Medical support system, input support device, input support method and program

Abstract

To provide a medical service support system, an input support device, an input support method, and a program which support input of data regarding medical services for patients.SOLUTION: In a medical service support system 1, a medical chart computer 2 of a dental clinic includes a data storage unit 25 which stores an electronic book 27, which is distributed by an electronic book management server 4 of a publisher when the content of the electronic book 27, which is referred to in relation to medical services, is updated, and a medical service processing unit 20 which operates to display, on a display unit 13a, a screen on which data regarding medical services can be inputted and the electronic book 27 and display, on the screen, a retrieval result which has been obtained through retrieving, from the electronic book 27, a retrieval target which has been inputted via an input unit 13b. A statistical processing server 3 of a service company includes a statistical processing unit 32 which collects reference log data from the data storage unit 25 of the medical chart computer 2 and performs statistical processing, and a statistical processing result provision unit 34 which provides the electronic book management server 4 with statistical processing result data which has been obtained through the processing by the statistical processing unit.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to a medical assistance system, an input assistance device, an input assistance method, and a program. [Background technology]

[0002] When medical, dental, or pharmaceutical institutions provide a patient with medical care that is eligible for insurance coverage, they prepare a medical fee statement (hereafter referred to as a "receipt"). Medical fees are determined for each type of treatment provided to the patient. The dentist, who is billing the medical fee, submits a receipt prepared in accordance with the medical fee billing rules to the insurer (such as a municipal national health association) and requests payment from the insurer. The insurer examines the legitimacy of the receipt received from the biller, and if the receipt is legitimate, pays the medical fee to the biller.

[0003] When creating medical receipts, medical receipt computers and medical record computers (collectively referred to as "input support devices") are widely used. Input support devices have the function of inputting the treatment given to the patient into the medical record, as well as the function of supporting the creation of medical receipts according to the contents of the treatment.

[0004] Patent Document 1 discloses a technology for accumulating combinations of disease names and medical treatment details that have appeared in past medical receipt data and maintaining check data used for medical receipt checks. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] JP 2004-030356 A Summary of the Invention [Problem to be solved by the invention]

[0006] Incidentally, it is the dentist's responsibility to correctly fill out the medical receipt for each patient's treatment, and the creation of medical receipts cannot be left entirely to anyone other than the dentist. Therefore, in order to correctly fill out the medical receipt, the dentist operates the input support device while referring to a manual that explains how to fill out the medical receipt.

[0007] The manual book referred to when creating a medical receipt is a paper medium. For example, a revised version of this manual book is published in accordance with the revision of medical fees every two years. However, medical fees may be partially revised irregularly before two years. For this reason, the publisher of the manual book provides subscribers of the manual book with a partially revised version that excerpts the irregularly revised parts, in addition to the revised version published every two years. When a dentist creates a medical receipt, the dentist must read the input support device, the manual book, and the revised parts together, and compare the contents entered in the entry field of the input support device with the revised contents by himself. With the technology disclosed in Patent Document 1, it was very difficult for a dentist to efficiently grasp the revision contents of medical fees and create a correct medical receipt.

[0008] In addition, it would be too costly for the publisher to republish the latest revised version of the manual, including the revised content. Also, since the manual is a paper medium, the publisher cannot know which items in the manual the dentist is referring to when creating a prescription.

[0009] The present invention has been made in view of the above circumstances, and has an object to make it easier to input data related to medical treatment. [Means for solving the problem]

[0010] The medical assistance system according to the present invention includes an input assistance device for inputting data relating to medical treatment, a statistical processing server, and an electronic book management server, all connected via a network. The input support device comprises a data storage unit that stores electronic books distributed from an electronic book management server when the contents of the electronic books referenced in relation to medical treatment are revised, and a medical treatment processing unit that displays on a display unit a screen and an electronic book into which data related to medical treatment can be input, and displays on the screen search results obtained by searching the electronic book for a search target input from the input unit. The statistical processing server includes a statistical processing unit that collects reference log data from the data storage unit of the input support device and performs statistical processing, and a statistical processing result providing unit that provides the statistical processing result data processed by the statistical processing unit to the e-book management server. Effect of the Invention

[0011] According to the present invention, an electronic book is displayed on the display unit, and further, search results obtained by searching the electronic book for a search subject inputted from an input unit of the terminal are displayed, making it easier to input data related to medical treatment. Problems, configurations and effects other than those described above will become apparent from the following description of the embodiments. [Brief description of the drawings]

[0012] [Figure 1] 1 is a functional configuration diagram showing an example of the overall configuration of a medical support system according to a first embodiment of the present invention. [Diagram 2] 2 is a diagram showing an example of data and information used in the medical support system according to the first embodiment of the present invention. FIG. [Diagram 3] 1 is a block diagram showing an example of a hardware configuration of a computer according to a first embodiment of the present invention. [Figure 4] FIG. 2 is a sequence diagram showing a processing example of the medical support system according to the first embodiment of the present invention. [Diagram 5] FIG. 2 is a diagram showing an example of DX information of dental treatment according to the first embodiment of the present invention. [Figure 6] FIG. 4 is a diagram showing a display example of a function selection screen according to the first embodiment of the present invention. [Figure 7] FIG. 2 is a diagram showing a display example of an electronic book reference screen according to the first embodiment of the present invention. [Figure 8] FIG. 2 is a diagram showing an example of a display of a medical receipt input screen according to the first embodiment of the present invention. [Figure 9] 9 is a diagram showing a first enlarged display example of the medical receipt input screen shown in FIG. 8. FIG. [Figure 10] 9 is a diagram showing a second enlarged display example of the medical receipt input screen shown in FIG. 8. FIG. [Figure 11] FIG. 2 is a diagram showing a display example of an index search result on an electronic book reference screen according to the first embodiment of the present invention. [Figure 12] FIG. 2 is a diagram showing a display example of a full-text search result on the electronic book reference screen according to the first embodiment of the present invention. [Figure 13] 11 is a table showing an example of a statistical processing result fed back to a publisher according to the first embodiment of the present invention. [Figure 14] FIG. 11 is a functional configuration diagram showing an example of the overall configuration of a medical support system according to a second embodiment of the present invention. [Figure 15] FIG. 11 is a functional configuration diagram showing an example of the overall configuration of a medical support system according to a third embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0013] Hereinafter, an embodiment of the present invention will be described with reference to the accompanying drawings. In this specification and the drawings, components having substantially the same functions or configurations are designated by the same reference numerals, and redundant description will be omitted.

[0014] [First embodiment] <Overall configuration example of medical support system> First, a configuration example and a processing example of a medical support system according to a first embodiment will be described with reference to FIGS. FIG. 1 is a functional configuration diagram showing an example of the overall configuration of a medical support system 1 according to the first embodiment. FIG. 2 is a diagram showing an example of data and information used in the medical support system 1. As shown in FIG. Here, in addition to explaining an example of the configuration of the medical support system 1, data and information used in each device and server will also be explained with reference to FIG.

[0015] The medical treatment support system 1 mainly comprises a medical record computer 2 used in medical institutions such as dental clinics, a statistical processing server 3 used by service companies, and an e-book management server 4 used by publishers. The medical record computer 2, the statistical processing server 3, and the e-book management server 4 are connected via a highly secure network so that they can send and receive data to each other. In this specification, an alternative module to a book (e.g., a manual book) that allows a dentist 11 to refer to specific pages and phrases via the medical record computer 2 is called an "e-book."

[0016] (Dental Clinic) In the dental clinic, a dentist 11 performs dental treatment for a patient 12 and inputs the details of the treatment and medical fees into a PC (Personal Computer) 13. The PC 13 is connected to a medical record computer 2, displays various screens provided by the medical record computer 2, and is used as an example of an information processing device that accepts information input by a dentist. The medical record computer 2 displays a medical record input screen and a medical receipt input screen on a display unit 13a of the PC 13. In addition to the usual medical receipt input fields, the medical receipt input screen displays an electronic book 27 read by the medical treatment processing unit 20 from the data storage unit 25. The electronic book 27 is electronic data distributed by an electronic book distribution unit 44 of a publisher's electronic book management server 4.

[0017] The PC 13 is an example of a terminal such as a desktop PC, notebook PC, or tablet connected to the medical record computer 2 via an in-hospital LAN (Local Area Network). The medical record computer 2 is an example of an input support device known as a medical record computer or medical receipt computer, into which data related to medical treatment is input. The functions of the medical record computer 2 are realized by executing a program installed on a server or the like installed in the dental clinic.

[0018] A program that realizes the functions of the medical record computer 2 is provided to the dental clinic by a service company that manages the statistical processing server 3. The dentist 11 can operate the PC 13 connected to the medical record computer 2 to open the electronic book 27 at any page, and create the medical record and medical receipt for the patient 12 while referring to the page corresponding to the treatment content. The dentist 11 can also copy and paste a word or phrase selected from the electronic book 27 into the receipt input field, or enter a comment in the input field.

[0019] The medical record computer 2 includes a medical treatment processing unit 20 and a data storage unit 25. The medical treatment processing unit 20 displays a medical record input screen and a medical receipt input screen on the PC 13. This medical treatment processing unit 20 displays a screen on which data related to medical treatment can be input on the display unit 13a of the PC 13, searches the electronic book 27 for a search target (word or sentence, etc.) input from the input unit 13b of the PC 13, and displays the search results on the screen.

[0020] Data for creating a medical record or data for creating a medical receipt is input to the medical record computer 2 from the PC 13. After importing the medical data d1 from the PC 13, the medical treatment processing unit 20 writes the registration data d2 including the medical data d1 into the data storage unit 25. The registration data d2 is stored in the medical record DB 29 of the data storage unit 25.

[0021] The medical record computer 2 includes an advertisement DB 30 that stores advertisement information associated with the search target or the search result selected by the input unit 13b. The advertisement DB 30 is used by the medical record computer 2 to post advertisements optimal for users of the electronic book 27. As shown in Fig. 2, the advertisement DB30 stores, for example, disease names, treatment names, advertisement text, advertisement URLs, advertisement images, etc. Here, information such as advertisement text, advertisement URL, and advertisement images is referred to as "advertising information." For example, information on frequently used materials or treatment instruments is linked as advertising information based on the disease name or treatment name. The disease names, treatment names, and advertising information stored in the advertisement DB30 are distributed from an advertisement DB37 provided in the statistical processing server 3 of the service company.

[0022] Then, the medical treatment processing unit 20 displays the advertisement information read from the advertisement DB 30 according to the search target or the search result selected by the input unit 13b on the display unit 13a. For example, the medical treatment processing unit 20 acquires advertisement information corresponding to the disease name or treatment name in the advertisement DB 30 based on the keyword used for the search by the user of the medical record computer 2, and displays the advertisement information on the display unit 13a. When the advertisement information is displayed while the medical record computer 2 is being used, it is likely to encourage dentists to use the materials or treatment tools displayed on the display unit 13a according to the contents of the treatment. In addition, the service company can obtain advertisement revenue from the dental shop or the like that provides the advertisement information by providing the advertisement information to dentists. In addition, the service company can grasp the circumstances under which the advertisement information was displayed on the display unit 13a. In addition, if the materials or treatment tools shown in the advertisement information are purchased at the dental clinic where the advertisement information is displayed, the cost-effectiveness of the advertisement display becomes clear.

[0023] The advertisement information does not necessarily have to be displayed on the display unit 13a at the timing when the dentist inputs the medical record or the medical receipt. For example, the medical treatment processing unit 20 may refer to the log DB 28 and provide the dentist with advertisement information including recommended materials or treatment tools during a time period when the dentist is not inputting data, based on the history of the dentist's past input of the medical record or the medical receipt.

[0024] As shown in FIG. 2, the medical data d1 stores the date and time, the user ID, the user name, the question item, and the answer (reference, description). The date and time item stores the date and time when the dentist 11 inputs the receipt using the medical record computer 2. In the item of user ID, a user ID that uniquely identifies the dentist 11 as the user of the medical record computer 2 is stored. The user name item stores the name of the user linked to the user ID, i.e., the name of the dentist 11. In the question item field, question items such as words, phrases, sentences, etc. input by the dentist 11 when searching the electronic book 27 are stored. In the answer (reference, description) item, the search results obtained by the medical processing unit 20 searching the electronic book 27 are stored as answers.

[0025] In addition to each item of the medical care data d1, the registered data d2 also stores questions, answers, and opinions on the answers. The question item and answer items store the question item input from the PC 13 and the content of the answer extracted from the electronic book 27. If there is no answer, "no answer" is stored. In the item of "opinion on answer", opinions inputted from the PC 13 in response to the content of the answer confirmed by the dentist 11 are stored.

[0026] The data storage unit 25 includes an e-book DB 26, a log DB 28, a medical record DB 29, and an advertisement DB 30. The e-book DB 26 stores an e-book 27. Every time medical fees are revised, a revised version of the e-book 27 is distributed from the e-book management server 4. For this reason, when the contents of the e-book 27 that is referred to in relation to medical treatment are revised, the data storage unit 25 stores the e-book 27 distributed from the e-book management server 4 for each revised version. The log DB 28 stores reference log data and medical treatment log data, which will be described later. The medical record DB29 stores registration data d2. The advertisement DB 30 stores advertisement data, which will be described later.

[0027] The reference log data includes information on the history of the electronic book 27 that the dentist 11 referred to when operating the PC 13 to create a medical record or input a medical receipt, and is stored in the log DB 28 of the data storage unit 25 by the medical treatment processing unit 20. This reference log data is data that stores the type of electronic book 27 that the dentist 11 referred to, the version of the electronic book 27, the duration of the electronic book 27, and the like. The medical treatment processing unit 20 reads out the version of the electronic book 27 specified by the input unit 13b from the data storage unit 25 and displays it on the display unit 13a. Therefore, the dentist 11 can display the desired version of the electronic book 27 from the revision history of the electronic book 27 displayed on the medical receipt input screen of the PC 13. In addition, the operation that the dentist 11 performed by referring to the electronic book 27 when inputting a medical receipt (for example, copying and pasting a specific item) is stored in the data storage unit 25 as reference log data. FIG. 2 shows an example of the configuration of the reference log data.

[0028] The advertisement data is data stored in the advertisement DB30. The advertisement data has a search keyword item. The search keyword item has subfields for disease name and procedure name. The medical treatment processing unit 20 searches for advertisement information from the advertisement DB30 based on the contents entered in the disease name and procedure name. However, even if only one of the disease name or procedure name is entered as the search keyword, the medical treatment processing unit 20 can search for advertisement information from the advertisement DB30. The advertisement information is a general term for advertisement text, advertisement URL, and advertisement image. The log DB28 and the advertisement DB30 link information of the reference page recorded in the reference log data (particularly, the item of operation content) with the search keyword of the advertisement data. Then, the medical treatment processing unit 20 can read advertisement information from the advertisement data linked to the reference log data based on the past reference log data acquired from the log DB28, and display the advertisement information on the display unit 13a. In addition, the necessary advertisement information may differ for each dental clinic. Therefore, the advertisement data stored in the advertisement DB30 may differ for each dental clinic or each medical record computer.

[0029] As described above, the medical treatment processing unit 20 can display the electronic book 27 on the receipt input screen. The electronic book 27 can be displayed in a fixed format that matches the layout of an actual book, allowing words in the page to be copied and pasted, by the viewer function of the medical treatment processing unit 20, and can be switched to a reflow type display that allows the dentist 11 to change the font size to any size, a horizontal or vertical display, etc. The dentist 11 can highlight important points in the displayed electronic book 27, create indexes for indexing the pages, and attach sticky notes to pages that the dentist 11 frequently refers to. The electronic book 27 can be displayed by turning one page at a time, and also has a function of flipping through multiple pages.

[0030] The publisher can also add sticky notes to pages containing revisions and add corrections to typos to the cover of the e-book 27. It is also possible to set links to external URLs (Uniform Resource Locators) in the e-book 27. It is also possible to add an advertising page to the e-book 27 and set the URL of the advertising provider's site in the link on the advertising page.

[0031] Here, when the dentist 11 inputs a question item into an input field on the screen displayed on the PC 13, the medical processing unit 20 searches for the phrase or sentence input into the question item from the electronic book 27. At this time, the medical processing unit 20 passes the question item command input from the PC 13 to the electronic book 27, and searches for an item corresponding to this question item from the electronic book 27. The question item is assumed to be input by text input from a keyboard attached to the PC 13, but it may also be input by providing a microphone on the PC 13 and having the dentist 11 input by voice into the microphone.

[0032] In addition to the "disease name" and "treatment name (or medical treatment name)", the question items used by the dentist to search using the electronic book 27 also include, for example, "patient's complaint" and "dentist's findings". The medical record computer 2 stores these question items and their answers. For example, keywords such as the patient's complaint (e.g., tingling pain) and the dentist's findings (e.g., bleeding when pressed with a finger) are written in the medical record as trends in the disease name. Such keywords of the patient's complaint, etc., were information that could not be included in a conventional manual book. However, the electronic book 27 according to this embodiment allows the publisher to expand the contents as desired, and can include a vast amount of information compared to conventional manual books. Therefore, keywords of the patient's complaint, etc., and explanations, items, etc. related to the keywords are added to the electronic book 27. When keywords of the patient's complaint, etc. are input into the medical record computer 2 as trends in the disease name, the medical treatment processing unit 20 can search the electronic book 27 using these keywords.

[0033] The medical processing unit 20 interprets a sentence written in a natural language, for example, using AI (Artificial Intelligence). Then, the medical processing unit 20 searches the electronic book 27 using the result of the interpreted phrase or sentence, and acquires a phrase or sentence that is an answer matching the content of this sentence from the electronic book 27. In this way, even if the phrase entered by the dentist 11 is inaccurate, the medical processing unit 20 can correctly search the electronic book 27 for a page or the like that describes the content corresponding to the phrase.

[0034] Then, the medical processing unit 20 searches the electronic book 27 for the phrase or sentence input by the input unit 13b as the search target, and displays the search result as the answer to the question item on the display unit 13a. This answer includes reference information such as the page number in the electronic book 27 where the phrase or sentence corresponding to the question item is written, and the page contents. In this way, the medical processing unit 20 displays a page including the phrase input by the dentist 11 on the PC 13, and extracts a sentence having a similar meaning to the input sentence from the electronic book 27 and displays it on the PC 13.

[0035] The search results include at least one of the following: an input phrase search result obtained by searching the electronic book 27 for a phrase or sentence entered from the input unit 13b in an input field displayed on the screen; an index search result obtained by searching the electronic book 27 from its index; and a full-text search result obtained by searching the full text of the electronic book 27 when no index search result is obtained. When the dentist 11 clicks on an answer displayed on the screen, the medical treatment processing unit 20 copies the answer, which is the search result selected by the input unit 13b, and pastes the answer in the corresponding location of the medical record. The information entered by the dentist 11 in the receipt input field via the PC 13 is imported into the medical treatment processing unit 20 as medical treatment data d1 shown in FIG. 2.

[0036] In this way, if the electronic book 27 contains an item corresponding to the question item, the medical processing unit 20 obtains the content extracted from the electronic book 27 as the answer. On the other hand, if the electronic book 27 does not contain an item corresponding to the question item, the medical processing unit 20 obtains the answer that the answer is not included in the electronic book 27. In this way, the question item command input by the medical processing unit 20 to the electronic book 27 and the log of the presence or absence of the answer are recorded in the reference log data.

[0037] The medical record DB 29 stores medical treatment log data and medical receipt data created for each patient and each medical treatment. The dentist 11 periodically operates the medical record computer 2 to print out medical receipts. For example, when the dentist 11 presses a print button displayed on the screen of the PC 13 while the medical receipt data read from the data storage unit 25 is displayed, a paper copy of the medical receipt is output. The printed medical receipt is submitted to the examination and processing organization.

[0038] When the send command is input, the medical record computer 2 sends the reference log data stored in the log DB 28 to the statistical processing server 3. At this time, the medical record computer 2 specifies which of the various data stored in the data storage unit 25 is to be provided for the statistical processing of the service company. The medical record computer 2 then sends an instruction command for statistical processing to the statistical processing server 3 of the service company. The data sent to the statistical processing server 3 may include part of the medical care log data, but personal information such as the patient's name is excluded from the viewpoint of protecting personal information.

[0039] (Service company) The service company manages the entire medical support system 1, and also provides a service of providing publishers with the results of statistical processing of the usage of electronic books 27 using the statistical processing server 3.

[0040] The statistical processing server 3 performs statistical processing by collecting reference log data from a data storage unit 25 that stores reference log data of an electronic book 27 displayed on a display unit 13a of a PC 13 connected to the medical record computer 2. The statistical processing server 3 includes a log management DB 31, a statistical processing unit 32, a statistical processing result DB 33, a statistical processing result providing unit 34, an electronic book DB 35, and an advertisement DB 37.

[0041] The log management DB 31 collects and accumulates data such as reference log data from the data storage unit 25 in accordance with commands received from the medical record computer 2. The log management DB 31 then manages the data for each dental clinic and each dentist 11.

[0042] The statistical processing unit 32 performs statistical processing based on the reference log data collected from the medical record computer 2 to obtain the statistical processing result. At this time, the statistical processing unit 32 reads the reference log data accumulated in the log management DB 31, and performs statistical processing on the type of electronic book 27 used, the relationship between the treatment and items with high reference frequency in the electronic book 27, the attributes of the dentist 11 who performed the treatment, etc. When performing the statistical processing, the statistical processing unit 32 may read an electronic book 36 from the electronic book DB 35.

[0043] The statistical processing results are stored in the statistical processing result DB 33. The statistical processing results include at least one of the page numbers of pages where the electronic book 27 was referenced, the search frequency of words searched from the electronic book 27, the date and time when the electronic book 27 was referenced, and the display duration (dwell time) during which a specific page of the electronic book 27 was displayed. The statistical processing results also include treatments, disease names, etc. that occur in each region where a dental clinic is established.

[0044] The statistical processing unit 32 extracts reference log data indicating that the medical processing unit 20 was unable to search the electronic book 27 for the term input to the medical processing unit 20, and adds the extracted term to the statistical processing result. If there are keywords or terms that are frequently input incorrectly, it is considered that the explanation of those terms in the electronic book 27 is insufficient. For this reason, the service company uses the statistical processing result when revising the electronic book 27 so that sufficient explanations can be added.

[0045] The person in charge at the service company can connect a PC (not shown) to the statistical processing server 3 and check the reference log data accumulated in the log management DB 31 and the statistical processing results stored in the statistical processing result DB 33 .

[0046] In addition, the statistical processing unit 32 edits the advertisement data stored in the advertisement DB 37 using the statistical processing results. For example, even if advertisement information is set for a search keyword with a low reference frequency, it is difficult to stimulate the purchasing motivation of dentists who have confirmed this advertisement information. Therefore, the statistical processing unit 32 obtains a search keyword with a high reference frequency from the statistical processing results, and stores advertisement information corresponding to this search keyword as advertisement data in the advertisement DB 37. The advertisement data stored in the advertisement DB 37 is delivered to the advertisement DB 30 of the medical record computer 2 at any time, and updates the advertisement data in the advertisement DB 30. Therefore, the necessary advertisement information is more likely to reach dentists who have entered a search keyword with a high reference frequency, and the dentists' purchasing motivation is more likely to be promoted.

[0047] The statistical processing result providing unit 34 provides the statistical processing results according to the destination specified in the command received from the medical record computer 2. This destination is, for example, the e-book management server 4 managed by the publisher. The e-book management server 4 manages the revision contents of the e-book 27. Therefore, the statistical processing result providing unit 34 provides the publisher with data on the statistical processing results read out from the statistical processing result DB 33 at regular intervals. The statistical processing results are used to grasp the market in the dental industry or publishing industry, to improve the e-book 27, and to improve the functions of the medical record computer 2.

[0048] The statistical processing results vary depending on the publisher and the type of e-book 27. Basically, the statistical processing results are provided to the e-book management server 4 according to the type of e-book 27 for which the publisher holds the rights.

[0049] The e-book DB 35 stores an e-book 36. The e-book 36 is data that is distributed every time the publisher's e-book management server 4 revises an e-book 43, and the e-book 36 and the e-book 43 are e-books that have the same data. The e-book DB 35 stores the e-book 36 for each revised version. A PC used by an instructor of the service company is connected to the e-book DB 35, and any version of the e-book 36 can be referenced from the PC. The e-book DB 35 may be configured separately from the statistical processing server 3.

[0050] (Publisher) For example, every time medical fees are revised, the publisher edits the e-book 43 to create a revised version of the e-book 43. The publisher's e-book management server 4 distributes the revised version of the e-book 43 to the dental clinic's medical record computer 2. Note that the publisher may also publish a revised version of the book as before.

[0051] Here, the reasons why a publisher would like to obtain the statistical processing results according to this embodiment will be explained. There are, for example, the following three reasons why a publisher would like to know the access status of the electronic book 27. The first point is that when publishers revise their publications, they can analyze the status of dentists' references to e-books 27 and provide dentists with e-books 27 that are of high interest to dentists and that feature special topics that dentists particularly read. The second point is that improving the readability of e-books27 can help increase reader satisfaction. The third point is that it is possible to grasp the movement between items that dentists refer to. For example, a dentist may use the medical record computer 2 to refer to a certain item, add a marker, then refer to another item, and then return to the item to which the marker was added. In this case, the statistical processing results include not only information on movement between pages, but also information on movement between items that dentists refer to, linked based on the history of items that they have referred to. Such movement information is important for publishers to grasp the items that dentists are interested in. Therefore, by obtaining the results of statistical processing from the service company, the publisher can obtain information on the behavior of medical professionals who are readers of the e-book 27, 43, and can improve the e-book 27, 43.

[0052] The electronic book management server 4 includes an electronic book editing section 41, an electronic book DB 42, and an electronic book distribution section 44. The e-book editing unit 41 edits the e-book 43 in accordance with the timing when medical treatment fees are significantly revised every two years. At this time, an employee of the publishing company can connect a PC (not shown) to the e-book management server 4 and edit the e-book 43 while referring to the statistical processing results provided by the statistical processing result providing unit 34 of the statistical processing server 3. The employee of the publishing company then uses document editing commands or image editing commands input from the PC (not shown) to perform editing such as adding or deleting documents or images from the e-book 43.

[0053] The electronic book editing unit 41 stores the edited electronic book 43 in the electronic book DB 42. Even if the medical treatment fee is irregularly revised, the electronic book editing unit 41 promptly edits a partially revised version of the electronic book 43 that reflects the revision contents, and stores the partially revised version of the electronic book 43 in the electronic book DB 42.

[0054] Furthermore, the e-book editing unit 41 receives as input the statistical processing results provided by the statistical processing result providing unit 34 of the statistical processing server 3. The e-book editing unit 41 edits the e-book 43 based on the input statistical processing results. For example, the e-book editing unit 41 may rearrange the items in descending order of frequency of reference by the dentist 11, or rearrange the items according to the alma mater of the dentist 11 or the regional characteristics of the dental clinic. For this reason, the e-book 43 may have different contents for each medical record computer 2 provided.

[0055] The e-book distribution unit 44 transmits a revised version of the e-book 43 to the medical record computer 2 of a dental clinic with which the distribution contract has been concluded in advance, every time the medical fee is revised. Then, the latest revised e-book 43 is distributed to the medical record computer 2. This e-book 43 is used as the e-book 27 in the medical record computer 2.

[0056] (See Log Data Configuration) The log DB 28 stores the reference log data shown in FIG. The reference log data includes the e-book ID, the e-book name, the version, the index, page information, and the reference page. In the item of electronic book ID, an electronic book ID that uniquely identifies the electronic book 27 used in the medical processing unit 20 is stored. The e-book name field stores the name of the e-book linked to the e-book ID. The version item stores the version (edition) of the electronic book 27. In the item of index, an index set in the electronic book 27 is stored. In the item of page information, page information such as the page number of the electronic book 27 is stored.

[0057] In the item of the reference page, a page that has been open for a predetermined time or more by the dentist 11 is stored as the reference page. That is, in the item of the reference page, subfields for the dwell time and the operation content are provided. The subfield of the stay time stores the time during which the reference page is kept open as the stay time. The subfield for operation contents stores the contents of the operation performed on the reference page by the dentist 11. The operation contents include, for example, the copy and paste parts on the reference page.

[0058] The reference log data may also be configured to store search keywords, whether search results can be cited, the final registered information, the medical receipt ID, and return information, as shown by the dashed lines. These items will be briefly explained here, and will be described in detail later. In the item of search keywords, a term inputted by a dentist to the medical record computer 2 via the input unit 13b in order to search for a specific term in the electronic book 27 is stored as a search keyword. The item regarding whether or not the search results can be cited stores information (e.g., a citation flag) indicating whether or not the dentist has selected (cited) the search results obtained when the medical processing unit 20 searches the electronic book 27 based on the input search keywords. The item of finally registered information stores information that the dentist has finally registered in the medical record system or the medical receipt system through the input unit 13b. The finally registered information includes at least either the search result selected by the dentist or the information manually input by the dentist. The medical receipt ID field stores a medical receipt ID for identifying a medical receipt submitted to an examination and processing organization. The medical receipt ID is unique identification information that is assigned to each medical receipt by the medical treatment processing unit 20 when the medical receipt is created. The return information item stores return information including a return flag indicating whether the prescription submitted to the review processing agency has been returned, and words and parts that were suggested to be corrected by the review processing agency at the time of return.

[0059] (Composition of medical log data) The log DB 28 also stores the medical care log data shown in Fig. 2. Each item of the medical care log data stores a date and time, a medical staff ID, a patient's name, a question, an answer, and an event recorded in the medical record. The date and time item stores the date and time when the dentist 11 wrote the chart. The medical professional ID item stores a medical professional ID assigned to identify the dentist 11. The patient name item stores the name of the patient 12. The question items and answers described in the medical data d1 are stored in the question item and answer items.

[0060] The item of the event written in the medical record stores information of the event written in the medical record by the dentist 11. The event written in the medical record includes the citation contents (disease name, procedure name, abstract, etc.), the citation date and time, the citation person (medical worker ID), the number of citations, etc., when the dentist cites the page or phrase information referred to in the electronic book 27 in the medical record. By accumulating these events as logs in the log DB 28, the statistical processing unit 32 can obtain statistical processing results that grasp the habits of each dentist when writing a medical record (such as a dentist often citing disease names and therefore not remembering disease names, or often citing abstracts and therefore not knowing how to write abstracts in medical records) and the state of reference of the phrases by the dentist. By providing such information to the dental clinic from the service company, it can be used for in-clinic education at the dental clinic.

[0061] (Basic information on medical institutions) The medical institution basic information shown in Fig. 2 is also registered in the medical record computer 2. The medical institution basic information is also known by the service company. Each item in the medical institution basic information stores the name of the clinic, address, telephone number, HP (Home Page) URL, and medical staff information. The clinic name field stores the name of the dental clinic or hospital. The address item stores the address of the dental clinic or hospital. The telephone number field stores the telephone number of the dental clinic or hospital. The item "Website URL" stores the URL of the website managed by the dental clinic or hospital. The medical staff information item stores information about a medical staff member (for example, dentist 11) working at a dental clinic or hospital, such as the university from which the medical staff member graduated.

[0062] As described above, the medical chart computer 2 uses the electronic book 27, and the electronic book 27 is displayed on the display unit 13a of the PC 13 that has accessed the medical chart computer 2. A user (e.g., dentist 11) who uses the medical chart computer 2 can perform the following operations by using the electronic book 27. (1) Dentist 11 registers a prescription while referring to electronic book 27. (2) When the contents of electronic book 27 change, dentist 11 can modify the contents of the medical receipt (location of errors, changes to insurance points) at his / her discretion to conform the contents of the medical receipt to the revised contents of electronic book 27. (3) The dentist 11 can refer to the revision history of the revised electronic book 27 and can also update the amendment history of the prescription.

[0063] (4) The service company's staff can view reference log data that stores the points where the dentist 11 referenced the e-book 27, including the date and time when the dentist 11 wrote into the medical record, the person who wrote the medical record, the patient's illness and treatment details, etc. (5) The service company will protect the personal information recorded in the reference log data, refer to the reference log data collected from dental clinics across the country, statistically analyze the characteristics of each region and individual dentist, and provide the publisher with the results of the statistical processing. (6) The publisher will use the results of statistical processing provided by the service company to improve the content of the e-book.

[0064] <Hardware configuration example of the medical record computer 2, the statistical processing server 3, and the electronic book management server 4> Next, a description will be given of the hardware configuration of the computer 50 which constitutes each device of the medical support system 1. FIG. The computer 50 is an example of hardware used as a computer capable of operating as the medical record computer 2, the statistical processing server 3, and the electronic book management server 4 according to this embodiment.

[0065] The computer 50 includes a CPU (Central Processing Unit) 51, a ROM (Read Only Memory) 52, and a RAM (Random Access Memory) 53, each of which is connected to a bus 54. The computer 50 further includes a display device 55, an input device 56, a non-volatile storage 57, and a network interface 58.

[0066] The CPU 51 reads out program code of software for implementing each function according to the present embodiment from the ROM 52, loads it into the RAM 53, and executes it. Variables, parameters, etc. generated during the computation process of the CPU 51 are temporarily written to the RAM 53, and these variables, parameters, etc. are read out by the CPU 51 as appropriate. However, an MPU (Micro Processing Unit) may be used instead of the CPU 51. The functions of the medical treatment processing unit 20 of the medical record computer 2, the statistical processing unit 32 and statistical processing result providing unit 34 of the statistical processing server 3, the e-book editing unit 41 and the e-book distribution unit 44 of the e-book management server 4 are implemented by the operation of the CPU 51.

[0067] The display device 55 is, for example, a liquid crystal display monitor, and displays the results of processing performed by the calculator 50 to the dentist 11. The input device 56 is, for example, a keyboard, a mouse, etc., and allows the dentist 11 to input predetermined operations and give instructions. The functions of the display unit 13a and input unit 13b of the PC 13 connected to the medical record computer 2 are realized by the display device 55 and the input device 56. In addition, the functions of the display unit and input unit of a PC (not shown) connected to the statistical processing server 3 and the electronic book management server 4 are also realized by the display device 55 and the input device 56.

[0068] The non-volatile storage 57 may be, for example, a hard disk drive (HDD), a solid state drive (SSD), a flexible disk, an optical disk, a magneto-optical disk, a CD-ROM, a CD-R, a magnetic tape, or a non-volatile memory. In addition to an operating system (OS) and various parameters, a program for making the computer 50 function is recorded in the non-volatile storage 57. The ROM 52 and the non-volatile storage 57 record programs and data necessary for the CPU 51 to operate, and are used as an example of a computer-readable non-transient storage medium storing a program executed by the computer 50. The functions of the data storage unit 25 of the medical record computer 2, the log management DB 31 of the statistical processing server 3, the statistical processing result DB 33, the electronic book DB 35, and the electronic book DB 42 of the electronic book management server 4 are realized by the non-volatile storage 57.

[0069] For example, a NIC (Network Interface Card) or the like is used as the network interface 58, and various data can be transmitted and received between devices via a LAN, a dedicated line, or the like connected to a terminal of the NIC.

[0070] <Processing example of medical support system 1> FIG. 4 is a sequence diagram showing an example of processing performed by the medical support system 1. As shown in FIG. First, the dentist 11 operates the PC 13 to access the medical record computer 2 and refers to the electronic book 27 displayed on the display unit 13a (S1). At this time, the dentist 11 inputs, for example, an index, a keyword, a sentence written in a natural language, etc. as search information. The medical treatment processing unit 20 of the medical record computer 2 obtains from the electronic book 27 a word or phrase that matches the input index or keyword, or a word or phrase that partially matches, as a search result, and displays it on the display unit 13a.

[0071] Next, the dentist 11 creates a medical receipt while referring to the electronic book 27 (S2). The search results searched from the electronic book 27 in step S1 include a display of a page containing the phrase or keyword entered by the dentist 11, a highlighting of the phrase or keyword, and a phrase or sentence that is an answer to the sentence interpreted by AI. The dentist 11 can then paste the answer into the medical receipt by clicking on the displayed search result. The medical receipt is then submitted to the examination agency. After step S2, the medical record computer 2 transmits the reference log data to the statistical processing server 3 (S3).

[0072] When the statistical processing server 3 receives the reference log data (S11), it stores the reference log data in the log management DB 31. Next, the statistical processing unit 32 reads the reference log data from the log management DB 31 and executes statistical processing (S12). The results of the statistical processing are stored in the statistical processing result DB 33. Then, the statistical processing result providing unit 34 transmits the statistical processing result to the e-book management server 4 (S13).

[0073] When the e-book editing unit 41 of the e-book management server 4 receives the statistical processing result from the statistical processing server 3 (S21), it stores the statistical processing result in the e-book DB 42. Next, the e-book editing unit 41 edits the e-book 43 to reflect the statistical processing result (S22). Then, the e-book distribution unit 44 distributes the edited e-book 43 to the medical record computer 2 (S23).

[0074] The medical record computer 2 stores the electronic book 43 received from the electronic book management server 4 in the data storage unit 25 (S4). The electronic book 43 stored in the data storage unit 25 is used by the medical record computer 2 as the electronic book 27.

[0075] Next, we will explain digital transformation (DX) information (hereafter abbreviated as "DX") in dental treatment. DX information is used to link various data from dental clinics, patients' oral cavity information, reservation systems, medical record systems, prescription systems, and e-books 27. By using DX information, dentists, service companies, and publishers who use the treatment support system 1 will be able to grasp national trends regarding procedures or treatments, regional characteristics, characteristics of the universities from which dentists graduated, the accuracy of communication within dental clinics, and the relationship between these and the treatment effects obtained, which were not possible to visualize until now.

[0076] Below are some specific examples of DX. (1) The relationship between the characteristics of each clinic (address, dentist's name, type of medical record computer 2 used, dentist's name, staff, etc.) and the items in the electronic book 27 that the dentist refers to for patient characteristics is accumulated in the statistical processing result DB 32 as information to be used by the medical support system 1. The statistical processing unit 32 can improve the accuracy of the relationship between the above items and detailed medical information. (2) In addition, the statistical processing unit 32 learns the "habits" of the dentist based on the relationship between the behavior of the dentist, the items frequently referred to in the electronic book 27, the items written in the medical record, etc. Then, the statistical processing unit 32 notifies the medical record computer 2 of the "habits" of the dentist, so that the medical treatment processing unit 20 can alert the dentist to the "habits" when performing medical treatment. (3) Furthermore, the statistical processing unit 32 learns the process and description of the return and feeds back the learning results to the medical treatment processing unit 20, which enables the medical treatment processing unit 20 to alert dentists to prevent returns. This is expected to improve the skills of staff such as dentists in creating medical records and medical prescriptions. In this case, the statistical processing server 3 may transmit the statistical processing results to the medical record computer 2.

[0077] Moreover, DX is managed with the same structure as that of a so-called system of systems. In other words, each device constituting the medical support system 1 operates independently, and these devices operate in cooperation with each other to manage DX. In addition, in the medical support system 1, marketing information (e.g., statistical processing results) is incorporated into the processing process of each device, so that publishers can obtain feedback on the e-book 27 provided to dentists. This allows service companies and publishers to grasp the usage status of the e-book 27 by dentists, which was previously impossible to obtain, and makes it possible to improve the e-book 27 and propose new services to dentists.

[0078] FIG. 5 is a diagram showing an example of DX information of dental treatment. DX information for dental treatment consists of user account information and access information. The user account information includes, for example, dental clinic information (clinic information 1 and 2) and personal information of the patient 12. The clinic information 1 and 2 correspond to the information stored in the medical institution information table T2 shown in Fig. 2. The personal information corresponds to the registration data d2 shown in Fig. 2.

[0079] The access information includes the date of consultation, the occupation of the user who used the medical record computer 2, and information when the electronic book 27 was referenced. The access words included in the access information are the words that the dentist 11 tried to search for in the electronic book 27. The ranking of the access words indicates the number of cases in which the words that the dentist 11 tried to search for were included in the electronic book 27. For example, even if the symptoms and treatment are the same, they may be called differently depending on the university that the dentist 11 graduated from. In this case, if a person in charge of the service company suggests to a publisher that a certain word be changed to a name according to the university that the dentist 11 graduated from, the person in charge of the publisher can edit the electronic book 43 to match the proposed name. As a result, the electronic book 27 that is easy for the dentist 11 to use is provided to the medical record computer 2.

[0080] Moreover, a medical record input scene is, for example, a scene in which the dentist 11 uses the electronic book 27. Examples of such scenes include when accounting for medical expenses to the patient 12, when a receipt is returned, and when checking a receipt at the end or beginning of the month. Note that a receipt being returned means that a receipt is returned from the examination institution to the dental clinic due to a defect in the receipt submitted to the examination institution. The dentist 11 determines how to correct the returned receipt by referring to the electronic book 27. As information indicating such a return, the areas where corrections were pointed out, the contents of the corrections, etc. are recorded in the item corresponding to the return.

[0081] The correspondence between the area, date and time, occupation, chart input scene, reference page information, and return shown in the access information is an item provided in correspondence with the log data T1 shown in Fig. 2. Also, the access word ranking shown in the access information is an item provided in correspondence with the statistical processing result stored in the statistical processing result DB 33.

[0082] <Examples of using e-book 27> Here, an example of how the electronic book 27 is used will be described. (1) When the dentist 11 enters a medical record or reviews the entered medical record information after treating the patient 12, he or she refers to the electronic book 27 displayed on the medical record computer 2 to check insurance points and verify the name of the disease and treatment, etc. (2) An instructor who teaches dentist 11 how to fill out medical receipts has the task of answering inquiries from dental clinics. By having dentist 11 and the instructor refer to the same e-book 27, the instructor can immediately answer inquiries. (3) By having the same version of the electronic book 27 available and referring to it at both the instructor and the dental clinic, the same pages and items can be referred to by simultaneously specifying the index set in the electronic book 27, thereby speeding up responses to inquiries. (4) If the dentist 11 cannot find the search term in the index, a full-text search can be performed on the entire text of the e-book 27, making it possible to highlight the relevant part of the search term in the e-book 27 or to display the relevant part on the screen of the medical record computer 2.

[0083] <Screen display example> Next, examples of screen displays displayed on the PC 13 connected to the medical chart computer 2 will be described with reference to Figures 6 to 12. The following screens are all displayed on a general-purpose Web browser installed on the PC 13.

[0084] FIG. 6 is a diagram showing a display example of the function selection screen W1. When the dentist 11 inputs the specified login ID, password, etc. into the chart computer 2 connected via the PC 13, the function selection screen W1 shown in Fig. 6 is initially displayed. On the left side of the function selection screen W1, information such as version information of the chart computer 2, the medical institution logged into the chart computer 2, and the dentist 11 is displayed. On the right side of the function selection screen W1, selection icons for selecting various functions related to dental treatment are displayed. Here, it is assumed that the dentist 11 selects the e-book icon W1a displayed at the bottom of the screen.

[0085] FIG. 7 is a diagram showing a display example of the electronic book reference screen W2. The electronic book reference screen W2 has an electronic book display area W2a. When the electronic book icon W1a shown in Fig. 6 is selected, the latest version of the electronic book 27 is displayed. Here, an example is shown in which the cover portion of the electronic book 27 is displayed in the electronic book display area W2a. For example, when the dentist 11 selects the page-turning icon W2b of the electronic book 27, the electronic book 27 with the pages turned is displayed in a double-page spread in the electronic book display area W2a.

[0086] When the dentist 11 inputs an arbitrary page number in the page number input field W2c, the electronic book 27 is displayed in a two-page spread with the input page number. When the dentist 11 inputs an arbitrary phrase in the phrase input field W2d, the search results for the input phrase and the page containing the input phrase are displayed in a two-page spread. At this time, the phrase in the page that matches the input phrase is highlighted, for example, in a specific color.

[0087] FIG. 8 is a diagram showing an example of the display of the medical receipt input screen W3. The left side of the receipt input screen W3 shows the state of the dentition of the patient 12. The right side of the receipt input screen W3 shows the details of the medical treatment given to the patient 12 and a medical record including insurance points and treatment costs. Here, an e-book icon W3a is displayed at the top of the receipt input screen W3 along with various editing menus. When the dentist 11 selects the e-book icon W3a, the screen transitions to the e-book reference screen W2 shown in FIG. 7, where the e-book 27 is displayed.

[0088] (Example of disease name search in medical records) FIG. 9 is a diagram showing a first enlarged display example of the medical receipt input screen W3 shown in FIG.

[0089] When the medical processing unit 20 receives a command to search the electronic book 27 while some of the items displayed on the screen are selected by the input unit 13b, the medical processing unit 20 displays information on the page containing the selected items as the search results on the display unit 13a.

[0090] For example, when the dentist 11 selects a disease name written in the medical record displayed on the receipt input screen W3, the corresponding page of the electronic book 27 in which the selected disease name is written is displayed. As shown in FIG. 9, when the dentist 11 selects the disease name "P acute attack" which is a disease name written in the medical record and can be selected from the template, and right-clicks, a shortcut menu is displayed. The disease name "P acute attack" is a phrase that indicates that the affected area is pussed (acute attack) due to periodontal disease. The bottom of the shortcut menu includes a shortcut key W3b for "electronic book". In this state, when the dentist 11 selects the shortcut key W3b for "electronic book", the screen transitions to the electronic book reference screen W2 shown in FIG. 7, and the electronic book 27 of the page in which the disease name "P acute attack" is written is displayed.

[0091] (Example of searching for procedure name in medical records) FIG. 10 is a diagram showing a second enlarged display example of the medical receipt input screen W3 shown in FIG. When the dentist 11 selects the name of a procedure listed in the medical record displayed on the receipt input screen W3, the corresponding page of the electronic book 27 on which the selected name of the procedure is listed is displayed. For example, when the dentist 11 selects the name of the procedure "associated imp (agar + alginate)" listed in the medical record and right-clicks, a shortcut menu is displayed. "Associated imp" is a phrase that indicates that a dental impression has been taken. In this state, when the dentist 11 selects the shortcut key W3c for "electronic book," the screen transitions to the electronic book reference screen W2 shown in FIG. 7, and the page of the electronic book 27 on which the name of the procedure "associated imp (agar + alginate)" is listed is displayed.

[0092] (Index search results) FIG. 11 is a diagram showing a display example of the index search result on the electronic book reference screen W2. When the dentist 11 specifies a specific item from the index set in the electronic book 27, a page including the specified item is displayed in the electronic book display area W2a as an index search result. For example, if the item specified from the index is "impacted wisdom tooth," a page describing "impacted wisdom tooth" is displayed.

[0093] If there are multiple pages that include the specified item, a page navigation button W2e is displayed at the top of the e-book display area W2a. The left angle bracket of the page navigation button W2e is an icon that specifies "prev" display, and the page before the currently displayed page is displayed. The right angle bracket of the page navigation button W2e is an icon that specifies "next" display, and the page after the currently displayed page is displayed.

[0094] (Full text search results) FIG. 12 is a diagram showing a display example of the full-text search results on the electronic book reference screen W2. The item names such as "disease name" and "treatment name" that can be input in the medical record system often differ depending on the manufacturer that provides the medical record system. Furthermore, these item names are almost always different from the names written in the electronic book 27. It is also assumed that the user of the medical record computer 2 will search the electronic book 27 by inputting natural language. For this reason, it is quite possible that the keyword that the user inputs for phrase search will not match the index of the electronic book 27. This mismatch between the input keyword and the index is also the case in index searches in actual books. Furthermore, since the keyword that the user imagines in his mind does not necessarily match the index of the actual book or electronic book 27, the user converts the imagined keyword into a synonym or abbreviation, and checks the index of the actual book or electronic book 27 again. If the synonym or abbreviation still does not match the index of the book or electronic book 27, it is necessary to comprehensively read the contents of the actual book or electronic book 27 and perform a full-text search.

[0095] Therefore, if the index search result shown in Fig. 11 is not obtained, the medical processing unit 20 automatically performs a full-text search on the main text of the electronic book 27. For example, when the dentist 11 inputs the term "associated imp" in the term input field W2d, the full-text search results showing page information containing this term are listed in the full-text search result display field W2f displayed on the left side of the electronic book reference screen W2. Furthermore, the dentist 11 can limit the full-text search results listed in the full-text search result display field W2f.

[0096] An AND search or OR search of multiple terms can be performed by entering conditions in a predetermined manner in the search condition input field W2g at the top of the full-text search result display field W2f in FIG. 12. For example, if multiple terms are separated by a space, an AND search is performed. In other words, pages that contain all of the multiple terms are displayed in the full-text search result display field W2f. On the other hand, if multiple terms are separated by "or", an OR search is performed. In other words, pages that contain at least one of the multiple terms are displayed in the full-text search result display field W2f.

[0097] In the full-text search result display field W2f, a highlight display W2i is superimposed on the words that match the search term. This makes it easier for the dentist 11 to find words that match the search term from the full-text search results. In addition, the page number of the relevant page is displayed in the relevant page display field W2h together with the full-text search result display field W2f. When the dentist 11 selects a page number displayed in the relevant page display field W2h, the page of the selected page number is displayed on the electronic book reference screen W2.

[0098] In the past, even if dentists searched for books or e-books as references when writing medical records, they would often ask the manufacturer of the medical record computer how to write them out of anxiety, such as "Is the way I'm writing really correct?". At the beginning of the month when medical records are billed, manufacturers are inundated with inquiries, so the support staff and instructors at the manufacturer are overwhelmed with them, and it can take up to an hour to get a reply after receiving an inquiry. As a result, there was a problem that patients waiting to pay at the dental clinic were kept waiting for a long time. At the same time, publishers were also unable to link the keywords dentists used when searching for books and e-books with the information that was ultimately registered in the medical record system.

[0099] Therefore, the medical record computer 2 according to this embodiment records the "search keyword" on the electronic book 27 side, the "whether or not the search results can be cited" on the electronic book 27 side, and the "finally registered information" on the medical record system side as a set in the log DB 28. For this reason, the reference log data shown in Fig. 2 may be provided with items for storing the "search keyword," "whether or not the search results can be cited," and "finally registered information."

[0100] The "search keyword" is, for example, a keyword such as "associated imp" that is entered in the search condition input field W2g. Based on this keyword, the medical processing unit 20 searches the electronic book 27. Then, information such as pages containing "associated imp" is displayed in the full-text search result display field W2f. "Whether search results can be cited" is information indicating whether the dentist has selected a search result displayed in the full-text search result display field W2f. If the dentist selects any search result, the selected search result is used as information on "search result can be cited." If the dentist does not select a search result, it becomes information on "search result cannot be cited." Then, the information registered by the dentist in the medical record system becomes the "finally registered information."

[0101] Even if the dentist does not adopt the search results, the dentist's "final registered information" is still necessary. Rather, the information that the dentist did not adopt the search results is "the answer that the reader truly wanted" for the publisher. Therefore, the information that the dentist did not adopt the search results is valuable feedback from the service company to the publisher. Below is an example of the process a dentist might follow when searching for a disease name. (1) While using the disease name input mode of the medical record system, the dentist starts the electronic book 27 and searches for the disease name. The disease name searched for by the dentist in this way is an example of a "search keyword." (2) Next, the dentist inquires with the medical record manufacturer to confirm the name of the disease. However, the process of the dentist inquiring about the name of the disease from the medical record manufacturer is optional and may be omitted. (3) When the dentist performs copy and paste on a disease name displayed as a search result, the medical processing unit 20 sets a flag indicating that this disease name has been selected, and returns the selected disease name. Disease names for which a flag has not been set are disease names that the dentist did not select. In this way, the disease names that the dentist selected or did not select from the search results are an example of information indicating "whether or not the search results can be cited." (4) The dentist registers the name of the disease received from the e-book 27 or the name of the disease that the dentist has searched for in the book in the medical record system. At this time, the name of the disease registered in the medical record system becomes an example of the "answer that the reader truly wanted" mentioned above. (5) The medical processing unit 20 stores a set of (1) "search keyword," (3) "whether search results can be cited," and (4) "the answer the reader really wanted" in the log DB 28. Therefore, the reference log data includes a set of "search keyword (search target)," "whether search results can be cited (whether search results can be cited)," and "the answer the reader really wanted (the search results actually registered)."

[0102] Therefore, the service company provides the publisher of the electronic book 27 with the statistical processing result of "information that readers really wanted for the search keyword" as feedback information. If there are only a few pieces of "information that readers really wanted for the search keyword," the publisher can consider this to be a difference due to the personality of the individual dentist, but if there are several dozen pieces of the above information, it can be considered that there is some tendency in the understanding of dentists as a whole. For example, it is known that there is a tendency in the association of multiple words for each region where a dentist lives, the university he graduated from, and the place of assignment. Then, the publisher obtains "information that readers really wanted for the search keyword" that has been statistically processed based on the operation history of dentists nationwide, and grasps words that are easily quoted or words that are difficult to quote. For example, the publisher can consider revising a page that describes words associated with words that are difficult to quote so that words and explanations that are more easily quoted are described. For example, the publisher can modify the electronic book 27 so that dentists can easily search for search targets such as words that are likely to be inquired about by dentists. As a result, dentists can easily find the words they are looking for in the electronic book 27, reducing the need to contact manufacturers and the like, and eliminating the need to keep patients waiting for long periods of time to pay.

[0103] Furthermore, the "search result citation availability", "return information", and "finally registered information" obtained from the "search keyword" may be linked to the "search keyword" and recorded as a set in the log DB 28 and the medical record DB 29. Here, the "return information" is information indicating whether or not a receipt created by a dentist based on the "finally registered information" using the medical record system was returned at a later date as a result of the receipt being submitted to an examination processing organization. In addition, as the "finally registered information", for example, the "disease name finally registered" in the medical record system is assumed. Then, when issuing a receipt from the medical record, the medical treatment processing unit 20 links the "search keyword", "search result citation availability", and "finally registered information" to the "receipt ID" assigned to each receipt. Therefore, the medical treatment processing unit 20 saves the "search keyword", "search result citation availability", and "finally registered information" as shown in the reference log data of FIG. 2 in the log DB 28 and the medical record DB 29.

[0104] If the examination of the medical receipt by the examination processing agency reveals that the medical receipt is returned due to deficiencies in the contents, the medical treatment processing unit 20 can obtain, in CSV format, data on the matters pointed out by the examination processing agency at the time of return on the medical record system (and medical receipt computer). If a dentist uses the medical record system to successfully obtain return data linked to a "medical receipt ID" from the examination processing agency, the medical treatment processing unit 20 links the "return information" to the "search keyword," "whether or not the search results can be cited," "finally registered information," and "medical receipt ID," and records this information in the medical record DB 29 and the log DB 28. The "whether or not the search results can be cited" is represented by, for example, a quote flag. If the quote flag is set, it indicates that the search results have been cited by the dentist, and if the quote flag is not set, it indicates that the search results have not been cited by the dentist.

[0105] Data such as reference log data read from the log DB 28 is provided to the service company's statistical processing server 3, and the information is managed in the log management DB 31. Therefore, if there is no return, the service company can provide feedback to the publisher that the "finally registered information" for the "search keyword" is correct information (for example, the correct disease name). Also, if there is no return and the service company determines from "quotability" that the search results for the "search keyword" have been quoted, the service company can provide feedback to the publisher that the disease name written in the e-book 27 is correct.

[0106] On the other hand, if a return is received, the service company can provide feedback to the publisher that the "finally registered information" for the "search keyword" is incorrect (for example, an incorrect disease name). Also, if a return is received and the service company determines from "Quotation Possibility" that the search results for the "search keyword" have been quoted, it will be clear to the service company that it was inappropriate to present the "finally registered information" for the "search keyword" to the dentist. For this reason, the service company can provide feedback to the publisher warning that the book content needs to be re-examined.

[0107] <Feedback of statistical processing results> FIG. 13 is a table showing an example of the statistical processing results fed back to the publisher. As described above, the service company feeds back to the publisher the results of statistical processing of the log data of the electronic book 27 referenced by the medical record computer 2. The statistical processing results include the above-mentioned reference date and time, viewed pages, keywords used in searches, and other information such as the location where the electronic book 27 was used (the prefecture where the medical record computer 2 is installed). This feedback processing is processing in which the statistical processing server 3 of the service company shown in Fig. 1 provides the statistical processing results to the electronic book management server 4 of the publisher.

[0108] As an example of the statistical processing result, there is a ranking of popular full-text search keywords as shown in Fig. 13. In this ranking, keywords are listed in descending order of the number of searches by dentists 11. For example, the keyword "tooth extraction" has been searched for 100 times, which indicates that it has been searched for the most in a given period.

[0109] The keywords searched in this way have characteristics for each region where dental clinics are established. The statistical processing results also include information on whether or not the specific words entered match the full-text search results. Furthermore, the statistical processing results also include the access date and time when the dentist 11 accessed the chart computer 2 (access frequency statistics at the end and beginning of the month, access time zone statistics), as well as access user statistics (doctors, staff, etc.).

[0110] Publishers that receive the results of statistical processing can revise and edit the e-books43 to make the top search keywords easier to search for, or add specific words that did not match the search results to the text of the e-books.

[0111] Depending on the university from which the dentist graduated and the regional characteristics of the dental clinic, the manuals referred to when preparing prescriptions and the contents referenced in the manuals may differ. For this reason, the type of manuals used by each dentist may differ. Publishers who obtain information from service companies can therefore grasp which manuals dentists use and how the manuals are used, relating them to the university from which the dentist graduated and regional characteristics. Publishers can then edit manuals that are easy for dentists to use.

[0112] In the medical treatment support system 1 according to the first embodiment described above, when the dentist 11 creates a medical record and a medical receipt, the electronic book 27 is displayed on each input screen together with an input field. At this time, a page related to the contents of the medical record and the medical receipt that the dentist 11 is inputting is displayed, so that the dentist 11 can create the medical record and the medical receipt while referring to the page. This improves input efficiency and reduces input errors.

[0113] In addition, pages related to terms such as disease names, treatment names (treatment names), and medications that differ for each patient 12 are searched for in the electronic book 27, and the search results are displayed on the screen. At this time, if the term is written on multiple pages, indexes of the multiple pages are displayed on the screen, so that the dentist 11 can easily search for the page on which the desired information is written. This allows efficient creation of medical records and prescriptions.

[0114] The service company can also perform statistical processing on the reference log data of the e-book 27 acquired from the medical record computers 2 of dental clinics in various locations to check the usage status of the e-book 27. This allows the service company to know who referenced what part of the e-book, when, for which patient, and so on. Furthermore, if a word entered by the dentist 11 for a search is not included in the e-book 27, the service company can know the circumstances under which the word was entered. The service company can then provide the publisher with the results of statistical processing based on the reference log data and suggest to the publisher how to modify the e-book 27. This allows the service company to receive remuneration from the publisher for the services it provides.

[0115] Furthermore, in response to an inquiry from the dentist 11, the instructor of the service company can refer to the same type and edition of the electronic book 27 and the same page as the dentist 11. This allows the instructor to immediately respond to the inquiry with high accuracy, which can significantly improve work efficiency.

[0116] Furthermore, the publisher can distribute a new version of the e-book 27 to the medical record computer 2 every time a revision is made. In addition, the publisher can grasp the words and phrases frequently referred to by dentists 11 in the e-book 27 based on the statistical processing results provided by the service company. Furthermore, by receiving suggestions for revisions to the e-book 27 from the service company, the publisher can edit the e-book 27 to make it easier to use and improve the content of the e-book 27.

[0117] [Second embodiment] Next, a configuration example of a medical support system according to a second embodiment of the present invention will be described with reference to FIG. FIG. 14 is a functional configuration diagram showing an example of the overall configuration of a medical support system 1A according to the second embodiment.

[0118] The medical support system 1A includes multiple medical record computers 2(1)-2(n) arranged in each dental clinic. Each of the medical record computers 2(1)-2(n) includes a medical processing unit 20 and a data storage unit 25. In the following description, when there is no need to distinguish between the medical record computers 2(1)-2(n), they will be collectively referred to as the medical record computer 2.

[0119] The data storage unit 25 includes a log DB 28 and a medical record DB 29, but does not include the e-book DB 26 and the e-book 27 according to the first embodiment. Therefore, when creating a medical record and a medical receipt, the medical treatment processing unit 20 instructs an e-book 66 stored in the cloud server 6 managed by the service company, and displays the relevant page of the e-book 66 on the web browser of the PC 13 connected to the medical record computer 2.

[0120] The e-book management server 4 managed by the publisher includes an e-book editing unit 41. An e-book 66 edited by the e-book editing unit 41 is stored in an e-book DB 66 of a cloud server 6 managed by a service company. Note that the e-book editing unit 41 can also read out any e-book 66 from the e-book DB 66.

[0121] The cloud server 6 managed by the service company can be accessed by the medical record computer 2 and the e-book management server 4. The cloud server 6 includes a log management DB 61, a statistical processing unit 62, a processing result DB 63, a statistical processing result providing unit 64, an e-book DB 65, a reference management unit 67, and an advertisement DB 68. The functions of the log management DB 61, the statistical processing unit 62, the processing result DB 63, the statistical processing result providing unit 64, and the advertisement DB 68 are similar to the functions of the log management DB 31, the statistical processing unit 32, the statistical processing result DB 33, the statistical processing result providing unit 34, and the advertisement DB 37 shown in FIG. 1. The function of the e-book DB 65 is similar to the function of the e-book DB 42 of the e-book management server 4 shown in FIG. 1.

[0122] The medical treatment processing unit 20 of the medical record computer 2 provided at each dental clinic accesses the cloud server 6 to refer to the latest version of the electronic book 66 at the time of creating the medical record and medical receipt. The reference management unit 67 transmits the relevant part of the electronic book 66 to the medical record computer 2 in response to a command received from the medical record computer 2 that is the access source. The reference management unit 67 also stores information such as a page of the electronic book 66 requested to be referenced by the medical record computer 2 in the log management DB 61. The log management DB 61 also transmits a command to collect reference log data to each medical record computer 2, and collects and stores the reference log data from the log DB 28 of the medical record computer 2. Thereafter, the statistical processing unit 62 performs statistical processing on the reference log data and obtains the statistical processing result.

[0123] In the medical treatment support system 1A according to the second embodiment described above, the e-book 66 is stored in the e-book DB 65 of the cloud server 6 managed by the service company. Therefore, the medical record computer 2 provided in each dental clinic can use the latest version of the e-book 66 edited by the e-book editing department 41 of the publisher. In addition, the cloud server 6 of the service company can perform statistical processing using the reference log data accumulated in the log management DB 61, and can provide the statistical processing results to the e-book management server 4.

[0124] [Third embodiment] The service company may also construct the functions of the medical record computer 2 in the cloud server 6. In this case, each dental clinic can access the cloud server 6 via the web browser of the PC 13 and use the functions of the medical record computer 2. In this manner, there is no need for each dental clinic to prepare a server for the medical record computer 2, and initial costs can be reduced. In addition, the service company can obtain search results for the e-book 66 in real time.

[0125] 15 is a functional configuration diagram showing an example of the overall configuration of a medical support system 1B according to the third embodiment. The medical support system 1B according to this embodiment is configured to eliminate the need for the medical record computer 2 according to the first and second embodiments. For this reason, the medical processing unit 20 and the data storage unit 25 are not provided in the dental clinic.

[0126] The medical treatment support system 1B includes a plurality of PCs 13(1)-13(n) arranged in each dental clinic. Each of the PCs 13(1)-13(n) includes a display unit 13a and an input unit 13b. In the following description, when there is no need to distinguish between the PCs 13(1)-13(n), they will be collectively referred to as PC 13. The PCs 13 and the cloud server 6 can safely transmit and receive data using a secure communication method such as encryption or a VPN (Virtual Private Network).

[0127] The PC 13 that can be used in a dental clinic may be either a notebook PC or a tablet PC. A dentist can use the input support function provided by the medical treatment processing unit 71 of the cloud server 6 by using the PC 13 to input a user ID, password, etc., into the authentication screen of the cloud server 6. Various input screens distributed from the cloud server 6 are displayed on the display unit 13a of the PC 13. These input screens include a medical record input screen used in the medical record computer 2 according to the first and second embodiments described above, as well as a medical receipt input screen. These input screens are displayed on a Web browser installed on the display unit 13a.

[0128] The dentist operates the input unit 13b to input words and phrases into various screens displayed on the display unit 13a, and creates a medical record and a medical receipt. The words and phrases input by the input unit 13b are transmitted to the cloud server 6 together with information on the input field for the words and phrases.

[0129] The cloud server 6 includes a data storage unit 70, a medical treatment processing unit 71, and a Web data conversion unit 72 in addition to the functional units shown in FIG. The data storage unit 70 includes a log management DB 61 , an electronic book DB 65 , and an advertisement DB 68 . The medical treatment processing unit 71 can read or write various data through the data storage unit 70. The functions of the medical treatment processing unit 71 are similar to those of the medical treatment processing unit 20 according to the above-mentioned embodiments, but also have the functions of the reference management unit 67 according to the second embodiment. That is, the medical treatment processing unit 71 can output to the PC 13 information (html files, xml files, image files, etc.) for the PC 13 to display a screen on which data related to medical treatment can be input and an electronic book 66. The Web browser of the PC 13 interprets the data received from the Web data conversion unit 72 and displays the input screen.

[0130] The contents accepted by the input unit 13b of the PC 13 are received as input data by the Web data conversion unit 72. The Web data conversion unit 72 converts the input data into a format that can be imported by the medical processing unit 71, and outputs the converted data to the medical processing unit 71. The medical processing unit 71 can output to the PC 13 information for the PC 13 to display search results obtained by searching the electronic book 66 for the search target input from the PC 13. In addition, the medical processing unit 71 transmits the relevant part of the electronic book 66 to the PC 13 in response to a command received from the PC 13 that is the access source. In addition, the reference management unit 67 stores information such as a page requested by the PC 13 to reference the electronic book 66 in the log management DB 61.

[0131] The Web data conversion unit 72 converts the input screen generated by the medical processing unit 71 into Web data and delivers it to the PC 13 of the dental clinic. The Web browser of the PC 13 interprets the Web data and displays the input screen. The Web data conversion unit 72 also converts Web data such as the input result received from the PC 13 into a format that can be imported by the medical processing unit 71. The Web data conversion unit 72 then outputs the converted data to the medical processing unit 71. The medical processing unit 71 also searches the electronic book 66 based on the data received from the PC 13 and converted by the Web data conversion unit 72, and can provide the search results to the PC 13 via the Web data conversion unit 72.

[0132] In the medical treatment support system 1B according to the third embodiment described above, the dental clinic can use the functions of the medical record computer 2 by simply preparing the PC 13, without having to prepare the medical record computer 2. This makes it possible to reduce the introduction costs and ongoing costs of a server and the like required for introducing the system to the dental clinic. In addition, the PC 13 does not need to be installed in the dental clinic. For example, the administrator of the dental clinic can access the cloud server 6 using the PC 13 taken outside the dental clinic. This makes it easy for the administrator to check the input status of medical records and medical receipts.

[0133] [Variations] In addition, among the items input by the dentist 11 through the PC 13, frequently input words and phrases for a certain item may be displayed on the screen of the PC 13. The dentist 11 can refer to the words and phrases displayed on the screen as a guide when inputting the items.

[0134] Furthermore, in the above-mentioned embodiments, the creation of medical receipts in dental treatment has been described, but the present invention can also be applied to the creation of medical records (charts) and medical receipts for treatment by doctors, nurses, physical therapists, judo therapists, etc. For example, not only dentistry but also medical departments such as medicine, pharmacy, and veterinary medicine can have a service company compile electronic books that digitize books required when creating medical records and medical receipts, and provide them to clinics and the like that require the books. This allows various medical departments to use the functions of the medical treatment processing unit provided by the service company and refer to the electronic books when necessary.

[0135] Furthermore, papers and research results published by dentists and the like may be incorporated into the e-book DB 42. A publisher may then create an e-book 43 that lists the web location information (such as URLs) of the papers and research results for each item included in the e-book 43, and distribute the e-book 27 to dental clinics. A dentist using the medical record computer 2 can easily access the latest papers and research results by selecting the web location information listed alongside a particular phrase.

[0136] The present invention is not limited to the above-described embodiments, and it goes without saying that various other applications and modifications are possible without departing from the gist of the present invention as set forth in the claims. For example, the above-mentioned embodiments have described the configuration of the device and system in detail and specifically in order to explain the present invention in an easily understandable manner, and are not necessarily limited to those including all of the configurations described. In addition, it is possible to replace part of the configuration of the embodiments described here with the configuration of another embodiment, and it is also possible to add the configuration of another embodiment to the configuration of one embodiment. In addition, it is also possible to add, delete, or replace part of the configuration of each embodiment with other configurations. In addition, the control lines and information lines shown are those that are considered necessary for the explanation, and not all control lines and information lines in the product are necessarily shown. In reality, it can be considered that almost all components are connected to each other. [Explanation of symbols]

[0137] 1, 1A, 1B... medical support system, 2... medical record computer, 3... statistical processing server, 4... electronic book management server, 6... cloud server, 20... medical treatment processing unit, 25... data storage unit, 26... electronic book DB, 27... electronic book, 28... log DB, 29... medical record DB, 31... log management DB, 32... statistical processing unit, 33... statistical processing result DB, 34... statistical processing result providing unit, 41... electronic book editing unit, 42... electronic book DB, 43... electronic book, 44... electronic book distribution unit

Claims

1. A medical care support system in which an input support device into which data relating to medical care is input, a statistical processing server, and an electronic book management server which manages electronic books delivered to the input support device are connected via a network, The input support device includes: a data storage unit for storing the electronic book distributed from the electronic book management server when the contents of the electronic book referred to in relation to the medical treatment are revised; a medical treatment processing unit that displays a screen into which the data related to the medical treatment can be input and the electronic book on a display unit, and displays a search result obtained by searching the electronic book for a search target input from the input unit on the screen, the statistical processing server collects, from the data storage unit of the input support device, reference log data that is a history of references made to the electronic book by the medical processing unit, and performs statistical processing on the collected data; a statistical processing result providing unit that provides the electronic book management server with the statistical processing result data processed by the statistical processing unit. Medical support system.

2. The medical treatment processing unit of the input support device displays a search result obtained by searching the electronic book for the search target on the display unit, and pastes the search result selected by the input unit into an input field on the screen. The medical support system according to claim 1.

3. When the medical processing unit of the input support device receives a command to search the electronic book while a part of the item displayed on the screen is selected by the input unit, the medical processing unit displays information on a page including the selected item as a search result on the display unit. The medical support system according to claim 2.

4. the data storage unit of the input support device stores the electronic book for each revised version; The medical treatment processing unit reads out the edition of the electronic book specified by the input unit from the data storage unit and displays it on the display unit. The medical support system according to any one of claims 1 to 3.

5. The search results include at least one of an input word search result obtained by searching the electronic book for a word or sentence input as the search target in an input field displayed on the screen, an index search result obtained by searching the electronic book from an index of the electronic book, and a full-text search result obtained by searching the full text of the electronic book when the index search result is not obtained. The medical support system according to any one of claims 1 to 4.

6. the input support device includes an advertisement database that stores advertisement information associated with the search target or the search result selected by the input unit, The medical treatment processing unit displays, on the display unit, the advertisement information read from the advertisement database in accordance with the search target or the search result selected by the input unit. The medical support system according to any one of claims 1 to 5.

7. The reference log data includes a set of the search target, whether the search results can be cited, and the search results that have actually been registered. The medical support system according to any one of claims 1 to 6.

8. The statistical processing unit of the statistical processing server extracts the reference log data indicating that the medical processing unit was unable to search for the input term from the electronic book, and includes the term in the statistical processing result. The medical support system according to claim 1.

9. The statistical processing result includes at least one of the page number of the page where the electronic book was referenced, the search frequency of the phrase searched for in the electronic book, the date and time when the electronic book was referenced, and the display duration when a specific page of the electronic book was displayed. The medical support system according to claim 8.

10. The data for creating a medical record or data for creating a medical receipt is input to the input support device. The medical support system according to any one of claims 1 to 9.

11. An input support device for inputting data related to medical treatment, a data storage unit for storing the electronic book delivered from an electronic book management server when the contents of the electronic book referred to in relation to the medical treatment are revised; a medical treatment processing unit that displays a screen on which the data related to the medical treatment can be input and the electronic book on a display unit, and displays a search result obtained by searching the electronic book for a search target input from the input unit on the screen. Input assistance device.

12. An input support method in which an input support device supports input of data related to medical care to be input into the input support device, comprising: a process in which a data storage unit of the input support device stores an electronic book delivered from an electronic book management server when the contents of the electronic book referenced in relation to the medical treatment are revised; a process in which a medical treatment processing unit of the input support device displays a screen into which the data related to the medical treatment can be input and the electronic book on a display unit; and displaying, on the screen, a search result obtained by searching the electronic book for the search target input from the input unit by the medical treatment processing unit. Input assistance method.

13. a step in which a data storage unit stores an electronic book distributed from an electronic book management server when the contents of the electronic book referred to in relation to medical treatment are revised; a step of a medical treatment processing unit displaying a screen into which data related to the medical treatment can be input and the electronic book on a display unit; a step in which the medical treatment processing unit searches the electronic book for the search target input from the input unit and displays the search result on the screen; A program for a computer to execute.

14. a data storage unit storing the electronic book distributed from the electronic book management server when the contents of the electronic book referred to in relation to medical treatment are revised; a step of a medical treatment processing unit outputting information for displaying a screen on which data related to the medical treatment can be input and the electronic book to the information processing device; a step of the medical treatment processing unit outputting, to the information processing device, information for the information processing device to display a search result obtained by searching the electronic book for the search target input from the information processing device; A program for a computer to execute.

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