JP7540751B2 - Dental care information management system, dental care information management method and program - Google Patents

Description

This invention relates to a dental care information management system, a dental care information management method, and a program for managing information related to dental care.

Conventionally, systems for providing users with information relating to dental care are known, as described in Japanese Patent Application Laid-Open No. 2003-233699 and Japanese Patent Application Laid-Open No. 2003-233699.
In the dental information provision system described in Patent Document 1, a management computer stores dental information for each patient sent from the doctor's terminal via a communications network, and sends the dental information of the patient using the patient's terminal to the patient's terminal in response to a request from the patient's terminal via the communications network.
This system allows patients to obtain their own dental information whenever they wish.

In addition, the dental health management support system described in Patent Document 2 receives and records information regarding the condition of teeth, responses to medical interviews, and chewing force measurement results input by a user from a user terminal via the Internet, and based on this information creates dental assessment results including the user's current oral condition, predicted future oral condition, any necessary self-care advice, and treatment advice, and transmits the results to the user terminal.
With this system, users can receive information and advice on dental prevention from the comfort of their own home by simply inputting information on the condition of their teeth, medical interview results, and chewing strength using a user terminal.

JP 2006-113945 A JP 2019-113923 A

However, in the conventional systems described above, the information received by the patient is standardized, and the system is not effective enough in promoting communication between the doctor (dentist) and the patient.
An object of the present invention is to solve such problems and to enable doctors to easily provide patients with information about dental care in a manner that promotes communication between the doctors and patients.

In order to achieve the above object, the dental medical information management system of the present invention is provided with a first receiving unit, which is in one information processing device or distributed among a plurality of information processing devices capable of communicating with each other, receives from a doctor's terminal oral cavity condition information indicating the condition of the patient's oral cavity and option information indicating options of treatment items to be proposed to the patient, and stores the information in a memory unit in association with the patient; a treatment item selecting unit, which selects treatment items to be proposed to a specific patient from the options indicated by the option information based on the oral cavity condition information and option information of the specific patient stored in the memory unit; and a first transmitting unit, which, in response to access from the patient's terminal, identifies the patient using the accessing patient's terminal, and transmits to the accessing patient's terminal the oral cavity condition information of the identified patient stored in the memory unit and the treatment items selected by the treatment item selecting unit based on the oral cavity condition information and option information of the identified patient.

In such a dental medical information management system, it is preferable to provide a second receiving unit that receives interest information transmitted from the patient's terminal indicating medical treatment items in which the patient using the patient's terminal is interested among the medical treatment items transmitted to the patient's terminal by the first transmitting unit, and stores the interest information in the memory unit in association with the patient, and a second transmitting unit that transmits the interest information corresponding to the patient, which is stored in the memory unit, to the doctor's terminal in response to access from the doctor's terminal that identifies the patient.

Furthermore, the first receiving unit stores the received oral cavity condition information and option information in the storage unit in association with the medical institution having the doctor's terminal from which the information was sent, the second receiving unit stores the received interest information in the storage unit in association with the medical institution associated with the oral cavity condition information used to select the medical treatment item sent by the first sending unit, and the second sending unit transmits, in response to the access from the doctor's terminal that identifies a patient, the interest information stored in the storage unit that corresponds to the pair of the patient and the medical institution having the doctor's terminal from which the information was sent, to the doctor's terminal from which the information was sent.

Alternatively, in the above-mentioned dental medical information management system, a hospital destination storage unit is provided which stores in the memory unit the correspondence between the patient and the medical institution the patient visits, and the first receiving unit stores the received oral condition information and option information in the memory unit in association with the medical institution having the doctor's side terminal from which the information was sent, and the first transmitting unit transmits to the patient's side terminal from which the information was sent, the oral condition information of the identified patient stored in the memory unit which is associated with the medical institution the identified patient visits, and the medical treatment item selected by the medical treatment item selection unit based on the oral condition information and the option information corresponding to the oral condition information.
Furthermore, when the above-mentioned hospital destination storage unit is accessed from a patient terminal used by a patient who has not yet been associated with a medical institution, the medical institution associated with the patient's latest oral condition information stored in the memory unit is stored in the memory unit as the patient's hospital destination.

Alternatively, in the above-mentioned dental medical information management system, it is preferable to provide a third receiving unit that receives information on the patient's contact details and date of birth from the doctor's terminal and stores the received contact details and date of birth in the memory unit in association with the patient, and a patient matching unit that, in response to receiving a combination of contact details and date of birth of a patient using a patient-side terminal from a patient-side terminal to which the patient is not associated, matches the patient who is associated with the combination of contact details and date of birth in the memory unit with the patient-side terminal that sent the transmission, as the patient using the patient-side terminal.
Furthermore, if the memory unit stores multiple pieces of patient information corresponding to the received combination of contact information and date of birth, the patient matching unit can match the patient indicated by the most recent information with the patient's terminal that sent the information.

The present invention as described above can be implemented as a system including the doctor's terminal and/or the patient's terminal, or as the doctor's terminal and/or the patient's terminal. In addition, the invention can be implemented in any form, such as a system or device invention, a method, a program, or a recording medium on which a program is recorded.

The dental care information management system of the present invention described above allows doctors to easily provide patients with information about dental care in a way that promotes communication between the two parties.

1 is a diagram showing an example of an operation form of a dental medical information management system according to an embodiment of the present invention; FIG. 2 is a diagram showing a hardware configuration of the dental medical information management system 100 shown in FIG. 1. 2 is a functional block diagram showing the functional configuration of the dental medical information management system 100, the doctor's terminal 200, and the patient's terminal 300 in FIG. 1. FIG. 4 is a diagram showing the structure of information to be registered in a patient information DB 130 in FIG. 3. FIG. 4 is a diagram showing the configuration of information to be registered in the medical care item DB 140 in FIG. 3. FIG. 6 is a diagram showing an example of medical care item information in FIG. 5 . FIG. 6 is a diagram showing an example of category information in FIG. 5 . FIG. 4 is a diagram showing the structure of information to be registered in the patient list 230 in FIG. 3. 13 is a sequence diagram showing the operation of each device when the doctor's terminal 200 receives an instruction to register a new examinee. FIG. 11 is a sequence diagram showing the operation of each device when the doctor's terminal 200 receives an instruction to display information about a patient. FIG. FIG. 11 is a diagram showing an example of a patient information screen 500 displayed in steps S28 and S29 of FIG. 10. FIG. 13 is a diagram showing an example of another display state of the examinee information screen 500. FIG. 5 is a diagram showing an example of a display of a choice editing screen 550. 13 is a diagram showing an example of a pull-down menu that constitutes a selection section 551 of an option editing screen 550. FIG. 13 is a sequence diagram showing the operation of each device when the doctor's terminal 200 receives an instruction to register oral cavity condition information and/or option information. FIG. FIG. 11 is a sequence diagram showing the operation of each device when the patient terminal 300 is started up in a state in which the patient ID 330 has not been registered. FIG. 11 is a sequence diagram showing the operation of each device when the patient terminal 300 is started up in a state in which the patient ID 330 has been registered. FIG. 18 is a diagram showing an example of an oral cavity information screen 600 displayed in step S77 of FIG. 17. FIG. 13 is a diagram showing an example of a display of the oral cavity information screen 600 in another state.

Hereinafter, an embodiment of the present invention will be described with reference to the drawings.
First, an example of an operation form of a dental medical information management system is shown in Fig. 1. Fig. 2 shows a hardware configuration of the dental medical information management system 100 shown in Fig. 1.

In the example of FIG. 1, the dental medical information management system 100 located in the system administrator environment 10 corresponds to one embodiment of the dental medical information management system of the present invention. Also, a system including a doctor's terminal 200 (a symbol without a subscript is used when it is not necessary to specify an individual. The same applies to the symbols "300" and "20") and a patient's terminal 300 in addition to the dental medical information management system 100 corresponds to another embodiment of the dental medical information management system of the present invention.

The dental medical information management system 100 shown in FIG. 1 is placed in a system administrator environment 10 managed by an administrator of this system, is connected to the Internet N, which is an example of a network communication path, and is placed in a state in which it can communicate with a doctor's terminal 200 and a patient's terminal 300 via the Internet N. The system administrator environment 10 may be a cloud environment.

As shown in FIG. 2, the dental medical information management system 100 can be configured with an information processing device that connects a processor 101, a memory 102, a storage 103, a communication I/F 104 for communication via the Internet N or the like, an operation unit 105 for receiving operations from an operator, and a display unit 106 for displaying information to the operator via a communication path 107 such as a system bus. The necessary functions may be distributed among multiple information processing devices that can communicate with each other. This basic configuration is also the same for the doctor's terminal 200 and the patient's terminal 300.

The doctor's terminal 200 is a terminal device that is placed in a medical institution 20 that provides dental care, and is expected to be operated by a doctor or his/her assistant who examines a patient at the medical institution 20. The number of medical institutions 20 can be any number equal to or greater than one. As in medical institution 20a, multiple doctor's terminals 200a-1 to 200a-x may be placed in one medical institution, or as in medical institution 20b, only one doctor's terminal 200b may be placed in one medical institution. The hardware of the doctor's terminal 200 can be any information processing device, such as a PC (personal computer), tablet computer, or smartphone.

The patient-side terminal 300 is a terminal device that is expected to be used and operated by patients at the medical institution 20. The number of patient-side terminals 300 is arbitrary and may be one or more. As hardware, a portable device such as a tablet computer or a smartphone is preferable, but any information processing device can also be used.
1 may be a device that receives operations and presents information using VR (virtual reality), AR (augmented reality), etc. Each terminal may be a different model.

In the above system, the dental medical information management system 100 provides various services to doctors (medical institutions) and patients in response to access from the doctor's terminal 200 and the patient's terminal 300.

An example of the services provided by the dental medical information management system 100 is as follows.
- Records oral information, including the condition of the patient's teeth, entered by the doctor and makes it available for both the doctor and the patient to view at any time.
- From the treatment options selected by the doctor, the system recommends to the patient the treatment items necessary based on the recorded oral cavity information.
- Allows doctors to understand the medical items that patients are interested in.
- Even if the patient is not using the system at the time of the consultation, they can easily receive the above services.

Below, with reference to Figure 3 onwards, we will explain the functional configuration of the system to provide these services, as well as examples of data, algorithms, screens, etc. used to realize these functions.

FIG. 3 is a functional block diagram showing the functional configuration of the dental medical information management system 100, the doctor's terminal 200, and the patient's terminal 300 shown in FIG. 1, focusing on what is necessary to realize the services exemplified above.
4 to 8 are diagrams showing examples of data used by each unit shown in FIG.
3 can be realized by a processor of each device executing a required program to control the required hardware. This program may be installable and uninstallable as desired.

It is also possible to provide a web server function on the dental medical information management system 100 side, and to provide all or part of the functions on the doctor's terminal 200 and the patient's terminal 300 side through a web page that is displayed in response to accessing the dental medical information management system 100 from the doctor's terminal 200 or the patient's terminal 300 using a web browser or the like. It is also possible to realize all or part of the functions shown in FIG. 3 using dedicated hardware. It is also possible to realize all or part of the functions of each device using the resources of an external device, such as a cloud environment.

As shown in FIG. 3, the dental medical information management system 100 mainly includes functions that operate in conjunction with the doctor's terminal 200, such as a communication unit 111, a medical institution identification unit 112, an input information reception unit 113, a display information acquisition unit 114, and a medical treatment item selection unit 115. In addition, mainly includes functions that operate in conjunction with the patient's terminal 300, such as a communication unit 121, a patient matching unit 122, a transmission information generation unit 124, and an interest information registration unit 125. In addition, the dental medical information management system 100 includes a patient information DB (database) 130, a medical treatment item DB 140, and a medical institution DB 150 as data that are registered and referenced by each of these units.

Of these, the communication unit 111 has a function of accepting access from the doctor's terminal 200 and communicating with the doctor's terminal 200. It is preferable that the communication unit 111 has a function of authenticating the operator of the accessing terminal or the terminal itself using a user ID (identification information), password, electronic certificate, etc.

The medical institution identification unit 112 has a function for identifying the medical institution 20 equipped with the doctor's terminal 200 that is the access source. This identification can be performed using individual identification information of the operator or terminal authenticated by the communication unit 111, or the medical institution identification unit 112 itself may request the doctor's terminal 200 to input individual identification information. In addition, for this identification, the correspondence between the medical institution 20 and the doctor's terminal 200 or its operator is registered in advance in the medical institution DB 150.

The input information receiving unit 113 has a function of receiving patient information sent from the doctor's terminal 200 and received by the communication unit 111, and registering the information in the patient information DB 130 in association with the medical institution identified by the medical institution identification unit 112.
The communication unit 111, the medical institution identification unit 112, and the input information receiving unit 113 correspond to a first receiving unit and a third receiving unit.

The display information acquisition unit 114 has a function of acquiring information about the patient to be displayed on the doctor's terminal 200 from the patient information DB 130 based on a request (command) from the doctor's terminal 200 received by the communication unit 111, and transmitting the information to the doctor's terminal 200 that issued the request via the communication unit 111. In addition, when medical care items are to be displayed on the doctor's terminal 200, the display information acquisition unit 114 also has a function of acquiring and transmitting the necessary information from the medical care item DB 140. The display information acquisition unit 114 and the communication unit 111 correspond to the second transmission unit.

The medical care item selection unit 115 has a function of selecting a medical care item to be proposed to the patient from among options indicated by the option information, according to the oral cavity condition information and option information of the patient registered in the patient information DB 130 and the proposal conditions 144 registered in the medical care item DB 140. This selection may be made, for example, based on the updated patient information when the input information receiving unit 113 receives updated patient information. Alternatively, it may be made so that a proposal for the patient is made in response to a proposal creation instruction that specifies the patient and is sent from the doctor's terminal 200. Of course, other timings are also acceptable.
The medical treatment item selection unit 115 also has a function of transmitting the medical treatment items selected as those to be proposed to the doctor's terminal 200 via the communication unit 111, and a function of registering the ID of the medical treatment item for which an instruction to propose it has been sent from the doctor's terminal 200 via the communication unit 111 in the patient information DB 130 as proposed information, as described below.
The above operation of the medical care item selection unit 115 will be described later with reference to FIG.

The communication unit 121 also has a function of accepting access from the patient terminal 300 and communicating with the patient terminal 300. Like the communication unit 111, it is preferable that the communication unit 121 has a function of authenticating the operator of the accessing terminal or the terminal itself. Furthermore, it is not necessary to provide the communication unit 111 separately, and the destination of the received data may be appropriately determined depending on the accessing terminal.

The patient matching unit 122 has a function of identifying the patient record of the user of the patient terminal 300 from among the patient records registered in the patient information DB 130 based on information received from the patient terminal 300, and matching it with the user. In this embodiment, this matching means that the user of the patient terminal 300 registers in the patient information DB 130 that the user is a patient who visits the medical institution 20 having the medical institution ID registered in the corresponding patient record. Details of this matching will be described later using Figure 16. This patient matching unit 122 corresponds to the hospital destination storage unit and the patient matching unit.

The transmission information generation unit 124 has a function of acquiring information to be displayed on the patient terminal 300, such as information on the oral cavity condition of the patient identified by the information received from the patient terminal 300 (here, the patient ID) and information on the medical care items to be proposed to the patient, from the patient information DB 130 and the medical care item DB 140, and transmitting the information to the patient terminal 300 via the communication unit 121. The transmission information generation unit 124 and the communication unit 121 correspond to the first transmission unit.

The interest information registration unit 125 has a function of, when receiving interest information indicating a medical treatment item in which a patient using the patient terminal 300 is interested among the medical treatment items transmitted to the patient terminal 300 by the transmission information generation unit 124, registering the interest information in a patient record associated with the patient in the patient information DB 130. The interest information registration unit 125 and the communication unit 121 correspond to a second receiving unit.
The operations of the transmission information generating section 124 and the interest information registering section 125 will be described later with reference to FIGS.

Next, the doctor's terminal 200 has the functions of a communication unit 211, a new patient registration instruction receiving unit 212, an information display instruction receiving unit 213, a patient information display unit 214, an oral condition information input receiving unit 215, an option information input receiving unit 216, and a suggestion yes/no instruction receiving unit 217. It also has a patient list 230 as data to be registered and referenced by each of these units.

Of these, the communication unit 211 has a function of accessing the dental medical information management system 100 and communicating with the dental medical information management system 100 .
The new patient registration instruction receiving unit 212 has a function of receiving instructions from the operator to register (create) information on a new patient in the dental medical information management system 100 and the patient list 230, and when that instruction is received, requesting the dental medical information management system 100 to register the new patient. Details of the registration operation will be described later with reference to Fig. 9.

The information display instruction receiving unit 213 receives instructions from the operator to identify one of the patients registered in the patient list 230 and to display information registered in the dental medical information management system 100 about the identified patient, and has the function of requesting patient information from the dental medical information management system 100 when such an instruction is received.
The patient information display unit 214 has a function of displaying information of the patient on a display unit such as a display, based on information transmitted from the dental medical information management system 100 in response to a request from the information display instruction receiving unit 213. The display is, for example, as shown in Figures 11 and 12, and will be described later together with the operation related to the display, also with reference to Figure 10.

The oral cavity condition information input receiving unit 215 has a function of receiving input of oral cavity condition information indicating the condition of the patient's teeth and oral cavity on the screen displayed by the patient information display unit 214, and transmitting the input information to the dental medical information management system 100 for registration. It is expected that this input will be received, for example, when a doctor examines a patient.

The option information input receiving unit 216 has a function of receiving input of options for treatment items proposed to the patient on the screen displayed by the patient information display unit 214, and transmitting the input information to the dental medical information management system 100 for registration. This input may be received at the same time as the oral cavity condition information is received, or may be received at a different time using a different screen. Details of the operation of registering the oral cavity condition information and option information will be described later with reference to FIG. 15. The oral cavity condition information input receiving unit 215 and option information input receiving unit 216 function as a transmission unit together with the communication unit 211.

The suggestion instruction receiving unit 217 has a function of displaying the medical treatment items selected by the medical treatment item selection unit 115 as those to be suggested to the patient, which are sent from the dental medical information management system 100, together with the information of the target patient, receiving an instruction from the operator as to whether or not those medical treatment items should actually be suggested to the patient, and sending information on the medical treatment items for which an instruction has been given that they may be suggested to the dental medical information management system 100, to register them as suggested information, which will be described later. It is preferable that operators who can give instructions to the suggestion instruction receiving unit 217 are limited to doctors.

Next, the patient-side terminal 300 has the functions of a communication unit 311, an information display instruction receiving unit 312, an oral cavity condition information display unit 313, and an interest information input receiving unit 314. In addition, the patient-side terminal 300 has a patient ID 330 and a patient-side terminal ID 340 as data to be registered and referenced by each of these units.
Of these, the communication unit 311 has a function of accessing the dental medical information management system 100 and communicating with the dental medical information management system 100. This communication unit 311 corresponds to an access unit.

The information display instruction receiving unit 312 has a function of receiving an instruction from the patient, who is the user of the patient terminal 300, to display his/her own information registered in the dental medical information management system 100, and, when the instruction is received, requesting the dental medical information management system 100 to send the information to be displayed. In addition, when the user newly uses the functions of the patient terminal 300 (or the application program that realizes them), it also has a function of requesting the dental medical information management system 100 to associate the user with a patient record in the patient information DB 130.

The patient ID 330 is an ID that identifies a patient record associated with the user.
The patient terminal ID 340 is information used by the dental medical information management system 100 to identify a patient associated with a patient record. If it is assumed that one patient uses one patient terminal 300, such as when the patient terminal 300 is a personal smartphone, the information for identifying the patient terminal 300 itself (e.g., MAC address) can be used as it is as information for identifying the patient, and this is the case here. In this way, it is possible to associate the patient with the patient record without assigning a separate user ID to the patient.

However, if it is expected that one patient terminal 300 will be shared by multiple patients, it is also possible to assign a user ID to each user (patient) using the patient terminal 300 in addition to the patient ID to identify the user, and to use that user ID as the patient terminal ID in this embodiment.
The operation of associating a patient with a patient record using each of the above IDs will be described later with reference to FIG. 16, and the operation of acquiring display information will be described later with reference to FIG.

The oral cavity condition information display unit 313 has a function of displaying information about the patient, who is the user of the patient-side terminal 300, on a display unit such as a display, based on information sent from the dental medical information management system 100 in response to a request from the information display instruction receiving unit 312. The display is, for example, as shown in Figures 18 and 19, and in addition to information about the condition of the teeth and oral cavity, information about treatment items that are recommended to be used is also displayed. Details will be described later. This oral cavity condition information display unit 313 corresponds to the presentation unit.

The interest information input receiving unit 314 has a function of receiving input indicating the treatment items of interest from the user on the screen displayed by the oral cavity condition information display unit 313, and transmitting the input information to the dental medical information management system 100 for registration. This registration operation will be described later with reference to FIG. 17.

Next, FIG. 4 shows the structure of information registered in the patient information DB 130. As shown in FIG.
4, a patient record, which is information about each patient, is registered in the patient information DB 130. However, one patient record is registered for each combination of a patient and a medical institution, and multiple patient records may be registered for one patient.
Each patient record includes a patient ID for identifying the patient record and a medical institution ID for identifying the medical institution that created (newly registered) the patient record. In addition, the record includes oral condition information, option information, proposal information, interest information, contact information, date of birth, and patient terminal ID.

The oral condition information indicates the condition of the patient's teeth and oral cavity. Information such as cavities, periodontal disease, tooth alignment, and tooth whiteness can be registered, but the type of information to be registered is up to the patient. There is no need to register data for all the prepared items. Depending on the item, information is registered for each tooth (e.g., "cavities" or "periodontal disease"), information is registered for the whole tooth (e.g., "tooth alignment"), and information is registered for each group of teeth (e.g., "tooth whiteness"). In addition to this, an overall evaluation can also be registered. It is assumed that this information is entered by the doctor from the doctor's terminal 200 when examining the patient, and then transmitted to the dental medical information management system 100 for registration. The last update time is the most recent registration time. It is also possible to enable history management without discarding past data.

The option information is the ID of the medical treatment item or its category for which a proposal to the patient should be considered, and multiple options can be registered. The medical treatment item ID and the category ID will be described later with reference to Figs. 5 to 7. It is assumed that the doctor inputs the option information from the doctor's terminal 200 at any time and transmits it to the dental medical information management system 100 for registration.
The proposed information is the ID of the medical treatment item proposed to the patient. The dental medical information management system 100 proposes to the patient the medical treatment items that it has determined should be proposed to the patient based on the oral cavity condition information, the option information, and the proposal conditions 144 registered in the medical treatment item DB 140, after receiving confirmation from the doctor operating the doctor's terminal 200. The ID of the medical treatment item that has become available for proposal to the patient after receiving confirmation from the doctor is registered as the proposed information.

The interest information is the ID and the setting date of the treatment item in which the patient is interested among the treatment items proposed to the patient by the dental medical information management system 100, and multiple information can be registered. It is assumed that the interest information is input from the patient-side terminal 300 when the patient views his/her own oral condition information using the patient-side terminal 300, and is transmitted to the dental medical information management system 100 for registration.
The contact information and date of birth are information for identifying a patient, which are referenced when associating the patient with a patient record in response to a request from the information display instruction receiving unit 312. It is assumed that the information transmitted from the doctor's terminal 200 is registered as the contact information and date of birth.

The patient terminal ID is information for identifying a patient associated with a patient record, as described in the explanation of the patient terminal ID 340 in FIG.
Other information may include information that should be referred to when displaying a screen related to the patient on the doctor's terminal 200 or the patient's terminal 300, such as information on the patient's attributes that have not been explained so far, such as name, and information on screen configuration and message customization set for each patient.

Next, FIG. 5 shows the structure of information registered in the medical care item DB 140. As shown in FIG.
5, medical care item information for each medical care item handled by the dental medical information management system 100 is registered in the medical care item DB 140. In addition, category information indicating categorization of the medical care items is also registered.

Each medical item information includes a medical item ID 141 for identifying the medical item, a category ID 142 indicating the category to which the medical item belongs, a medical item name 143 which is the name of the medical item, proposed conditions 144 indicating the conditions under which the medical item is proposed to the patient, and display data 145 for displaying an explanation of the contents of the medical item in text or images on the patient's terminal 300. The display data 145 may include data for displaying on the patient's terminal 300 information that should be provided to the patient together with the explanation of the medical item, such as a link to a website for tooth brushing instructions, or information other than medical treatment. Of course, it may include not only text data, but also data such as images and videos.

Each category information includes a category ID 142 for identifying the category, a doctor's display name 146 which is a character string for displaying the category on the doctor's terminal 200, and a patient's display name 147 which is a character string for displaying the category on the patient's terminal 300. In addition, display data for displaying an explanation of the category on the patient's terminal 300 may be included.

An example of medical care item information is shown in Fig. 6, and an example of category information is shown in Fig. 7. In Fig. 6, one line of data corresponds to one piece of medical care item information, and in Fig. 7, one line of data corresponds to one piece of category information.
6, in the medical care item information, the category to which the medical care item belongs is specified by using a category ID 142. The medical care item name 143 is used as a character string for displaying the medical care item on the doctor's terminal 200 and the patient's terminal 300.

In the example of FIG. 6, the proposal conditions 144 for each medical treatment item are specified by the items of oral condition information to be referenced when determining whether or not a proposal is necessary, and the criteria for determining whether or not a proposal is necessary if the values of those items satisfy certain conditions. These criteria can also be thought of as an algorithm for determining whether or not a proposal is necessary based on the reference values.

For example, for "cavity treatment covered by insurance" with a medical item ID of "1", it is specified that it will be suggested if any information indicating the presence of cavities is registered in the "cavities" section. For "self-paid cavities treatment" with a medical item ID of "2", it is specified that it will be suggested if information indicating the presence of cavities equal to or greater than a certain standard X is registered in the "cavities" section. This standard can also be determined in terms of the number of cavities, the progression of the cavities, etc.

It is also possible to specify only information on specific teeth as the items to be referenced. It is also possible to specify proposal conditions 144 using information on multiple items. It is also possible to specify proposal conditions 144 such as a minimum score that is obtained when a trained model of AI for determining whether or not a proposal is necessary is specified and oral condition information for a specified item is input into the trained model. There is no prohibition on specifying proposal conditions 144 that determine the need for a proposal for multiple treatment items all at once.

Also, as shown in FIG. 7, in the category information, different character strings can be registered as the doctor's display name 146 and the patient's display name 147. This takes into consideration that doctors and patients have different preferences for easy-to-understand and read expressions. However, preparing different character strings in this way is not essential. Conversely, it is also possible to similarly register different character strings as the doctor's display name and the patient's display name for the medical care item name 143. For the display data 145 in FIG. 5, data for display on the patient's terminal 300 and data for display on the doctor's terminal 200 may also be prepared separately.

Next, FIG. 8 shows the structure of information registered in the patient list 230. As shown in FIG.
8, a patient record is registered for each patient in the patient list 230. In each patient record, a patient ID for identifying the patient, and information such as the patient's name and date of birth are registered.

The patient ID is the same as the patient ID registered in the patient information DB 130. The name and date of birth are registered as information that the doctor operating the doctor's terminal 200 can refer to when selecting the patient about whom he wants to refer to information. Other information may be registered and used for this purpose. The patient record may also include other information about the patient, and may also include information for referencing the patient's medical record in the electronic medical record system used by the medical institution 20. In this way, the doctor can easily refer to the electronic medical record system when using the dental medical information management system 100.
In addition, in Figure 3, the patient list 230 is shown inside the doctor's terminal 200, but when multiple doctor's terminals 200 are used in one medical institution 20, it is preferable that those multiple doctor's terminals 200 operate by referring to a common patient list 230.

Next, examples of the processes and operations that the dental medical information management system 100, the doctor's terminal 200, and the patient's terminal 300 execute to realize the functions described above will be described with reference to Figures 9 to 19. Note that unless otherwise specified, it is assumed that the doctor's terminal 200, the patient's terminal 300, or their operators have been authenticated by the dental medical information management system 100 as legitimate users of the system by some means prior to the operations shown in the following sequence diagrams.

First, FIG. 9 shows the operation of each device when the doctor's terminal 200 receives an instruction to register a new patient.
When a new patient is received at a medical institution 20 that uses the dental medical information management system 100, the operator of the doctor's terminal 200 enters the new patient's personal identification information, such as the name, contact information, date of birth, etc., into the doctor's terminal 200 in order to register the patient in the dental medical information management system 100, and issues an instruction to register the new patient.

When the doctor's terminal 200 receives these inputs through the function of the new patient registration instruction receiving unit 212 (S11), it sends a new patient registration request including the entered personal identification information to the dental medical information management system 100 via the communication unit 211 (S12).
The dental medical information management system 100, which has received this request via the communication unit 111, uses the function of the medical institution identification unit 112 to obtain the medical institution ID corresponding to the doctor's terminal 200 (or its operator) that made the request from the medical institution DB 150 (S13). Then, using the function of the input information reception unit 113, a new patient ID is created (S14), and a patient record including the created patient ID, the medical institution ID obtained in step S13, and the patient's personal identification information received in step S12 is added to the patient information DB 130 (S15).
The operations in steps S13 to S15 correspond to the function of the third receiving unit.

If the dental medical information management system 100 is successful in the above processing, it transmits a notification of successful registration and the newly created patient ID to the doctor's terminal 200 (S16). The doctor's terminal 200, which receives this, uses the function of the new patient registration instruction receiving unit 212 to create a patient record including the received patient ID and adds it to the patient list 230 (S17).

The above operations allow the information of a new patient to be registered in the dental medical information management system 100, and the doctor's terminal 200 can also select the patient and instruct the dental medical information management system 100 to display the information. When performing the operations in Figure 9, it is not necessary to be concerned about whether the patient to be registered is already using the patient's terminal 300 (an application for realizing the functions of the patient's terminal 300) or whether another medical institution 20 has already registered the information of the same patient in the dental medical information management system 100.

Next, FIG. 10 shows the operation of each device when the doctor's terminal 200 receives an instruction to display information about a patient.
When the operator of the doctor's terminal 200 is to input or refer to the oral cavity condition information of a patient, for example when examining the patient, the operator can select a desired patient from among the patients registered in the patient list 230 using an appropriate screen displayed on the doctor's terminal 200 and instruct the display of information about the patient. Of course, this instruction can be given at times other than when examining the patient. The same instruction can also be given when setting or referring to optional information about a patient.

When the doctor's terminal 200 receives a patient selection and information display instruction through the function of the information display instruction receiving unit 213 (S21), it obtains the patient ID of the selected patient from the patient list 230 (S22) and sends a patient information request including the patient ID to the dental medical information management system 100 via the communication unit 211 (S23).
The dental medical information management system 100 receives this request via the communication unit 111, and, using the function of the medical institution identification unit 112, obtains the medical institution ID corresponding to the doctor's terminal 200 (or its operator) that made the request from the medical institution DB 150 (S24).

Next, the patient information DB 130 is searched using the function of the input information reception unit 113, and the medical institution ID is obtained from the patient record that includes the received patient ID. Then, if it is confirmed that this medical institution ID matches the medical institution ID of the request sender (S25), it is determined that it is OK to send the contents of the patient record in accordance with the request. The patient ID sent from the doctor's terminal 200 is registered in the patient list 230 of the doctor's terminal 200, and should necessarily be associated with the medical institution 20 that is equipped with the doctor's terminal 200.

The dental medical information management system 100 then obtains from the patient information DB 130 data necessary for screen display on the doctor's terminal 200 from the contents of the patient record including the received patient ID (S26), and transmits this data to the requesting doctor's terminal 200 as display data (S27). Data necessary for display is, for example, oral condition information, option information, and interest information, but is not limited to these. In this example, information indicating whether the patient has already used the functions of the patient's terminal 300 (which can be determined by whether the patient's terminal ID is registered in the patient record) is also included in the display data. The items of information transmitted may be changed depending on the type of screen to be displayed.

When the doctor's terminal 200 receives the display data, it uses the function of the patient information display unit 214 to display the patient's oral condition information and the option information set for the patient according to the display data, and also displays a screen for accepting new input of this information on a display unit such as a display (S28). In addition, if interest information is included in the display data, medical treatment items in which the patient is interested are further displayed according to the interest information (S29).

11 and 12 show examples of the screens displayed in steps S28 and S29. Although the screens shown in Fig. 11 and Fig. 12 are the same patient information screen 500, different display contents are displayed in the display area 510 depending on the tab selected.
11 and 12 include a name display section 501 that displays the patient's name, and an in-use mark 502 that indicates that the patient is already using the patient-side terminal 300. If the patient has not yet used any of the functions of the patient-side terminal 300, or if the patient is using the terminal but is not associated with a medical institution 20 that has a doctor-side terminal 200 that displays the screen, the in-use mark 502 is not displayed. The operator of the doctor-side terminal 200 can guide the patient about the functions of the patient-side terminal 300 based on the presence or absence of the in-use mark 502.

In addition, a condition tab 520, a basic information tab 530, and an interest information tab 540 are provided as tabs.
11 shows a state in which the condition tab 520 is selected, and in this state, oral cavity condition information of the examinee is displayed in the display area 510. The display contents of the display area 510 can be scrolled using a scroll bar 511 on the right edge.

The oral cavity condition display unit 521 uses an image of a person's teeth impressions, and displays teeth with registered information indicating abnormalities as oral cavity condition information in different colors. The colors may be based on the degree of abnormality or the type of abnormality. The oral cavity information display unit 522 displays the contents of the oral cavity condition information divided by tooth. Information for items that register one piece of information for multiple teeth, such as tooth alignment or tooth whiteness, may be displayed in association with a group of multiple teeth. The overall evaluation display unit 523 and update time display unit 524 display the overall evaluation and last update time information, respectively, included in the oral cavity condition information. The operator of the doctor's terminal 200 can check the oral cavity condition information currently registered for the specified patient from the above displays.

When a specific tooth in the dental impression displayed in the oral cavity condition display section 521 is clicked, a screen for inputting new oral cavity condition information related to the selected tooth or editing registered oral cavity condition information can be popped up and displayed. The display contents in the display area 510 are updated as needed according to the input contents on this screen.
In addition, by operating the information input button 525, a pop-up screen for selecting an appropriate tooth or group of teeth to input new oral cavity condition information or edit registered oral cavity condition information can be displayed. The display content of the display area 510 is updated as needed according to the input content on this screen.

In addition, by operating the proposed item input button 526, the current contents of the option information indicating the options of medical treatment items proposed to the currently displayed patient are displayed, and the option editing screen 550 described below for editing the options is popped up.
By operating the registration button 527, an instruction can be given to register the oral cavity condition information and option information input and edited on the above screens in the dental care information management system 100.

FIG. 13 shows an example of an option editing screen 550 that is displayed in response to the operation of the proposal item input button 526 .
An option edit screen 550 shown in FIG. 13 includes a selection section 551 , a delete button 552 , an add item button 553 , a register button 555 , and a close button 556 .

The selection section 551 is an operation section for selecting a medical item or its category to be included in the options, and is configured here as a pull-down menu. Operating the arrow on the right side of the selection section 551 opens a menu 560 as shown in FIG. 14, allowing the user to select a medical item or its category. The cursor 561 indicates the currently selected medical item or category. A plurality of selection sections 551 can be arranged within the option editing screen 550.
The selection section 551 is provided with a pull-down menu for selecting a medical care item and a pull-down menu for selecting a category, with the latter being shown in Fig. 14. By displaying each option with the character string "(Category)", it is indicated that the selection is by category. Selecting a category means that all medical care items belonging to the selected category are included in the options.

The options displayed in these pull-down menus are determined based on the medical care items or their category information registered in the medical care item DB 140. Since the contents of the medical care item DB 140 do not change frequently, a copy may be saved on the doctor's terminal 200 and synchronized with the dental medical information management system 100 as appropriate.

The delete button 552 is a button for erasing the corresponding selection section 551 and canceling the selection of the option by the selection section 551 .
The add item button 553 is a button for adding a selection section 551. Here, two buttons are provided so that the addition of a selection section 551 for selecting a category and the addition of a selection section 551 for selecting a medical care item can be distinguished from each other.

When the register button 555 is operated, the option information input or edited on the option editing screen 550 is held as information to be registered in the dental medical information management system 100 in response to the operation of the register button 527 on the patient information screen 500. Alternatively, the option information input or edited on the option editing screen 550 may be registered in the dental medical information management system 100 by operating the register button 555.
The close button 556 is a button for closing the option edit screen 550 and returning to the examinee information screen 500.

Returning to the explanation of the patient information screen 500 .
12 shows a state in which the interest information tab 540 is selected on the patient information screen 500, and in this state, the contents of the interest information about the patient registered in the patient information DB 130 are displayed in the display area 510. Since there are cases in which no interest information is registered, when interest information is registered, the number of items is displayed in the interest information tab 540, prompting the operator of the doctor's terminal 200 to select a tab.

The interest information display section 541 displays information on medical care items in which the examinee is interested and the set date, which are registered as interest information. The medical care items are displayed using the doctor's display name 146 and the medical care item name 143 of the category shown in FIG.
The operator of the doctor's terminal 200 can use this display to suggest medical treatment and provide detailed explanations to the patient, which can lead to the provision of medical treatment to the patient.
In addition to the above, when the basic information tab 530 is selected on the patient information screen 500, information such as the patient's contact details and date of birth is displayed in the display area 510; however, a detailed description of this state is omitted.

Next, FIG. 15 shows the operation of each device when the doctor's terminal 200 receives an instruction to register oral cavity condition information and/or option information.
As described above, the operator of the doctor's terminal 200 can instruct the oral condition information and/or option information to be edited and registered by operating the patient information screen 500 in Figure 11 and the pop-up screen that is displayed by operating that screen.

When the doctor's terminal 200 receives the input and registration instructions for this information through the functions of the oral condition information input reception unit 215 and the option information input reception unit 216 (S31, S32), it transmits a patient information registration request including the patient ID acquired in step S22 of FIG. 10 when displaying the patient information screen 500, and the edited oral condition information and option information to the dental medical information management system 100 via the communication unit 211 (S33).

The dental medical information management system 100, which has received this request via the communication unit 111, updates the patient record in the patient information DB 130 corresponding to the received patient ID in accordance with the received oral condition information and option information, using the function of the input information receiving unit 113 (S34). At this time, the medical institution ID may be confirmed in the same manner as in steps S24 and S25 of FIG. 10.
If the registration is successful, the dental medical information management system 100 notifies the requesting doctor's terminal 200 of the success (S35). Upon receiving this notification, the doctor's terminal 200 displays a message indicating that the registration has been successful in accordance with the instructions (S36).

As a result, the patient record in the patient information DB 130 can be updated according to the instructions received by the doctor's terminal 200. The operations of steps S33 and S34 are the operations of the first receiving procedure that correspond to the function of the first receiving unit.

Furthermore, if the update in step S34 is successful, the dental medical information management system 100, using the function of the medical care item selection unit 115, determines whether or not to propose to the patient each medical care item specified as a proposal candidate in the option information in the patient record based on the oral cavity condition information in the patient record after the update in step S34 (S37). This determination corresponds to selecting a medical care item to be proposed to the patient from the options indicated by the option information, and can be made based on the proposal conditions 144 registered in the medical care item DB 140 as described in the explanation of FIG. 6. It is also possible to determine whether or not to propose more medical care items than the proposal candidates based on the proposal conditions 144, and then determine only the medical care items that are proposal candidates among the medical care items that need to be proposed as the medical care items to be finally proposed. This operation in step S37 is the operation of the medical care item selection procedure.

Thereafter, the dental medical information management system 100 transmits the data of the medical treatment items selected in step S38 for which a proposal was made and the patient ID of the patient who was the subject of the judgment to the doctor's terminal 200 that sent the request in step S33 (S38). If there is any data required for displaying a screen for accepting instructions in step S39, that data is also transmitted.
When the doctor's terminal 200 receives these data, the function of the proposal acceptance instruction receiving unit 217 causes a screen for accepting an instruction as to whether or not the treatment item proposal made by the dental medical information management system 100 should actually be made to the patient to be displayed on a display unit such as a display in accordance with the data received in step S38 (S39). This instruction may be accepted in any form, such as by treatment item, by category, or all at once.

Then, when the operator of the doctor's terminal 200 gives an instruction that all or part of the medical treatment items may be proposed to the patient, the doctor's terminal 200, using the function of the suggestion instruction receiving unit 217, sends a proposal information registration request including the medical treatment item ID of the medical treatment item for which the suggestion instruction was given and the patient ID received in step S38 to the dental medical information management system 100 via the communication unit 211 (S40).

The dental medical information management system 100 receives this request via the communication unit 111, and uses the function of the input information receiving unit 113 to register the medical treatment item ID included in the request as suggested information for the patient record in the patient information DB 130 that corresponds to the patient ID included in the request (S41). At this time, the medical institution ID may be confirmed as in steps S24 and S25 of FIG. 10. Furthermore, the registration in step S41 may be performed by overwriting existing data.

As described above, after confirmation by operating the doctor's terminal 200, the contents of the proposals for the medical treatment items created by the medical treatment item selection unit 115 that may actually be proposed can be saved as proposal information and made available for transmission in response to access from the patient's terminal 300. Note that the timing of execution of steps S37 and onwards does not necessarily have to be immediately after S35. It does not have to be linked to the operations prior to S35. In response to the proposal creation instruction specifying the patient that is sent from the doctor's terminal 200, the dental medical information management system 100 executes the operation of step S37, etc.

Next, Figure 16 shows the operation of each device when the patient terminal 300 (an application for realizing the functions of Figure 3) is started in a state where the patient ID 330 has not been registered, that is, when the user of the patient terminal 300 has not been associated with a patient record in the patient information DB 130. The operation in Figure 16 is for associating the user with the patient record in the patient information DB 130. The operation on the patient terminal 300 side in Figure 16 corresponds to the function of the information display instruction receiving unit 312, and the operation on the dental medical information management system 100 side corresponds to the function of the patient association unit 122.

The operation in FIG. 16 is basically performed when a user of the patient terminal 300 uses an application for implementing the function in FIG. 3 for the first time. However, as with the other sequence diagrams so far, in the operation in FIG. 16, it is assumed that prior to the operation shown, the patient terminal 300 or its operator accesses the dental medical information management system 100 to register for use, and is authenticated by the dental medical information management system 100 as a legitimate user of the system by some means.

When the patient terminal 300 is started, after completing the above authentication process, it checks whether the patient ID 330 is registered. If it is confirmed that the patient ID 330 is not registered (S51), it determines that it is necessary to first associate the user with the patient record, and proceeds to the operations from step S52 onwards. Conversely, if the patient ID 330 is registered, it performs the operations shown in Figure 17.

After step S51, the patient terminal 300 displays an appropriate input screen on the display unit and accepts input of the user's contact information and date of birth as information for identifying the individual user (S52). Any contact information can be used, such as a telephone number, email address, or social network service (SNS) ID, but the patient is encouraged to enter the same type of contact information as that registered in the patient information DB 130. Also, considering the authentication in step S55, it is preferable, although not essential, that the contact information be one that can be contacted by the patient terminal 300.

When the patient's terminal 300 accepts the input in step S52, it sends a request to send a patient ID including the entered information and the patient's terminal ID 340 that has been registered in advance to the dental medical information management system 100 via the communication unit 311 (S53).
When the dental medical information management system 100 receives this request via the communication unit 121, it determines that the request has been accessed from a patient terminal 300 used by a patient who has not yet been associated with a medical institution, and performs operations from step S54 onwards regarding association of the user of the patient terminal 300 with a patient record in the patient information DB 130.

In this operation, the dental medical information management system 100 first transmits authentication information, such as a passcode, to the contact information received in step S53 to be input by the user to verify the user's identity (S54). The terminal that receives this authentication information does not have to be the patient's terminal 300.
After step S53, the patient terminal 300 accepts input of authentication information from the user via the required screen (S55), and when the user views and enters the transmitted authentication information, it transmits it to the dental medical information management system 100 (S56).

If the authentication information sent in step S54 matches the authentication information received in step S56, the dental medical information management system 100 authenticates that the user of the patient terminal 300 is indeed the user corresponding to the contact information, date of birth, and patient terminal ID received in step S53 (S57). If the correct authentication information cannot be received, the dental medical information management system 100 ends the matching process as an error.

After step S57, the dental medical information management system 100 identifies the patient record with the most recent oral condition information from among those in the patient information DB 130 that contains data matching the contact information and date of birth received in step S53 (S58). Then, it obtains the name of the medical institution corresponding to the medical institution ID in that patient record from the medical institution DB 150 and transmits this to the patient terminal 300 as a candidate for a medical institution to be registered as a medical institution for the user to visit (S59).

The patient's terminal 300 displays the name of the medical institution sent to the user, asking the user to confirm the registration (S60), and if it is OK, sends a message to that effect to the dental medical information management system 100 (S61). If it is NG at step S60, the matching of the user with the patient record is discontinued. Alternatively, the dental medical information management system 100 may be notified of the NG and a request may be made to send other candidates for medical institutions (such as the one with the next most recent oral condition information) if any, and a similar confirmation may be made again depending on the response from the dental medical information management system 100.

When the dental medical information management system 100 receives an OK response in step S61, it registers the patient terminal ID received in step S53 in the patient record identified in step S58 (S62). This registers information in the patient information DB 130 that the medical institution to which the user of the patient terminal 300 is visiting is the medical institution registered in this patient record.

Then, the dental medical information management system 100 transmits the patient ID in the patient record to the patient terminal 300 (S63), and the patient terminal 300 registers the patient ID as the patient ID 330 and uses it for subsequent processing.

This completes the process of associating the user of the patient terminal 300 with the patient record (which essentially means registering the hospital where the patient is to be treated).
16 when the patient ID 330 is not registered in the patient terminal 300 has been described, but even if the patient ID 330 is registered in the patient terminal 300, the correspondence between the user and the patient record may be updated by a similar operation in response to a user instruction, In this case, when the patient terminal ID related to the updated correspondence is registered in step S62, the registration of the patient terminal ID related to the correspondence before the update is deleted.

Next, FIG. 17 shows the operation of each device when the patient terminal 300 (an application for implementing the functions of FIG. 3) is started with the patient ID 330 registered. The operation of FIG. 17 is an operation up to step S77 for presenting the user with his/her own oral condition information and suggested medical treatment items, and thereafter an operation for registering the interest information received from the user in the patient information DB 130.

When the patient-side terminal 300 is started, it checks whether the patient ID 330 is registered, as in the case of Fig. 16. If it is confirmed that the patient ID 330 is registered (S71), it displays a required screen by the function of the information display instruction receiving unit 312, and receives an instruction from the user to display information on the oral cavity condition, etc.
When this instruction is detected (S72), the patient terminal 300 transmits a request for display information including the registered patient ID 330 and patient terminal ID 340 to the dental medical information management system 100 via the communication unit 311 (S73).

The dental medical information management system 100, which has received this request via the communication unit 121, uses the function of the transmission information generation unit 124 to obtain from the patient information DB 130 the patient record corresponding to the received patient ID, and confirms that the received patient terminal ID is registered there (S74). If this confirmation is successful, it identifies the user of the patient terminal 300 that originated the request in step S73 as the patient identified by the patient ID. If confirmation is not successful, the dental medical information management system 100 returns a response to the patient terminal 300 to the effect that the request in step S73 was invalid.

After step S74, the dental medical information management system 100 refers to the oral cavity condition information and the proposed information in the patient record acquired in step S74 (S75). This proposed information is a medical treatment item ID indicating the proposed contents of the medical treatment item most recently created by the medical treatment item selection unit 115 based on the oral cavity condition information and option information included in the corresponding patient record and confirmed by the operator of the doctor's terminal 200. In addition, the association between the patient ID and the patient's terminal 300 by the operation of FIG. 16 also guarantees that the proposed contents were created based on the oral cavity condition information and option information associated with the hospital where the user of the patient's terminal 300 visits.

Then, the dental medical information management system 100 transmits, by the function of the transmission information generating unit 124, display data necessary for displaying the oral cavity information screen 600 as shown in Figures 18 and 19 on the patient-side terminal 300, including the oral cavity condition information and the data of the medical treatment item indicated by the medical treatment item ID, to the patient-side terminal 300 (S76). The operations of steps S74 to S76 up to this point are the operations of the first transmission procedure corresponding to the functions of the first transmission unit.
When the patient-side terminal 300 receives the information in step S76, the function of the oral cavity condition information display unit 313 causes the oral cavity information screen 600 to be displayed on a display unit such as a display according to the received data (S77). This operation corresponds to the function of the presentation unit.

Here, the oral cavity information screen 600 will be described with reference to Figs. 18 and 19. This oral cavity information screen 600 is a screen for presenting the user of the patient terminal 300 with the condition of their own teeth and suggested treatment items based on that condition. Figs. 18 and 19 show the same oral cavity information screen 600, but each shows a state in which different display contents are displayed by scrolling.

FIG. 18 shows the oral cavity information screen 600 in its initial display state, ie, the portion displaying oral cavity condition information.
The portion of the oral cavity information screen 600 shown in Figure 18 includes a name display section 601 that displays the name of the terminal user, an oral cavity condition display section 621, an overall evaluation display section 622, and an oral cavity information display section 623.
The oral cavity condition display section 621, like the oral cavity condition display section 521 displayed on the doctor's terminal 200 shown in Fig. 11, uses an image of a person's teeth impression and displays, in different colors, teeth for which information indicating abnormality is registered in the oral cavity condition information. However, the oral cavity condition display section 621 is left-right reversed from the oral cavity condition display section 521, and the left-right of the screen matches the left-right of the teeth so that the examinee can view the teeth impression as if it were his or her own face.
The overall evaluation display section 622 displays the overall evaluation included in the oral cavity condition information.

The oral cavity information display section 623 displays the contents of the oral cavity condition information divided by type of abnormality, and displays a detailed display button 624 for each type of abnormality. Operating this detailed display button 624 transitions to a screen that displays more detailed information about the type of abnormality that corresponds to the button.

FIG. 19 shows a portion of the oral cavity information screen 600 that displays suggested medical treatment items when the screen shown in FIG. 18 is scrolled upward.
The portion shown in FIG. 19 includes a message display section 630 and a proposal content display section 640 .
A message including the name of the medical institution to which the terminal user is referred is displayed in the message display section 630 .

The proposed content display section 640 displays the medical care items proposed to the terminal user for each category using a category display section 641 that displays the category name and a medical care item display section 650 that corresponds to each medical care item belonging to that category.
The medical care item display section 650 includes a display of the medical care item name indicated by reference numeral 651 and a content description of the medical care item indicated by reference numeral 652, which allows the user of the terminal to understand the medical treatment proposal from the medical institution 20 based on the state of the user's oral cavity. The content description 652 can be displayed based on the display data 145 shown in Fig. 5 received from the dental medical information management system 100, and may include not only text but also links to any website, and data such as images and videos.

The medical treatment item display section 650 also includes an interest display section 653, and by operating this interest display section 653, the user of the terminal can transmit and register interest information indicating an interest in the corresponding item of medical treatment to the dental medical information management system 100. Interest can be switched on or off with a toggle.

Returning to FIG. 17, the operation for registering interest information will be described.
After step S77, the patient-side terminal 300 accepts an operation on the interest display unit 653 by the function of the interest information input accepting unit 314. When an operation of designating or canceling a medical treatment item of interest is detected (S78), an interest information registration (or cancellation) request including the medical treatment item ID 141 of the corresponding medical treatment item and the patient ID 330 is transmitted to the dental medical information management system 100 via the communication unit 311 in accordance with the detected operation (S79).

The dental medical information management system 100, which has received this request through the communication unit 121, registers or deletes the received medical care item ID 141 according to the request for interest information in the patient record corresponding to the received patient ID in the patient information DB 130 (S80). When registering the medical care item ID 141, the date is also registered. Prior to step S80, the patient's terminal ID may also be received and the patient's terminal ID may be confirmed, as in step S74.
If the update in step S80 is successful, the dental care information management system 100 notifies the patient side terminal 300 of the completion of the update (S81).

The dental care information management system described above has the following characteristic features, for example.
First, in the above-described dental medical information management system, the doctor's terminal 200 is operated to set option information indicating the options of medical treatment items to be proposed to each patient, using the operations shown in FIG. 15, and medical treatment items are proposed to each patient within the range of options.

It is preferable that the dental medical information management system 100 be able to suggest many medical treatment items, assuming use at various medical institutions 20, but the medical treatment items that can actually be provided vary depending on the medical institution 20. Therefore, by allowing the range of medical treatment items to be actually proposed to the patient to be set by operation on the medical institution 20 side in this way, unnecessary confusion caused by proposing medical treatment items that cannot be provided at the medical institution the patient visits can be prevented, and information about dental medical treatment that is in line with the doctor's wishes can be provided to the patient in a way that promotes communication between the doctor and the patient.

In the above example, since the option information can be set for each patient, the medical institution 20 can also change the medical treatment items proposed for each patient. For example, it is possible to avoid proposing non-medical treatment to a patient who only wishes to receive health insurance treatment, and to make suggestions related to beauty to a patient who seems to be interested in beauty as well as medical treatment.
This enables the medical institution 20 to make proposals that meet the intentions of each patient.

In addition, basic medical treatment items such as caries treatment may be added to the options regardless of the option information setting, so that no settings are missed. In addition, the maximum range that can be set as options based on the examination items that can be provided for each medical institution 20 may be registered in advance in the dental medical information management system 100, and the option information in step S31 of FIG. 15 may be accepted within that range.

Next, in the above-described dental medical information management system, interest information indicating the medical treatment items in which the patient is interested is received and registered from the patient's terminal 300 by the operation of FIG. 17, and the interest information can be provided to the doctor's terminal 200 by the operation of FIG. 10.
As a result, the next time the patient visits the medical institution 20, the doctor operating the doctor's terminal 200 can provide the patient with a more detailed explanation of the medical treatment item that the patient is interested in. This can promote communication between the doctor and the patient.

In addition, in the above dental medical information management system, as shown in Figure 4, interest information is managed in correspondence with combinations of patients and medical institutions, and each doctor's terminal 200 is allowed to refer to only the interest information corresponding to the medical institution 20 to which it belongs.
Therefore, even if a patient has previously visited a plurality of medical institutions 20, the patient can easily convey the interest information only to a specific medical institution.

In addition, when the dental medical information management system is used by many medical institutions 20, it is possible that information entered by medical institutions where a patient has previously visited will remain in the system for a long period of time. In particular, when medical institutions are not linked to each other, even if a patient visits a new medical institution, the other medical institutions usually have no way of knowing about this in the first place.
On the other hand, in dental care, it is rare for a patient to visit multiple medical institutions at the same time, and from the patient's perspective, they would normally want to see the information entered at the medical institution they are currently visiting.

In the above dental medical information management system, therefore, the operation shown in FIG. 16 matches the patient with the medical institution that the patient visits, and the operation shown in FIG. 17 presents oral condition information and treatment suggestions to the patient based on the information registered by the medical institution that the patient visits.
This allows patients to easily refer to the information entered at the medical institution they are currently visiting, even if information about them registered by multiple medical institutions is mixed in the system.

In addition, since the medical institution where a patient currently visits is likely to have examined the patient most recently, the medical institution associated with the patient's latest oral condition information can be automatically associated with the patient as the medical institution where the patient visits, thereby reducing the operational burden on the patient when making this association.

In addition, in the above dental medical information management system, in the operation of FIG. 16, the patient record in the patient information DB 130 is associated with the patient using the patient terminal 300, using the contact information and date of birth information that are normally assumed to be registered for the patient at the medical institution 20 as a key.

As a result, even if the patient is not using the dental medical information management system 100 and has no knowledge of the system when initially registering oral cavity condition information and option information from the doctor's terminal 200, there is no impediment to registering oral cavity condition information and option information, and when the patient starts using the dental medical information management system 100 later, the system can easily associate the patient with the registered information. From the patient's perspective, there is no need to obtain patient ID information from somewhere when starting to use the dental medical information management system 100; patients can view information about themselves simply by entering their contact information and date of birth, so they can start using the system extremely easily.

When the oral cavity condition information and option information are first registered from the doctor's terminal 200, the patient can be identified by the patient's arbitrarily assigned patient ID, but when the patient later uses the dental medical information management system 100, the patient (the user of the patient's terminal 300) can be associated with the registered information without using the patient ID.

The patient's date of birth is information that does not usually change, so it is suitable as a key for matching, but since it does not have a one-to-one correspondence with the patient, it is combined with contact information to obtain a one-to-one correspondence, with some exceptions. Other information may also be used as long as it is expected to have a one-to-one correspondence with the patient and is information that a medical institution would normally be able to grasp when examining the patient.
The above points can exert their effects either alone or in any combination.

This concludes the description of the embodiment, but in this invention, the specific configurations of the systems and devices, specific processing procedures, data formats, network configurations, etc. are not limited to those described in the embodiment.
In addition, an embodiment of the program of the present invention is a program for causing a computer to control the necessary hardware to realize the functions of the dental medical information management system 100, doctor's terminal 200, or patient's terminal 300 in the above-mentioned embodiments.

Such a program may be stored in the computer's ROM or other non-volatile storage media (flash memory, EEPROM, etc.) from the beginning. However, it may also be provided recorded on any non-volatile recording medium such as a memory card, CD, DVD, or Blu-ray disc. By installing the program recorded on such a recording medium on a computer and executing it, the above-mentioned functions can be realized.

Furthermore, it is also possible to download the program from an external device connected to a network and having a recording medium on which the program is recorded, or from an external device having the program stored in a storage means, and install the program on a computer for execution.
Furthermore, it goes without saying that the configurations of the respective embodiments and modified examples described above can be implemented in any combination as long as they are not mutually inconsistent.

10...System administrator environment, 20...Medical institution, 100...Dental medical information management system, 200...Doctor's terminal, 300...Patient's terminal, 500...Patient's information screen, 541...Interest information display section, 600...Oral information screen, 621...Oral condition display section, 623...Oral information display section, 650...Treatment item display section, 653...Interest display section

Claims (10)

In one information processing device or distributed among multiple information processing devices that can communicate with each other,
A first receiving unit that receives oral cavity condition information indicating an intraoral condition of a patient and option information indicating options of medical treatment items to be proposed to the patient from a doctor's terminal, and stores the information in a storage unit in association with the patient;
A medical treatment item selection unit that selects a medical treatment item to be proposed to the specific examinee from the options indicated by the option information based on the oral condition information and option information of the specific examinee stored in the storage unit;
A dental medical information management system characterized by comprising a first transmission unit that, in response to access from a patient-side terminal, identifies a patient using the accessing patient-side terminal, and transmits to the accessing patient-side terminal the oral condition information of the identified patient stored in the memory unit and the treatment item selected by the treatment item selection unit based on the oral condition information of the identified patient and option information. The dental care information management system according to claim 1,
a second receiving unit that receives interest information indicating a medical care item in which a patient using the patient-side terminal is interested among the medical care items transmitted from the first transmitting unit to the patient-side terminal, and stores the interest information in the storage unit in association with the patient;
A dental medical information management system characterized by having a second transmission unit that transmits interest information corresponding to a patient stored in the memory unit to the doctor's terminal in response to access from the doctor's terminal that identifies the patient. The dental care information management system according to claim 2,
The first receiving unit stores the received oral cavity condition information and option information in the storage unit in association with a medical institution having a doctor's terminal that is a transmission source,
The second receiving unit stores the received interest information in the storage unit in association with a medical institution associated with the oral cavity condition information used to select the medical care item transmitted by the first transmitting unit,
This dental medical information management system is characterized in that the second transmission unit, in response to the access from the doctor's terminal that identifies a patient, transmits interest information corresponding to a pair of the patient and the medical institution having the doctor's terminal that originated the access, which is stored in the memory unit, to the doctor's terminal that originated the access. The dental care information management system according to claim 1,
a hospital destination storage unit that stores a correspondence relationship between a patient and a medical institution that the patient visits in the storage unit;
The first receiving unit stores the received oral cavity condition information and option information in the storage unit in association with a medical institution having a doctor's terminal that is a transmission source,
A dental medical information management system characterized in that the first transmission unit transmits to the patient's side terminal from which the access originates the oral condition information of the identified patient, which is stored in the memory unit and corresponds to the medical institution to which the identified patient visits, and the treatment item selected by the treatment item selection unit based on the oral condition information and the option information corresponding to the oral condition information. The dental care information management system according to claim 4,
This dental medical information management system is characterized in that, when accessed from a patient's terminal used by a patient who has not yet been associated with a medical institution, the clinic destination storage unit stores in the memory unit the medical institution associated with the patient's latest oral condition information stored in the memory unit as the patient's clinic destination. The dental care information management system according to claim 1,
a third receiving unit that receives contact information and date of birth of the patient from the doctor's terminal and stores the received contact information and date of birth in the storage unit in association with the patient;
This dental medical information management system is characterized in that it includes a patient matching unit that, in response to receiving a combination of contact information and date of birth of a patient using a patient-side terminal from a patient-side terminal to which the patient using the terminal is not associated, matches a patient who is associated in the memory unit with the received combination of contact information and date of birth as a patient using the patient-side terminal that sent the data, with the patient who is associated in the memory unit with the patient using the patient-side terminal that sent the data. The dental care information management system according to claim 6,
This dental medical information management system is characterized in that, when the memory unit stores multiple pieces of patient information corresponding to the received combination of contact information and date of birth, the patient matching unit matches the patient indicated by the most recent information with the patient terminal that sent the information. A dental medical information management system including one or more doctor-side terminals, a plurality of patient-side terminals, and a management device accessible from the doctor-side terminals and the patient-side terminals via a network,
Each of the doctor's terminals is provided with a transmission unit that receives input of oral cavity condition information indicating the condition of the patient's oral cavity and option information indicating options of medical treatment items to be proposed to the patient, and transmits the information to the management device together with information identifying the patient,
The management device,
a first receiving unit that receives the oral cavity condition information and the option information from the doctor's terminal and stores the information in a storage unit in association with the examinee;
A medical treatment item selection unit that selects a medical treatment item to be proposed to the specific examinee from the options indicated by the option information based on the oral condition information and option information of the specific examinee stored in the storage unit;
a first transmission unit that, in response to an access from the patient-side terminal, identifies a patient using the patient-side terminal that is the access source, and transmits to the patient-side terminal that is the access source the oral cavity condition information of the identified patient stored in the storage unit and the medical care item selected by the medical care item selection unit based on the oral cavity condition information of the identified patient and option information;
Each of the patient-side terminals,
an access unit for accessing the management device;
A dental medical information management system characterized by comprising a presentation unit that presents to a patient using the patient's terminal the condition of the patient's oral cavity and suggestions for treatment to improve the condition of the oral cavity, based on oral condition information and treatment item information transmitted from the management device in response to access by the access unit. A processor or multiple processors working together
A first receiving step of receiving oral condition information indicating an intraoral condition of the patient and option information indicating options of medical treatment items to be proposed to the patient from the doctor's terminal, and storing the information in a storage unit in association with the patient;
A medical treatment item selection step of selecting a medical treatment item to be proposed to the specific examinee from among options indicated by the option information based on the oral condition information and option information of the specific examinee stored in the storage unit;
A dental medical information management method characterized by executing a first transmission procedure in which, in response to access from a patient-side terminal, a patient using the accessing patient-side terminal is identified, and oral condition information of the identified patient stored in the memory unit and a treatment item selected in the treatment item selection procedure based on the oral condition information of the identified patient and option information are transmitted to the accessing patient-side terminal. By using one computer or multiple computers in cooperation,
A first receiving step of receiving oral condition information indicating an intraoral condition of the patient and option information indicating options of medical treatment items to be proposed to the patient from the doctor's terminal, and storing the information in a storage unit in association with the patient;
A medical treatment item selection step of selecting a medical treatment item to be proposed to the specific examinee from among options indicated by the option information based on the oral condition information and option information of the specific examinee stored in the storage unit;
A program for executing a first transmission procedure that, in response to access from a patient-side terminal, identifies a patient using the accessing patient-side terminal, and transmits to the accessing patient-side terminal the oral condition information of the identified patient stored in the memory unit and the medical treatment item selected in the medical treatment item selection procedure based on the oral condition information of the identified patient and option information.

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