WO2022080323A1 - 情報処理装置 - Google Patents

情報処理装置 Download PDF

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Publication number
WO2022080323A1
WO2022080323A1 PCT/JP2021/037606 JP2021037606W WO2022080323A1 WO 2022080323 A1 WO2022080323 A1 WO 2022080323A1 JP 2021037606 W JP2021037606 W JP 2021037606W WO 2022080323 A1 WO2022080323 A1 WO 2022080323A1
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WO
WIPO (PCT)
Prior art keywords
patient
doctor
evaluation
age
healthy mouth
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PCT/JP2021/037606
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English (en)
French (fr)
Japanese (ja)
Inventor
昌顕 高山
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Individual
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Individual
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Priority to JP2022525011A priority Critical patent/JP7139544B1/ja
Publication of WO2022080323A1 publication Critical patent/WO2022080323A1/ja
Priority to JP2022142319A priority patent/JP2022172326A/ja
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment

Definitions

  • the present invention relates to an information processing device.
  • Patent Document 1 a technique for supporting a user to undergo an examination or a medical examination
  • Patent Document 2 a technique for giving advice on self-care
  • the present invention has been made in view of such a situation, and an object of the present invention is to streamline daily health management by the user himself / herself and to promote preventive medical care by a doctor.
  • the information processing apparatus is When a patient is treated with teeth by a predetermined doctor belonging to a predetermined medical institution, an evaluation receiving means for receiving the evaluation of the patient for at least one of the predetermined medical institution and the predetermined doctor.
  • the first condition is that the patient has been treated by the predetermined doctor, and when the first condition is satisfied, the dental health of the patient is determined by the first index value indicated by the predetermined doctor.
  • the first management means to manage the state and A patient rank determining means for determining the quality rank of the patient based on the change in the first index value before and after self-care by the patient.
  • An evaluation correction means for correcting the evaluation of the patient received by the evaluation reception means according to the rank of the patient, and an evaluation correction means.
  • the information processing method and program corresponding to the information processing apparatus of one aspect of the present invention are also provided as the information processing method and program of one aspect of the present invention.
  • FIG. 21 It is a block diagram which shows an example of the hardware composition of the server among the information processing system shown in FIG. It is a functional block diagram which shows an example of the functional configuration for realizing the service of FIG. 1 among the functional configurations of the server of the hardware configuration of FIG. 21. It is an image diagram which shows the reserved medical care service among the services of FIG. It is a flowchart which shows the chat reservation operation of the server which realizes the reservation medical treatment service of FIG. It is a figure which shows the reservation map screen which presents the medical treatment reservation situation of the surrounding medical institution to the user in the healthy mouth cafe service of FIG. It is a figure which shows the screen which can make a reservation in the selection format for each time zone. It is a figure which shows the reservation map screen with a time transition function.
  • FIG. 1 is based on the evaluation results of a doctor or the like by a patient among services (hereinafter referred to as “this service”) that can be realized by an information processing system including a server according to the first embodiment of the information processing apparatus of the present invention. It is a figure which shows the outline of an example of the various services provided.
  • various services provided based on the results of evaluation of doctor D by patient U include, for example, services for patients and services for doctors and the like.
  • the service for patients is a service for supporting patient U, and specifically includes a reserved medical care service, a search service, and a healthy cafe service.
  • the reserved medical care service is a service that supports the reservation for the patient U to receive medical care.
  • the patient U registers for this service by using an application program (hereinafter referred to as “patient application”) installed on the patient terminal 2 (smartphone). Then, the patient U can easily make a reservation by inputting information such as a medical institution and a doctor D who desire medical treatment, a date and time of visit, and medical treatment contents by using the patient application.
  • patient application an application program installed on the patient terminal 2 (smartphone).
  • patient U When registering for this service, patient U may use information about patient U (hereinafter referred to as "patient information"), for example, an image taken by patient U, name, gender, date of birth, zip code, address, telephone number, etc. Enter the profession, information that uniquely identifies patient U, password, and so on.
  • patient information for example, an image taken by patient U, name, gender, date of birth, zip code, address, telephone number, etc. Enter the profession, information that uniquely identifies patient U, password, and so on.
  • the patient information of the patient U is stored and managed in the patient DB 184 of the server 1.
  • the information that uniquely identifies the patient U for example, an e-mail address as an ID may be set, and a medical record number may be associated with the ID.
  • the information input by the patient U when making an appointment can include the "location" and "equipment” related to medical treatment.
  • the patient U who makes a reservation is an elderly person who is admitted to a facility such as a long-term care facility
  • the patient U can easily request a visit medical treatment to the facility by the desired doctor D. You will be able to.
  • special equipment for example, a medical device
  • he / she can easily make a request from a doctor D or a medical institution that satisfies the condition.
  • evaluation information Information related to the evaluation (hereinafter referred to as “evaluation information") is stored and managed in the evaluation DB 183 of the server 1.
  • the evaluation information includes various evaluations such as an evaluation for each medical treatment, a comprehensive evaluation for the doctor D, and comments on other evaluations as the evaluation for the doctor D for each patient U. Specifically, for example, word-of-mouth about doctor D, evaluation of a plurality of stages (for example, evaluation of 5 stages), and the like are included in the evaluation information.
  • the patient U can input an evaluation for the medical treatment when making an appointment for re-examination at the medical institution after receiving the medical treatment at the medical institution.
  • the "evaluation for medical treatment” can include the evaluation of the patient U for the individual of the doctor D (doctor D who received the medical treatment) belonging to the medical institution, in addition to the evaluation of the patient U for the medical institution.
  • the evaluation of the patient U may be an indispensable item when the patient U makes an appointment for medical treatment using the reservation service, or some incentive may be provided to the patient U who has made the evaluation. As a result, the number of evaluations of the patient U can be increased, so that it can be effectively used as reference information for other patients U.
  • the search service is a service that supports the search of medical institutions and doctors by patient U.
  • the patient U uses the patient application to enter, for example, the area where he / she wants medical treatment, the medical equipment he / she wants to use, and the like, and the patient U is a medical institution that matches or has a high degree of matching.
  • doctor D can be easily searched.
  • the patient U can acquire information on the doctor D and the medical institution that satisfy the request by designating and searching for the request based on one or more elements for the doctor D and the medical institution. ..
  • the "element" for example, the arm (ability) as a doctor D, a specialized field, an educational background, a speaking style, a personality, a gender, an age, an appearance, and the like can be included.
  • the patient U can search for a doctor D or a medical institution by selecting one or more elements that match his or her own values from a plurality of elements.
  • the factors that patient U can select include the gender of doctor D, the university of origin, and the like. That is, some patients U require only their arms (abilities) from doctor D, and it is okay to speak in a blunt manner, while others place particular importance on how to treat patients with doctor D. There is.
  • this service it is possible to perform a search based on one or more elements selected by the patient U from among a plurality of elements in this way, so that a medical institution or a doctor D that meets the request of the patient U can be searched. can do.
  • the information presented to the patient U as a search result includes information that uniquely identifies the medical institution or doctor D that matches or has a high degree of matching (for example, ID, etc.), as well as the medical institution or doctor by another patient U.
  • the content of the evaluation for D is presented.
  • the patient U who uses the search service can specifically determine the medical institution or the doctor D to be reserved by referring to the contents of various evaluations by the other patient U and the doctor information described later.
  • the healthy mouth cafe service is a service that can be used by both patient U and doctor D.
  • the patient application and doctor application display the homepage or home screen of healthy mouth cafe, and doctor D and doctor D This is a service that provides useful information to medical institutions and users who have registered as members, including patient U.
  • the patient U may display a screen prompting the input of questionnaire information for diagnosis such as the healthy mouth score and the healthy mouth age, and present the healthy mouth score, the healthy mouth age, the self-care content, etc. from the input contents. ..
  • the healthy mouth cafe service provides healthy mouth support (guidance information on oral care, etc.) including daily oral maintenance records while patient U is performing self-care during and after treatment. Further, the patient U is provided with information on the result of the diagnosis by the doctor D.
  • the healthy mouth cafe service provides a healthy mouth age management function, a healthy mouth score management function, a guidance function, and a reservation map display function. Details of each of these functions will be described in detail in FIG. Further, in the healthy mouth cafe service, the healthy mouth cafe provides the patient U with information on the transition of the reservation status of the surrounding medical institutions.
  • doctor D questionnaire information, self-care information, etc. are provided to doctor D, patient U is guided to doctor D, etc. according to the diagnosis result of healthy mouth score and healthy mouth age, and as a result of the guidance, patient U Notifies Doctor D of Patient U's evaluation of Doctor D when he visits a medical institution.
  • doctor D and the like are provided with information on the patient U for diagnosis such as the healthy mouth score and the healthy mouth age and self-care, and the evaluation of the patient U when the doctor D examines the patient U is registered. , Notify doctor D of the evaluation from patient U to doctor D.
  • the communication exchange of messages, etc.
  • the communication can be managed by the healthy mouth cafe.
  • the service for doctors and the like is a service that supports doctor D who treats patient U and students of the medical school who are the eggs of doctor D. Specifically, for example, a doctor registration service, a search service, and a healthy cafe. Services and are included.
  • the doctor registration service is a service that supports the registration of doctor D and students who intend to use this service.
  • doctor D and students can use dedicated application software (hereinafter referred to as “doctor application”) installed on the doctor terminal 3. Doctor D and students can easily register for this service by using the application such as doctors and entering the information required for registration for this service (hereinafter referred to as “doctor registration information"). ..
  • the doctor registration information is not particularly limited, but for example, as information about the individual doctor D, an image taken by the doctor D, a name, a date of birth, a place of birth, a place of residence, and a school of origin (for example, a university, a high school, a junior high school, an elementary school) ), The club to which he belonged, hobbies, marriage, family structure, occupation and final academic background of relatives (for example, parents and brothers), SNS (Social Networking Service) account, etc. can be included.
  • SNS Social Networking Service
  • the registration information can include the subjects that Doctor D is good at.
  • Doctor D is a dentist
  • his specialty can include implants, orthodontics, whitening, root canal treatment, dentures, aesthetic dentistry, and the like.
  • doctor registration information is used as a search target (the above-mentioned element) of the search service used by the patient U, it is preferable that the information is more detailed. The more detailed the registration information is, the more useful it is to determine the person of the doctor D, so that the search service of the patient U can be enhanced.
  • medical institution information information about the medical institution to which Doctor D belongs
  • the image taken by the medical institution name, address, telephone number, access method, introductory text, features, medical treatment The contents etc. are registered.
  • the medical institution information is stored and managed in the medical institution DB 182 of the server 1.
  • the doctor D who uses the registration service can refer to the evaluation from the patient U for himself / herself and the medical institution to which he / she belongs. Specifically, for example, the doctor D can refer to the evaluation from the patient U for each medical treatment performed in the past. As a result, even if the evaluation is bad, the doctor D can improve the skill by improving the points to be improved with reference to the evaluation. On the other hand, if a good evaluation is obtained, the doctor D can use it as an encouragement for medical treatment.
  • the doctor D who uses the registration service can register his / her own medical history as medical history information in this service separately from the doctor registration information.
  • the medical treatment history information includes specific treatment contents and the like for the patient U by the doctor D.
  • the medical history information is used as a search target (various elements used for the search) of the search service used by the patient U together with the doctor registration information, so it is preferable that the information is more detailed.
  • doctor information The more detailed the medical history information is, the more useful it is to judge the arm (ability) of the doctor D, so that the search service of the patient U can be enhanced.
  • doctor registration information and the medical history information of the doctor D registered by the doctor D who uses this service are both the doctors of the server 1 as the information included in the information related to the doctor D (hereinafter, "doctor information"). It is stored and managed in DB181.
  • the registration service can include an SNS function.
  • doctor D and students who use this service can upload daily events as a diary or comment together with videos and photographs.
  • doctor D and students can add other doctor D and other students who use this service as "friends".
  • doctor D can make a horizontal connection, for example, by joining a circle.
  • the search service is a service that allows a search for a medical institution, a doctor, etc. by the search operation of the doctor D.
  • the doctor D can search for a medical institution, a doctor, or the like by using an application such as a doctor.
  • patient U can enjoy the following merits. That is, the patient U and the doctor D can easily search for a nearby medical institution and the doctor D, and can easily confirm the vacant information.
  • the patient U can make a reservation by using the patient terminal 2 as a medical treatment ticket.
  • the patient U can confirm his / her own medical treatment history, and can evaluate the doctor D and the medical institution for his / her own medical treatment.
  • the doctor D can confirm the medical treatment history of the patient U by using the doctor terminal 3, and can obtain the evaluation from the patient U who has treated himself / herself.
  • doctor D and medical institutions can enjoy the following merits. That is, the doctor D and the medical institution can search and refer.
  • the doctor D and the medical institution can easily manage the reservation and the healthy mouth of the patient U.
  • the doctor D and the medical institution can confirm the evaluation of the patient U for himself / herself.
  • FIG. 2 is a diagram showing an outline of the healthy mouth cafe service among the services of FIG. 1.
  • the healthy mouth cafe service shown in FIG. 2 provides a healthy mouth age management function KN, a healthy mouth score management function KT, a guidance function, and a reservation map display function.
  • the healthy mouth age management function KN manages the health condition of the patient U's teeth according to the healthy mouth age of the patient U indicated by the doctor D, which is premised on the examination of the patient U's teeth by the doctor D.
  • the healthy mouth score management function KT manages the dental health condition of the patient U by the healthy mouth score given to the patient U according to the self-care practiced by the patient U.
  • the guidance function presents information indicating the content of the risk (for example, the risk of rheumatism) that the patient U bears when the healthy mouth age of the patient U exceeds a certain level when guiding the patient U. ..
  • the guidance function is such that, for example, for a patient U who is performing self-care, the patient U receives a medical examination by a doctor D after the self-care according to the healthy mouth score given to the patient U.
  • control is performed such as notifying the risk according to the healthy mouth age on the patient U's My Page and sending an e-mail to the patient U's contact information.
  • the guidance function exists in each of the healthy mouth age management function KN and the healthy mouth score management function KT.
  • the guidance function in the healthy mouth age management function KN is a function of performing repeat visits, regular medical examinations, and guidance of visits to existing patients in the hospital.
  • the subjects of the guidance function in the healthy mouth age management function KN are existing patients (during hospital visits, those who have not reached the regular medical examination date), discontinued patients (people who have not visited the hospital even though they are in the middle of treatment), new patients, and second patients.
  • Those who came to the hospital as an opinion those who have problems with dysphagia (nursing facilities, hospitals, elderly people, people with disabilities), those who are the agents of the person with the above contents, etc.
  • it is a function to guide existing patients to return to their own hospital, which is a member of this service.
  • the flow of induction in the healthy mouth age management function KN will be described.
  • the oral hygiene condition of the subject is evaluated by doctor D of the medical institution (dentistry) and input to the system (healthy mouth age management function KN).
  • the healthy mouth age management function KN determines the oral hygiene state based on the input contents, and visualizes the oral hygiene state using the age (hereinafter referred to as the healthy mouth age).
  • the healthy mouth age it is possible to determine the oral hygiene condition by using the diagnosis of the panoramic radiograph described later or by partially replacing it.
  • the healthy mouth age management function KN presents a training method for improving or maintaining the determined oral hygiene condition (swallowing and swallowing function).
  • the subject records the content of the training conducted based on the training method presented by the healthy mouth age management function KN.
  • the healthy mouth age management function KN executes guidance to a medical institution based on the result of training or not performed by the subject. After a certain period of time has passed (the time for regular medical examinations has arrived), guidance to regular medical examinations will be carried out. If the subject comes to the hospital as a result of the guidance, the oral hygiene status will be reassessed after the treatment or regular examination. If the subject does not come to the hospital as a result of the guidance, the need for treatment and regular medical examination will be sent by e-mail, etc., and re-guidance will be performed.
  • the target of the guidance function in the healthy mouth score management function KT is a person who does not go to the dentistry (visit medical treatment), a person who goes to the dentistry (other hospital) who does not use this service, or a person who goes to another hospital.
  • it is a patient U or the like who is performing self-care under the guidance of doctor D, and is a function of guiding these persons (target persons) to their own hospital which is a member of this service.
  • the healthy mouth score management function KT will be described.
  • the subject answers the Q & A, and the healthy mouth score management function KT judges the content and converts it into a score.
  • the healthy mouth score management function KT prompts the patient to undergo a medical examination or self-care when the added value (total score) of the healthy mouth score reaches a preset threshold value.
  • Those who wish to receive a medical examination make a reservation from the medical treatment reservation function. For those who do not make reservations and those who are implementing self-care, after a certain period of time, they will be guided to re-evaluate the healthy mouth score Q & A.
  • the person whose healthy mouth score has deteriorated or does not change is encouraged to undergo a medical examination.
  • the score After receiving a medical examination at a clinic / hospital that uses this service, the score will be transferred to the healthy mouth score, and the healthy mouth support (described later) and the healthy food support (described later) will be available.
  • the reservation map display function displays the map screen (reservation radar screen) of the reservation status shown in FIGS. 25 to 27 on the patient terminal 2, and includes the patient U so that the transition of the reservation status with the transition of time can be viewed on the map. Provide to users.
  • doctor D examines the teeth of patient U.
  • the patient U uses the service at the medical institution H (dental clinic) when he / she sees the doctor D. Then, the doctor D who examined the teeth of the patient U indicates a "healthy mouth age" in which the level of the health condition of the teeth of the patient U is expressed by age based on the examination result.
  • the healthier the healthy mouth age the higher the level of dental health (health).
  • the healthy mouth age with respect to the actual age of patient U. For example, even if the healthy mouth age is 30 years old, the meaning of the actual age of patient U is 20 years old and 40 years old is different. That is, when the healthy mouth age is lower than the actual age of the patient U, it can be said that the level of dental health is "high”. On the other hand, if the healthy mouth age is older than the actual age of the patient U, it can be said that the level of dental health is "low”.
  • Patient U with a low level of dental health undergoes self-care and then sees doctor D again. If it is determined in this second examination that the level of dental health is improved, the healthy mouth age indicated by Doctor D will be younger than that of the first examination. For example, the actual age of patient U is 20 years old, the healthy mouth age shown at the completion of the first visit is 30 years old, and the healthy mouth age shown at the start of the second visit is 25 years old. If this is the case, the self-care effect of the patient U has come out. In this case, if the patient U continues self-care thereafter, the healthy mouth age shown in the third examination can be made to be lower than the actual age (20 years) of the patient U.
  • the actual age of patient U is 20 years
  • the healthy mouth age indicated at the completion of the first consultation is 30 years
  • the healthy mouth age indicated at the start of the second consultation is 30 years. If the patient is 20 years old, the self-care effect of the patient U is fully exhibited.
  • the healthy mouth age of patient U is the same as the actual age, it is possible to improve or maintain the dental health level without undergoing a third medical examination as long as self-care is continued in that condition. can.
  • the service will notify patient U of "guidance" such as a notification or e-mail urging the third medical examination. This induction is an incentive for patient U to consider whether self-care is effective by undergoing a third visit.
  • the actual age of patient U is 20 years
  • the healthy mouth age indicated at the completion of the first examination is 30 years
  • the healthy mouth age indicated at the start of the second examination is 30 years. If you are 30 years old or older, self-care will not be effective.
  • self-care may be inadequate or the self-care method may be incorrect, so self-care will be reconfirmed.
  • the patient U practices the self-care reconfirmed in the second examination in order to obtain a good result (younger healthy mouth age indicated by the doctor D) in the third examination.
  • Patient U can check his / her consultation history and healthy age history at any time by accessing the dedicated website provided by this service (hereinafter referred to as "Kenguchi Cafe"). As a result, the patient U can confirm the effect of self-care on the time axis.
  • the health care of patient U is evaluated by "healthy mouth score" as a method to easily confirm whether patient U is continuously practicing self-care in the correct way.
  • the "healthy mouth score” is a predetermined score for each specific self-care content.
  • Patient U practices self-care in the correct way, and if he / she declares that fact (input with the dedicated app), he / she can be given points corresponding to the self-care. Specifically, for example, when the self-care healthy mouth score of "brushing teeth for 3 minutes or more after breakfast" is "1 point”, when patient U brushes his teeth for 3 minutes or more after breakfast, the healthy mouth score is "1 point”. Is given to patient U.
  • patient U can use dental floss to remove stains between teeth.
  • a healthy mouth score is given to patient U.
  • the healthy mouth score given to patient U is managed by this service.
  • Patient U can check the total number of healthy mouth points given to him at any time by accessing the above-mentioned "healthy mouth cafe".
  • the self-care by the patient U is started after the medical examination by the doctor D and the healthy mouth score of the patient U at the time when the predetermined period elapses is lower than the predetermined score, it is recommended to see the medical examination by the doctor D again.
  • Guidance is performed. Specifically, for example, if the healthy mouth score does not reach the predetermined score two weeks after the medical examination, the patient U is notified that self-care is insufficient and recommends a re-examination. It is sent to smartphones, etc.
  • the patient U can receive the treatment of the doctor D and receive guidance on correct self-care by receiving the medical examination by the doctor D again according to the guidance (notification or e-mail) from this service.
  • the doctor D can increase the number of patients U who positively wish to receive a medical examination in order to be given a opening score.
  • the "healthy mouth age” is indicated by distinguishing between the “healthy mouth age” and the “healthy mouth score” so that the "healthy mouth age” is shown only when the doctor D consults. It can be expected that the number of people who are going to see Doctor D in order to receive it will increase.
  • the "healthy mouth score” can be given simply by performing a predetermined operation on the patient application.
  • the patient U can easily use the patient application by making it possible to easily give a "healthy mouth score” by using the patient application.
  • it can be expected that the number of users of the patient application will increase.
  • the medical examination result of the patient U, the medical examination fee, and the data indicating the healthy mouth age indicated by the doctor D are stored and managed in this service as "medical examination data".
  • the content of the self-care of the patient U and the data indicating the healthy mouth score given by the self-care are also stored and managed as "self-care data" in this service.
  • the medical examination data and self-care data managed by this service are accumulated and utilized for various researches (for example, joint research with university hospitals).
  • the app or website of the Healthy Age cafe has a function to print out the results of the above-mentioned various processes, a function to record the results locally on Server 1, a wake-up bedtime, and a meal time (morning, noon, night, before bedtime). ), Each meal content (optional), tooth brushing time (morning, noon, night, before bedtime), message communication function from patient U to medical institution H and doctor D, contact function from medical institution H, notification function, etc. Has been done.
  • the message communication function can attach data such as images and videos.
  • FIG. 3 is a diagram showing a list of images that can be used for diagnosing the healthy mouth age in the healthy mouth cafe service among the services of FIG. 1.
  • images such as panoramic X-ray, dental, and CT can be used.
  • the panoramic roentgen image shows the progress of caries (caries), the melting of the alveolar bone, the progress of periodontal disease, the lesion at the root, the spread of the apical lesion, and the wisdom tooth / impaction. It can be used for confirmation of teeth / excess teeth, confirmation of jaw joints, confirmation of adhesion of tooth stones, etc.
  • the image of the dental can not confirm the temporomandibular joint, and can be used in the same way as the image of the panoramic X-ray for other confirmations.
  • the confirmation of the temporomandibular joint can be used by the imaging method, and the other confirmation can be used in the same manner as the image of the panoramic X-ray.
  • an intraoral camera photograph, a model of a patient's tooth or an image captured thereof can be used, and a direct diagnosis by a doctor D or the like may be used.
  • FIGS. 4 to 13 are examples of panoramic radiographs
  • FIGS. 10 to 13 are examples of X-ray photographs.
  • the example of FIG. 4 is an example of a panoramic radiograph of a person (22 years old, female) having many remaining teeth (or natural teeth), and the alveolar bone is close to the natural teeth (including wisdom teeth).
  • the example of FIG. 5 is an example of a panoramic X-ray of a person (26 years old, female) with few remaining teeth (or natural teeth), and has more treatment scars and alveolar bone is lowered as compared with the photograph of a woman in FIG. ing.
  • FIG. 4 is an example of a panoramic radiograph of a person (22 years old, female) having many remaining teeth (or natural teeth), and the alveolar bone is close to the natural teeth (including wisdom teeth).
  • the example of FIG. 5 is an example of a panoramic X-ray of a person (26 years old, female) with few remaining teeth (or natural teeth), and has more treatment scars and alveolar bone
  • FIG. 6 is an example of a panoramic radiograph of a person (85 years old, female) having many remaining teeth (or natural teeth), and the alveolar bone is reduced due to aging and periodontal disease, and is separated from the tooth head. However, many tooth roots remain and a prosthesis is contained.
  • FIG. 7 is an example of a panoramic roentgen photograph of a person (85 years old, female) with few remaining teeth (or natural teeth), has few remaining teeth, and has anterior alveolar bone as compared with the woman in the photograph of FIG. Is also down.
  • FIG. 7 is an example of a panoramic roentgen photograph of a person (85 years old, female) with few remaining teeth (or natural teeth), has few remaining teeth, and has anterior alveolar bone as compared with the woman in the photograph of FIG. Is also down.
  • FIG. 8 is an example of a panoramic radiograph of a person (91 years old, female) having many remaining teeth (or natural teeth), and the thickness of the jawbone varies depending on the time when the tooth is lost and aging.
  • FIG. 9 is an example of a panoramic radiograph of the one with few remaining teeth (or natural teeth) (83 years old, female). The thickness is different. Since it is a different database, there are some parts that cannot be said unconditionally, but it can be seen that the mandibular curve on the right side (left side in X-ray) is different.
  • the example of FIG. 10 is an example of a soft X-ray showing a change in the internal structure of the mandibular condyle with aging.
  • X-ray of the bone the upper right is the X-ray of the bone of the 70-year-old toothed jaw, and the lower right is the X-ray of the bone of the 70-year-old toothless jaw. It can be seen that the density of the internal bone is lower in the tooth jaw.
  • the example of FIG. 11 is an example of a soft radiograph showing a morphological change of the jawbone accompanying tooth eruption and mourning. It shows the morphological changes of each bone of the tooth jaw.
  • the example of FIG. 12 is an example of an X-ray photograph showing a change in the external morphology of the mandible. Shows the mandible. The arrow indicates the mental foramen.
  • the example of FIG. 13 is an example of a photograph of a model of a mandible associated with tooth mourning, where reference numeral A indicates the inside of each bone of a toothed jaw and reference numeral B indicates the inside of each bone of a toothless jaw.
  • FIG. 14 is a diagram showing an example of a medical examination details / posting screen for evaluation input displayed on the patient terminal of the patient.
  • FIG. 15 is a diagram showing an example of evaluation information (word-of-mouth / evaluation screen of XX Garden Dental Clinic) of a medical institution and a doctor displayed on a patient terminal of a patient.
  • FIG. 16 is a diagram showing an example of doctor's evaluation information (word-of-mouth / evaluation screen of a doctor of XX Garden Dentistry) displayed on a patient terminal of a patient.
  • the examination details / posting screen of FIG. 14 is configured to include display areas F1 to F3. Of these, the title "medical treatment details / posting" is arranged in the display area F1. In the display area F2, the date (2018/06/20) of the day when the medical treatment was performed, the name of the doctor D who was in charge of the medical treatment ( ⁇ ), the content of the medical treatment (tooth extraction), and the medical treatment An input field for the five-stage evaluation of the patient U and a check input field for the evaluation contents are arranged. In the example of FIG. 14, of the five-grade evaluation by the patient U, the evaluation of the patient U for the medical treatment of the attending physician ( ⁇ ) is set to “2”.
  • a button marked "Post” is arranged in the display area F3 of FIG. 14. After completing the input to the field for inputting the medical treatment evaluation displayed in the display area F2, the patient U presses the button labeled "Post” in the display area F3 to evaluate the medical treatment. You can register.
  • the doctor's word-of-mouth / evaluation screen of FIG. 16 displays the actual contents of the word-of-mouth posted by each patient U (patients a to d in the example of the figure). In this way, the patient U can easily confirm the evaluation result, the content of the word-of-mouth, and the like not only in the unit of the medical institution but also in the unit of the doctor D. As a result, the patient U can receive (or make an appointment with) a medical treatment that is more suitable for him / her.
  • the patient U can execute various searches and the like by focusing the doctor D as the main axis of the medical treatment (or reservation thereof) instead of the medical institution as the main axis.
  • the patient U can perform various searches and the like based on the ranking of the doctor D based on the evaluation of the doctor D from various viewpoints.
  • patient U can determine a desired doctor D as a target for medical treatment (or an appointment thereof) based on the ranking of doctor D existing within 10 km from the place of residence.
  • FIG. 17 is an image diagram showing an outline of evaluation correction measures by the service provider G.
  • the patient U who uses this service evaluates the medical treatment of the doctor D, and the evaluation result is reflected in the word-of-mouth / evaluation screen of the clinic shown in FIG. 15 and the word-of-mouth / evaluation screen of the doctor shown in FIG.
  • the other patient U can make an appointment for medical treatment by the desired doctor D or the clinic while confirming the contents of the evaluation for the doctor D or the clinic.
  • the quality rank of the patient U is derived from the change in the healthy mouth age of the patient before and after self-care, and the doctor D evaluated by the patient U based on the derived quality rank of the patient U. Take measures to correct the evaluation (hereinafter referred to as "evaluation correction measures").
  • the service provider G who is in a neutral position, takes evaluation correction measures as necessary.
  • the weight of the evaluation is adjusted between the patient U who correctly performed self-care and the patient U who did not, and the weight of the evaluation of the patient U who correctly performed self-care was increased to the doctor. It is reflected in the evaluation of D and the medical institution, and the reflected result is presented on the word-of-mouth / evaluation screen of the clinic shown in FIG. 15 and the word-of-mouth / evaluation screen of the doctor shown in FIG.
  • rank correction measures are taken to lower the quality rank of patient U, such as canceling without permission many times, based on the request of doctor D or medical institution.
  • the above-mentioned amendment measures may be taken not only for the patient U who uses this service but also for the doctor D.
  • the service provider G can take measures to suspend the use of this service for the doctor D whose evaluation from the patient U is extremely poor.
  • doctor D whose use of this service will be suspended, will not be able to enjoy the benefits obtained by using this service, so efforts will be made to raise the evaluation from patient U. You can expect to do it.
  • the service provider G who is in a neutral position, can be corrected for the evaluation of the patient U and the service use is suspended for the doctor D. Therefore, the quality and evaluation of the patient can be taken. And the quality of service by Doctor D can be expected to improve.
  • FIG. 18 is a diagram showing an image in which a doctor or a medical institution seeks a healthy mouth age of a patient (user).
  • FIG. 19 is a diagram showing an image of ranking patients (users) based on the healthy mouth age and the results of self-care obtained in FIG.
  • a method of obtaining a healthy mouth age by a doctor or a medical institution will be described with reference to FIG.
  • step S201 the doctor D and the medical institution examine the patient U on the treatment start date (first visit date or re-first visit date), and in step S202, the healthy mouth age is calculated and confirmed. ..
  • the actual age of the patient U is 40 years old
  • the healthy mouth age of the patient U as a result of the diagnosis is 75 years old.
  • the difference between the actual age and the healthy mouth age is +35 years.
  • step S203 the doctor D who examines the patient U creates a support content and provides the healthy age and the support content to the patient U.
  • patient U After receiving the provision of healthy mouth age and support content, patient U actually practices self-care, implements support content in step S204, and has a lifestyle (self-care performance) by the next medical examination day or regular medical examination day. ) Is recorded.
  • the doctor D examines the patient U who visited the hospital in step S205, and in step S206, the healthy mouth age is calculated and confirmed.
  • the actual age of the patient U is 40 years old
  • the healthy mouth age of the patient U as a result of the diagnosis is 50 years old.
  • the difference between the actual age and the healthy mouth age is +10 years.
  • the difference in the healthy mouth ages of each other in step S207 By obtaining it, the age difference between the healthy mouth age before and after self-care can be calculated as 25 years old.
  • Patients are ranked based on the healthy mouth age and age difference calculated in this way and the self-care performance of patient U. For example, as shown in FIG. 19, in step S211, the difference between the actual age and the healthy mouth age, the achievement status of self-care, and other indicators (treatment progress, reservation cancellation rate, etc.) for each of one or more patients U. ) To determine the patient quality rank.
  • the rejuvenation of the healthy mouth age is -15 years old, and the difference from the actual age is +20 years old.
  • This patient U3 is 15 years old in the first diagnosis, and the actual age is 45 to +5 years old, and the healthy mouth age is 50 years old.
  • the healthy mouth age is 65 years old, compared to the actual age of 45 years old. It can be said that the oral hygiene condition has deteriorated since the healthy mouth age of +20 years has reached 65 years.
  • Such up-and-down movement of the healthy mouth age occurs due to various factors such as the presence or absence of medical treatment, the implementation status of oral care (including self-care), the living environment of the patient U, and the medical history.
  • the improvement (rejuvenation) of the healthy mouth age is a manifestation of the improvement of the mental and physical conditions including at least the oral hygiene condition for the patient U.
  • the improvement (rejuvenation) of the healthy mouth age is an index supporting that the treatment for the subject, oral care, and advice to the patient U were appropriate for the dentist.
  • the rejuvenation of the healthy mouth age is evidence that patient U made efforts to improve or maintain oral hygiene, and this patient U is highly conscious of improving and maintaining oral hygiene. It can also be understood as). This is because the rejuvenation by treatment and oral care in the clinic is up to a certain level, and the rejuvenation beyond that is due to the efforts of the patient U himself.
  • the correction measures are to rank the patient U after taking into account the transition of "healthy age", self-care record, treatment record (progress), and other information or indicators, and based on the rank of the patient U.
  • the correction is made, that is, the evaluation value is given a difference according to the influence.
  • the ranking of patient U is based on the healthy mouth age calculated from the diagnosis of healthy mouth age, and various information and indicators are comprehensively judged, and the basic rank is given to patient U.
  • the healthy mouth age is first calculated and compared with the previous calculation result.
  • Patient U1 is significantly rejuvenated by 30 years
  • patient U2 is rejuvenated by 15 years
  • patient U3 is 15 years old.
  • patient U1 has the best evaluation (rank) as a factor for rejuvenation of healthy mouth age.
  • individual evaluations (ranks) are obtained from a preset correspondence table of age and rank.
  • rank SSS is 21 years old or older
  • rank SS is 11 to 20 years old
  • rank S is 5 to 10 years old
  • rank A is 4 years old
  • rank B is 0 years old
  • rank C is -4 years old
  • rank D is associated with -5 years old to 10 years old
  • rank E is associated with -11 years old to -20 years old
  • rank EE is associated with -21 years old or older, and the like.
  • patient U1 is ranked SSS at the age of 30
  • patient U2 is ranked SS at the age of 15
  • patient U3 is ranked E at the age of -15.
  • the difference between the calculated healthy mouth age and the actual age that is, the healthy mouth age and the actual age are compared.
  • Patient U1 is (5 years old) old
  • patient U2 is (10 years old) young
  • patient U3 is large (20 years old) old.
  • the patient U2 has the best evaluation (rank) as the actual age difference factor of the difference between the healthy mouth age and the actual age.
  • individual evaluations (ranks) are obtained from a preset correspondence table between the actual age difference and the rank.
  • rank EE is 21 years old or older
  • rank E is 11 to 20 years old
  • rank D is 5 to 10 years old
  • rank C is 4 years old
  • rank B is 0 years old
  • rank A is -4 years old
  • rank S is associated with -5 to 10 years old
  • rank SS is associated with -11 to -20 years old
  • rank SSS is associated with -21 years old or older, and the like.
  • patient U1 is ranked D at the age of 5
  • patient U2 is ranked S at the age of -10
  • patient U3 is ranked E at the age of +20.
  • the basic ranks of patients U1 to U3 as evaluators are determined from the rejuvenation factor, the actual age difference factor, the actual age, the previous healthy mouth age, and the current healthy mouth age.
  • the patient U1 changes from 80 years old to 50 years old, the rank of the rejuvenation factor is "SSS”, and the rank of the actual age difference factor is "D”. Is given.
  • Patient U2 changes from 50 years old to 35 years old, the rank of the rejuvenation factor is "SS”, and the rank of the actual age difference factor is "S”. Is given.
  • Patient U3 changes from 50 years old to 65 years old, the rank of the rejuvenation factor is "E”, and the rank of the actual age difference factor is "E”. Is given.
  • the basic rank required in this way is also an indicator of the heightened awareness of health management.
  • indicators will be evaluated including indicators other than the dental / medical field of the subject (patient) and used for ranking.
  • the evaluation is a deduction method.
  • other indicators for example, in the progress of treatment, it is also confirmed whether the schedule according to the treatment plan is digested.
  • the example shown here is an example and may be another index or evaluation method.
  • the reservation cancellation rate check the cancellation details as well. Specifically, confirm whether it is canceled in advance by the day before, canceled on the day or without permission.
  • rank “SSS” is 30%, rank “SS” is 15%, rank “S” is 10%, rank “A” is 5%, and rank “B” is 0. %, Rank “C” is -10%, Rank “D” is -20%, Rank “E” is -30%, Rank “EE” is-not reflected, and so on.
  • the rank "SSS” is 130 points
  • the rank “B” is 100 points
  • the rank “E” is reflected 7 times out of 10 times, and so on. Even if a subject with rank "A” or higher scores 100 points, it is indicated as 100 points in appearance, and the influence of 30% is reflected only by the correction measures.
  • This service can only be evaluated by the patient U who has actually received treatment or oral care, and does not allow any other involvement (except for the ranking of the patient U).
  • the purpose is to protect Doctor D and medical institutions from unjust evaluations and to obtain proper evaluations from appropriate persons as evaluators.
  • the reasons for ranking patient U, who is the evaluator, are as follows. Prevent unjustified evaluation resulting from patient U's lack of knowledge. Identify patients U who have low interest in treatment and oral care. Share patient information with other hospitals and departments.
  • the patient U is promoted to understand the oral hygiene condition of the patient, and the importance of treatment and oral care (including self-care) is recognized. To be able to recognize and recognize how improving or maintaining good oral hygiene is essential for living a healthy life.
  • FIG. 20 is a diagram showing a configuration of an information processing system according to the first embodiment of the present invention.
  • the information processing system shown in FIG. 20 is configured to include a server 1, patient terminals 2-1 to 2-n, and doctor terminals 3-1 to 3-m.
  • the server 1, the patient terminals 2-1 to 2-n, and the doctor terminals 3-1 to 3-m are connected to each other so as to be able to communicate with each other via a predetermined network N such as the Internet.
  • the server 1 is managed by the service provider G, and executes various processes for realizing this service while appropriately communicating with the patient terminals 2-1 to 2-n and the doctor terminals 3-1 to 3-m. ..
  • the patient terminals 2-1 to 2-n are information processing devices operated by each of the patients U1 to Un, and are composed of, for example, a personal computer, a smartphone, a tablet, or the like. When it is not necessary to individually distinguish each of the patient terminals 2-1 to 2-n and the patients U1 to Un, these are collectively referred to as “patient terminal 2" and "patient U", respectively.
  • the doctor terminals 3-1 to 3-m are information processing devices operated by doctors D1 to Dm, and are composed of, for example, a personal computer, a smartphone, a tablet, or the like. When it is not necessary to individually distinguish each of the doctor terminals 3-1 to 3-m and the doctors D1 to Dm, these are collectively referred to as “doctor terminal 3" and “doctor D", respectively.
  • FIG. 21 is a block diagram showing an example of the hardware configuration of the server in the information processing system shown in FIG. 20.
  • the server 1 includes a CPU (Central Processing Unit) 11, a ROM (Read Only Memory) 12, a RAM (Random Access Memory) 13, a bus 14, an input / output interface 15, an input unit 16, and an output unit 17. , A storage unit 18, a communication unit 19, and a drive 20.
  • CPU Central Processing Unit
  • ROM Read Only Memory
  • RAM Random Access Memory
  • the CPU 11 executes various processes according to the program recorded in the ROM 12 or the program loaded from the storage unit 18 into the RAM 13. Data and the like necessary for the CPU 11 to execute various processes are also appropriately stored in the RAM 13.
  • the CPU 11, ROM 12 and RAM 13 are connected to each other via the bus 14.
  • An input / output interface 15 is also connected to the bus 14.
  • An input unit 16, an output unit 17, a storage unit 18, a communication unit 19, and a drive 20 are connected to the input / output interface 15.
  • the input unit 16 is composed of, for example, a keyboard or the like, and outputs various information.
  • the output unit 17 is composed of a display such as a liquid crystal display, a speaker, or the like, and outputs various information as images or sounds.
  • the storage unit 18 is composed of a DRAM (Dynamic Random Access Memory) or the like, and stores various data.
  • the communication unit 19 communicates with other devices (for example, the patient terminal 2, the doctor terminal 3, etc. in FIG. 20) via the network N including the Internet.
  • a removable medium 30 made of a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like is appropriately mounted on the drive 20.
  • the program read from the removable media 30 by the drive 20 is installed in the storage unit 18 as needed. Further, the removable media 30 can also store various data stored in the storage unit 18 in the same manner as the storage unit 18.
  • the patient terminal 2 and the doctor terminal 3 in FIG. 20 can have basically the same configuration as the hardware configuration of the server 1 shown in FIG. 21. Therefore, the description of the configuration of the patient terminal 2 and the doctor terminal 3 will be omitted.
  • FIG. 22 is a functional block diagram showing an example of the functional configuration for realizing the evaluation support processing among the functional configurations of the server 1 of FIG. 21 in the information processing system of FIG. 20.
  • Evaluation support processing refers to the processing for supporting the evaluation by the patient U to the doctor D and the medical institution in the above-mentioned service.
  • the unit 104, the presentation unit 105, the healthy mouth age management unit 106, the healthy mouth score management unit 107, the guidance unit 108, and the reservation unit 109 function.
  • a doctor DB181, a medical institution DB182, an evaluation DB183, and a patient DB184 are provided in one area of the storage unit 18 (FIG. 13).
  • the evaluation reception unit 101 receives the evaluation by the patient U for the doctor D. Specifically, when a dental treatment is given to a patient U by a predetermined doctor D belonging to a predetermined medical institution, the evaluation of the patient U to at least one of the predetermined medical institution and the predetermined doctor D is performed. (Two of the five tooth marks in the word-of-mouth in Fig. 14 etc.) are accepted.
  • the evaluation may be a score or the like and is not limited to this example. That is, the evaluation reception unit 101 receives the evaluation when each of one or more patients U who have been examined or treated by the doctor D evaluates the doctor D by operating the patient terminal 2.
  • the management unit 102 manages the information of the doctor D including at least the evaluation by the patient U for the doctor D received by the evaluation reception unit 101 for each of n doctors (n is an integer value of 1 or more). .. Specifically, the management unit 102 stores and manages the evaluation information of the patient U of the doctor D in the doctor DB 181.
  • the management unit 102 stores and manages the evaluations of one or more patients U for each of the n doctors D in the evaluation DB 183 as the evaluation information of each of the n doctors D.
  • the management unit 102 indicates that the patient U has been treated by the predetermined doctor D as the first condition (with the treated flag), and when the first condition is satisfied, the predetermined doctor D indicates.
  • the health condition of the patient's teeth is managed by the first index value (healthy mouth age).
  • the management unit 102 treats the patient U with the writing of the treatment content of the patient U from the doctor D under the first condition (with the treated flag) that the treatment has been performed by the predetermined doctor D.
  • the completed flag is included and the first condition is satisfied
  • the healthy mouth age indicated by the predetermined doctor D is stored in the patient DB 184, and the dental health state of the patient U is managed.
  • the patient rank determination unit 103 indicates the degree of achievement of the quality of the patient (how much the patient has performed self-care as instructed) based on the change in the first index value (healthy mouth age) before and after the self-care is performed by the patient U.
  • the rank (for example, "S” among “SSS” to "E") is determined according to the degree of achievement of self-care such as points.
  • the patient rank determination unit 103 determines the age difference (rejuvenation) between the healthy mouth age at the first examination and the healthy mouth age at the second examination, and the actual age and the healthy mouth age.
  • the basic rank of patient U is determined based on the age difference and other indicators (treatment progress, appointment cancellation rate, etc.).
  • the evaluation correction unit 104 evaluates the patient U received by the evaluation reception unit 101 according to the rank of the patient U (for example, “S”) (the tooth mark in the evaluation column of the examination details / posting screen in FIG. 14). (2) is corrected (reflected on the word-of-mouth / evaluation screens of FIGS. 15 and 16 as if three marks were taken).
  • the evaluation correction unit 104 corrects the evaluation value when the patient U evaluates the doctor D by the evaluation increase rate according to the determined basic rank (see the correspondence table 190 in FIG. 19).
  • the score is the evaluation of the patient U with the basic rank "S" to the doctor D. (See FIGS. 15 and 16).
  • the presentation unit 105 presents a part of the information to the patient U based on the information of each doctor of the m doctors D. Specifically, the presentation unit 105 presents to the patient U information based on the doctor's information about each of the m doctors D read from the doctor DB 181 by the search operation of the patient U.
  • the "information based on the doctor information" includes the entire doctor information of the doctor D, a part of the doctor information, information newly generated or processed based on the doctor information, and the like.
  • the presentation unit 105 is a part thereof based on the patient U information (examination record of the examined patient, evaluation of the examined patient, support information (contents of self-care), etc.) input by the doctor D who examined the patient U.
  • Information (the evaluation of doctor D does not notify patient U) is presented to patient U.
  • the healthy mouth age management unit 106 provides an image of the oral cavity of the patient U provided by the predetermined doctor D when the patient U is treated by the predetermined doctor D (intraoral photograph and a fluoroscopic image of the teeth and jawbone). Etc.), the first index value (healthy mouth age) of patient U is calculated.
  • the healthy mouth age management unit 106 trains the AI (learning model) to learn the actual age of each age and an image such as an X-ray photograph, and then inputs the target X-ray photograph into the AI to obtain an X-ray photograph. It outputs the actual age (healthy age) predicted from.
  • AI learning model
  • the healthy mouth score management unit 107 declares the content of self-care (tooth brushing, interdental care, etc.) practiced by the patient U who received the first index value (healthy mouth age) by operating the patient terminal 2 of the patient U. With this as the second condition (with a self-care implementation flag), a predetermined patient is determined by the second index value (healthy mouth score) given to the patient U via the patient terminal 2 when the second condition is satisfied. Manage the health of U's teeth.
  • the healthy mouth score management unit 107 assigns the result of adding 1 tooth brushing score, 3 interdental care points, etc. input from the patient U to the patient U as a healthy mouth score, and stores it in the patient DB 184. And manage it.
  • the healthy mouth score is a score indicating the evaluation of the content of self-care practiced by the patient U who has received the healthy mouth age from the doctor D.
  • the guidance unit 108 performs a process (medical treatment reservation page or medical treatment reservation) for patient U to perform predetermined guidance (medical examination, etc.) for dental treatment according to an index value (healthy mouth score). Control to display the site, etc.) is executed.
  • the guidance unit 108 guides the patient to a medical treatment reservation page or a medical treatment reservation site of a healthy mouth cafe as a process, and executes control to display the healthy mouth age and the healthy mouth score on the patient terminal 2 of the patient U. .. Further, the guidance unit 108 executes a control for causing the patient U to give a notification or an e-mail as a guidance for the patient U to see the doctor D according to the healthy mouth score given to the patient U. Further, the guidance unit 108 provides information indicating the content of the risk (for example, the risk of rheumatism) that the patient U bears when the healthy mouth age of the patient U exceeds a certain level when guiding the patient U. To present.
  • the risk for example, the risk of rheumatism
  • the reservation unit 109 accepts a new medical treatment reservation, a return reservation, etc. from the patient U on the reservation page of the Kenguchi Cafe, and executes the reservation process.
  • the patient U can make a reservation or cancel a reservation on the Web, or cancel a reservation or reservation by telephone by operating the patient terminal 2.
  • the patient U can use the patient terminal 2 as a medical treatment ticket.
  • the reservation unit 109 has one or more medical institutions (XX Dental 231 and YY Dental Clinic 232) at the reception terminal 6 installed at a predetermined place (individual clinic, large-scale medical institution mall, etc.) shown in FIG. Etc.), you can select the desired medical institution and accept the visit or make an appointment for the next medical treatment.
  • the patient U who has received the visit can receive the treatment of the doctor D and the appointment support from the dental assistant via the server 1 by operating the reception terminal 6.
  • the reservation unit 109 accepts inquiries from patient U on the inquiry page of the Kenguchi Cafe and executes response processing to the inquiries.
  • the reservation unit 109 includes a chat reservation unit 121 and a reservation map control unit 122.
  • the chat reservation unit 121 executes a reservation process in a chat format by processing the flow shown in FIG. 24.
  • the chat reservation unit 121 accepts a new medical treatment reservation, a return reservation, etc. from the patient U on the reservation page of the health cafe, and executes the reservation process.
  • the person who makes a reservation registers the user information in advance and registers as a member.
  • step S242 the user (patient U) who became a member logs in with the medical ticket number and password, displays the member page, and displays the reservation page from the reservation button on the member page.
  • step S243 the chat reservation unit 121 displays a message asking the patient U about the requirements (first visit, treatment reservation, reservation confirmation, etc.).
  • a message prompting the input of the symptom is displayed in step S244. Therefore, the patient U inputs the symptom by receiving and answering a simple interview, and step S245.
  • the reservation is completed by selecting a vacant reservation date and time on the displayed calendar and performing a confirmation operation.
  • step S243 when the patient U inputs a message indicating that the treatment is reserved, a message prompting the patient to input the treatment subject, outpatient, visit, current treatment content, etc. is displayed in step S246.
  • Patient U inputs the treatment subject, outpatient, visit, current treatment content, and the like.
  • step S247 a message prompting the doctor to input is displayed. Therefore, when the patient U inputs the doctor to be treated, the calendar is displayed in step S248. Patient U completes the reservation by selecting a vacant reservation date and time on the displayed calendar and performing a confirmation operation.
  • step S243 When the patient U inputs a message to the effect that the reservation is confirmed in step S243, the reservation list is displayed in step S249.
  • the patient U By selecting his / her own reservation from the reservation list, the patient U can view the date and time of his / her reservation because the details of the reservation contents are displayed in step S250.
  • step S251 a message asking whether the change is necessary or deleted is displayed on the reservation page (chat screen).
  • the displayed reservation is deleted in step S252, and the correction of the reservation is completed. Further, when the patient U inputs a message to the effect that the change is made, the calendar is displayed in step S253. Patient U selects a vacant reservation date and time on the displayed calendar and performs a confirmation operation, so that the reservation change process is executed and the reservation correction is completed.
  • the chat reservation unit 121 accepts it as a question in step S254 and executes an automatic response by AI in step S255.
  • step S256 a message such as "Did you solve the problem?" Is displayed on the chat screen.
  • the questioner inputs "Yes”, the process ends and "No” is input.
  • step S257 the chat reservation unit 121 displays the inquiry form on the terminal of the questioner. After that, it is possible to switch to the communication between the questioner and the medical institution using the inquiry form.
  • the chat reservation unit 121 it is possible to make a medical appointment by exchanging natural sentences by chatting, and it becomes possible to respond more friendly to users including patient U. Further, according to the function of the reservation unit 109 as a whole, when making a reservation for a designated dental clinic, the patient U can make a reservation on the web or by telephone by operating the patient terminal 2.
  • the reservation map control unit 122 displays the map screen (reservation radar screen) of the reservation status shown in FIGS. 25 to 27 on the patient terminal 2, and makes it possible to view the transition of the reservation status with the transition of time on the patient U. Provide to users including.
  • FIG. 25 is a diagram showing a reservation map screen that presents to the user the medical treatment reservation status of the surrounding medical institutions in the healthy mouth cafe service of FIG.
  • FIG. 26 is a diagram showing a screen that can be reserved in a selection format for each time zone.
  • FIG. 27 shows a reservation map screen with a time transition function.
  • Patient U's options at this time include, for example, making inquiries directly to the medical institution at home, making a reservation using the reservation system (clinic / web reservation system), and diving into a nearby medical institution. Be done.
  • the staff of medical institutions do not want new jobs (work) to increase, they can stay as they are, and they are accustomed to the current method. Many people have the idea that they should not be busy. In this case, the main options are to talk to the staff for the time being, to put it in for the time being, to use the reservation function without saying whether or not it is there, and so on.
  • the reservation map display function in the healthy mouth cafe service (see FIG. 1) of the present embodiment is configured as follows. That is, as shown in FIG. 25, the reservation map control unit 122 of the server 1 displays the map screen of the reservation status on the patient terminal 2. Not only the patient terminal 2 but also a smartphone or the like can be used. A map area 261 and an operation area 262 are arranged on the map screen.
  • the medical institution mark consists of marks of different colors such as blue, yellow, red, and gray, of which the blue mark 261a is a medical institution that can be reserved, and the yellow mark 261b is a medical institution that can be reserved but only accepts telephone calls.
  • the red mark 261c is a medical institution that cannot be reserved, and the other gray marks are medical institutions that are not subject to reservation.
  • a time axis 263, a time change icon 264, an automatic playback button 265, a medical institution's consultation time bar 266, and the like are arranged.
  • the time axis 263 is an axis for sliding and moving the time change icon 264 along the time.
  • the time change icon 264 is a button for changing the time by a manual operation (drag operation). By dragging the time change icon 264, the user can move the time axis 263 and stop at a desired position value.
  • Reference numeral 264a indicates that the time change icon 264 is moved in the time axis direction.
  • the reservation map control unit 122 controls to change the mark of the medical institution that can be reserved at that time according to the slide operation of the time change icon 264.
  • the automatic playback button 265 is a button for automatically changing the time (time) without using the time change icon 264.
  • the medical institution's consultation time bar 266 is a bar indicating the medical institution's consultation time displayed on the map. Although not illustrated here, the final reception time (medical treatment time), the time required from the current time to the medical institution, route guidance and route proposal (navigation), travel cost, etc. may be displayed.
  • the reservation time zone of the desired medical institution and the mark indicating acceptance / rejection are displayed in a table format.
  • the mark that accepts is accepted is a green circle
  • the mark that only accepts telephone calls is a yellow triangle
  • the mark that reservations are not possible or outside the consultation hours is a hyphen (-).
  • the time zone marked with an X indicates that an inquiry is required.
  • the user can make a medical appointment by clicking the green circle mark on the details / reservation screen of this medical institution.
  • a reservation completion email is sent to a preset email address, and the acceptance / rejection status is automatically reflected on the map. If you are not a member, the contact information page will be displayed. By entering your e-mail address, a reservation completion notification e-mail will be sent to that address.
  • a set medical treatment time (eg, 30 minutes) may be automatically picked up from the schedule column of the day and reflected on the map.
  • a cancellation waiting function may be provided to send a contact mail to the user waiting for cancellation.
  • the user who receives the contact mail can make a reservation by selecting only Yes / No within the predetermined reply time limit, or can postpone the reservation.
  • the time limit for replying can be changed by changing the setting.
  • the call center may be called and the call center operator may make a reservation in response. In this case, it is possible to make a medical appointment without burdening the staff of the medical institution. In addition, even if the user makes a call, the medical institution will not be unable to answer the call.
  • the specific operation of the map screen (reserved radar screen) will be described.
  • the user drags the time change icon 264 with a finger to display the screen on the second screen from the left end.
  • the reservation status of the medical institution at the time when the time change icon 264 is moved is displayed on the map. After 30 minutes, there is only one blue mark for medical institutions that can be booked online.
  • the user (mainly the patient) is a medical institution with a blue mark
  • click the blue mark to check the reservation status of the medical institution and necessary information (location of the medical institution on the map, etc.). , Can be booked.
  • the user further drags the time change icon 264 with his / her finger to display the third screen from the left end.
  • the reservation status of the medical institution at the time when the time change icon 264 is moved is displayed on the map.
  • the number of blue marks of medical institutions that can be reserved on the web has increased to three, so it can be seen that you can select from multiple.
  • the user drags the time change icon 264 with his / her finger and moves the time change icon 264 in the direction of the arrow on the rightmost screen (in the time axis direction) to move the time change icon 264 (for example, the present time).
  • the reservation status of the medical institution at (3 hours after the time) is displayed on the map.
  • the number of blue marks of medical institutions that can be booked on the web is reduced to one, so the user can drag the time change icon 264 with his finger in the opposite direction to the previous one. After returning to the screen one hour after the time of, you can make a reservation for the medical institution at the location of the blue mark closest to your current position among the three blue marks.
  • the past, present, and future reservation status of multiple medical institutions can be displayed by color and icon display.
  • the user can check the reservation status and location (distance) of nearby medical institutions on the map at the same time, and slide the time change icon 264 at the time he / she wants to see the medical institution to make a reservation. You can make a reservation after confirming the institution and its location on the map.
  • FIG. 28 is a diagram showing a home screen for providing a healthy mouth cafe service.
  • the home screen shown in FIG. 28 is provided with menus such as a home button, notification management, healthy mouth diagnosis management, healthy mouth support management, and healthy food support management.
  • the home button is a button used to return to the home screen.
  • Notification management is a menu for managing the functions used for posting messages to all users.
  • the healthy mouth diagnosis management is a menu for managing functions such as performing a healthy mouth age diagnosis, inputting a diagnosis comment, and confirming a healthy mouth age determination history.
  • Healthy mouth support management includes registration / editing of healthy mouth support contents, confirmation of daily oral care records registered by users, message transmission / consultation with users, sharing of treatment schedules, confirmation of healthy mouth support history, etc. This is a menu for managing the functions to be performed.
  • the log-out button is a button for logging out.
  • the update switching button is a button for switching when to update the database data to the application screen or website (automatic / manual). When the automatic update is "OFF”, the update is performed using the update button of the browser. When the automatic update is "ON”, the update is performed every minute.
  • FIG. 29 is a diagram showing a healthy mouth support screen of a medical institution.
  • the healthy mouth support screen shown in FIG. 29 has a calendar column, a column for contact information from the clinic (doctor), a column for consultation content from the user (patient), and a column for the healthy mouth support history. It is arranged so that the clinic (doctor) can make a contact item (reply to the consultation content) to the user (patient) using the contact item column in response to the consultation from the user (patient).
  • FIG. 30 is a diagram showing a healthy food support management screen.
  • the healthy food support management screen shown in FIG. 30 is provided with a pull-down menu for swallowing rehabilitation content, an input field for swallowing rehabilitation period, a writing field for instruction content, an additional button, etc. You can write the guidance content of the user and give guidance on the user's meal.
  • FIG. 31 is a diagram showing a healthy mouth score determination screen provided to a user (patient) in the healthy mouth cafe service.
  • a healthy mouth score determination screen screen on the right shown in FIG. 31, for example, 10 questions and each question can be answered by tapping either "Yes” or "No".
  • a button and a determination button described as "determine” are provided.
  • this healthy mouth score judgment screen the user answers all the questions and clicks the judgment button to calculate the healthy mouth score based on the answer to the question and puts it on the healthy mouth score judgment screen.
  • the judgment result is displayed on the screen that is displayed in a pop-up (the screen on the left). In this example, "Your healthy mouth score: 8" is displayed. By operating the close button, the pop-up screen is closed.
  • the user can check the healthy mouth score at that time without receiving medical examination or guidance from a doctor, although it is simple.
  • FIG. 32 is a diagram showing a healthy mouth age diagnosis screen among the application screens displayed on the patient terminal in the healthy mouth cafe service.
  • On the healthy mouth age diagnosis screen (screen on the right) shown in FIG. 32 there are a display column for a message from the healthy mouth cafe service, a display column for the healthy mouth status of the user, and a transition button to My Page. Have been placed.
  • the score of the healthy mouth score judgment result 7 points in this example
  • the annotation and the healthy mouth age diagnosis result (53.5 years old in this example and the diagnosis date: 2020. 11.18 etc.)
  • the status of healthy mouth support (not implemented in this example)
  • the status of healthy food support (not implemented in this example)
  • the healthy mouth age diagnosis history screen (the screen on the left) is displayed by clicking the button called the healthy mouth age diagnosis history on My Page that the user has transitioned with the transition button. Therefore, it can be confirmed by a graph woven with the time series of the healthy mouth age diagnosis history, and it becomes easier to grasp the transition of the healthy mouth age.
  • the user's healthy mouth and healthy food status (healthy mouth score, healthy mouth age, healthy mouth support and healthy food support status, etc.) can be seen at a glance, and the user himself / herself. You can easily grasp the current situation of.
  • FIG. 33 is a diagram showing a support recording screen recorded by the user among the application screens displayed on the patient terminal in the healthy mouth cafe service.
  • the healthy mouth support screen 302 and the healthy food support screen 303 are arranged side by side.
  • the healthy mouth support screen 302 is provided with buttons for action items such as sleep, waking up and going to bed, today's meal, breakfast, dinner, lunch, before bedtime, and today's toothbrush, breakfast, dinner, lunch, before bedtime, etc. You can record what you have done by clicking the button that corresponds to the self-care you have done according to the support menu provided.
  • the button items illustrated here are examples, and can be edited to other items according to the user (patient). It should be noted that the content of the implementation is input in text only for meals, and for other items, the information (flag) automatically executed is recorded together with the time when the button is clicked. Since the characters of the buttons of the entered items are changed to white characters, it can be determined at a glance whether they have been recorded or not.
  • buttons of the entered items are changed to white characters, it can be determined at a glance whether they have been recorded or not.
  • this support record screen 301 each time a user performs self-care, he / she can record the contents of the self-care with a simple button operation from his / her patient terminal 2, so that he / she can continue the self-care without forgetting to record. Can be carried out.
  • FIG. 34 is a diagram showing a message creation screen for creating a message for contacting a doctor from a patient among the application screens displayed on the patient terminal in the healthy mouth cafe service.
  • the message creation screen 310 shown in FIG. 34 has a display field for a future treatment schedule, an input field for inputting the contents of contact to the clinic, a photo attachment button (oval part), a registration button, and a healthy mouth support.
  • a history display field is arranged.
  • the user clicks the My Page button on the home screen of the Kenguchi cafe to display My Page, and then clicks the contact button on My Page to display the message composition screen 310.
  • a message for contacting the clinic can be sent by inputting a message for contacting the clinic in the input field and clicking the registration button.
  • the user can send a message, a photo, etc. for contacting the clinic with a simple operation.
  • FIG. 35 is a diagram showing a confirmation screen of the instruction content in the healthy mouth support among the application screens displayed on the patient terminal in the healthy mouth cafe service.
  • the instruction content regarding the healthy mouth care from the doctor (clinic) is displayed.
  • the instruction content is displayed for each item such as tooth brushing, meals, regular examinations, interdental brushes, tongue brushes, and liquid rinses. If there is more detailed instruction content or video, the instruction item will be written in blue.
  • the instruction content confirmation screen 320 the user can easily confirm the "instruction content" from the doctor (clinic) from the application screen of the healthy mouth cafe and carry out healthy mouth care.
  • FIG. 36 is a diagram showing a confirmation screen of instruction content regarding exercise (rehabilitation) among the application screens displayed on the patient terminal in the healthy mouth cafe service.
  • the instruction content regarding exercise (rehabilitation) from the doctor (clinic) is displayed.
  • detailed instruction content purpose of oral organ exercise, how to move oral organ, purpose of ice massage, massage method, etc.
  • the instruction item will be written in blue.
  • the instruction content confirmation screen 330 the user can easily confirm the "instruction content" from the doctor (clinic) from the application screen of the healthy mouth cafe and carry out exercise (rehabilitation).
  • the doctor D is a dentist, but this is only an example. Any doctor who is in a position to provide some kind of medical treatment to patient U may be used. That is, the doctor in the present invention is not limited to a dentist, but is a concept including all doctors such as a surgeon, an internist, an ophthalmologist, and a dermatologist.
  • the user (target person) of this service includes patient U and doctor D, but the present invention is not limited to this.
  • any person engaged in a medical institution such as a nurse, a dental hygienist, or a dental assistant, can be a user of this service.
  • a nurse or a dental hygienist can be provided with the above-mentioned services for doctors.
  • the doctor D in the above-described embodiment is merely an example, and this service can also target occupations other than doctors. Specifically, for example, it is possible to target people of all occupations, such as beauticians and craftsmen, who work by utilizing their individual skills while belonging to an organization.
  • the patient U finds the desired doctor D, but according to this service, the doctor D can also find the desired patient U by using the doctor application. .. Further, the doctor D can find a medical treatment place together with the desired patient U.
  • the doctor D indicates the "healthy mouth age” at each examination, but the present invention is not limited to this.
  • the timing at which the "healthy mouth age” is indicated is not particularly limited. For example, after the "healthy mouth age” is indicated in the first examination, the "healthy mouth age” is shown at the final examination after multiple examinations. May be indicated.
  • system configuration shown in FIG. 20 and the hardware configuration of the server 1 shown in FIG. 21 are merely examples for achieving the object of the present invention, and are not particularly limited.
  • the functional block diagram shown in FIG. 22 is merely an example and is not particularly limited. That is, it suffices if the information processing system is equipped with a function capable of executing the above-mentioned series of processes as a whole, and what kind of functional block and database is used to realize this function is particularly shown in the example of FIG. Not limited.
  • the location of the functional block and the database is not limited to FIG. 22, and may be arbitrary.
  • at least a part of the functions on the server 1 side may be provided on the patient terminal 2 side or the doctor terminal 3 side, or at least a part of the functions on the patient terminal 2 side or the doctor terminal 3 side may be provided on the server 1 side. It may be provided.
  • one functional block and database may be configured by a single piece of hardware, a single piece of software, or a combination thereof.
  • the process (function) executed on the patient terminal 2 or the doctor terminal 3 by using the application software may be the process (function) executed on the server 1.
  • the patient terminal 2 or the doctor terminal 3 can acquire the result of the process by accessing the server 1 using a browser or the like.
  • the programs constituting the software are installed in a computer or the like from a network or a recording medium.
  • the computer may be a computer embedded in dedicated hardware. Further, the computer may be a computer capable of executing various functions by installing various programs, for example, a general-purpose smartphone or a personal computer in addition to a server.
  • the recording medium containing such a program is not only composed of removable media, which is distributed separately from the main body of the device to provide the program to each user, but also is preliminarily incorporated in the main body of the device to each user. It is composed of the provided recording media and the like.
  • the steps for describing a program to be recorded on a recording medium are not only processed in chronological order but also in parallel or individually, even if they are not necessarily processed in chronological order. It also includes the processing to be executed.
  • the term of the system means an overall device composed of a plurality of devices, a plurality of means, and the like.
  • the information processing apparatus to which the present invention is applied may have the following configurations, and various embodiments can be taken. That is, the information processing apparatus to which the present invention is applied (for example, the server 1 in FIG. 22) is When a patient is treated with a tooth by a predetermined doctor belonging to a predetermined medical institution, the patient's evaluation of at least one of the predetermined medical institution and the predetermined doctor (the tooth of the word-of-mouth in FIG. 14).
  • Evaluation receiving means for example, evaluation receiving unit 101 in FIG. 22 that accepts (two of the five marks, etc.) and The first index value (with the treated flag) indicated by the predetermined doctor when the first condition is satisfied, with the treatment given to the patient by the predetermined doctor as the first condition (with a treated flag).
  • a first management means for example, management unit 102 in FIG. 22 for managing the health condition of the patient's teeth according to the healthy mouth age), and Based on the change in the first index value (healthy mouth age) before and after self-care by the patient, the rank (“SSS” to “E”) of the quality of the patient (good or bad achievement of self-care, etc.)
  • a patient rank determining means for example, the patient rank determining unit 103 in FIG. 22 for determining one of them (for example, the higher “S”) and Evaluation of patient U received by the evaluation reception unit 101 according to the rank of the patient's quality (good or bad achievement of self-care, etc.) (for example, high-ranking "S", etc.) (examination details / posting screen in FIG.
  • Evaluation correction means for example, the evaluation correction unit 104 in FIG. 22 for correcting (for example, reflecting on the word-of-mouth / evaluation screens of FIGS. 15 and 16 as having three marks). Etc.) and To prepare for.
  • this information processing device for example, the server 1 in FIG. 22
  • the information processing device managed by the service provider G in a neutral position for example, the server 1 in FIG. 22
  • the evaluation of doctor D can be corrected according to the qualitative rank of patient U, it is unreasonable that patient U who neglected self-care evaluated doctor D as having deteriorated dental health due to doctor D.
  • the quality of the evaluation can be improved, and the motivation of doctor D can be improved by a proper evaluation from the patient U who has performed correct self-care. You can expect it.
  • the said First index value calculation means for calculating the first index value (healthy mouth age) (for example, healthy mouth age management unit 106 in FIG. 22), Further prepare.
  • the first index value (healthy mouth age) is calculated based on the image of the oral cavity of the patient provided by a predetermined doctor (intraoral photograph, fluoroscopic image of teeth and jawbone, etc.). Therefore, it is possible to determine how many years the patient's oral age (healthy mouth age) is with respect to the actual age of the patient, and it can be used as an index for measuring the effect of treatment and the effect of self-care.
  • the first index value is an index value expressing the level of the dental health condition of the patient by age. This allows the patient to compare his or her age with the age of the teeth (eg, the healthy mouth age described above) and thus easily image the level of health of his or her teeth.
  • the second condition is that the content of the self-care (toothpaste, interdental care, etc.) practiced by the patient who received the first index value (healthy age) is declared by operating the patient's terminal.
  • a second management means for example, FIG. 22 for managing the dental health state of the predetermined patient by the second index value (healthy mouth score) given by the terminal when the second condition is satisfied.
  • Self-care score management department 107, etc. Processing (control to display a consultation reservation site, etc.) for performing predetermined guidance (medical examination, etc.) for treating teeth according to the second index value (healthy mouth score) for the patient. ) (For example, the guiding unit 108 in FIG. 22) and Further prepare.
  • the dentist D to guide the patient U to the examination and to efficiently perform the self-care of the patient U who has been examined by the dentist D. can.
  • the second index value is a score indicating an evaluation of the content of the self-care practiced by the patient who has been notified of the first index value (healthy mouth age).
  • the guiding means (for example, the guiding portion 108 in FIG. 22) is used as the process. Control is performed to display the first index value (healthy mouth age) and the second index value (healthy mouth score) on the terminal of the patient.
  • the patient can numerically determine the state of the patient's teeth. Since it can be recognized, it is possible to convey in an easy-to-understand manner the reason for visiting a medical institution.

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JP7789446B1 (ja) * 2025-07-07 2025-12-22 航 小谷 パノラマｘ線画像に基づく顎顔面における生物学的年齢を推定するａｉシステム

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WO2025258269A1 (ja) * 2024-06-12 2025-12-18 株式会社D-solution 患者支援装置

Citations (4)

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Publication number Priority date Publication date Assignee Title
JP2002224147A (ja) * 2001-01-30 2002-08-13 Masaru Adachi 歯科医療業務支援システム
JP2008544362A (ja) * 2005-06-20 2008-12-04 ジンサン ファン 口腔健康管理方法およびシステム
US20170296303A1 (en) * 2013-10-15 2017-10-19 Ks Farmer & Ma Tod Dental Pty Ltd Dental and orthodontic services
JP2018200652A (ja) * 2017-05-30 2018-12-20 株式会社Ｎｎｇ 歯科医療従事者評価システム

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002224147A (ja) * 2001-01-30 2002-08-13 Masaru Adachi 歯科医療業務支援システム
JP2008544362A (ja) * 2005-06-20 2008-12-04 ジンサン ファン 口腔健康管理方法およびシステム
US20170296303A1 (en) * 2013-10-15 2017-10-19 Ks Farmer & Ma Tod Dental Pty Ltd Dental and orthodontic services
JP2018200652A (ja) * 2017-05-30 2018-12-20 株式会社Ｎｎｇ 歯科医療従事者評価システム

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7789446B1 (ja) * 2025-07-07 2025-12-22 航 小谷 パノラマｘ線画像に基づく顎顔面における生物学的年齢を推定するａｉシステム

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