Program, information display method, and diagnosis assistance system

Abstract

The present disclosure provides assistance in diagnosis related to pediatric oral functions by a dentist, a dental hygienist, or the like. In order to diagnose pediatric oral functions of a patient, the present disclosure provides a program for realizing functions of: a communication unit 21 that receives, from a server device 30, a plurality of diagnostic items regarding the pediatric oral cavity functions; a display control unit 22 that displays the plurality of diagnostic items regarding the pediatric oral cavity functions on a display of a terminal device; and an operation accepting unit 23 that accepts selection of the diagnostic items. The communication unit requests the server device for an evaluation criterion, an evaluation item, and a diagnostic action corresponding to the diagnostic items for which selection has been accepted by the operation accepting unit, and receives the same from the server device. The display control unit displays, on the display of the terminal device, the received evaluation criterion, evaluation item, and diagnostic action.

Description

Program, Information Display Method, and Medical Diagnosis Support System 【0001】 The present invention relates to a program, an information display method, and a medical diagnosis support system. 【0002】 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 demonstrated in adulthood, and the decline in oral functions accelerates in old age. Therefore, it is important to appropriately acquire and develop oral functions during childhood. 【0003】 However, in recent years, it is thought that there are many children who have not acquired normal oral functions. Therefore, at dental clinics, the developmental status of oral functions is examined based on the lifestyle habits and oral conditions of children, etc., to diagnose whether or not it is oral function developmental disorder. Dentists are guiding children, etc., 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 developmental stage of oral functions in children, etc., have been devised (see, for example, Patent Document 1). Patent Document 1 discloses a technique for monitoring children, etc., who are eating complementary foods and outputting the developmental stage of the oral functions of children, etc., using the obtained data. 【0005】 International Publication No. 2021 / 230295 【0006】 However, there is a problem that pediatric oral function diagnosis and treatment is not easy for diagnosticians such as dentists. For example, there are almost no test items for pediatric oral function diagnosis and treatment that can be quantitatively measured by machines like other diseases such as oral function decline in the elderly. Dentists are diagnosing based on information obtained from books and seminars, but practical diagnostic methods are not written in books. Therefore, it is easy for the knowledge levels to differ among dentists who provide diagnosis and treatment, and there is a risk that the quality of pediatric oral function diagnosis and treatment will vary. 【0007】 The present disclosure provides a technique for supporting the diagnosis and treatment of pediatric oral functions by dentists, dental hygienists, etc. 【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. 【0009】 This disclosure can support dentists, dental hygienists, and other professionals in providing care for pediatric oral function. 【0010】This diagram shows the 17 examination items for oral function developmental disorders. This diagram illustrates the flow of an example service performed by a medical support system. This diagram illustrates the diagnostic and guidance phases in pediatric oral function treatment. This diagram shows the system configuration of an example medical support system. This diagram shows the hardware configuration of an example server device, user terminal, and diagnostic terminal. This is an example functional block diagram that explains the functions of the user terminal, diagnostic terminal, and server device divided into blocks. This diagram shows an example of lifestyle information (Web questionnaire) and meal videos stored in the patient data storage unit. This diagram shows an example of diagnostic results stored in the patient data storage unit. This diagram shows an example of diagnostic information stored in the diagnostic information storage unit. This diagram shows an example of diagnostic information stored in the diagnostic information storage unit. This diagram shows an example of guide information stored in the guide information storage unit. This diagram shows an example of guidance content information stored in the guidance content information storage unit. This diagram shows an example of a lifestyle information display screen displayed by a diagnostic terminal. This diagram shows an example of an evaluation guide screen displayed by a diagnostic terminal. This diagram shows an example of evaluation items and evaluation criteria. This diagram shows an example of a guidance content selection screen displayed by a diagnostic terminal. This figure shows an example of a document displayed and printed by a diagnostic terminal. This figure shows an example of "care and training videos and information sites selected by the dental clinic" displayed by a user terminal. This is an example sequence diagram explaining the processes or actions performed by the medical support system when a parent answers a web questionnaire. This is an example sequence diagram explaining the processes or actions performed by the medical support system in the diagnostic phase and the instruction phase. This is an example sequence diagram explaining the processes or actions performed by the medical support system when a parent provides care or training. 【0011】 The following describes a medical support system and the information display method used by the medical support system as an example of how this disclosure can be implemented. 【0012】<Oral Function and Diagnosis> Oral function refers to the essential functions of the mouth, such as eating, speaking, and breathing, which are necessary for a person to live a healthy and fulfilling life. If appropriate oral function is not acquired and developed during childhood, it is said that appropriate oral function will not be performed in adulthood, and the decline in oral function will be accelerated in old age. Therefore, it is important to acquire and develop oral function appropriately during childhood. The government also considers this important, and has established a system in place to diagnose individuals under the age of 18 whose necessary oral functions have not been sufficiently developed as having "oral function developmental disorder (a medical condition)," and is expanding the scope of public health insurance coverage. 【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 set forth 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 clinical support system utilizes a computer and network to support pediatric oral function treatment by inexperienced dentists. (1) For example, the guardian answers a questionnaire about the child's age and gender in advance at home. The guardian may also input at least one of the following at home: lifestyle information and recording of meals. (2) For example, the clinical support system displays different examination items according to the patient's age. It also displays diagnostic actions corresponding to the examination items, evaluation items corresponding to the examination items and the patient's age and gender, and evaluation criteria on the dentist's diagnostic terminal. (3) For example, the clinical support system systematizes the content of guidance and displays an appropriate guidance management plan on the diagnostic terminal according to the relevant examination items. 【0023】 <Regarding Terminology> Pediatric oral function treatment is intended for individuals under 18 years of age. Generally, those receiving treatment are referred to as patients. In this embodiment, patients receiving 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 medical 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, the service flow of the medical support system will be explained with reference to Figures 2 and 3. Figure 2 is a diagram illustrating the service flow of the medical support system. In the home of a child, etc., a guardian can operate the user terminal. In a dental clinic, a dentist 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) Parents at home or elsewhere 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 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) When a child and their guardian visit the dental clinic, the dentist begins pediatric oral function examination. The diagnostic terminal displays at least one of the 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 looking at 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) If a dental clinic diagnoses oral functional developmental disorder, the dentist will display the guidance guide (appropriate guidance content) 527 on the diagnostic terminal. The dentist will refer to the guidance guide and select "care and training for acquiring normal oral function" according to the examination items that the patient is affected by, and provide guidance to the guardian or child. 【0032】(4) The dentist at the dental clinic will print out the "care and training content for children, etc." displayed on the diagnostic terminal. The medical support system may use QR codes (registered trademark, hereinafter omitted) as two-dimensional codes. Alternatively, barcodes may be used instead of two-dimensional codes. Specifically, the following output methods are possible: - Print a two-dimensional code on paper - Print a barcode on paper - Print the care and training content on paper - Print a URL on paper - Do not print, but send the URL of the "care and training content for children, etc." directly to the patient via app push notification, email, SNS, etc. In addition, the dentist can also print out "documents necessary for insurance calculation of pediatric oral function treatment," etc. 【0033】 (5) Parents at home or elsewhere can take a picture of a QR code, etc., with the user terminal 10 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 be performed at locations other than home, such as kindergarten. For example, training videos can be viewed at the following: - Videos and information sites unique to this system - Videos and information sites 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 a guidance phase. Figure 3 illustrates the diagnostic and guidance phases in pediatric oral function treatment. In Figure 2, (1) and (2) correspond to the diagnostic phase, and (3) corresponds to the guidance phase. Furthermore, home care (5) can be considered an extension of the guidance phase. 【0035】<System Configuration Example> 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 to communicate via networks N1 and N2. The server device 30 and the diagnostic terminal 20 are connected to communicate via networks N1 and N3. 【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 the 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 a "Web questionnaire" input screen on the user terminal 10, and the "child's age and gender" entered by answering the Web questionnaire is transmitted to the server device 30. The server device 30 can display a "meal video" input screen 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 the 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 guidance guides on the diagnostic terminal 20. The guidance guides support the guidance 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 on a browser, and is an application that processes data while the client-side and server-side programs work together. The web application not only processes information on 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 on a web browser, there is no need 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 their 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】<Hardware Configuration Example>Referring to FIG. 5, the hardware configurations of the server device 30, user terminal 10, and diagnostic terminal 20 included in the medical support system 100 will be described. FIG. 5 is a diagram showing an example of the hardware configurations of the server device 30, user terminal 10, and diagnostic terminal 20 according to the present embodiment. As shown in FIG. 5, the server device 30, user terminal 10, and diagnostic terminal 20 are constructed 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 imaging element 517. 【0044】 Among these, the CPU 501 controls the operation of the entire computer 500. The ROM 502 stores programs used for driving the CPU 501 such as the IPL. The RAM 503 is used as a 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 and from the HD 504 according to the control of the CPU 501. The display 506 displays various information such as a cursor, menu, window, characters, or images. The external device connection I / F 508 is an interface for connecting various external devices. The external devices in this case are, for example, a USB (Universal Serial Bus) memory, printer, etc. The network I / F 509 is an interface for performing data communication using the network N2. The bus line 510 is an address bus, data bus, etc. for electrically connecting the components such as the CPU 501 shown in FIG. 5. 【0045】Further, the keyboard 511 is a type of input means having a plurality of keys used for inputting characters, numerical values, various instructions, etc. The pointing device 512 is a type of input means for selecting and executing various instructions, selecting a processing target, moving a cursor, etc. The optical drive 514 controls the reading or writing of various data with respect to the optical storage medium 513 as an example of a removable recording medium. Note that 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 with respect to the recording medium 515 such as a flash memory. The imaging element 517 captures an image of the patient's face, etc., and generates at least one of a still image or a moving image. 【0046】 <Regarding Functions> Next, referring to FIG. 6, the functional configurations of the user terminal 10, the diagnostic terminal 20, and the server device 30 according to the present embodiment will be described. FIG. 6 is a functional block diagram for separately explaining the functions of the user terminal 10, the diagnostic terminal 20, and the server device 30 in blocks. 【0047】 <<User Terminal 10>> The user terminal 10 has 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 executing instructions included in one or more programs installed in the user terminal 10 as shown in FIG. 5. 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 app. The Web app is transmitted from the server device 30 to the user terminal 10. Note that when the user terminal 10 executes a native app, these may be realized by the native app. 【0048】 The communication unit 11 transmits and receives various information to and from the server device 30. The communication unit 11 receives a Web app including various screen information from the server device 30. The communication unit 11 transmits "the age and gender of the child" and the operation content of the guardian, etc. to the server device 30. When at least one of the lifestyle information or the meal video is input, 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 included 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 the dentist's operations and other information 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, one form of output is display 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 included 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 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 by email, or send it via 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 holds the screen configuration, and the information to be displayed is transmitted 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 an evaluation guide, as 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 and others 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 item is associated with the URL of the meal video uploaded by the user terminal 10. A path or folder name may be associated instead of a URL. The date the video was uploaded may also be stored. The age, gender, and lifestyle information (Web questionnaire) items store the item names from the Web questionnaire and the answers 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 applies or not. In addition, the results of evaluation items corresponding to each diagnostic item, comments from the dentist, 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 will be 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 performed in the order C-1 to C-17, the diagnostic process is 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: Intraoral examination (C-1, 2, 3) Visual inspection and palpation (C-4, 6, 9, 10, 12, 14) Review of eating video (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, there could be a one-to-one correspondence between the diagnostic items and the 17 examination items. 【0068】Figure 9 shows an example of guide information stored in the guide information storage unit 43. 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 actions that a dentist should take when diagnosing incomplete lip closure. Guide photographs (image data) may be attached to the diagnostic actions. This image data includes photographs, illustrations, 3D models, videos, etc., that serve as reference for the diagnostic actions. Note that image data is not necessarily attached to all diagnostic actions. ・Web questionnaire results are the item IDs of the Web questionnaire related to the diagnosis of "incomplete lip closure". The Web questionnaire contains questions useful for diagnosing "incomplete lip closure", and dentists can refer to the answers from children, etc. ・Evaluation items and their evaluation criteria are the items that a dentist should focus on to evaluate whether or not "incomplete lip closure" is present, and the criteria for how to evaluate them. The number of evaluation items and their evaluation criteria may differ depending on the diagnostic target. Furthermore, each evaluation item and its evaluation criteria may be accompanied by guide images (image data). This image data may include photographs, illustrations, 3D models, or videos 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 dentists to assess whether or not there is an abnormality in the lips. Note that image data is not necessarily attached to all evaluation items and their evaluation 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. Also, the timing and order of eruption differ between deciduous teeth and permanent teeth, so the evaluation criteria will also differ by age. By providing evaluation items and their evaluation criteria according to age or gender, the diagnostic terminal 20 can display appropriate evaluation items and their evaluation criteria for age or gender. ・For evaluation items, the necessity of taking photographs is indicated for each evaluation item. Since photographs of the oral cavity and facial features are required for insurance calculation, "Photography Required" and "Guidelines for Shooting Angles, etc." are registered for evaluation items where photography is useful. This not only prevents dentists from forgetting to take photographs, but also allows dentists to confirm the condition by showing the patient the photographs, and is effective for communication with patients as it allows for confirmation of changes in oral function over the long term. ・The evaluation results for the evaluation items show whether or not the above evaluation items apply. - The results of the diagnostic items indicate whether or not the item is applicable based on the evaluation results of the evaluation items above. In the example in Figure 9, "C-10 (incomplete lip closure)" is applicable. - The comments are optional information related to the diagnosis and are entered by the dentist. - The video playback item has a setting to indicate whether or not to play a video when the subject of the diagnosis is "incomplete lip closure". Whether or not to play a meal video is determined by whether or not the evaluation item and its evaluation criteria include a statement about playing a meal video. When the dentist selects a diagnostic item for which the video playback item is "yes", the video playback field 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 / situation and the response (content of the management plan). Note that the cause / situation 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 the services (1) to (5) provided by server device 30 in order. 【0076】 <<Diagnostic Phase: Questionnaire 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 lifestyle information or meal videos on the user terminal 10. If at least one of lifestyle information or meal videos is entered on the user terminal 10, at least one of the lifestyle information or meal videos 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 oral 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 the children. In this case, the dentist associates the web-based medical questionnaire with the identification information of the children 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 a 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 in which the guardian selected "yes" 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 essential. 【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 checks 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>> As shown in Figures 8A and 8B, the evaluation guide creation unit 34 of the server device 30 determines whether to display the 17 examination items for 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 and 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 the dentist (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 using 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 a diagnostic action 261, web questionnaire results 262, evaluation items 266, and 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 all or multiple items may be displayed as a pop-up. 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 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. In this way, lifestyle information necessary for diagnosis can be efficiently obtained 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 to play a video of the meal. 【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 diagnosis, 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 under the diagnostic item "C-10 (Lip closure failure)" was 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 transmitted 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】 <<Instruction Phase>> Next, we will explain the instruction phase. The server device 30 shares a management plan for instruction based on the results of the dentist's treatment with the child and their guardian. In this embodiment, the instruction content is systematized for each of the 17 items of pediatric oral function treatment. An example of the systematized instruction content is the "cause / situation" and "response (content of the management plan)" of the instruction 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 in the middle of the examination. The diagnostic terminal 20 extracts and displays the relevant examination items based on the diagnosis results. The following variations are possible: • Display all 17 examination items + indicate that there is an abnormality in the relevant item • Display only the relevant item 【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 the management plan list 277 in Figure 14, three management plans (instruction content) corresponding to C-10, "Insufficient lip closure (no lip closure at rest)," are displayed. 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 274 item 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 patients 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. • Documents necessary for insurance calculation 281 include a management plan (examination results for 17 examination items of pediatric oral function treatment and the management plan selected in the management plan list 277), a checklist (examination results for 17 examination items of pediatric oral function treatment), and a guidance management record book (management plan selected in the management plan list 277, date of guidance, guidance results, etc.). • Materials to be given to patients 282 can be viewed in the following ways in addition to printing: • Videos and information sites unique to this system • Videos and information sites 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 URL where care and training videos and information sites related to the selected management plan are registered into the 2D code 284. Thus, the 2D code 284 encodes the URL 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 of the document 282 given to the patient by the guardian on paper, 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 to be 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 to be 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> The flow of processing performed by the medical support system 100 will be explained with reference to Figures 17 to 19. 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 parent answers the web questionnaire and inputs the child's age and gender into the user terminal 10. The parent 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(ren) 【0121】 S13: The communication unit 21 of the diagnostic terminal 20 specifies the identification information of the child, etc., and sends a request for "the 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. When 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 "lifestyle information" or "meal video," the display control unit 22 displays at least one of "lifestyle information" or "meal video." The dentist checks 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 server device 30 to display the evaluation guide screen 260 specified by the dentist. 【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 transmitted to the server device 30. The patient data management unit 33 of the server device 30 saves the diagnosis 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 on 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 training. For example, the instruction guide creation unit 35 encodes the URL (an example of address information) of the "care training videos and information sites selected by the dental clinic" corresponding to the management plan into a two-dimensional code (it may also be left as a URL). The communication unit 31 of the server device 30 transmits the materials 282 to be given to the patient, including the two-dimensional code, to the diagnostic terminal 20. The user terminal 10 may perform the encoding into a two-dimensional code. The communication unit 31 may also transmit the URL or two-dimensional 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 the 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 performs an operation to connect the user terminal 10 to a website that has 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: - A website with videos and information dedicated to this system - A website with videos and information unique to the dental clinic - 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 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 in advance at home. 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 information about lifestyle is necessary for diagnosing oral functional developmental disorders. 【0143】 For example, the diagnostic terminal 20 used by dentists displays 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] The best mode for carrying out the present invention has been described above using examples, but 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 or 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, each 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" in this specification 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. 【0153】 This application claims priority based on Japanese Patent Application No. 2024-218621, filed with the Japan Patent Office on December 13, 2024, and the entire contents of Japanese Patent Application No. 2024-218621 are incorporated herein by reference. 【0154】 10 User terminals 20 Diagnostic terminals 30 Server device 100 Medical support system

Claims

1. 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 for a patient's pediatric oral function from the server device for the purpose of diagnosing the patient's pediatric oral function; a display control unit that displays the multiple diagnostic items for a patient's pediatric oral function on the terminal device's display; 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 selected 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 terminal device's display.

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

3. The program according to claim 1, wherein in the server device, the plurality of diagnostic items are arranged in a unique order that takes into account the relationship of 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, and the display control unit displays the plurality of diagnostic items in the order, and the diagnostician can rearrange the diagnostic items and their order.

4. The program according to claim 1, wherein 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, and the display control unit displays the evaluation items and evaluation criteria according to the patient's age or sex.

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

6. The program according to claim 1, wherein the server device receives lifestyle information via a network from a user terminal operated by a patient or guardian, and the lifestyle information is obtained from answers to a questionnaire about the patient's lifestyle, the server device has a plurality of questionnaire items of the lifestyle information that are pre-associated with any of the diagnostic items, the communication unit receives the patient's lifestyle information from the server device, and the display control unit displays the answers to the items among the plurality of questionnaire items of the lifestyle information that are associated with the diagnostic items selected by the operation reception unit.

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

8. The program according to claim 1, wherein the operation reception unit receives input indicating that the diagnostic item is determined to be abnormal by the diagnostician, the communication unit receives a plurality of examination items specified in the guidelines for pediatric oral function treatment from the server device, and the display control unit displays the received plurality of examination items and indicates that there is a corresponding item for the examination items that correspond to the diagnostic item for which the corresponding information was entered, or displays only the examination items that correspond to the diagnostic item for which the corresponding information was entered.

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

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

11. The program according to claim 9, having an output unit that outputs a checklist in which the applicable or inapplicable status is entered for each of the aforementioned examination items, or a management plan document including a list of examination results for the 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.

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

13. An information display method performed by a terminal device that can communicate with a server device via a network, the method comprising: receiving a plurality of diagnostic items for a patient's pediatric oral function from the server device in order to diagnose the patient's pediatric oral function; displaying the plurality of diagnostic items for a patient's pediatric oral function on the display of the terminal device; accepting the selection of the diagnostic items; requesting a diagnostic action, evaluation items, and evaluation criteria corresponding to the accepted selection of the diagnostic items from the server device and receiving them from the server device; and displaying the received diagnostic action, and the evaluation items and evaluation criteria on the display of the terminal device.

14. A medical support system in which a server device and a terminal device can communicate via a network, wherein the server device has a storage unit that stores a plurality of diagnostic items for a patient's pediatric oral function, diagnostic actions for the diagnostic items, and evaluation items and evaluation criteria for diagnosing the pediatric oral function of the patient, and a first communication unit that transmits the plurality of diagnostic items for pediatric oral function to the terminal device in response to a request from the terminal device, the terminal device has a second communication unit that receives the plurality of diagnostic items for pediatric oral function, a display control unit that displays the plurality of diagnostic items for pediatric oral function received by the second communication unit, and an operation reception unit that accepts the selection of the diagnostic items, the second communication unit requests the server device for the diagnostic actions and evaluation items and evaluation criteria corresponding to the diagnostic items selected 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.

Images