JPH0855171A - Method and system for supporting dental treatment - Google Patents

Abstract

PURPOSE:To make medical treatment which is medically rational and consistent by performing management divisionally by basic treatment items and accompanying treatment that can be done by individual doctor's judgement, and continuously displaying a scheme for medical treatment. CONSTITUTION:When the name of a disease is inputted, all possible schemes for medical treatment are displayed as choices (in tree structure) and which scheme for medical treatment is selected depends upon doctor's decision. The past history of treatment which is done once is stored to obtain consistency with a scheme for medical treatment which is displayed for next treatment of the same patient, and the same position and tooth. All items of treatment which is performed on the basis of the name of the disease and scheme for treatment are recorded and stored in dental on clinical card every day. Schemes for treatment are managed divisionally by the basic treatment items which should be done medically without fail and accompanying treatment items depending upon doctor's judgement. Medical treatment is different with doctors, but the accompanying treatment items can be included in the basic treatment items by doctor's judgement.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a treatment and office work support system for dental treatment.

[0002]

2. Description of the Related Art Dental treatment refers to the entire dental clinic, and dental treatment refers to treatment of a specific dental disease (disease name). Further, the treatment policy is one method of treating a specific disease (disease name), and the treatment item indicates each concrete treatment content in the treatment policy.

In dentistry, dentists continuously apply different treatments to a plurality of patients. The treatment for the same patient does not perform the same thing continuously every day. Treatment is necessary so that food is not eaten even during treatment. For this reason, it is not uncommon to treat a single tooth with a delay.

In the treatment performed at such time intervals, if the memory is not clear, it is necessary to confirm how far the previous treatment has progressed with a medical record or the like. In addition to this, clerical processing such as social insurance score calculation for medical treatment is performed. At present, there are many office processing computer systems that perform social insurance score calculation for dentists, and the time and effort required to create the required documents are greatly reduced.

[0005]

As described above, the conventional computer system for dentistry has the purpose of preparing documents such as a receipt for social insurance, and is not a system for supporting dentist's medical treatment. Absent. For this reason, it was not uncommon for the documents created by the computer system for creating social insurance documents to be inconsistent with the medical record, or to have inappropriate treatments, and to point out mistakes during audits. .

Expert systems are widely used in the technical sector because they are artificial intelligences that substitute expertise and technology. It has been widely used as an "expert doctor" in the medical field. However, many applications in the medical field identify the disease name from the symptoms,
There is nothing to instruct the choice of treatment method or rational or continuous treatment from the disease name. Especially in the case of dentistry, many practitioners are still treating with their own experience and handwritten charts because there is no such usage.

It is an object of the present invention to construct a dental care support system for assisting treatment and managing office work in dentistry.

[0008]

The system of the present invention manages a series of treatment policies corresponding to disease names in a tree structure as shown in FIG. The depth of the hierarchy is the number of treatments (treatments). This structure is uniquely determined when the treatment policy is determined. Only one treatment policy is possible in the same hierarchy, and once that treatment policy is applied, it will never be possible for the same patient, the same disease name, the same site / teeth until the re-presentation rule is met. This is because the treatment policy is decided according to this hierarchy.

When the disease name is input, all possible treatment policies are presented as options (tree structure), and which treatment policy is selected is left to the discretion of the doctor. For the treatment performed once, the past history is preserved and it is consistent with the treatment policy presented for the next treatment for the same patient, the same disease name, the same site, and the tooth.

[0010] The content of the treatment up to the previous time and the treatment policy to be performed this time are displayed on the screen, and there is a fixed amount between the treatment item performed according to the previous treatment policy and the treatment item presented under the current treatment policy. Set rules.

All the treatment items performed based on the disease name and treatment policy are recorded and saved in detail as a medical chart every day. The treatment policy is managed by dividing it into basic treatment items that must be performed medically and incidental treatment items that are determined by the doctor.

Although the method of treatment differs depending on the doctor,
The attendant treatment items can be incorporated into the basic treatment items according to the judgment of the doctor. Further, it is provided with a treatment item pattern learning function means for storing the pattern and for presenting the basic treatment item and the accompanying treatment item in the selected treatment item pattern in the same treatment policy thereafter.

When the treatment policy and the treatment item are determined for the disease name and the treatment is carried out, in addition to the function of recording the treatment progress, for example, an X-ray is imaged for what purpose and the result is required. The system of the present invention automatically requests a medical record description on the screen as a confirmation item for items requiring detailed recording, such as the reason for using an antibiotic for prescription. At that time, it is possible to easily input on the screen by the selection item designation method or simply the number entry method.

Multiple treatments can be performed on the same day for a single patient with multiple disease names (multiple disease name treatment function). When all of the day's treatments for one patient's disease name are complete, the patient's next disease name is presented.

The dental treatment support system of the present invention will be described based on an example. First of all, when using the system, first, a choice is made between a first visit and a return visit. At the time of the first medical examination, the reception desk and the input of the medical inquiry table are performed, and the disease name is selected. A screen having a structure as shown in FIG. 2 is displayed. As the disease name, all dental disease names recognized by social insurance are displayed, and instructions are given on the screen.

When the patient's disease name is input, the treatment policy selection function is activated, and the necessary treatment options are automatically displayed without omission, which treatment policy is possible at that time. At this time, a medically impossible treatment policy for the disease name is not displayed.

When one treatment policy (option) is selected from the displayed treatment policies, as shown in FIG. 3, basic treatment items that must be performed and accompanying treatments that may or may not be performed. The item is displayed. However, the treatment items that should not be performed for the treatment policy at that time are not displayed.

Among the above-mentioned auxiliary treatment items, the treatment items that the doctor has found necessary are moved to the basic treatment item column as shown in FIG. The arrow in the figure means that, of the accompanying treatment items, the treatment item that the doctor deems necessary is moved to the basic treatment item. This movement can be specified more than once.

The basic treatment item and the incidental treatment item are determined in association with the treatment policy, and the treatment is performed. Next time, when the same treatment policy is selected under the same disease name in different parts, a pattern in which the treatment policy for the previous disease name is moved from the associated treatment item to the basic treatment item is displayed. The memory of the pattern display is also applied to different parts / teeth of the same disease name of different patients, the same treatment policy, or the same disease name of the same patient.

A new disease name is selected, and among the basic treatment items displayed in association with the displayed treatment policy, the treatment item which has once been moved from the auxiliary treatment item to the basic treatment item is returned to the auxiliary treatment item again. You can In addition, another accompanying treatment item can be moved to the basic treatment item.

In the basic treatment item and the selected incidental treatment item, detailed contents, notes, etc. (for example, type of anesthetic,
As for the treatment item that needs to describe the amount, the numerical value of the examination, etc.) in the chart, as shown in FIG. 4, a sub-window called a confirmation item corresponding to the treatment item is opened, and the necessary information is input or selected. To do.

The necessary items to be confirmed and recorded here are:
From the basic treatment items and the accompanying treatment items displayed in conjunction with the treatment policy, among the treatment items selected to perform the treatment, the items that require more detailed records on the chart (purpose, contents, details , Dose, etc.).

This confirmation item is displayed on the screen so that necessary items can be easily recorded and input. After entering all the required confirmation items, the system of the present invention has made the selection decision so far,
Display all treated items in the same order as when filling out the chart, and ask the doctor for confirmation. This is called a treatment content confirmation screen.

When confirmed here, the contents of all the medical treatment actions (treatments) up to that point are automatically recorded in order as a detailed medical record.

Next time the patient returns, the system of the present invention automatically displays all the treatment details for the previously performed disease name and the treatment policy that can be performed this time as options. When one of the treatment policies displayed on the screen is selected, a screen of a pattern in which the basic treatment item and the incidental treatment items selected so far are moved to the basic treatment item for the treatment policy at that time is displayed.

There are the following rules for re-presenting the treatment item. Treatment items that have been performed once for the patient and should not be performed again are managed in the patient database so as not to be presented. Panoramas, CATs, tooth extractions, etc. are examples of treatment items that are not presented again once performed.

Examples of treatment items that have been performed once but are presented repeatedly 2 to several times include SP after tooth extraction and surgery, and treatment after radical cure. In addition to this, since it has been presented but not performed, panorama, CAT, P syndrome interview, etc. are presented as treatment items to be presented two to several times until it is performed. When you enter the necessary confirmation items, the contents of all treatments up to that point are automatically displayed in detail as a chart image in order on the screen.

The system of the present invention automatically manages the treatment procedure so that the treatment performed so far and the treatment performed this time are medically rational and consistent. Such a treatment procedure for one disease name continues continuously until the disease name is cured.

When a plurality of oral cavity disease names of the same patient are input, the disease names are registered in the input order. When the treatment of one disease name in the oral cavity of the same patient is completed for the day, the system of the present invention automatically displays the next disease name of the patient.
The order of disease name registration can be changed, and in that case, the order of disease names will also be changed from the next time.

When one disease name of the same patient is completed (cured), the disease name is not displayed on the screen from the next time. However, if all the disease names of the same patient have been completed, that patient will be a new patient from the next time. All items recorded as medical records are automatically recorded as a receipt at the end of the current month.

As described above, basically, the second and subsequent medical treatments are the same as the first medical examination, but the treatment policy as the continuous treatment and the display method of the treatment item selection (presentation from the system) are different. In order to make the treatment procedure reasonable and consistent, the treatment policy is registered in the database in a tree structure.

It is recorded in the database on which patient, which disease name, and up to which point in the treatment policy the treatment was performed. Therefore, the same site, teeth,
With respect to the same disease name, the treatment policy once performed is not presented again or is presented again according to the presentation rule.

[0033]

EXAMPLE An example of the system of the present invention will be described. FIG. 5 is a specific example of the treatment policy selection screen. The disease name is displayed on the left and the treatment policy is displayed on the right. In this example, S is the treatment policy for the disease name "P3 sudden outbreak of the 7th upper right tooth".
It indicates that any of P, incision, and tooth extraction can be performed.

FIG. 6 shows a concrete example of the basic treatment item / accompanying treatment item screen. The left side of the screen shows basic action items for "incision", and the right side shows accompanying action items. Basic treatment items are treatments that must be performed, and accompanying treatment items are treatments that can be performed at the discretion of the physician. Before actually taking action, the ancillary action items to be performed must be transferred to the basic action items.

FIG. 7 shows a concrete screen of the confirmation item window. FIG. 8 is a treatment content confirmation screen. When the confirmation items are selected and input, the entire treatment details for the disease name are displayed as an image on the chart, and confirmation is requested.
When confirmed here and the treatment is completed, it becomes a medical record, and this content is subject to paperwork. Just because you're a doctor
Not all treatments are remembered. Therefore, by presenting such confirmation screen items, correct treatment can be easily performed without omission.

[0036]

As described above, according to the present invention, not only medical treatment by a doctor is easy, but also time and mental burdens are reduced, so that more advanced medical treatment can be performed. In addition, clerical procedures such as chart creation and score calculation are reduced.

Particularly, in the system of the present invention, unlike the conventional system, since the treatment policy is continuously presented,
It enables medically rational and consistent treatment. Regarding treatment, the system is flexible because it is managed by dividing it into basic treatment items that are indispensable in terms of medicine and incidental treatment that can be decided by each doctor.

Although the present invention is designed mainly for the practitioner of dentistry, it is a system that can be applied to a part of internal medicine, dermatology, ophthalmology, otolaryngology, and other specialized fields. .

[Brief description of drawings]

FIG. 1 is an explanatory diagram of a tree structure of a treatment policy of the present invention.

FIG. 2 is an explanatory diagram of a treatment policy selection screen of the present invention.

FIG. 3 is an explanatory diagram of a basic treatment item / accompanying treatment item screen of the present invention.

FIG. 4 is an explanatory diagram of a confirmation item window of the present invention.

FIG. 5 is a specific example of a treatment policy selection screen according to the embodiment of the present invention.

FIG. 6 is a specific example of a basic treatment item / accompanying treatment item screen in the embodiment of the present invention.

FIG. 7 is a concrete screen of a confirmation item window in the embodiment of the present invention.

FIG. 8 is a treatment content confirmation screen according to the embodiment of the present invention.

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Claims (2)

[Claims] 1. A series of treatment policies corresponding to a disease name are managed in a tree structure in which the number of treatments is hierarchical in depth, and treatment options that can be treated are presented as the disease name is input.
It is characterized in that the treatment policy selected from the options is managed by being divided into a basic treatment item that must be medically performed and an accompanying treatment item other than that, and the accompanying treatment item is incorporated into the basic treatment item according to an instruction. Dental practice support method. 2. A means for managing a series of treatment policies corresponding to a disease name in a tree structure in which the depth of the hierarchy is the number of treatments, and presenting treatment policy options that can be treated according to the input of the disease name. The treatment policy selected from the options is managed by dividing it into basic treatment items that must be medically performed and other incidental treatment items, and means for incorporating the incidental treatment items into the basic treatment items by instruction. A dental care support system characterized by the following.