Programs, information display methods, medical support systems

Abstract

To support dentists, dental hygienists, and other medical professionals in the treatment of pediatric oral function. [Solution] This disclosure provides a program that functions as a communication unit 21 for receiving multiple diagnostic items of pediatric oral function from a server device 30 for the purpose of diagnosing a patient's pediatric oral function, a display control unit 22 for displaying the multiple diagnostic items of pediatric oral function on the display of the terminal device, and an operation reception unit 23 for accepting the selection of the diagnostic items. The communication unit requests the server device for diagnostic actions, evaluation items, and evaluation criteria corresponding to the diagnostic items selected by the operation reception unit, and receives them from the server device. The display control unit displays the received diagnostic actions and evaluation items and evaluation criteria on the display of the terminal device.

Description

Technical Field

[0001] The present invention relates to a program, an information display method, and a medical support system.

Background Art

[0002] Oral functions refer to the functions of the mouth that are essential for a person to live a healthy and rich life, such as "eating", "speaking", and "breathing". It is said that if appropriate oral functions cannot be acquired and developed during childhood, appropriate oral functions cannot be demonstrated during adulthood, and the decline of oral functions will be accelerated in old age. Therefore, it is important to appropriately acquire and develop oral functions during childhood.

[0003] However, in recent years, it is considered that there are many children who have not been able to normally acquire oral functions. Therefore, in dental clinics, the development status of oral functions is examined based on the lifestyle habits and oral conditions of children, etc., and it is diagnosed whether or not it is oral function developmental disorder. Dentists are guiding children who are diagnosed with oral function developmental disorder on care and training for acquiring normal oral functions. This diagnosis and guidance are called pediatric oral function diagnosis and treatment.

[0004] Techniques for determining the development stage of oral functions in children, etc. have been devised (for example, see Patent Document 1). Patent Document 1 discloses a technique for monitoring children who are eating complementary foods and outputting the development stage of the oral functions of children, etc. using the obtained data.

Prior Art Documents

Patent Documents

[0005]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0006] However, diagnosing pediatric oral function presents challenges even for diagnosticians such as dentists. For example, unlike other conditions such as oral function decline in the elderly, there are very few diagnostic items for pediatric oral function that can be quantitatively measured by machines. While dentists rely on information obtained from books and seminars, practical diagnostic methods are not typically described in these texts. This can easily lead to differences in knowledge levels among dentists, potentially resulting in variations in the quality of pediatric oral function care.

[0007] This disclosure provides technology to support the treatment of pediatric oral function by dentists, dental hygienists, and other medical professionals. [Means for solving the problem]

[0008] In view of the above issues, this disclosure provides a program that enables a terminal device capable of communicating with a server device via a network to function as a communication unit that receives multiple diagnostic items of pediatric oral function from the server device, a display control unit that displays the multiple diagnostic items of pediatric oral function on the display of the terminal device, and an operation reception unit that accepts the selection of the diagnostic items, wherein the communication unit requests the server device for diagnostic actions, evaluation items and evaluation criteria corresponding to the diagnostic items accepted by the operation reception unit, and receives them from the server device, and the display control unit displays the received diagnostic actions and evaluation items and evaluation criteria on the display of the terminal device. [Effects of the Invention]

[0009] This disclosure can support dentists, dental hygienists, and other professionals in providing care for pediatric oral function. [Brief explanation of the drawing]

[0010] [Figure 1] This diagram shows the 17 examination items for oral function developmental disorders. [Figure 2] This diagram illustrates an example of the service flow provided by a medical support system. [Figure 3]This diagram illustrates the diagnostic and instructional phases in pediatric oral function treatment. [Figure 4] This diagram shows the system configuration of an example of a medical support system. [Figure 5] This diagram shows an example of the hardware configuration of a server device, user terminal, and diagnostic terminal. [Figure 6] This is an example of a functional block diagram that explains the functions of user terminals, diagnostic terminals, and server devices by dividing them into blocks. [Figure 7A] This figure shows an example of lifestyle information (Web questionnaire) and a video of meals stored in the patient data memory unit. [Figure 7B] This figure shows an example of a diagnostic result stored in the patient data storage unit. [Figure 8A] This figure shows an example of diagnostic information stored in the diagnostic information memory unit. [Figure 8B] This figure shows an example of diagnostic information stored in the diagnostic information memory unit. [Figure 9] This figure shows an example of guide information stored in the guide information storage unit. [Figure 10] This figure shows an example of instructional content information stored in the instructional content information storage unit. [Figure 11] This figure shows an example of a lifestyle information display screen shown by a diagnostic terminal. [Figure 12] This figure shows an example of an evaluation guide screen displayed by a diagnostic terminal. [Figure 13] This diagram shows an example of evaluation items and evaluation criteria. [Figure 14] This diagram shows an example of a guidance content selection screen displayed on a diagnostic terminal. [Figure 15] This figure shows an example of a document that a diagnostic terminal displays and prints. [Figure 16] This diagram shows an example of "care and training videos and information sites selected at a dental clinic" displayed on a user's device. [Figure 17]This is a sequence diagram illustrating an example of the processes or operations performed by a medical support system when a caregiver answers an online consultation. [Figure 18] This is a sequence diagram illustrating an example of the processes or operations performed by a medical support system in the diagnosis phase and the guidance phase. [Figure 19] This is a sequence diagram illustrating an example of the processes or operations performed by a medical support system when a caregiver provides care or training.

Embodiments for Carrying out the Invention

[0011] Hereinafter, as an example of an embodiment for implementing the present disclosure, a medical support system and an information display method performed by the medical support system will be described.

[0012] <Oral Functions and Diagnosis> Oral functions refer to the functions of the mouth that are essential for a person to live a healthy and fulfilling life, such as "eating," "speaking," and "breathing." If appropriate oral functions cannot be acquired and developed during childhood, it is said that appropriate oral functions cannot be exerted in adulthood, and the decline of oral functions will be accelerated in old age. Therefore, it is important to appropriately acquire and develop oral functions during childhood. The government also attaches importance to this, and it has been institutionalized, such as defining those whose necessary oral functions are not sufficiently developed under 18 years old as "oral function developmental disorder (disease name)" and expanding the scope of public medical insurance.

[0013] However, in recent years, it is believed that a large number of children have not acquired normal oral function. Therefore, in dental clinics, dentists and dental hygienists examine the developmental status of oral function based on the child's lifestyle and oral condition to diagnose whether or not they have oral function developmental disorder, and provide care and training (lifestyle guidance, oral stretching, etc.) to help children who have been diagnosed with oral function developmental disorder to acquire oral function. This diagnosis and guidance is called pediatric oral function treatment. However, pediatric oral function treatment requires a high level of expertise, and dentists and dental hygienists with little experience (hereinafter simply referred to as "dentists," but sometimes including dental hygienists) do not know how to perform the treatment, and it takes time to acquire the necessary skills. Specifically, there are three major problems:

[0014] (1) Information about lifestyle habits is necessary for diagnosing oral function developmental disorders, but little information can be obtained during clinic hours.

[0015] Diagnosing oral functional developmental disorder requires the assessment of 17 items, as shown in Figure 1. Figure 1 shows the examination items for oral functional developmental disorder (after weaning is complete). Hereafter, "after weaning is complete" will be omitted. The examination items for oral functional developmental disorder are those provided by the Japanese Dental Association and are stipulated as guidelines. Each item is identified by "C" followed by a number from 1 to 17, such as "C-XX". "C" represents the examination item for oral functional developmental disorder.

[0016] Approximately half of the 17 items are related to lifestyle and diet. This is because understanding the actual lifestyle and eating habits is crucial for medical treatment. Traditionally, dentists have interviewed parents about their children's behavior at home during consultations, but the amount of information that can be gathered within the limited consultation time is insufficient. Furthermore, when parents answer based on their recollections of what their children are like at home, the information tends to be inaccurate.

[0017] (2) The evaluation methods and criteria are ambiguous and difficult to judge.

[0018] Unlike other conditions such as oral function decline in the elderly, there are very few items in the examination items for oral function developmental disorders that can be quantitatively measured and diagnosed using machines (sensors or measuring devices). Dentists make examinations based on information obtained from books and seminars, but detailed know-how (specific evaluation methods and criteria) is not written in books, and the level of knowledge varies among dentists who treat children, so there is a risk that the quality of diagnosis will differ.

[0019] (3) The content of instruction is not systematized, and it is unclear what the appropriate content of instruction is.

[0020] For children diagnosed with oral functional developmental disorders, dentists are required to select and provide appropriate care and training (such as lifestyle guidance on eating habits and oral stretching) according to each child's condition (the applicable examination items out of 17). However, the content of this guidance is not systematized, and there is a risk that dentists may not know what appropriate guidance to provide.

[0021] Therefore, there is a need for support services that enable dentists with limited experience in pediatric oral function treatment to appropriately diagnose oral function developmental disorders, and for support services that provide appropriate guidance to parents and children in order to acquire oral function if oral function developmental disorders are diagnosed.

[0022] Therefore, in this embodiment, the medical support system utilizes computers and networks to support pediatric oral function treatment performed by inexperienced dentists. (1) For example, the parent or guardian may answer a questionnaire about the child's age and gender at home beforehand. The parent or guardian may also input at least one of the following at home: "lifestyle information" and "recording of mealtime videos". (2) In response to this, the clinical support system displays different test items depending on the patient's age, for example. It also displays diagnostic actions corresponding to the test items, evaluation items corresponding to the test items and the patient's age and gender, and evaluation criteria on the dentist's diagnostic terminal. (3) In response to this, the medical support system, for example, systematizes the content of instruction and displays an appropriate instruction management plan on the diagnostic terminal according to the relevant examination items.

[0023] <About Terminology> The target group for pediatric oral function treatment is defined as those under 18 years of age. Generally, those receiving treatment are referred to as patients. In this embodiment, patients who are the target group for pediatric oral function treatment are referred to as children, etc. Children, etc. include infants, toddlers, children, kids, and minors under 18 years of age.

[0024] A diagnostician is someone who performs pediatric oral function examinations, and this is often done by a dentist or dental hygienist.

[0025] The examination items are the 17 items specified in the diagnostic guidelines for pediatric oral function treatment. The number 17 is just an example, as it may change due to future revisions, etc.

[0026] Diagnostic items refer to the diagnostic procedures that dentists use when examining children and other patients in order to actually perform the examination. These diagnostic items correspond to the examination items and the items in the online questionnaire.

[0027] The evaluation items and their evaluation criteria are predetermined for each diagnostic item. The evaluation items define what is evaluated in order to diagnose the diagnostic item, and the evaluation criteria define the standards for whether the evaluation item should be judged as abnormal or normal. The evaluation items and their evaluation criteria may not be clearly separated, or one or the other may exist alone.

[0028] <Service Flow> Next, we will explain the service flow of the medical support system with reference to Figures 2 and 3. Figure 2 is a diagram illustrating the service flow of the medical support system. Note that in the home of children, etc., guardians can operate the user terminal. Also, in dental clinics, dentists can operate the diagnostic terminal. The user terminal and the diagnostic terminal can communicate with the medical support system's server device via the network.

[0029] (1) Home, etc. Parents input the child's age and gender into their user terminal by answering a web-based questionnaire. Parents may also input at least one of either lifestyle information or a video of their child eating. The child's age and gender, along with at least one of the entered lifestyle information or video of the child eating, are transmitted to the server device. The web-based questionnaire may be conducted at a location other than the home, such as a kindergarten. It may also be conducted in a waiting room at a dental clinic. In this embodiment, it is preferable that parents answer the web-based questionnaire before the diagnosis begins.

[0030] (2) Dental clinic When a child and their guardian visit the clinic, the dentist begins pediatric oral function examination. The diagnostic terminal displays at least one of the following: an evaluation guide and lifestyle information. The evaluation guide displays diagnostic items, diagnostic behaviors, evaluation items and evaluation criteria, etc. The dentist checks the lifestyle information and, while referring to the evaluation guide, diagnoses the 17 examination items of pediatric oral function examination and "diagnoses whether or not there is oral function developmental disorder."

[0031] (3) Dental clinic If oral functional developmental disorder is diagnosed, the dentist should use a diagnostic terminal to provide guidance (appropriate guidance content) 527 The following information is displayed. The dentist, referring to the guidance guide, selects the "care and training for achieving normal oral function" corresponding to the examination items the patient is affected by, and provides instructions to the parent or guardian or child.

[0032] (4) Dental clinic The dentist outputs the "care and training content for children, etc." displayed on the diagnostic terminal. The medical support system can use QR codes (registered trademark, hereinafter abbreviated) as 2D codes. Alternatively, barcodes may be used instead. Specifically, the following output methods are possible. • Print a 2D code on paper • Print barcodes on paper • Print care and training content on paper • Print the URL on paper • Do not print the document; instead, send the URL for "Care and Training Content for Children, etc." directly to the patient via app push notifications, email, social media, etc. In addition, dentists can also print documents such as "documents necessary for insurance coverage of pediatric oral function treatment."

[0033] (5) Home, etc. Parents use user terminal 10 to scan a QR code, etc., and connect to the decoded URL to view "care and training videos and information sites instructed by the dental clinic" while performing care. Care and training may also be performed at locations other than home, such as kindergarten. For example, training videos can be viewed as follows: • This system's own video and information website • Videos and information websites unique to dental clinics • Publicly available videos and information sites such as YouTube (registered trademark)

[0034] Thus, pediatric oral function treatment can be broadly divided into a diagnostic phase and an instruction phase. Figure 3 illustrates the diagnostic and instruction phases in pediatric oral function treatment. In Figure 2, (1) and (2) correspond to the diagnostic phase, and (3) corresponds to the instruction phase. Furthermore, home care (5) can be considered an extension of the instruction phase.

[0035] <Example System Configuration> Next, an example of the system configuration of the medical support system 100 will be explained with reference to Figure 4. Figure 4 is a diagram showing the system configuration of an example of the medical support system 100. The medical support system 100 shown in Figure 4 includes a server device 30, a user terminal 10, and a diagnostic terminal 20. However, the user terminal 10 and the diagnostic terminal 20 may be general-purpose information processing devices and may not be included in the medical support system 100. The server device 30 and the user terminal 10 are connected via networks N1 and N2 so as to be able to communicate. The server device 30 and the diagnostic terminal 20 are connected via networks N1 and N3 so as to be able to communicate.

[0036] The user terminal 10 is located at home or carried by a guardian, and can connect to network N2 from that location. The user terminal 10 is not required. In this case, the dentist inputs only the child's age and gender into the diagnostic terminal 20 to perform diagnosis and guidance, and care and training videos are sent directly to the patient from the dental clinic via email or SNS. The diagnostic terminal 20 is located at the dental clinic and can connect to network N3 from the dental clinic. Networks N2 and N3 can be LAN, Wi-Fi (registered trademark), VPN (Virtual Private Network), Wide Area Ethernet (registered trademark), 4G, 5G, 6G, or other mobile phone networks. Network N1 is a wide-area network such as the internet or WAN. The user terminal 10 and diagnostic terminal 20 do not need to be constantly connected to networks N2 and N3; they only need to be connected when the guardian or dentist uses the server device 30.

[0037] The server device 30 provides support services to parents, children, and dentists to assist in pediatric oral function treatment. Pediatric oral function treatment includes diagnosis and guidance. Details of the support services will be described later, but the main services are as follows. The server device 30 displays the input screen for the "Web Questionnaire" on the user terminal 10, and the "child's age and gender" entered by the user responding to the Web Questionnaire is transmitted to the server device 30. The server device 30 can also display the input screen for the "Meal Video" on the user terminal 10. Furthermore, if at least one of lifestyle information or a meal video is entered, at least one of the lifestyle information or a meal video is also transmitted to the server device 30. The server device 30 displays various evaluation guides on the diagnostic terminal 20. The evaluation guides support the diagnostic phase of pediatric oral function treatment performed by dentists. The server device 30 displays various instructional guides on the diagnostic terminal 20. The instructional guides support the instructional phase of pediatric oral function treatment performed by dentists.

[0038] The server device 30 has one or more information processing devices. A server is a computer or software that performs the function of providing information and processing results in response to requests from clients. The server device 30 provides web applications to the user terminal 10 and the diagnostic terminal 20. A web application is a program that can be used in a browser, and is an application in which client-side and server-side programs work together to perform processing. The web application not only processes information in the web browser, but also receives necessary information from the server device 30, requests processing from the server device 30, and receives the results. Because web applications can be used in a web browser, it is not necessary to install the application on the terminal. In contrast, an application that needs to be installed on the terminal is called a native application. In this embodiment, the user terminal 10 and the diagnostic terminal 20 are described as running web applications, but they may also run native applications.

[0039] The server device 30 may be implemented through cloud computing or by a single information processing device. Cloud computing refers to a form of computing in which network resources are used without being aware of specific hardware resources. The server device 30 may reside on the internet or on-premises.

[0040] Furthermore, the server device 30 may have its functions distributed among multiple information processing devices, or there may be multiple server devices 30 having the same function, and the number of information processing systems with the same function may increase or decrease depending on the processing load.

[0041] The user terminal 10 or diagnostic terminal 20 is, for example, a terminal device such as a PC (Personal Computer), smartphone, or tablet. A web browser or native application runs on the user terminal 10 or diagnostic terminal 20. Parents enter the child's age, gender, lifestyle information, and meal videos into a web questionnaire displayed on the user terminal 10, and view care and training videos instructed by the dental clinic. The dentist displays evaluation guides and guidance guides on the diagnostic terminal 20. Alternatively, for example, the dentist may only enter the child's age and gender into the diagnostic terminal 20, provide diagnosis and guidance, and send care videos directly to the patient from the dental clinic via email or social media.

[0042] The user terminal 10 and the diagnostic terminal 20 can be any information processing device. Examples of such information processing devices include electronic whiteboards, HUD (Head-Up Display) devices, medical devices, networked home appliances, game consoles, PDAs (Personal Digital Assistants), and wearable PCs.

[0043] <Example Hardware Configuration> Referring to Figure 5, the hardware configuration of the server device 30, user terminal 10, and diagnostic terminal 20 included in the medical support system 100 will be described. Figure 5 is a diagram showing the hardware configuration of an example of the server device 30, user terminal 10, and diagnostic terminal 20 according to this embodiment. As shown in Figure 5, the server device 30, user terminal 10, and diagnostic terminal 20 are built by a computer 500 and include a CPU 501, ROM 502, RAM 503, HD (Hard Disk) 504, HDD (Hard Disk Drive) controller 505, display 506, external device connection I / F (Interface) 508, network I / F 509, bus line 510, keyboard 511, pointing device 512, optical drive 514, media I / F 516, and image sensor 517.

[0044] Of these components, the CPU 501 controls the operation of the entire computer 500. The ROM 502 stores programs used to drive the CPU 501, such as the IPL. The RAM 503 is used as the work area for the CPU 501. The HD 504 stores various data, such as programs. The HDD controller 505 controls the reading or writing of various data to the HD 504 according to the control of the CPU 501. The display 506 displays various information such as cursors, menus, windows, characters, or images. The external device connection I / F 508 is an interface for connecting various external devices. In this case, external devices include, for example, USB (Universal Serial Bus) memory and printers. The network I / F 509 is an interface for data communication using the network N2. The bus line 510 is an address bus, data bus, etc., for electrically connecting each component, such as the CPU 501 shown in Figure 5.

[0045] The keyboard 511 is a type of input means equipped with multiple keys used for inputting characters, numbers, or various instructions. The pointing device 512 is a type of input means used for selecting and executing various instructions, selecting processing targets, moving a cursor, etc. The optical drive 514 controls the reading or writing of various data to the optical storage medium 513, which is an example of a removable recording medium. The optical storage medium may be a CD, DVD, Blu-ray (registered trademark), etc. The media I / F 516 controls the reading or writing (storage) of data to the recording medium 515, such as flash memory. The image sensor 517 captures images of the patient's face, etc., and generates at least one of a still image or a video.

[0046] <About the features> Next, with reference to Figure 6, the functional configurations of the user terminal 10, diagnostic terminal 20, and server device 30 according to this embodiment will be described. Figure 6 is a functional block diagram that explains the functions of the user terminal 10, diagnostic terminal 20, and server device 30 by dividing them into blocks.

[0047] <<User terminal 10>> The user terminal 10 includes a communication unit 11, a display control unit 12, and an operation reception unit 13. Each of these functional units is a function or means realized by the CPU 501 shown in Figure 5 executing instructions contained in one or more programs installed on the user terminal 10. For example, the communication unit 11, the display control unit 12, and the operation reception unit 13 may be realized by a web browser and a web application. The web application is transmitted from the server device 30 to the user terminal 10. If the user terminal 10 runs a native application, these may be realized by the native application.

[0048] The communication unit 11 sends and receives various types of information to and from the server device 30. The communication unit 11 receives web applications containing various screen information from the server device 30. The communication unit 11 transmits information such as the child's age and gender, and the actions taken by the guardian to the server device 30. If at least one of lifestyle information or a meal video is entered, the communication unit 11 also transmits at least one of the lifestyle information or the meal video to the server device 30.

[0049] The display control unit 12 interprets screen information from various screens and displays it on the display 506. The operation reception unit 13 receives various operations from the parent on the various screens displayed on the display 506.

[0050] <<Diagnostic terminal 20>> The diagnostic terminal 20 includes a communication unit 21, a display control unit 22, an operation reception unit 23, and an output unit 24. Each of these functional units is a function or means realized by the CPU 501 shown in Figure 5 executing instructions contained in one or more programs installed on the diagnostic terminal 20. For example, the communication unit 21, the display control unit 22, the operation reception unit 23, and the output unit 24 may be realized by a web browser and a web application. The web application is transmitted from the server device 30 to the diagnostic terminal 20. If the diagnostic terminal 20 runs a native application, these may be realized by the native application.

[0051] The communication unit 21 (an example of a second communication unit) sends and receives various types of information to and from the server device 30. The communication unit 21 receives web applications containing various screen information from the server device 30. The communication unit 21 transmits information such as the dentist's operations to the server device 30.

[0052] The display control unit 22 interprets screen information from various screens and displays it on the display 506. The operation reception unit 23 receives various operations from the dentist on the various screens displayed on the display 506.

[0053] The output unit 24 outputs documents necessary for insurance calculations, materials to be given to patients, etc., as needed. In addition to printing, output can also be displayed on a screen.

[0054] <<Server device 30>> The server device 30 includes a communication unit 31, a screen generation unit 32, a patient data management unit 33, an evaluation guide creation unit 34, and a guidance guide creation unit 35. Each of these functional units of the server device 30 is a function or means realized by the CPU 501 executing instructions contained in one or more programs installed on the server device 30. The screen generation unit 32 corresponds to a web server, and the patient data management unit 33, the evaluation guide creation unit 34, and the guidance guide creation unit 35 correspond to server-side web applications.

[0055] Furthermore, the server device 30 includes a patient data storage unit 41, a diagnostic information storage unit 42, a guide information storage unit 43, and a guidance content information storage unit 44. Each of these storage units in the server device 30 is implemented or constructed using at least one of the HD 504 or RAM 503 shown in Figure 5. Note that these storage units do not necessarily have to be located in the server device 30; they only need to be on a network that the server device 30 can access.

[0056] The communication unit 31 (an example of the first communication unit) sends and receives various types of information to and from the user terminal 10 or the diagnostic terminal 20. The communication unit 31 transmits a web application containing screen information to the user terminal 10 and the diagnostic terminal 20. The communication unit 31 receives information such as the child's age and gender and the actions taken by the guardian from the user terminal 10. If at least one of lifestyle information or a meal video is entered into the user terminal 10, the communication unit 31 also receives at least one of the lifestyle information or the meal video. The communication unit 31 receives information such as the actions taken by the dentist from the diagnostic terminal 20. Furthermore, the communication unit 31 may send a URL (which may be encoded as a 2D code) that allows viewing of care and training videos to the application operated by the patient, send it via email, SNS, etc.

[0057] The screen generation unit 32 generates screen information for the screen displayed by the user terminal 10 or the diagnostic terminal 20. The screen information is a program written in HTML, JSON, XML, a scripting language, and CSS (Cascading Style Sheet), etc., and in this embodiment, it is assumed to be included in the web application. The structure of the web page is mainly specified by HTML, the operation of the web application is defined by the scripting language, and the style of the web page is specified by CSS. When the user terminal 10 runs the native application, the user terminal 10 maintains the screen configuration, and the information to be displayed is sent in JSON, XML, etc.

[0058] The patient data management unit 33 holds the web-based medical questionnaire and passes it to the screen generation unit 32 upon request from the user terminal 10. The screen generation unit 32 creates the screen information for the web-based medical questionnaire and displays it on the user terminal 10. The patient data management unit 33 also manages the "child's age and gender" transmitted from the user terminal 10 in the patient data storage unit 41. If the patient data management unit 33 receives at least one of lifestyle information or a video of meals from the user terminal 10, it manages these in the patient data storage unit 41. The patient data management unit 33 also manages the diagnostic results transmitted from the diagnostic terminal 20 in the patient data storage unit 41.

[0059] The evaluation guide creation unit 34 creates the evaluation guide described below based on patient data, diagnostic information, and at least one of the guide information. The evaluation guide is information that supports dentists in evaluating each item to diagnose whether or not a child has oral functional developmental disorder.

[0060] The instruction guide creation unit 35 creates the instruction guide described below based on the instruction content information. The instruction guide is a guide for instructing children on care and training for the relevant items of oral functional developmental disorder.

[0061] <<About each memory unit>> Figures 7A and 7B show an example of patient data stored in the patient data storage unit 41. The patient data storage unit 41 stores patient data associated with identification information such as that of a child. Patient data refers to the child's age and gender. In addition, if at least one of lifestyle information or a meal video is received from the user terminal 10, at least one of the lifestyle information or the meal video is also considered patient data. Figure 7A shows the age, gender, lifestyle information (Web questionnaire), and meal video stored in the patient data storage unit 41. The "Meal Video" field is associated with the URL of the meal video uploaded by user device 10. Alternatively, a path or folder name could be associated instead of a URL. The upload date of the video may also be saved. • The fields for age, gender, and lifestyle information (Web questionnaire) store the item names from the Web questionnaire and the responses from the guardian.

[0062] Figure 7B shows an example of diagnostic results stored in the patient data storage unit 41. The patient data storage unit 41 stores diagnostic results associated with identification information of children, etc. The diagnostic results are those made by a dentist, and are information indicating whether each diagnostic item is applicable or not. In addition, the results of evaluation items corresponding to each diagnostic item, the dentist's comments, and photographic data are also stored. The patient data storage unit 41 may also store authentication information (used when the user logs in to the server device 30), and documents necessary for insurance calculation and materials to be given to the patient, as described later.

[0063] Figure 8A shows an example of diagnostic information stored in the diagnostic information storage unit 42. Figure 8B shows an example of the diagnostic screen 220. The patient's age is associated with the diagnostic items, and "display" or "hide" is associated with each item. Based on the diagnostic information storage unit 42, the display of diagnostic items is differentiated according to the patient's age. The diagnostic information displays the 17 examination items (diagnostic items) for pediatric oral function treatment in a specific order that is easy to perform, but the dentist can also change the order. An order that is easy to perform may be a unique order that takes into account the relationship of the disease state and the burden on the patient, or it may be an order in which items with similar postures and positions of the patient during diagnosis are consecutive.

[0064] If the 17 examination items for pediatric oral function examination are examined in the order C-1 to C-17, the diagnostic process will be inefficient. Therefore, in this embodiment, the 17 examination items for pediatric oral function examination are replaced with appropriate diagnostic items and arranged in an order that facilitates examination. As shown in the diagnostic screen 220 of Figure 8B, the diagnostic items are displayed in the following order. Oral examination (C-1, 2, 3) Visual inspection and palpation (C-4, 6, 9, 10, 12, 14) Review of meal videos (C-5, 7) Interview (C-8, 11, 13, 15, 16, 17)

[0065] The diagnostic terminal 20 displays multiple diagnostic items in a unique order that is easy to use for treatment, but the dentist can choose the diagnostic items and their order.

[0066] Note that the diagnostic items displayed by the diagnostic terminal 20 may be only a portion of the 17 test items.

[0067] Furthermore, since each diagnostic item has a defined target for diagnosis, the diagnostic screen 220 in Figure 8B associates the diagnostic item with the target for diagnosis. The target for diagnosis is displayed in the evaluation guide along with the diagnostic item. This allows the dentist to understand the target for diagnosis for each diagnostic item. Note that the correspondence between the diagnostic items and the 17 examination items in Figure 8B is just one example, and other correspondences are also possible. For example, a one-to-one correspondence between the diagnostic items and the 17 examination items is also possible.

[0068] Figure 9 shows an example of guide information stored in the guide information storage unit 43. The guide information is used to create evaluation guides. Guide information is created for each diagnostic target. Figure 9 shows the guide information when the diagnostic target is "C-10 (incomplete lip closure)". • Diagnostic actions are the actions that a dentist should take when diagnosing lip closure failure. Diagnostic behaviors may be accompanied by guide images (image data). This image data includes photographs, illustrations, 3D models, videos, etc., that serve as references for the diagnostic behavior. However, image data is not necessarily attached to all diagnostic behaviors. The web questionnaire results are item IDs of the web questionnaire related to the diagnosis of "lip closure failure." The web questionnaire contains questions useful for diagnosing "lip closure failure," and dentists can refer to the responses from children, etc. The evaluation items and their criteria are the items that a dentist should focus on when evaluating whether or not there is "lip closure failure," and the criteria for how to evaluate them. The number of evaluation items and their criteria may vary depending on the patient being diagnosed. In addition, each evaluation item and its criteria may be accompanied by a guide photograph (image data). This image data may be a photograph, illustration, 3D model, video, etc., used to evaluate each evaluation item. For example, the image data may include images of both normal and abnormal lips for each evaluation item. Displaying the image data makes it easier for the dentist to evaluate whether or not there is an abnormality in the lips. Note that image data is not necessarily attached to all evaluation items and their criteria.

[0069] Furthermore, the image data may include evaluation points, which will be described later. These evaluation points are guidelines for determining the presence or absence of abnormalities, explained in text or numerical terms. Including evaluation points in the image data allows dentists to view the evaluation points simultaneously with the image data. Alternatively, separate evaluation points may be provided in addition to the image data.

[0070] It is preferable that the evaluation items and their evaluation criteria within the guide information be prepared according to age or gender. This is because the appropriate evaluation items and their evaluation criteria differ depending on age or gender.

[0071] For example, if the diagnosis is "C-1 (delayed tooth eruption)," the evaluation criteria will differ between boys and girls because the average timing and order of tooth eruption differ. Furthermore, the timing and order of eruption also differ between deciduous teeth and permanent teeth, so the evaluation criteria will also change with age. By providing evaluation items and their evaluation criteria according to age or sex, the diagnostic terminal 20 can display appropriate evaluation items and their evaluation criteria for that age or sex. • For each evaluation item, the necessity of taking photographs is indicated. Since photographs of the oral cavity and facial features are required for insurance reimbursement, for evaluation items where photography is beneficial, "Photography Required" and "Guidelines for Shooting Angles, etc." are registered in the photography item. This not only helps prevent dentists from forgetting to take photographs, but also allows dentists to confirm the condition by showing the photographs to the patient, and is effective for communication with the patient as it allows for the confirmation of changes in oral function over the long term. • The evaluation results for each evaluation item indicate whether or not the above evaluation item applies. The results of the diagnostic items indicate whether or not the item is applicable based on the evaluation results of the evaluation items mentioned above. In the example in Figure 9, there is a case corresponding to "C-10 (incomplete lip closure)". • Comments are optional information related to the diagnosis and were entered by the dentist. The video playback section has a setting to indicate whether or not to play a video when the diagnosis is for "lip closure failure." Whether or not to play a meal video depends on whether the evaluation item and its evaluation criteria include a statement about playing a meal video. When a dentist selects a diagnosis item where the video playback option is "yes," the video playback section will be displayed.

[0072] Figure 10 shows an example of instructional content information stored in the instructional content information storage unit 44. The instructional content information is systematized information for each of the 17 examination items in pediatric oral function treatment, including the cause / circumstance and the response (content of the management plan). Note that the cause / circumstance may be omitted. The response (content of the management plan) provides care and training methods to improve the oral function of the examination item diagnosed as abnormal.

[0073] When a dentist detects an abnormality in a diagnostic item (i.e., the subject of diagnosis), one or more of the 17 examination items for pediatric oral function diagnosis are determined. Therefore, the results of the diagnostic items determine the cause, circumstances, and response (content of the management plan) associated with the examination item that was evaluated as abnormal.

[0074] The response (content of the management plan) is linked to more detailed videos and websites. The dentist can display the videos and websites on the diagnostic terminal 20 to explain the cause and situation, and the response (content of the management plan) to the child and their guardian. The instruction guide creation unit 35 can generate a 2D code containing the URL of the video or website, and display at least one of the URL and the 2D code on the diagnostic terminal 20. The dentist may print at least one of the URL and the 2D code and hand it to the guardian. Alternatively, the communication unit 31 may send the above 2D code or URL to the guardian's or child's email address or SNS without printing or displaying it. This allows the guardian and child to practice oral function care and training at home for the pediatric oral function examination items diagnosed as abnormal.

[0075] <Services provided by server device 30> The following describes in order the services (1) to (5) provided by the server device 30.

[0076] <<Diagnostic Phase: Medical Interview and Examination>> (1) The server device 30 displays the input screen for the "Web Questionnaire" on the user terminal 10, and the "child's age and gender" entered by the user answering the Web Questionnaire is transmitted to the server device 30. Furthermore, the server device 30 may display the input screen for at least one of the lifestyle information or meal video on the user terminal 10. If at least one of the lifestyle information or meal video is entered on the user terminal 10, at least one of the lifestyle information or meal video is also transmitted to the server device 30.

[0077] The guardian connects the user terminal 10 to the server device 30 and logs in. This identifies the guardian and the child. The guardian enters their answers on the web questionnaire screen displayed on the user terminal 10 at home (the entered answers are information such as age, gender, and lifestyle). The web questionnaire includes input fields for basic information (age, gender, height, weight), questions about eating habits, and questions about speaking and mouth habits.

[0078] The web-based medical questionnaire is pre-registered by the dentist on the server device 30. The web-based medical questionnaire may be the same for all children, or the dentist may edit the questionnaire items to suit the characteristics of each child. In this case, the dentist associates the web-based medical questionnaire with the identification information of the child and stores it in the patient data storage unit 41 of the server device 30.

[0079] Furthermore, the guardian takes a video of the child eating (i.e., for a certain period of time or longer) using the user terminal 10. The food may include solid food, liquid food, and liquids. In this case, the user terminal 10 is preferably a smartphone. However, the guardian may also take a video of the child eating with a digital camera and send it to the user terminal 10. The user terminal 10 transmits lifestyle information and the video of the meal to the server device 30 in response to the guardian's operation.

[0080] The patient data management unit 33 of the server device 30 manages the "child's age and gender" transmitted from the user terminal 10 in the patient data storage unit 41, associating it with the identification information of the child. When at least one of lifestyle information or a video of a meal is received from the user terminal 10, the patient data management unit 33 manages these in the patient data storage unit 41. When a parent and child visit the clinic, the dentist connects the diagnostic terminal 20 to the server device 30 and displays the "child's age and gender," which is associated with the identification information of the child, on the diagnostic terminal 20. If at least one of lifestyle information or a video of a meal is stored in the patient data storage unit 41, the dentist may also display these on the diagnostic terminal 20.

[0081] Figure 11 shows an example of a lifestyle information display screen 200 displayed by the diagnostic terminal 20. The lifestyle information display screen 200 is part of the evaluation guide. The lifestyle information display screen 200 displays a message 201 that reads, "For items checked in the web questionnaire, please write any necessary information for management in the comments section." Also, a check mark 202 is displayed for questionnaire items that the guardian selected "yes" for in the web questionnaire. The dentist can then ask detailed questions only for the questionnaire items with a check mark 202. This allows for efficient acquisition of lifestyle information necessary for diagnosis within a limited consultation time. Note that the function of automatically displaying a check mark 202 for items checked in the web questionnaire is not mandatory.

[0082] Furthermore, the lifestyle information display screen 200 displays a video playback area 203 along with the medical questionnaire items. The video playback area 203 may always be displayed, or it may be displayed when the dentist performs a predetermined operation. By playing the meal video, the dentist can check the answers to the web questionnaire and confirm that no questions have been missed.

[0083] (2) The evaluation guide creation unit 34 of the server device 30 creates an evaluation guide to be displayed on the diagnostic terminal 20. The evaluation guide enables even inexperienced dentists to diagnose and provide guidance on high-quality pediatric oral function treatment. It also helps to standardize the quality of pediatric oral function treatment among staff within the hospital.

[0084] <<Diagnostic Phase: Diagnosis>> As shown in Figures 8A and 8B, the evaluation guide creation unit 34 of the server device 30 determines whether to display diagnostic items for the 17 examination items of pediatric oral function treatment, corresponding to the patient's age. The diagnostic information to be displayed is rearranged in a specific order that is easy to perform (this may be a unique order that takes into account the relationship between disease states and the burden on the patient, or it may be an order in which items with similar postures or positions of the patient during diagnosis are consecutive) and displayed on the diagnostic terminal 20. As shown in Figure 8B, the diagnostic terminal 20 can display the diagnostic items and the subject of diagnosis in illustration 222, arranged in a specific order that is easy to perform based on the results of interviews with dentists (oral examination → visual inspection / palpation → video confirmation → interview). This order may be common to all dentists, or dentists may register their preferred order of diagnostic items in the server device 30.

[0085] The evaluation guide creation unit 34 obtains the diagnostic items and treatment targets from the diagnostic information storage unit 42 and passes them to the screen generation unit 32. The screen generation unit 32 generates screen information for the diagnostic screen 220 shown in Figure 8B, which displays the diagnostic items and treatment targets in illustration 222. The dentist can display the evaluation guide corresponding to the diagnostic item by pressing any diagnostic item on the diagnostic screen 220.

[0086] The diagnostic terminal 20 can perform diagnoses efficiently by rearranging and displaying the 17 examination items 223 in an order that is easy to perform, rather than arranging them in the order C-1 to C-17. Note that the illustration 222 of the diagnostic screen 220 in Figure 8B does not necessarily have to be displayed on the diagnostic terminal 20. The 17 examination items 223 for pediatric oral function treatment, corresponding to each diagnostic item and the target of treatment, may be displayed to assist the dentist.

[0087] Figure 12 shows the evaluation guide screen 260 when the diagnostic item (target of diagnosis) "C-10 (incomplete lip closure)" is selected. As shown in Figure 12, the evaluation guide creation unit 34 of the server device 30 creates an evaluation guide that includes the diagnostic action 261, the Web questionnaire results 262, the evaluation item 266, and the corresponding evaluation criteria 267, corresponding to the diagnostic item. In Figure 12, the dentist selects an arbitrary diagnostic item. As a result, the diagnostic terminal 20 retrieves and displays the evaluation guide screen 260 corresponding to the diagnostic item from the server device 30.

[0088] The diagnostic terminal 20 sends a message to the server device 30 indicating that the diagnostic item (target of diagnosis) "C-10 (incomplete lip closure)" has been pressed (selected). The evaluation guide creation unit 34 obtains lifestyle information from the patient data storage unit 41 and guide information regarding "incomplete lip closure" from the guide information storage unit 43, and passes these to the screen generation unit 32. The screen generation unit 32 uses the lifestyle information and the guide information regarding "incomplete lip closure" to generate screen information for the evaluation guide screen.

[0089] Figure 12 displays the diagnostic behavior 261, web questionnaire results 262, evaluation items 266, and corresponding evaluation criteria 267 related to "lip closure failure." In this way, information for treating only the selected diagnostic item is displayed, making it easier for dentists to treat the diagnostic item. Note that the diagnostic behavior 261, web questionnaire results 262, evaluation items 266, and corresponding evaluation criteria 267 may each be displayed individually (or in groups), or they may be displayed as a pop-up display, either all or in groups. If there is a large amount of information, it may be displayed by scrolling or by switching screens.

[0090] In this way, the evaluation guide displays specific diagnostic actions 261, web questionnaire results 262, evaluation items 266, and corresponding evaluation criteria 267 for each diagnostic item, enabling even inexperienced dentists and dental hygienists to make appropriate diagnoses.

[0091] The Web questionnaire results 262 are included in the lifestyle information. The Web questionnaire results 262 consist of the questionnaire items and lifestyle information from the Web questionnaire that correspond to the diagnostic items selected by the dentist. In other words, the evaluation guide creation unit 34 identifies the questionnaire items in the patient data storage unit 41 that are set as corresponding items to the diagnostic items selected by the dentist. This allows the evaluation guide creation unit 34 to automatically extract the lifestyle information corresponding to the diagnostic items.

[0092] Furthermore, if the video playback item in the guide information storage unit 43 is set to "Yes," the evaluation guide creation unit 34 may create an evaluation guide that includes a video playback section along with the web questionnaire results 262. Therefore, the display of meal videos can be automatically switched depending on the diagnostic items selected by the dentist. This allows for efficient acquisition of lifestyle information necessary for diagnosis within the limited consultation time.

[0093] The evaluation guide creation unit 34 may decide whether or not to create a video playback field on the evaluation guide screen 260 depending on whether or not the diagnostic behavior 261, evaluation item 266, or corresponding evaluation criterion 267 includes a provision for playing a meal video.

[0094] The evaluation guide creation unit 34 of the server device 30 creates an evaluation guide that includes evaluation items and evaluation criteria from among the 17 examination items of pediatric oral function treatment, according to the age and sex of the child. For example, if the target of diagnosis is "C-1 (delayed tooth eruption)", the evaluation criteria will also change depending on the sex, as the average timing of tooth eruption and the order of tooth eruption differ between boys and girls. Furthermore, the timing of eruption and the order of eruption also differ between deciduous teeth and permanent teeth, so the evaluation criteria will also change depending on age. By providing evaluation items 266 and their evaluation criteria 267 according to age or sex, the diagnostic terminal 20 can display appropriate evaluation items and evaluation criteria for the age or sex.

[0095] Thus, even if the evaluation items, evaluation criteria, image data, or evaluation points differ depending on age and gender, the server device 30 can display the evaluation items, evaluation criteria, image data, or evaluation points appropriate to age and gender on the diagnostic terminal 20. Therefore, dentists can make appropriate diagnoses according to the age and gender of children and other patients.

[0096] As shown in Figure 12, the evaluation guide creation unit 34 of the server device 30 creates an evaluation guide including normal and abnormal images for each evaluation item and evaluation criterion 266 or 267. Note that the normal and abnormal images are examples of evaluation points. Also, it is not necessary for all evaluation items and evaluation criteria to have normal or abnormal images.

[0097] For example, a dentist presses the details button 269 corresponding to an arbitrary evaluation item and its evaluation criterion 266 or 267. In Figure 12, the details button 269 for the evaluation item 266 "Upper lip is upturned and relaxed" and its evaluation criterion 267 for the diagnostic item "C-10 (Lip closure failure)" is pressed. The diagnostic terminal 20 requests image data for the evaluation item 266 "Upper lip is upturned and relaxed" and its evaluation criterion 267 from the server device 30. The evaluation guide creation unit 34 obtains image data corresponding to the evaluation item 266 "Upper lip is upturned and relaxed" and its evaluation criterion 267 from the guide information storage unit 43. The screen generation unit 32 of the server device 30 displays the image data corresponding to "Upper lip is upturned and relaxed" on the diagnostic terminal 20.

[0098] As a result, the diagnostic terminal 20 displays image data corresponding to "upward-facing and relaxed upper lip" from the server device 30 on the evaluation guide screen 260 in Figure 12. In Figure 12, the diagnostic terminal 20 displays image data 263 (photo) of the upper lip in a normal state and image data 264 (photo) of the upper lip in an abnormal state as evaluation points for examining the relaxation of the upper lip. When the shooting guide button 268 is pressed, the diagnostic terminal 20 displays a guide 265 for taking photographs. The evaluation guide screen 260 provides guidance on favorable angles, etc.

[0099] Furthermore, if the image data 263 and 264, along with evaluation item 266 and the corresponding evaluation criteria 267, have already been sent to the diagnostic terminal 20, communication between the diagnostic terminal 20 and the server device 30 is unnecessary.

[0100] When dentists are unsure about an assessment, being able to refer to normal and abnormal images allows even less experienced dentists to make an appropriate diagnosis.

[0101] Figure 13 shows an example of evaluation criteria according to age and sex. In Figure 13, the evaluation items and criteria are shown for the diagnostic item "C-1 (delayed tooth eruption)". In the evaluation criteria, evaluation criteria corresponding to age and sex are registered for both deciduous teeth and permanent teeth.

[0102] <<Instructional Phase>> Next, the guidance phase will be explained. The server device 30 shares a management plan for guidance, based on the results of the dentist's treatment, with the child and their guardian. In this embodiment, the "guidance content is systematized" for each of the 17 items of pediatric oral function treatment. An example of the systematized guidance content is the "cause / situation" and "response (content of the management plan)" of the guidance content information shown in Figure 10. The "cause / situation" does not have to be displayed. As shown in Figure 10, each of the 17 examination items of pediatric oral function treatment is associated with a cause / situation item and a response (content of the management plan).

[0103] Figure 14 shows the instruction content selection screen 270 displayed by the diagnostic terminal 20. The instruction content selection screen 270 is displayed when the dentist completes the oral function examination. The instruction content selection screen 270 can also be displayed during the examination. The diagnostic terminal 20 extracts and displays the relevant examination items based on the diagnosis. The following variations are possible. • Displays 17 test items + indicates if there is an abnormality in the corresponding item. • Display only the relevant items.

[0104] The dentist can view the results of the evaluation items, comments entered by the dentist, and photographs taken, in addition to the corresponding diagnostic items. The diagnostic terminal 20 requests a list of management plans for the selected C-10 from the server device 30. The instruction guide creation unit 35 of the server device 30 obtains the "correspondence (content of the management plan)" corresponding to C-10 from the instruction content information storage unit 44 in Figure 10 and passes it to the screen generation unit 32. The screen generation unit 32 displays the options from the list of management plans 277 as a pop-up on the instruction content selection screen 270. The diagnostic terminal 20 may also transition to another screen in addition to displaying the pop-up. Alternatively, the information from the instruction content information storage unit 44 may have been sent to the diagnostic terminal 20 in advance, in which case the diagnostic terminal 20 does not need to request a list of management plans for the pressed C-10 from the server device 30.

[0105] In Figure 14, list 277 of the management plans displays, for example, three management plans (instruction content) corresponding to C-10, "There is insufficient lip closure (lip closure is not observed at rest)." The dentist checks the appropriate management plan checkbox 278 from the three management plans based on the child's symptoms and interview. The checked management plan is reflected in the management plan item 274 on the instruction content selection screen 270. Not all management plans are selected in order to reduce the burden on parents and children.

[0106] Because dentists can select the actual instruction content from a list of 277 management plan items, even less experienced dentists and dental hygienists can choose appropriate instruction content, and inconsistencies in instruction content among staff can be reduced.

[0107] Figure 15 shows an example of documents displayed and printed by the diagnostic terminal 20. The diagnostic terminal 20 can display and print documents necessary for insurance calculation 281, materials to be given to the patient 282, etc. These are created by the guidance guide creation unit 35 based on information entered by the guardian or dentist during the diagnostic phase and guidance phase. Document 281 required for insurance calculation includes a management plan (results of the 17 examination items for pediatric oral function treatment and the management plan selected from management plan list 277), a checklist (results of the 17 examination items for pediatric oral function treatment), and a guidance and management record book (the management plan selected from management plan list 277, the date of guidance, the results of the guidance, etc.). • In addition to printing, document 282, which is given to patients, can be viewed in the following ways: • This system's own video and information website • Videos and information websites unique to dental clinics • Publicly available videos and information sites such as YouTube (registered trademark)

[0108] The 2D code 284 corresponds to the management plan in Figure 14 where the dentist checked checkbox 278. The instruction guide creation unit 35 encodes the URLs of care and training videos and information sites registered for the selected management plan into the 2D code 284. Thus, the 2D code 284 encodes the URLs of the "care and training videos and information sites selected by the dental clinic." For example, when the camera of the user terminal 10 photographs the 2D code 284 on the document 282 given to the patient by the guardian, the user terminal 10 can connect to the "care and training videos and information sites selected by the dental clinic" and display the videos, etc. (see Figure 16). Alternatively, the document 282 given to the patient may be sent to the guardian via push notification, email, or SNS. Furthermore, when the guardian operates the user terminal 10 and logs into the server device 30, they can display the document 282 given to the patient and connect to the care and training videos and information sites by pressing the 2D code, etc.

[0109] Figure 16 shows an example of "care and training videos and information sites selected by the dental clinic" displayed on the user terminal 10. In Figure 16, video 291 is displayed, and parents and children can use video 291 as a reference to perform care and training at home to improve oral function.

[0110] <Operation and Processing> Referring to Figures 17 to 19, the processing flow of the medical support system 100 will be explained. First, Figure 17 is a sequence diagram that explains the processing and operations performed by the medical support system 100 when a parent answers a web-based medical questionnaire.

[0111] S1: First, the parent / guardian performs a login operation on the user terminal 10. The operation reception unit 13 of the user terminal 10 receives the operation. The parent / guardian then performs an operation on the user terminal 10 to start the web-based medical questionnaire. The operation reception unit 13 of the user terminal 10 receives the operation.

[0112] S2: The communication unit 11 of the user terminal 10 requests a web-based medical questionnaire from the server device 30.

[0113] S3: The communication unit 31 of the server device 30 receives a request for a web-based medical questionnaire, the patient data management unit 33 retrieves the questionnaire items for the web-based medical questionnaire from the patient data storage unit 41, and sends the web-based medical questionnaire to the user terminal 10.

[0114] S4: The communication unit 11 of the user terminal 10 receives the web questionnaire, and the display control unit 12 displays the web questionnaire. The guardian answers the web questionnaire and inputs the child's age and gender into the user terminal 10. The guardian may also input lifestyle information. The operation reception unit 13 of the user terminal 10 accepts the input.

[0115] S5: In addition, parents can record videos of their children eating using the user terminal 10.

[0116] S6: The communication unit 11 of the user terminal 10 transmits the "child's age and gender" to the server device 30. If at least one of the "lifestyle information" or "meal video" is entered into the user terminal 10, the communication unit 11 transmits at least one of the entered "lifestyle information" or "meal video" to the server device 30.

[0117] S7: The communication unit 31 of the server device 30 receives the child's age, gender, lifestyle information, and meal video, and the patient data management unit 33 stores the "child's age and gender" in the patient data storage unit 41, associating it with the identification information of the child, etc. If at least one of the lifestyle information or meal video is received from the user terminal 10, the patient data management unit 33 stores at least one of the lifestyle information or meal video in the patient data storage unit 41. If the patient re-answers the web questionnaire or meal video, the latest version of the data may be saved in the server device 30. In this case, it may be overwritten or additional data may be saved.

[0118] Figure 18 is a sequence diagram illustrating the processes or operations performed by the medical support system 100 during the diagnostic and guidance phases.

[0119] S11: Next, the parent / guardian and child visit the dental clinic. There is no set timeframe between the submission of the child's age and gender and the visit, but a shorter period is preferable. After a certain amount of time has passed since the server device 30 received the child's age and gender, lifestyle information, and meal video, it may send a reminder to the parent / guardian's email address, etc., about the visit.

[0120] S12: The dentist begins the diagnosis of the patient. Specifically, the dentist sets the identification information of the child or other patient on the diagnostic terminal 20 by specifying the medical record of the child or other patient to be diagnosed on the diagnostic terminal 20.

[0121] S13: The communication unit 21 of the diagnostic terminal 20 specifies the identification information of the child, etc., and sends a request for "child's age and gender" to the server device 30. The communication unit 21 of the diagnostic terminal 20 may further send a request for at least one of lifestyle information or a video of meals to the server device 30.

[0122] S14: The communication unit 31 of the server device 30 receives a request for "child's age and gender," and the patient data management unit 33 retrieves the "child's age and gender" associated with the identification information of the child, etc., from the patient data storage unit 41 and transmits it to the diagnostic terminal 20. If the communication unit 31 of the server device 30 receives a request for at least one of "lifestyle information" or "meal video," the patient data management unit 33 retrieves at least one of the "lifestyle information" or "meal video" associated with the identification information of the child, etc., from the patient data storage unit 41 and transmits it to the diagnostic terminal 20. Note that the meal video may be transmitted at a different time than the lifestyle information.

[0123] S15: The communication unit 21 of the diagnostic terminal 20 receives the "child's age and gender," and the display control unit 22 displays it. When the communication unit 21 receives at least one of either "lifestyle information" or "meal video," the display control unit 22 displays at least one of either "lifestyle information" or "meal video." The dentist reviews the lifestyle information and meal video and conducts the necessary medical interview. In this case, the lifestyle information display screen 200 shown in Figure 11 is displayed.

[0124] S16: The dentist performs an operation on the diagnostic terminal 20 to display the evaluation guide screen 260 shown in Figure 12 for the purpose of diagnosing pediatric oral function treatment. The dentist may display any of the evaluation guide screens 260 at will, or they may display them in any order. The operation reception unit 23 of the diagnostic terminal 20 receives the operation. Note that the order in which Figure 11 and Figure 12 are displayed does not need to be fixed. The dentist may decide which of Figure 11 and Figure 12 is displayed first through operation. For example, Figure 12 may be displayed before Figure 11.

[0125] S17: The communication unit 21 of the diagnostic terminal 20 requests the evaluation guide screen 260 specified by the dentist from the server device 30.

[0126] S18: The communication unit 31 of the server device 30 receives a request for the evaluation guide screen 260, and the evaluation guide creation unit 34 creates the requested evaluation guide. The screen generation unit 32 generates screen information for the evaluation guide screen 260 using the evaluation guide. The screen generation unit 32 selects the guide information shown in Figure 9 according to the patient's age and gender, and generates the evaluation guide according to the guide information. The communication unit 31 transmits the screen information of the evaluation guide screen 260 to the diagnostic terminal 20.

[0127] More specifically, the communication unit 21 of the diagnostic terminal 20 transmits identification information of the diagnostic items selected by the dentist to the server device 30, requesting diagnostic actions, Web questionnaire results, and evaluation items and their evaluation criteria. The communication unit 31 of the server device 30 receives the request, and the evaluation guide creation unit 34 retrieves the diagnostic actions, Web questionnaire results, and evaluation items and their evaluation criteria corresponding to the diagnostic items from the storage unit to create an evaluation guide. Furthermore, if the dentist requests image data and evaluation points by pressing the details button for the evaluation items and their evaluation criteria, the communication unit 21 of the diagnostic terminal 20 transmits identification information of the evaluation items and their evaluation criteria selected by the dentist to the server device 30, requesting image data and evaluation points. The communication unit 31 of the server device 30 receives the request, and the evaluation guide creation unit 34 retrieves the image data and evaluation points associated with the identification information of the evaluation items and their evaluation criteria from the storage unit to create an evaluation guide.

[0128] S19: The communication unit 21 of the diagnostic terminal 20 receives screen information from the evaluation guide screen 260, and the display control unit 22 displays it (Figure 12). The dentist performs the diagnosis with the assistance of the evaluation guide screen 260. The evaluation items 266 entered by the dentist, their evaluation criteria 267, and the contents of the checkboxes, etc. (indicating that they apply) are sent to the server device 30. The patient data management unit 33 of the server device 30 saves the diagnostic results in the patient data storage unit 41.

[0129] S20: Once the dentist has completed the diagnosis, the instruction phase begins, and the instruction content selection screen 270 is displayed and entered into the diagnostic terminal 20. The operation reception unit 23 of the diagnostic terminal 20 receives the input.

[0130] S21: The communication unit 21 of the diagnostic terminal 20 specifies the identification information of the child, etc., and sends a request for the instruction content selection screen 270 to the server device 30.

[0131] S22: The communication unit 31 of the server device 30 receives a request for the instruction content selection screen 270, and the instruction guide creation unit 35 obtains the results of the pediatric oral function examination, which are associated with the identification information of the child, from the patient data storage unit 41. The screen generation unit 32 generates screen information for the instruction content selection screen 270 using the results of the pediatric oral function examination. The communication unit 31 of the server device 30 transmits the screen information of the instruction content selection screen 270 to the diagnostic terminal 20.

[0132] S23: The communication unit 21 of the diagnostic terminal 20 receives screen information from the instruction content selection screen 270, and the display control unit 22 displays it (Figure 14). The dentist adds to the management plan after interviewing the guardian, etc. The operation reception unit 23 of the diagnostic terminal 20 accepts the operation.

[0133] S24: Once the management plan is completed, the dentist performs an operation on the diagnostic terminal 20 to print out document 282 to be given to the patient. The operation reception unit 23 receives the operation.

[0134] S25: The communication unit 21 of the diagnostic terminal 20 requests the server device 30 for the document 282 to be given to the patient.

[0135] S26: The communication unit 31 of the server device 30 receives a request for materials 282 to be given to the patient, and the instruction guide creation unit 35 creates information for care and training. For example, the instruction guide creation unit 35 encodes the URL (an example of address information) of the "care and training videos and information sites selected by the dental clinic" corresponding to the management plan into a 2D code (the URL may also be left as is). The communication unit 31 of the server device 30 sends the materials 282 to be given to the patient, including the 2D code, to the diagnostic terminal 20. The user terminal 10 may perform the encoding into a 2D code. The communication unit 31 may also send the URL or 2D code via push notification to the patient's app, email, SNS, etc.

[0136] S27: The communication unit 21 of the diagnostic terminal 20 receives the document 282 to be given to the patient, the display control unit 22 displays it, and the output unit 24 prints it. The guardian can obtain the document 282 to be given to the patient and go home. The output unit 24 may print other documents necessary for insurance calculation. Alternatively, the communication unit 11 of the user terminal 10 may receive a URL or QR code from the server device 30 via app push notification, email, SNS, etc. In this case, printing of document 282 is not required.

[0137] Figure 19 is a sequence diagram illustrating the processes or actions performed by the medical support system 100 when a guardian provides care or training.

[0138] S31: For example, the guardian performs regular oral function care and training. At this time, the guardian connects the user terminal 10 to a website that contains care and training videos. For example, the guardian takes a picture of the 2D code on the document 282 given to the patient with the camera of the user terminal 10. This allows the user terminal 10 to connect to one or more of the following: • This system has its own dedicated (proprietary) video and information website. • Videos and information websites unique to dental clinics • Publicly available videos and information sites such as YouTube (registered trademark)

[0139] S32: The communication unit 11 of the user terminal 10 decodes the 2D code to connect to the URL of the care / training video or information site.

[0140] S33: The communication unit 31 of the server device 30 transmits instructional information corresponding to care and training videos and information sites to the user terminal 10 (see Figure 16).

[0141] S34: The communication unit 11 of the user terminal 10 receives instructional information, and the display control unit 12 displays the instructional information. This allows parents to care for and train the oral functions of their children.

[0142] <Main effects> In this embodiment, the medical support system 100 allows parents to answer a questionnaire about their child's age and gender at home beforehand. Parents may also input answers to a questionnaire about their lifestyle and at least one of the following: a video of their child eating. This allows dentists to obtain sufficient information during consultation time, even if lifestyle information is necessary for diagnosing oral functional developmental disorders.

[0143] For example, the dentist's diagnostic terminal 20 can display different examination items depending on the patient's age. Furthermore, by displaying diagnostic actions corresponding to the examination items, evaluation items corresponding to the examination items and the patient's age and gender, evaluation criteria, and whether or not photography is necessary, it is possible to ensure that there is no difference in the quality of diagnosis in pediatric oral function treatment, even if the dentist does not possess detailed know-how (specific evaluation methods and criteria).

[0144] Furthermore, although this embodiment describes a support service for assisting in the diagnosis of pediatric oral function, this embodiment may also be applied to the diagnosis of other diseases.

[0145] Furthermore, by systematizing the content of instruction and displaying the appropriate content on the diagnostic terminal 20, dentists can select and provide appropriate care or training to children diagnosed with oral functional developmental disorders, according to the corresponding diagnostic items.

[0146] [Other application examples] Although the best mode for carrying out the present invention has been described above using examples, the present invention is not limited in any way to these examples, and various modifications and substitutions can be made without departing from the spirit of the present invention.

[0147] For example, in this embodiment, the server device 30 has a screen generation unit 32, a patient data management unit 33, an evaluation guide creation unit 34, and a guidance guide creation unit 35, but the diagnostic terminal 20 may have some or all of these. In other words, the diagnostic terminal 20 may perform the processing described as being performed by the server device 30. In this case, the various storage units of the server device 30 are transmitted to the diagnostic terminal 20, or they exist on the network and can be accessed by the diagnostic terminal 20.

[0148] The apparatus described in the examples represents only one of several computing environments for carrying out the embodiments disclosed herein. In one embodiment, the server apparatus 30 includes multiple computing devices, such as a server cluster. The multiple computing devices are configured to communicate with each other via any type of communication link, including a network and shared memory, and perform the processing disclosed herein.

[0149] Furthermore, the server device 30 can be configured to share the processing steps disclosed in this embodiment, such as those shown in Figures 17 to 19, in various combinations. For example, a process executed by a predetermined unit can be executed by multiple information processing devices of the server device 30. Also, the server device 30 may be a single server device or it may be divided into multiple devices.

[0150] Furthermore, the configuration examples shown in Figure 6 and other figures are divided according to their main functions to facilitate understanding of the processing performed by the user terminal 10, diagnostic terminal 20, and server device 30. The present invention is not limited by the way the processing units are divided or the names of those units. The processing of the user terminal 10, diagnostic terminal 20, and server device 30 can be further divided into more processing units depending on the processing content. Alternatively, a single processing unit can be divided to include even more processing.

[0151] Furthermore, each function of the embodiments described above can be realized by one or more processing circuits. Hereinafter, "processing circuit" as used herein includes processors programmed to execute each function by software, such as processors implemented by electronic circuits, as well as devices such as ASICs (Application Specific Integrated Circuits), DSPs (digital signal processors), FPGAs (field programmable gate arrays), and conventional circuit modules designed to execute each of the functions described above.

[0152] Embodiments of the present invention bring about significant improvements in the capabilities and functionality of computers. These improvements enable users to utilize computers that provide more efficient and robust interaction with tables, which are methods for storing and presenting information in information processing devices. Furthermore, embodiments of the present invention provide a better user experience through the use of a more efficient, powerful, and robust user interface. Such a user interface provides better interaction between humans and machines. [Explanation of Symbols]

[0153] 10 user terminals 20 Diagnostic terminals 30 Server Devices 100 Medical Support Systems

Claims

1. A terminal device that can communicate with a server device via a network, A communication unit that receives multiple diagnostic items of the pediatric oral function from the server device in order to diagnose the pediatric oral function of a patient, A display control unit that displays multiple diagnostic items of pediatric oral function on the display of the terminal device, It functions as an operation reception unit that accepts the selection of the aforementioned diagnostic items, The communication unit requests the server device to provide the diagnostic actions, evaluation items, and evaluation criteria corresponding to the diagnostic items selected by the operation reception unit, and receives them from the server device. The display control unit displays the received diagnostic actions and the evaluation items and evaluation criteria on the display of the terminal device. program.

2. In the server device, the multiple diagnostic items are associated with one of the multiple examination items specified in the guidelines for pediatric oral function treatment. Furthermore, in the server device, the diagnostic items are associated with at least one of the patient's age or sex. The display control unit displays the multiple diagnostic items associated with the patient's age or gender. The program according to claim 1.

3. In the server device, the multiple diagnostic items are arranged in a unique order that takes into account the relationship between the disease state and the burden on the patient, or in an order in which items with similar postures or positions of the patient at the time of diagnosis are consecutive. The display control unit displays the plurality of diagnostic items in the order described above. The diagnostician can rearrange the order of the aforementioned diagnostic items. The program according to claim 1.

4. In the server device, the diagnostic items, and the evaluation items and evaluation criteria for the diagnostic items are associated with at least one of the patient's age or sex. The display control unit displays the evaluation items and evaluation criteria according to the patient's age or gender. The program according to claim 1.

5. The display control unit displays at least one of the evaluation items and evaluation criteria of the diagnostic item as at least one of oral cavity image data or illustrations, or The operation reception unit displays, with respect to at least one of the evaluation items and evaluation criteria of the diagnostic item selected, at least one of the oral cavity image data or illustrations that can be judged as normal, or at least one of the oral cavity image data or illustrations that can be judged as abnormal. The program according to claim 1.

6. The server device receives lifestyle information via the network from a user terminal operated by the patient or guardian, and acquires lifestyle information answered in response to a questionnaire about the patient's lifestyle. In the server device, the multiple questionnaire items for lifestyle information are pre-associated with any of the diagnostic items. The communication unit receives the patient's lifestyle information from the server device. The display control unit displays the answers to the items among the multiple questionnaire items of the lifestyle information that correspond to the diagnostic items selected by the operation reception unit. The program according to claim 1.

7. The server device acquires, along with the lifestyle information, a video of the patient orally ingesting food from the terminal device. In the server device, the multiple diagnostic items are pre-associated with whether or not to play the meal video. The communication unit receives the meal video from the server device, If the diagnostic item selected by the operation reception unit is associated with the instruction to play the meal video, The display control unit displays the playback section for the meal video along with the lifestyle information. The program according to claim 6.

8. The operation reception unit receives input indicating that the diagnostic item determined to be abnormal by the diagnostician corresponds to the above-mentioned item. The aforementioned communication unit receives multiple examination items specified in the guidelines for pediatric oral function treatment from the server device, The display control unit displays the received plurality of inspection items and also displays that there is a match for the inspection item that corresponds to the diagnostic item for which a match has been entered, or displays only the inspection item that corresponds to the diagnostic item for which a match has been entered. The program according to claim 1.

9. The display control unit, in response to a predetermined operation by the diagnostician on the examination item for which an abnormality is indicated, displays options for a management plan for caring for or training the pediatric oral function of the examination item. Accepting the setting of the aforementioned management plan selected by the diagnostician, The program according to claim 8.

10. The program according to claim 9, wherein the display control unit causes the care or training content corresponding to the management plan to be displayed.

11. The system has an output unit that outputs a checklist in which the above-mentioned applicable or inapplicable status is entered for each of the above-mentioned examination items, or a management plan document including the examination results for multiple examination items and the management plan, or a guidance management record book including the content, date, and results of the care or training provided, or materials to be given to the patient. The program according to claim 9.

12. The server device sets the evaluation items and whether or not it is necessary to take photographs of the oral cavity, facial features, etc. The display control unit displays a guide, including whether or not to take a photograph and the shooting angle, in association with the evaluation item selected by the operation reception unit. The program according to claim 4 or 5.

13. A method of displaying information performed by a terminal device that can communicate with a server device via a network, In order to diagnose the pediatric oral function of a patient, the process involves receiving multiple diagnostic items of the pediatric oral function from the server device, A process to display multiple diagnostic items of pediatric oral function on the display of the terminal device, A process for accepting the selection of the aforementioned diagnostic items, The process involves requesting the server device to provide the diagnostic actions, evaluation items, and evaluation criteria corresponding to the selected diagnostic items, and receiving them from the server device. The process of displaying the received diagnostic actions, and the evaluation items and evaluation criteria on the display of the terminal device, A method for displaying information.

14. A medical support system in which a server device and a terminal device can communicate via a network, The server device is A storage unit that stores multiple diagnostic items for pediatric oral function, diagnostic actions for the diagnostic items, and evaluation items and evaluation criteria for diagnosing the pediatric oral function of a patient, It has a first communication unit that transmits a plurality of diagnostic items of the pediatric oral function to the terminal device in response to a request from the terminal device, The aforementioned terminal device is A second communication unit that receives multiple diagnostic items of the aforementioned pediatric oral function, A display control unit that displays multiple diagnostic items of pediatric oral function received by the second communication unit, It has an operation reception unit that accepts the selection of the aforementioned diagnostic items, The second communication unit requests the server device to provide the diagnostic action corresponding to the diagnostic item selected by the operation reception unit, as well as the evaluation items and evaluation criteria, and receives them from the server device. The display control unit displays the received diagnostic actions, and the evaluation items and evaluation criteria. Medical support system.

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