram showing an outline of an example of a screen when inputting the findings displayed by the examination result acquisition unit 312 of the dental clinic terminal 310. FIG. 6A shows an example of a screen for inputting a finding for the inquiry data, and FIG. 6B shows an example of a screen for inputting a finding for the selected image data.

  Returning to FIG. 3, when a finding by the dentist 301 is input, the dental office terminal 310 receives the inquiry data, the examination result data including the finding, the image data, etc. as the result of the oral examination, the intraoral examination management server 100. (S49). In the intraoral examination management server 100, the examination result management unit 110 records the data transmitted from the dental clinic terminal 310 in the examination data DB 103 and the image data DB 104, and further automatically creates the medical certificate data by the medical certificate creation unit 120. In addition to recording information in the medical certificate data DB 105, the medical certificate data is transmitted to the color printer 340 (or printer server) of the dental clinic 300 to output the medical certificate 341 (S50). The dentist 301 hands over the medical certificate 341 to the patient 302 and performs result explanation and consulting based on the contents (S51), and ends the oral examination.

  FIGS. 7 and 8 are diagrams showing an outline of a part of a medical certificate 341 created by the intraoral examination management server 100 and printed out by the color printer 340. Here, in addition to the information of the dental clinic 300 and the dentist 301, patient information, etc., the selected image data and the information of the findings by the dentist 301 are automatically embedded in the template file as a result of the examination. Is output. Various numerical data (for example, lifestyle scores obtained from interview data, evaluation values of dental conditions obtained as a result of medical examination, etc.) evaluated numerical values (for example, “tooth age”, Oral cancer risk level) may be displayed.

<Data structure>
FIG. 9 is a diagram showing an outline of an example of the data configuration of the dental clinic master DB 101 of the intraoral examination management server 100. The dental clinic master DB 101 is a master table that holds information about each dental clinic 300 that participates in or cooperates with the support and promotion service for oral examination provided by the intraoral examination management system 1. , Clinic name, clinic name Kana, prefecture, city, user ID, password, and authority.

  The item of clinic ID holds identification information such as an ID for uniquely identifying each dental clinic 300. The items of clinic name and clinic name Kana hold information related to the name of the target dental clinic 300. The items of prefectures and municipalities hold information related to the location of the target dental clinic 300. Each item of the user ID and the password holds information on an account assigned to the target dental office 300 (the dentist 301). The item of authority holds information such as access authority and operation authority set for the above account. Each of these pieces of information is set based on, for example, application information when each dental clinic 300 participates or cooperates with a support / promotion service for intraoral examination.

  FIG. 10 is a diagram showing an outline of an example of the data configuration of the patient master DB 102 of the intraoral examination management server 100. The patient master DB 102 stores information on a patient 302 who has received (or received) an oral examination at a dental clinic 300 that participates in or is affiliated with an oral examination support / promotion service provided by the oral examination management system 1. This is a master table to be held, and has items such as patient ID, patient name, patient name Kana, gender, date of birth, occupation, home phone number, and mobile phone number, for example.

  The item of patient ID holds identification information such as an ID for uniquely identifying each patient 302. The items of the patient name and the patient name Kana hold information related to the name of the target patient 302. The items of sex, date of birth, and occupation hold information on the gender, date of birth, and occupation of the subject patient 302, respectively. Each item of the home phone number and the mobile phone number holds information on the numbers of the home phone and the mobile phone as the contact information of the subject patient 302, respectively. Each of these pieces of information is set based on, for example, the contents when each patient 302 first fills out the questionnaire 303.

  FIG. 11 is a diagram showing an outline of an example of the data configuration of the examination data DB 103 of the intraoral examination management server 100. The examination data DB 103 is a table that holds inquiry data, examination result data, observation data by the dentist 301, and the like as data related to intraoral examination. , Clinic ID, patient ID, examination date and time, interview data, and findings data.

  Questionnaire No. This item holds the number information attached to the questionnaire filled in at the time of examination as identification information for uniquely identifying each intraoral examination. You may make it allocate identification information, such as ID, separately about each examination. Each item of the clinic ID and the patient ID holds ID information that identifies the dental clinic 300 that performed the target intraoral examination, and ID information that identifies the patient 302 who received the examination. These pieces of ID information are respectively defined in the dental clinic master DB 101 and the patient master DB 102 described above. The examination date and time item holds information on the date and time when the target oral examination was performed. For convenience, the date and time when the record is recorded in the examination data DB 103 may be the implementation date and time of the target examination.

  The items of the interview data and the findings data are respectively the information related to the contents of the items of the questionnaire 303 entered by the patient 302 in the target oral examination and the findings by the dentist 301 for the items of the results of the oral examination. The information concerning is held. The method for holding these data is not particularly limited, but the items of the questionnaire 303 and the findings may be held together as one record, or each item may be held as a separate record. .

  FIG. 12 is a diagram showing an outline of an example of the data configuration of the image data DB 104 of the intraoral examination management server 100. The image data DB 104 is a table that holds image data of the oral cavity taken by the camera 320, the fluorescence visible device 330, X-ray panoramic photography, etc. in the intraoral examination. Each item such as a clinic ID, a patient ID, an imaging date, an image type, image data, and a corresponding part.

  Image No. The item holds identification information such as a number for uniquely identifying each image data. Each item of the clinic ID and the patient ID holds ID information that identifies the dental clinic 300 that performed the intraoral examination from which the target image data was acquired, and ID information that identifies the patient 302 who received the examination. These pieces of ID information are respectively defined in the dental clinic master DB 101 and the patient master DB 102 described above. Instead of these items, the inquiry form No. 1 in the examination data DB 103 described above is used. The intraoral examination from which the target image data is acquired may be specified by the item.

  The shooting date / time item holds information on the date / time when the target image data was acquired. Each item of the image data and the corresponding part holds information on the target image data and information on the part corresponding to the target image data. The item of the image type includes information such as a code value for identifying the type of target image data, that is, whether the imaging device is the camera 320, the fluorescence visible device 330, or the X-ray fluoroscopic device. Hold. In the item of image data, the data itself may be held, or information on a path for specifying a target image data file may be held. As the value of the item of the corresponding part, information on the part where the target image data is selected by the dentist 301 on the screen as shown in the example of FIG. 5 is set.

  FIG. 13 is a diagram showing an outline of an example of the data configuration of the medical certificate data DB 105 of the intraoral examination management server 100. The medical certificate data DB 105 is a table that holds information related to the medical certificate data created by the medical certificate creating unit 120. Each item such as a clinic ID, patient ID, creation date and time, medical certificate data, and medical certificate result data.

  Medical certificate No. This item holds identification information such as a number for uniquely specifying each medical certificate data. Each item of the clinic ID and the patient ID holds ID information that identifies the dental clinic 300 that has performed the intraoral examination related to the target medical certificate data, and ID information that identifies the patient 302 who has undergone the examination. These pieces of ID information are respectively defined in the dental clinic master DB 101 and the patient master DB 102 described above. Instead of these items, the inquiry form No. 1 in the examination data DB 103 described above is used. According to the item, the oral examination related to the medical certificate data of the target may be specified.

  The creation date / time item holds information on the date / time when the target medical certificate data was created. The item of the medical certificate data holds information related to the target medical certificate data. Data itself may be held, or information on a path for specifying a target medical certificate data file may be held. The items of the diagnosis result data hold items such as evaluation values automatically calculated by the medical certificate creation unit 120 and information related to the contents thereof. The data holding method is not particularly limited, but a plurality of items in the medical certificate 341 may be held as one record in a combined form, or each item may be held as a separate record.

  The data configurations (items) of the tables shown in FIGS. 9 to 13 are merely examples, and other table configurations and data configurations are possible as long as similar data can be held and managed. It may be.

  As described above, according to the intraoral examination management system 1 according to one embodiment of the present invention, the risk of oral cancer is communicated to the public via a portal site, and the oral cavity is regularly In addition to promoting medical examinations, many dental clinics 300 can easily receive intraoral screening including oral cancer screening using the fluorescence visible device 330 in addition to visual inspection and palpation. It is possible to make the oral examination constant by conducting consulting based on this and connecting to the next examination.

  This enables a reduction in the number of deaths due to early detection of oral cancer, as well as early detection of problems in the oral cavity, and dental clinics based on conventional insurance practice and oral examination, which is a free practice. To improve profitability. In addition, it will be possible to instill awareness of preventive medicine through oral care in the public, thereby improving health and thus reducing medical expenses throughout the country.

  As mentioned above, the invention made by the present inventor has been specifically described based on the embodiments. However, the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the scope of the invention. Needless to say. For example, the above-described embodiment has been described in detail for easy understanding of the present invention, and is not necessarily limited to the one having all the configurations described. In addition, it is possible to add, delete, and replace other configurations for a part of the configuration of the above-described embodiment.

  INDUSTRIAL APPLICABILITY The present invention can be used for an intraoral screening management system that supports intraoral screening including oral cancer screening performed in a dental clinic.

1 ... Intraoral examination management system,
DESCRIPTION OF SYMBOLS 100 ... Intraoral examination management server, 101 ... Dental clinic master DB, 102 ... Patient master DB, 103 ... Examination data DB, 104 ... Image data DB, 105 ... Medical certificate data DB, 110 ... Examination result management part, 120 ... Diagnosis Book creation department,
200 ... Network,
DESCRIPTION OF SYMBOLS 300 ... Dental clinic, 301 ... Dentist, 302 ... Patient, 303 ... Interview form, 310 ... Dental clinic terminal, 311 ... Interview reception part, 312 ... Examination result acquisition part, 320 ... Camera, 330 ... Fluorescence visible device, 340 ... Color printer, 341 ... Medical certificate

Claims (1)

An oral screening management system that supports oral screening including oral cancer screening in a dental clinic,
A plurality of dental clinic terminals respectively installed in the plurality of dental clinics;
An oral examination server to which each dental clinic terminal is connected via a network;
A portal site about dentistry,
Have
The portal site includes a display including information on oral cancer as information for motivating a patient who is a user to receive the oral examination, and a display for searching for information on the dental clinic that matches a predetermined condition. And a display for cooperating with the appointment of the oral examination for the dental clinic,
The dental clinic terminal is
With response to the input of the interview data is the content of the questionnaire filled out of the patient,
Examination data including image data of the oral cavity of the patient imaged in an intraoral examination performed by a dentist of the dental clinic , and contents of findings relating to the intraoral examination inputted by the dentist, It was sent to the oral examination management server together with the inquiry data,
The intraoral examination management server is
The inquiry data and the examination data transmitted from the dental office terminal and recorded in the database,
Based on the inquiry data of the patient and the contents of the examination data, the examination result report data on the intraoral examination including the oral cancer examination is created and transmitted to the dental clinic terminal , or the dental clinic terminal Output to a printer installed in the installed dental clinic ,
The image data includes a first image obtained by photographing the oral cavity of the patient with a camera, and a fluorescence visible device capable of detecting abnormal tissue by detecting weak light emitted from a target tissue in the oral cavity. And at least a second image obtained by photographing the oral cavity of the patient,
Information on the content of the findings includes findings on the interview data, and findings on the examination image regarding the location of the oral cavity of the patient selected from the image list of the image data,
The examination result report data is
Information on the patient, information on the dental office,
Information on the results of the oral cancer screening;
Information on the results of intraoral screening on oral elements affecting oral cancer other than the oral cancer screening,
Information on the next meter reading schedule related to the oral cancer screening,
Information on oral treatment plans from the next time onwards,
Using the image data, as the oral cancer screening result image, the first image and the second image are used as a parallel set, and at least one of at least one location among a plurality of locations of the patient's oral cavity Including a plurality of images of a set or more, and information on findings regarding each set of images,
The plurality of portions of the oral cavity include a front surface, an occlusal surface, a tongue surface, a lower tongue surface, and a cheek surface.
Intraoral examination management system.