The present invention pertains to an examination result sheet creation apparatus, an examination result sheet creation method, an examination result sheet creation program, an examination result sheet, and an examination apparatus.
An intraoral disease risk and an intraoral state instanced by an intraoral hygiene state are required to be known for preventing and curing an intraoral disease. The intraoral disease risk connotes, e.g., a dental caries risk, aperiodontal disease and other equivalent risks. The dental caries risk is a risk indicating easiness of morbidity to the dental caries and also the easiness of a progress to the dental caries. The periodontal disease risk is a risk indicating the easiness of morbidity to the periodontal disease and also the easiness of the progress to the periodontal disease. The dental caries is also called a decayed tooth.
The intraoral disease risk and the intraoral hygiene state are diagnosed by measuring individual components, properties and other equivalent elements (examination items) that reflect the intraoral disease risk and the intraoral hygiene state in a way that uses a saliva collected from an examinee (a patient and other equivalent persons) and a mouth wash solution thereof. The examination items for measurement are exemplified by a caries fungus count (e.g., a mutans streptococci count) in the saliva, an acid buffer capacity (neutralizing capacity), an occult blood quantity, and a leukocyte count.
It is known that the caries fungus count in the saliva or the acid buffer capacity of the saliva reflect the caries risk. To be specific, the caries risk is considered higher with a larger caries fungus count or a weaker acid buffer capacity. It is also known that the occult blood quantity and the leukocyte count in the saliva reflect the periodontal disease risk. Specifically, it is known that upon a lesion of gingival tissues concomitant with the periodontal disease, the occult blood is detected in the saliva, and leucocytes concentrate ata morbidity region of the periodontal disease.
Known also is a measurement apparatus (e.g., Patent document 1) configured to display comments based on determined risk levels by measuring parameters that reflect the caries risk, the periodontal disease risk and intraoral cleanness with respect to the saliva obtained from an oral cavity, and determining risk levels of the caries risk, the periodontal disease risk and the intraoral cleanness risk.
In the measurement apparatus described in the Patent document 1, the user (the dentist) displays the measurement results of the examination items pertaining to the intraoral disease risk and the intraoral hygiene state to the examinee (the patient), in which case a single comment predetermined based on the measurement result per examination item is displayed together with the measurement results.
However, with such a single comment for the saliva examination, when the user (the dentist) performs other examinations like examinations about an intraoral diagnosis result and a lifestyle of the examinee (the patient) in addition to the saliva examination, results of these examinations are not reflected as the case may be.
On the other hand, when the user (the dentist) performs other examinations in addition to the result of the saliva examination, and comments based on the measurement results of the saliva examination are set freely describable, in which case it is difficult to provide unified comments, resulting in such a problem that there occurs a dispersion in evaluation of the intraoral state irrespective of obtaining the similar examination results.
It is an object of the present invention to provide a technology capable of providing measurement results of a saliva examination together with more proper comments.
A technology of the disclosure adopts the following means in order to solve the problems described above.
Specifically, a first aspect is an examination result sheet creation apparatus including:
a display unit to display examination results of a saliva examination and a plurality of comment candidates corresponding to the examination results;
an input unit to accept an input of a selection result of the plurality of comment candidates; and
a control unit to store at least one examination result and the comment selected from the comment candidates by being associated with each other on a storage unit, and to create an examination result sheet containing at least one examination result and the comment selected from the commend candidates.
According to the first aspect, the comments selected by the user (the dentist) are reflected in the examination result sheet on the basis of the examination results of the saliva examination.
A second aspect is the examination result sheet creation apparatus, in which the control unit further causes the display unit to display an input field of a free descriptive comment about the examination result of the saliva examination, stores the free descriptive comment by being associated with the examination result of the saliva examination on the storage unit when accepting the free descriptive comment inputted to the input field by using the input unit, and creates the examination result sheet containing the examination result of the saliva examination and the free descriptive comment.
According to the second aspect, the comments, which are freely inputted by the user (the dentist), are reflected in the examination result sheet on the basis of the examination results of the saliva examination.
A third aspect is the examination result sheet creation apparatus, in which the control unit further stores the free descriptive comment inputted to the input field as one of the plurality of comment candidates corresponding to the examination results on the storage unit.
According to the third aspect, the comment inputted by the user (the dentist) is stored on the storage unit and is dealt with as one of the comment candidates.
A fourth aspect is the examination result sheet creation apparatus, in which the display unit further displays an edit screen of the comments about the examination results of the saliva examination, and
the control unit stores, on the storage unit, a result of executing an edit process corresponding to the plurality of comment candidates by using information inputted from the input unit.
According to the fourth aspect, the comment candidates stored on the storage unit can be edited.
A fifth aspect is the examination result sheet creation apparatus further including a communication unit to output information of the plurality of comment candidates stored on the storage unit to an external apparatus.
According to the fifth aspect, the comment candidates edited and inputted by the user (the dentist) are transmitted to the external apparatus.
The aspect of the disclosure maybe attained by a program being run by an information processing apparatus. To be specific, a configuration of the disclosure can be specified as a program for making an information processing apparatus execute processes performed by respective means in the aspects described above, or as a non-transitory computer readable recording medium that records the program. Another configuration of the disclosure maybe specified as a method by which the information processing apparatus executes the processes performed by the respective means. Still another configuration of the disclosure may be specified as a system including the information processing apparatus that executes the proces ses performed by the respective means.
According to the present invention, it is feasible to provide the technology capable of providing the measurement results of the saliva examination together with more proper comments.
Embodiments will hereinafter be described with reference to the drawings. Configurations of the following embodiments are exemplifications, and the present invention is not limited to the concrete configurations of the embodiments of the disclosure. On the occasion of carrying out the present invention, the concrete configurations corresponding to the embodiment may be properly adopted.
(Example of Configuration)
In the examination result sheet creation system 1 according to embodiment 1, the examination apparatus 20 measures the predetermined examination items by using the saliva of the examinee (the patient). The examination result sheet creation apparatus 10 presents, to a dental doctor and other equivalent experts, comment selective options per examination item, based on measurement results of the examination by the examination apparatus 20, and creates the examination result sheet containing the comment selected or inputted by the dental doctor and the measurement results.
Herein, the predetermined examination items about the saliva of the examinee (the patient) are measured beforehand, and the measurement results are previously stored in a storage unit 12, whereby the examination result sheet creation apparatus 10 may create the examination result sheet. The examination result sheet creation apparatus 10 may also create the examination result sheet by acquiring the measurement results of the examination about the saliva of the examinee (the patient) via the network and other equivalent communication links).
The control unit 11 controls whole operations of the examination result sheet creation apparatus 10. The control unit 11 may also control the operation of the examination apparatus 20 via the communication unit 16.
The storage unit 12 stores data used by the examination result sheet creation apparatus 10, dental record (Karte) tables containing information of the examinees (the patients), and data of a comment database (DB) containing the comments corresponding to the examination items and the measurement results.
The input unit 13 accepts an input of characters and other equivalent codes by a user (a dentist and other equivalent practitioners), and selection and manipulation of a button and other equivalent input elements. The input unit 13 is attained by a keyboard, a pointing device and other equivalent devices.
The display unit 14 displays the information of the examinee (the patient), the measurement results, the comments for the measurement results, care guidances or comments pertaining to dental care products, and instructions for the user (the dentist). The display unit 14 is attained by, e.g., a display device like a display and other equivalent devices.
The print unit 15 prints, on printing paper, the examination result sheet containing the measurement results and the comments about the measurement results on the basis of an instruction given from the control unit 11. The print unit 15 is attained by a printing device instanced by a printer.
The communication unit 16 performs communications of the data with other apparatuses, i.e., the examination apparatus 20, the comment accumulation server 30 and other equivalent apparatuses. External devices instanced by an external storage device can be connected to the communication unit 16.
The examination result sheet creation apparatus 10 enables the user (the dentist) to harvest and measure the saliva by employing the examination apparatus 20 such as displaying an operation method of the examination apparatus 20. The examination apparatus 20, upon finishing the examination of the saliva, transmits the measurement results of examining the saliva to the examination result sheet creation apparatus 10. The examination result sheet creation apparatus 10 receives the measurement results of the examination from the examination apparatus 20. The received measurement results of the examination are stored in the dental record table per examinee (patient).
The examination result sheet creation apparatus 10 may previously measure the predetermined examination items about the saliva of the examinee (the patient), and may acquire the measurement results of the examination that are stored in the storage unit 12. The examination result sheet creation apparatus 10 may also acquire the measurement results of the examination about the saliva of the examinee (the patient) via the network.
For example, the examination apparatus 20 measures the predetermined examination items by dispensing a drop of a 3 ml mouth wash solution, into which the examinee (the patient) washes a mouth by distilled water for 10 sec, on test paper, and transmits the measurement results to the examination result sheet creation apparatus 10. Herein, the predetermined examination items are seven items, i.e., a caries fungus count of the saliva, pH, an acid buffer capacity, an occult blood quantity, a leukocyte count, a protein concentration, and an ammonia concentration. A reagent corresponding to each examination item is applied onto the test paper. The examination apparatus 20 measures the caries fungus count as the examination item by detecting a color in color reaction between the reagent and the saliva of the examinee (the patient) on the test paper. A measurement method is not limited to the method described herein.
Herein, the caries fungus count, the pH and the acid buffer capacity are used as parameters reflecting a dental caries risk. The parameters reflecting the dental caries risk are not limited to those described above, but may involve using glucosyltransferase activity, a sucrose level, a glucose level, an organic acid concentration, a lactate concentration, a calcium concentration, a phosphate concentration, and a reactivity to a mutans streptococci immune body.
The caries fungi (mutans streptococci) are pathogenic bacteria of the dental caries. The dental caries risk is considered higher with a larger number of caries fungi. The pH of the saliva decreases due to acid produced by the caries fungi. When a large quantity of acid is produced, enamel on a tooth surface is dissolved, with the result that the dental caries get progressed. The dental caries risk is considered higher with a lower level of the pH of the saliva. The acid buffer capacity indicates resistance against the acid produced by the caries fungi. Hence, the dental caries risk is considered higher with a lower acid buffer capacity.
Herein, the occult blood quantity, the leukocyte count and the protein concentration are used as the parameters reflecting a periodontal disease risk. The parameters reflecting the periodontal disease risk are not limited to those described above, but may involve using a calcium concentration, an alkaline phosphatase activity, a nitrite concentration, a lactate dehydrogenase activity, a lipopolysaccharide concentration, a reactivity to a periodontal disease immune body, a γ-GTP concentration, an albumin concentration, an antioxidant degree, an IgA concentration, a cystatin concentration, and an α1-antitrypsin concentration.
The occult blood quantity in the saliva is detected upon a lesion of gingival tissues concomitant with the periodontal disease. A lesion degree of periodontal tissues can be therefore known by measuring the occult blood quantity. It is considered that the lesion degree of the periodontal tis sues becomes higher and the periodontal disease risk becomes higher with the larger occult blood quantity. The leukocytes are to be concentrated on a morbidity region of the periodontal disease. Hence, an inflammatory degree of the periodontal tissues can be known by measuring the leukocyte count. It is considered that the inflammatory degree of the periodontal disease becomes higher and the periodontal disease risk becomes higher with a larger leukocyte count. It is also considered that a fungus count of the periodontal disease becomes larger and the periodontal disease risk becomes higher with a higher protein concentration in the saliva.
Herein, the ammonia concentration is used as the parameter reflecting intraoral cleanness. The parameter reflecting the intraoral cleanness is not limited to the ammonia concentration, but may involve using the protein concentration, a total fungus count, a turbidity, a viscosity and a secrete quantity.
It is known that the intraoral fungi are actively propagated, in which case the ammonia concentration in the saliva gets high. The intraoral cleanness is therefore considered to be lower as the ammonia concentration becomes higher.
The comment accumulation server 30 accumulates the comments used when creating the examination result sheet in the examination result sheet creation apparatus 10. The comment accumulation server 30 accumulates the comments used when creating the examination result sheet, which are transmitted from the examination result sheet creation apparatus 10, and extracts the frequently used comments.
The examination result sheet creation apparatus 10 can be attained by employing a dedicated or general-purpose computer (information processing apparatus) instanced by a Personal Computer (PC), a workstation (WS), a Personal Digital Assistant (PDA), or by employing an electronic equipment mounted with the computer. The examination result sheet creation apparatus 10 can be attained by employing a smartphone, a mobile phone, a tablet terminal, the dedicated or general-purpose computer, or the electronic equipment mounted with the computer. The comment accumulation server 30 can be attained by employing the dedicated or general-purpose computer (information processing apparatus) instanced by the Personal Computer (PC), the workstation (WS), the Personal Digital Assistant (PDA), or by employing the electronic equipment mounted with the computer.
The processor 102 loads programs stored on the recording medium onto a work area of the memory 104 and runs the programs, and the respective constructive units are controlled through running the programs, whereby the information processing apparatus 100 can attain functions conforming to predetermined purposes.
The processor 102 is exemplified by a Central Processing Unit (CPU) and a Digital Signal Processor (DSP).
The memory 104 includes a Random. Access Memory (RAM) and a Read Only Memory (ROM). The memory 104 is also called a main storage device.
The storage unit 106 is exemplified by an Erasable Programmable ROM (EPROM) anda Hard Disk Drive (HDD). The storage unit 106 can include a removable medium, i.e., a portable recording medium. The removable medium is a disc recording medium instanced by a Universal Serial Bus (USB) memory or a Compact Disc (CD) anda DigitalVersatile Disc (DVD). The storage unit 106 is also called a secondary storage device.
The storage unit 106 stores various categories of programs, various items of data and various types of tables in a readable/writable manner on the recording medium. An Operating System (OS), the various categories of programs and the various types of tables are stored on the storage unit 106. Information stored on the storage unit 106 may also be stored on the memory 104. Information stored on the memory 104 may also be stored on the storage unit 106.
The OS is software that functions as an intermediary between software and hardware, and performs managements of a memory space, files, processes and tasks. The OS includes a communication interface. The communication interface is a program that transfers and receives the data to and from other external apparatuses interconnected via a communication control unit 112. The external apparatuses include, e.g., other information processing apparatuses, external storage devices and other equivalent devices.
The input unit 108 includes a keyboard, a pointing device, a wireless remote controller, a touch panel, and other equivalent devices. The input unit 108 can include a video/still image input device like a camera, and a voice input device like a microphone.
The output unit 110 includes a display device instanced by a Cathode Ray Tube (CRT) display, a Liquid Crystal Display (LCD), a Plasma Display Panel (PDP) and an Electroluminescence (EL) panel, and an output device instanced by a printer. The output unit 110 can include a voice output device like a loudspeaker.
The communication control unit 112 establishes connections with other apparatuses, and thus controls the communications between the information processing apparatus 100 and other apparatuses. The communication control unit 112 is exemplified by a Universal Serial Bus (USB) interface board, a video output circuit, a Local Area Network (LAN) interface board, a wireless communication circuit for wireless communications, and a communication circuit for telephone communications. The LAN interface board and the wireless communication circuit are connected to a network instanced by the Internet. The communication circuit for the telephone communications is connected to a telephone communication network. For example, the information processing apparatus 100 is connected to the examination apparatus 20 via the communication control unit 112.
The input unit 108 and the output unit 110 may be an input device and an output device respectively as peripheral devices independent of the information processing apparatus 100. Hereat, the input device and the output device are connected to the information processing apparatus 100 via the communication control unit 112 of the information processing apparatus 100.
The processor loads the programs stored on the secondary storage device onto the main storage device and runs the programs, whereby the information processing apparatus to attain the examination result sheet creation apparatus 10 implements functions as the control unit 11, the input unit 13, the display unit 14, the print unit 15 and the communication unit 16. On the other hand, the storage unit 12 is provided in a storage area of the main storage device or the secondary storage device.
The respective units of the examination result sheet creation apparatus 10 can be respectively attained as hardware components, software components or combinations thereof.
The hardware components are hardware circuits instanced by a Field Programmable Gate Array (FPGA), an Application Specific Integrated Circuit (ASIC), a gate array, a combination of logic gates, and an analog circuit.
The software components are components for implementing predetermined processes softwarewise. The software components are not concepts that limit programming languages to attain the software, and development environments.
Steps of describing the program include processes that are, as a matter of course, executed in time-series along a described sequence, and processes that are not necessarily executed in time-series but are executed in parallel or individually. Part of the steps describing the program may be omitted.
(Operational Example)
Described is an operational example of how the examination result sheet creation apparatus 10 creates the examination result sheet. Given herein is the operational example of the examination result sheet creation apparatus 10 when the user (the dentist)) of the examination result sheet creation apparatus 10 creates the examination result sheet by examining the saliva (examination) of the examinee (the patient) by employing the examination apparatus 20.
In step S101, the control unit 11 of the examination result sheet creation apparatus 10 displays a patient information input screen for inputting information of the examinee (the patient) on the display unit 14. The control unit 11 waits for the user (the dentist) to input the information of the examinee (the patient).
When an examinee (a patient) to undergo an examination from now is the examinee (the patient) having undergone the examination in the past, the dental record table pertaining to the examinee (the patient) concerned exists in the storage unit 12. The dental record table is a table for storing the information of the examinee (the patient). One dental record table is created for every one examinee (the patient) and is identified by a dental record number. Hereat, the user (the dentist) inputs the dental record number to the dental record number input field D110 on the patient information input screen D100, and, when selecting the “dental record number based patient information call” button D115, the control unit 11 acquires the dental record table associated with the inputted dental record number from the storage unit 12. A variety of buttons within the screen displayed on the display unit 14 are selected by an input manipulated on the keyboard serving as the input unit 13, and a click manipulated on the pointing device as the input unit 13.
The dental record table T100 may directly store actual values (measurement values) as the measurement results of the respective examination items, and may also store ranks such as “high (numerous, strong)”, “intermediate” and “low (very few, weak) ” by classifying the actual values into a plurality of ranks, i.e., “high (numerous, strong)”, “intermediate” and “low (very few, weak)” on the basis of a predetermined threshold value. The classification can provide a rank “high (numerous, strong) ” with the actual value being equal to or larger than a first threshold value, a rank “intermediate” with the actual value being smaller than the first threshold value but equal to or larger than a second threshold value, and a rank “low (very few, weak)” with the actual value being smaller than the second threshold value. Herein, the first threshold value is larger than the second threshold value. Each threshold value is determined per examination item. The dental record table T100 may store both of the actual values and the ranks. In the example in
Herein, through classified into the ranks at three stages such as “high (numerous, strong)”, “intermediate” and “low (very few, weak) ”, a number of stages of the classification is not limited to “3”. The number of stages of the classification may be equal to or larger than “2”, and may also be increased or decreased depending on the examination items. Classification in the below-mentioned comment DB is also varied corresponding to the number of stages of the classification.
The control unit 11, when acquiring the dental record table T100 from the storage unit 12, extracts the name of the patient, the birth date, the gender and the memorandum from the dental record table T100. The control unit 11 displays the patient information input screen D100 on the display unit 14 in a way that reflects the extracted name of the patient and other items in the corresponding input fields.
The user (the dentist) checks the information of the examinee (the patient) displayed on the display unit 14, then makes a change when there is an item to be changed, and selects the “next” button. The control unit 11, upon selecting the “next” button, checks whether the information of the examinee (the patient) is changed or not, then, when the changed item exists, updates the dental record table T100 with respect to the changed item, and stores the updated dental record table T100 on the storage unit 12.
When the examinee (the patient) undergoing the examination from now is an examinee (a patient) not undergoing any examinations in the past, any dental record table pertaining to this examinee (the patient) does not exist in the storage unit 12. Accordingly, the user (the dentist) inputs the name, the birth date, the gender and the memorandum of the examinee (the patient) to the respective input fields together with the dental record number. The user (the dentist), upon inputting the information of the examinee (the patient), selects the“next” button. The control unit 11, when the“next” button D160 is selected, creates a new dental record table T100 in the storage unit 12, and stores the examinee (the patient) information inputted to the respective input fields in the created dental record table T100.
After selecting the “next” button D160 and when updating or creating the dental record table T100, the processing advances to step S102.
In step S102, the control unit 11 of the examination result sheet creation apparatus 10 displays an examination procedure and other equivalent matters on the display unit 14, causes the examination apparatus 20 to measure the examination items about the saliva of the examinee (the patient) via the communication unit 16.
The examination result sheet creation apparatus 10 displays the examination procedure of examining the saliva on the display unit 14. Based on the examination procedure displayed on the display unit 14, the user (the dentist), after harvesting the saliva from the examinee (the patient) whose information is inputted in step S101, transmits a signal indicating a start of the measurement to the examination result sheet creation apparatus 10 from the examination apparatus 20. The examination result sheet creation apparatus 10 displays a measurement procedure and other equivalent matters on the display unit 14. The user (the dentist) sets the test paper on which the saliva is harvested in the examination apparatus 20 on the basis of the measurement procedure displayed on the display unit 14. The examination result sheet creation apparatus 10 causes the examination apparatus 20 to measure the predetermined examination items with respect to the thus-set test paper. Upon finishing measuring the predetermined examination items, the examination apparatus 20 transmits a signal indicating an end of the measurement to the examination result sheet creation apparatus 10.
In step S103, the control unit 11 of the examination result sheet creation apparatus 10, when receiving the signal indicating the end of the measurement via the communication unit 16 from the examination apparatus 20, instructs the examination apparatus 20 to transmit the examination date/time and the measurement results. The examination apparatus 20 transmits the examination date/time and the measurement results to the examination result sheet creation apparatus 10. The examination apparatus 20 may also transmit the examination date/time and the measurement results together with the signal indicating the end of the measurement to the examination result sheet creation apparatus 10.
The examination result sheet creation apparatus 10 stores the examination date/time and the measurement results acquired from the examination apparatus 20 in the dental record table T100 of the examinee (the patient) undergoing the examination. The examination date/time is stored together with the measurement results in the dental record table T100.
In step S104, the control unit 11 of the examination result sheet creation apparatus 10 displays a measurement result screen of the examination performed this time in step S102 on the display unit 14.
The chart D210 takes a heptagon having seven angles matching to the number of the examination items. Seven axes extending toward respective apexes from a center of the heptagon correspond to the examination items, respectively. Positions on the axes extending toward the respective apexes from the center of the heptagon correspond to degrees (ranks) of the examination items. Herein, the position closer to the center on the axis corresponds to a better value of the examination item. In
The control unit 11 of the examination result sheet creation apparatus 10 may display the measurement results of the past examinations together with the measurement results of the examination of this time on the measurement result screen D200. The user (the dentist) can visually recognize the measurement results through the measurement result screen D200. When the user (the dentist) selects the “next” button D220, the processing advances to step S105.
In step S105, the control unit 11 acquires, based on the measurement results, the comments from the comment DB of the storage unit 12 per examination item. The comment DB is previously stored on the storage unit 12. The comment DB contains a comment table about all the examination items and ranks. Each comment table contains the plurality of comments. The comment is a message provided to the examinee (the patient) together with the measurement results.
In the example of
In the case of the examinee (the patient) undergoing the examination in step S102, for example, the rank is “intermediate” about the examination item “occult blood quantity” in the examination of this time, and hence the control unit 11 acquires the comments contained in the comment table T220. The control unit 11 acquires, based on the ranks about other examination items, the comments contained in the comment table of the comment DB.
In step S106, the examination result sheet creation apparatus 10 displays a comment determination screen on the display unit 14. The comment determination screen is a screen containing the measurement result, a comment field, and an overview comment input field per examination item. The user (the dentist) determines the comment with respect to each examination item, and inputs the overview comment on the comment determination screen.
The examination result chart D310 is similar to the chart D210 illustrated on the examination result screen D200 in step S104. The examination result chart D310 enables the user (the dentist) to visually recognize the measurement results of the examination of the examinee (the patient). The measurement results of the past examinations may also be displayed in the examination result chart D310. When selecting the comment, the user (the dentist) can select a more proper comment by referring to the past data.
The decayed tooth risk related field D320 contains an examination item field (of decayed tooth risk related items), an examination result field (of the results of this time) and a comment field. The “decayed tooth fungus count”, the “pH” and the “acid buffer capacity” are described as the items related to the decayed tooth risk in the examination item field. The measurement results of the examination of this time with respect to the examination items are described in the examination result field. The comments about the examination results are described in the comment field. Of the comments acquired in step S105, one comment is described per examination item in the comment field. The comments described herein are temporary comments. The temporary comments are the comments described for the first time in, e.g., the comment table. The temporary comments may also be comments each exhibiting, e. g., a maximum selection count given in the past. A null value may remain in the comment field till a comment is selected or inputted. The temporary comments may also take null values in their fields. The same as the decayed tooth risk related field D320 is applied to the periodontal disease risk related field D330 and the intraoral cleanness related field D340.
The overview comment input field D350 is a field to which the user (the dentist) determines the measurement results and freely inputs the comments. The user (the dentist) inputs the comments, which are proper for being provided to the examinee (the patient) from the user (the dentist), to the overview comment input field D350. The user (the dentist) can input the comments of comprehensively determining the measurement results, intraoral diagnostic results, a lifestyle and other equivalent items toe the overview comment input field D350.
Upon finishing selecting or inputting the comments with respect to the examination items and the overview comment, the comments concerning the respective examination items, which are selected or inputted by the user (the dentist), are displayed in the comment determination screen D300, and the overview comment inputted by the user (the dentist) is displayed in the overview comment input field. Null values may be given to the comment field and the overview comment field. Thereafter, when the user (the dentist) selects the “next” button D370, the processing advances to step S107. The user (the dentist) selects the “next” button D370, thereby determining the respective comments.
In step S107, the control unit 11 of the examination result sheet creation apparatus 10 stores all the comments (including the overview comment) determined in step S106 in the comment field of the examination of this time in the dental record table T100 of the examinee (the patient). For example, the comments selected or inputted with respect to the “occult blood quantity” are stored in the comment field of the “occult blood quantity” of the examination results given this time in the dental record table T100.
In step S108, the control unit 11 of the examination result sheet creation apparatus 10 adds, to the comment DB, the comment inputted directly by the user (the dentist) in the comments with respect to the respective examination items determined in step S106. For example, the user (the dentist) directly inputs the comment as the comment of the rank “intermediate” of the examination item “occult blood quantity”, in which case the control unit 11 adds the directly inputted comment to the comment table T220 of the comment DB of the storage unit 12. The added comment is one of the comments displayed on the occasion of determining the comment on a next opportunity.
In step S109, the control unit 11 of the examination result sheet creation apparatus 10 displays a clinic name/dentist name input screen D400 on the display unit 14. The control unit 11 waits for the user (the dentist) to input a clinic name and a dentist name.
The user (the dentist) inputs a name of the dental clinic and a name of the dentist that conduct the examination to the clinic name input field D410 and the dentist name input field D420 via the input unit 13. When the user (the dentist) selects the “next” button D430 after inputting the dentist name and other equivalent information, the control unit 11 stores the inputted clinic name and the inputted dentist name in the clinic name field and the dentist name field of the examination of this time in the dental record table T100 of the examinee (the patient). Through this process,it follows that the measurement results of the examination of this time, the comments about the measurement results, the name of the dental clinic and the name of the dentist that conduct the examination, are stored in the dental record table T100 of the examinee (the patient). When the clinic name and the dentist name are stored in the dental record table T100, the processing advances to step S110.
After performing the examination and determining the comments, the name of the dentist conducting the examination can be surely left as a record by causing the user to input the clinic name and the dentist name. The clinic name input field D410 and the dentist name input field D420 of the clinic name/dentist name input screen D400 are contained in the comment determination screen D300 in step S106, and may also be inputted together with the overview comment.
In step S110, the control unit 11 of the examination result sheet creation apparatus 10 creates the examination result sheet, and the print unit 15 prints the examination result sheet on the print paper. The printed examination result sheet is handed over to the examinee (the patient) from the user (the dentist).
The control unit 11 of the examination result sheet creation apparatus 10 may also display the examination result sheet on the display unit 14. At this time, the user (the dentist) can explain the examination results to the examinee (the patient) while seeing the examination result sheet displayed on the display unit 14 together with the examinee (the patient). Hereat, the control unit 11 of the examination result sheet creation apparatus 10 may not print the examination result sheet by the print unit 15. Electronic data of the examination result sheet may be stored on the storage unit 12.
The examinee (patient) name P110 is a name of the examinee (the patient) of the examination of this time. the name of the examinee (the patient) is extracted from the dental record table T100.
The examination date/time P120 is a date and time when performing the examination of this time. The date and the time when performing the examination of this time are extracted from the dental record table T100.
The measurement result chart P130 is a chart of the measurement results of the examination of this time. The measurement result chart P130 is the same as the chart D210 on the measurement result screen D200. The measurement results of the past examinations may be superposed on the measurement result chart P130. The superposition of the measurement results of the past examinations enables an easy comparison between the measurement results of the past examinations and the measurement results of the examination of this time.
The decayed tooth risk related field P140 contains descriptions of the “decayed tooth fungus count”. The “pH” and the “acid buffer capacity” as the items pertaining to the caries risk, and also descriptions of the measurement results of the examination of this time and the comments about these items. The comments are the comments determined in step S106. The same as the decayed tooth risk related field P140 is applied also to the periodontal disease risk related field P150 and the intraoral cleanness related field P160.
The overview comment field P170 contains a description of the comment inputted as the overview comment by the user (the dentist) in step S106.
The name of the dental clinic and the name of the dentist that conduct the examination are described in the clinic name field P180 and the dentist name field P190. The clinic name and the dentist name are the names inputted in step S110.
(Edit of Comment DB)
In the operation flow described above, the user (the dentist) can input the comments for the respective examination items when the examination result sheet creation apparatus 10 creates the examination result sheet. However, when inputting the comments while creating the examination result sheet, the creation of the examination result sheet requires a considerable period of time as the case may be. Such being the case, there is herein made a description of how the comment table of the comment DB is edited previously (before creating the examination result sheet).
The control unit 11 of the examination result sheet creation apparatus 10 displays the examination items and the ranks, which become comment edit targets, on the display unit 14. The user (the dentist) selects the examination item and the rank (e.g., the “occult blood quantity” and “intermediate”) desired to edit the comments from the examination items and the ranks displayed on the display unit 14. The control unit 11 of the examination result sheet creation apparatus 10 extracts, from the storage unit 12, the comment table containing the selected examination item and rank, and displays all the comments contained in this comment table. The user (the dentist) edits the comments such as adding, modifying and deleting the comments displayed on the display unit 14 via the input unit 13. When the user (the dentist) finishes editing the comments, the control unit 11 of the examination result sheet creation apparatus 10 stores the edited comments in the comment table. The post-editing comments stored in the comment table are used when creating the examination result sheet on the next opportunity.
The examination result sheet creation apparatus 10 enables the user (the dentist) to thus edit the comments contained in the comment DB. The user (the dentist) can add, modify and delete the comments described in the comment table of the comment DB before creating the examination result sheet. It is feasible to add a new comment and delete the comment not used (not selected) by editing the comment list. The comment DB can be edited, thereby enabling the user (the dentist) to quickly select a more proper comment when creating the examination result sheet.
(Transmission to Comment Accumulation Server)
The examination result sheet creation apparatus 10 transmits the measurement results of the examination about the examination items of the examinee (the patient) and the comments made by the user (the dentist) with respect to the measurement results, to the comment accumulation server 30 defined as the external apparatus via the communication unit 16.
The dental record table T100 is stored with the examination items, the measurement results of the examination about the examination items, and the comments made by the user (the dentist) with respect to the measurement results by being associated with each other. Hence, the examination result sheet creation apparatus 10 may transmit the dental record table T100 of each examinee (the patient) to the comment accumulation server 30.
The comment accumulation server 30 analyzes the measurement results of the examination about the examination items of each examinee (the patient) and the comments made by the user (the dentist) with respect to the measurement results or the dental record table T100, which are transmitted from the examination result sheet creation apparatus 10, and is thereby enabled to acquire data of a comment usage frequency and other equivalent data items.
The examination result sheet creation apparatus 10 counts a number of comments used when creating the examination result sheet per examination item and per rank, and may transmit a comment count together with the comments to the comment accumulation server 30. The used comments may be counted on an attribute-by-attribute basis such as by gender and by age. When counted on the attribute-by-attribute basis, the examination result sheet creation apparatus 10 transmits attribute information together with the comments to the comment accumulation server 30.
The comment accumulation server 30 accumulates the comments per level of each examination item, which are inputted by the user (the dentist), and is thereby enabled to acquire the data of the comment usage frequency and other equivalent data items. The comment accumulation server 30 generates a new comment DB on the basis of the comment usage frequency, and can distribute the generated comment DB to each examination result sheet creation apparatus 10.
The examination result sheet creation apparatus 10 may store (transmit) the comments on the external apparatus like the external storage device in place of the transmission to the comment accumulation server 30. The external storage device is instanced by the USB memory connected to the examination result sheet creation apparatus 10 via the communication unit 16. The comments stored in the external apparatuses are accumulated and can be utilized.
The example described above takes the configuration of directly inputting the clinic name and the dentist name; and, however, a modified example 1 is configured to make the clinic name and the dentist name selectable as on the comment determination screen in
When the clinic name and the dentist name are set selectable, the control unit 11 acquires, before displaying the clinic name/dentist name input screen D400, the clinic name and the dentist name respectively from the clinic name table T300 and the dentist name table T400 stored on the storage unit 12. The examination result sheet creation apparatus 10 displays the clinic name/dentist name input screen D400 on the display unit 14.
The clinic name table T300 and the dentist name table T400 can be edited similarly to the comment DB.
In the example described above, the comment is acquired by selecting the “next” button D220 on the measurement result screen D200 in
In a modified example 2, the contents of the measurement result screen D200, the comment determination screen D300 and the clinic name/dentist name input screen D400 are displayed collectively on one screen. Hereat, when the contents of the respective screens do not fall within on one screen, the displays of the contents of the measurement result screen D200, the comment determination screen D300 and the clinic name/dentist name input screen D400 may be set mutually movable along a scroll bar displayed at an edge of the display unit 14.
In the example described above, whenever the “next” button is pressed, the comments are stored in the dental record table T100. Ina modified example 3, each time the comment is selected or inputted, the comment is stored in the dental record table T100 and the comment DB. Likewise, each time the clinic name and the dentist name are selected or inputted, the clinic name and the dentist name are stored in the dental record table T100, the clinic name table T300 and the dentist name table T400. At this time, the printing may be started by the “next” button.
According to the modified example 3, each time the comment is selected or inputted, the comment is stored in the storage unit 12, whereby the selected or inputted content is stored even when interrupting the selection or the input of the comment.
In the above-mentioned, the examination result sheet creation apparatus 10 and the examination apparatus are configured separately in the examination result sheet creation system, and may also be configured integrally to operate as one examination apparatus so that the examination apparatus 20 performing the saliva examination includes the configuration of the examination result sheet creation apparatus 10.
(Others)
Made herein is the description of how the examination result sheet using the examination results about the saliva of the examinee (the patient) is created; and, however, the embodiment 1 can be also applied on the occasion of creating the examination result sheet using the examination results by other methods.
(Operation and Effect of Embodiment 1)
The examination result sheet creation apparatus 10 accepts the input of the patient information of the examinee (the patient) from the user (the dentist), and receives the measurement results of the saliva examination performed for the examinee (the patient) from the examination apparatus 20. The examination result sheet creation apparatus 10 stores the received measurement results in the dental record table T100 per examinee (per patient) in the storage unit 12. The examination result sheet creation apparatus 10 may also store, in the dental record table T100, the ranks given after ranking the measurement results per examination item as the measurement results. The examination result sheet creation apparatus 10 stores, on the storage unit 12, the comment DB containing the comments made per examination item and per rank and provided to the examinee (the patient). The comment DB contains the plurality of comments made per examination item and per rank. The examination result sheet creation apparatus 10 enables the user (the dentist) to select the comments contained in the comment DB or the comments directly inputted by the user (the dentist) as the comments provided with respect to the measurement results.
The examination result sheet creation apparatus 10 enables the user (the dentist) to select or input the comments proper for being provided to the examinee (the patient) by taking into consideration the condition and other equivalent states of the examinee (the patient), and to provide the selected or inputted comments to the examinee (the patient). The examination result sheet creation apparatus 10 saves the comment directly inputted by the user (the dentist) in the comment DB. The save comment is presented as one of the comments on the occasion of creating the examination result sheet afterward. The examination result sheet creation apparatus 10 enables the user (the dentist) to use the once-inputted comment without again directly inputting the comment by presenting the directly inputted comment on the occasion of creating the examination result sheet afterward.
The examination result sheet creation apparatus 10 makes it possible to provide the comments taking account of the results of the intraoral examination and the lifestyle of the individual examinee (individual patient) because of enabling the user (the dentist) to select the comments from the comment list and to directly input the comments when making the comments about the measurement results of each examination item. The examination result sheet creation apparatus 10 facilitates providing the unified comments for the examinee (the patient) in the same condition by reflecting the directly once-inputted comments in the options of the comments given afterward, and can prevent the evaluations of the intraoral state from being dispersed. The comments can be helpful for the user (the dentist) to assume every possibility about the intraoral state of the examinee (the patient).
The examination result sheet creation apparatus 10 enables the user (the dentist) to edit (e.g., add, modify and delete) the comments contained in the comment DB beforehand. The user (the dentist) can edit the comment DB beforehand and is thereby enabled to select the more proper comments more further quickly when creating the examination result sheet, and to provide the selected comments to the examinee (the patient).
Next, an embodiment 2 will be described. The embodiment 2 has the common points to the embodiment 1. Accordingly, the discussion will focus mainly on different points, and the explanations of the common points to the embodiment 1 will be omitted.
(Example of Configuration)
The examination result sheet creation system according to the embodiment 2 has the same configuration as the configuration of the examination result sheet creation system according to the embodiment 1. The embodiment 2 is different from the embodiment 1 in terms of such a point that the user (the dentist) determines the intraoral state, and makes comments about dental care methods and dental care products.
(Operational Example)
An operational example of how the examination result sheet creation apparatus 10 according to the embodiment 2 creates the examination result sheet, will be described.
In the embodiment 2, similarly to the embodiment 1, the user (the dentist) of the examination result sheet creation apparatus 10 performs the saliva examination (examination) of the examinee (the patient), and thus creates the examination result sheet by using the examination apparatus 20.
Operations in steps S201 through S208 are the same as the operations in steps S101 through S108 in the embodiment 1.
In step S209, the examination result sheet creation apparatus 10 displays an intraoral state determination screen on the display unit 14. The intraoral state determination screen is a screen containing a list of intraoral states. The user (the dentist) determines an intraoral state of the examinee (the patient) on the intraoral state determination screen, based on the saliva examination results and the intraoral state and other equivalent states of the examinee (the patient). Herein, the intraoral states are instanced by whether to have a tendency of the decayed tooth, a tendency of the periodontal disease and a tendency of the low intraoral cleanness.
The intraoral state list D510 contains 8 types of options, i.e., a “decayed tooth tendency”, a “periodontal disease tendency”, an “intraoral cleanness low tendency”, a “decayed tooth tendency/periodontal disease tendency”, a “decayed tooth tendency/intraoral cleanness low tendency”, a “periodontal disease tendency/intraoral cleanness low tendency”, a “decayed tooth tendency/periodontal disease tendency/intraoral cleanness low tendency”, and a “no problem”. The user (the dentist) selects one of the options of the intraoral state list D510 on the basis of the saliva examination results and the intraoral state of the examinee (the patient), thereby determining the intraoral state of the examinee (the patient). Thereafter, upon selecting the“next” button D520 by the user (the dentist), the processing advances to step S210. The user (the dentist) selects the“next” button D520, thereby settling the determination of the intraoral state.
In step S210, the control unit 11 acquires respective items of the dental care methods and product contributions of the dental care products from a contribution table in the storage unit 12 on the basis of the determination result of the intraoral state in step S209. The contributions are contributions for improving the intraoral state with respect to the respective items of the dental care methods and the respective products as the dental care products. The contribution table is previously stored on the storage unit 12. The contribution table contains the contributions for improving the intraoral states by being associated with the intraoral states with respect to the respective items of the dental care methods and the respective products as the dental care products. The contribution for improving the intraoral state is information provided to the examinee (the patient). The contributions are exemplified by those calculated by a statistical process from the accumulation data. For example, the contributions may be classified into ranks at an odds ratio calculated based on a logistic analysis in relation to whether the intraoral state is improved owing to each dental care method and each dental care product. The contributions are not limited to those described herein.
The control unit 11 acquires the comments from a dental care comment DB in the storage unit 12 per item of the dental care method and per product of the dental care products, based on the acquired contributions. The dental care comment DB is stored on the storage unit 12 beforehand. The dental care comment DB contains a comment table of comments about all the items of the dental care methods and all the dental care products. Each comment table contains a plurality of comments. The comment is a message provided to the examinee (the patient). The comment pertaining to the dental care method and the dental care product is also called a dental care comment.
The control unit 11 displays a dental care comment determination screen on the display unit 14. The dental care comment determination screen is a screen containing the items of the dental care methods, the products as the dental care products, the contributions for improving the intraoral states, and the comment field. The user (the dentist) determines the comments about the respective items of the dental care methods and the products as the dental care products on the dental care comment determination screen.
The field D610 pertaining to the dental care method contains an item field of the dental care method, a contribution field and a comment field. The items such as ‘toothbrushing time“, “use of inter-dental brush, “smoking”, “between-meal snack” and “undergoing periodic health checkup” are described each as the dental care method in the item field of the dental care method. The contributions for improving the intraoral states with respect to the items of the dental care methods, are described in the contribution field. The comments about the items of the dental care methods are described in the comment field. The comment described in the comment field is one of the comments acquired from the dental care comment DB. The comment described herein is the temporary comment. The temporary comment is the comment described for the first time in, e.g., the comment table. The temporary comment may also be the comment exhibiting, e.g., the maximum selection count given in the past. A null value may remain in the comment field till the comment is selected or inputted. The temporary comment may also take a null value in its field. The same as the dental care method related field D610 is applied to the dental care product related field D620.
When finishing selecting or inputting the comments about the items of the dental care methods and the dental care products, the comments selected or inputted by the user (the dentist) about the respective items and the respective products, are displayed in the dental care comment determination screen D600. A null value may also be given in the comment field. Thereafter, when the user (the dentist) selects the “next” button D630, the processing advances to step S211. The user (the dentist) selects the “next” button D630, thereby determining each comment.
In step S211, the control unit 11 stores all the comments determined in step S210 in the dental care field of the examination of this time in the dental care table T100 of the examinee (the patient). For example, the comment selected or inputted with respect to “toothbrushing time” is stored in the dental care comment field of “toothbrushing time” of the examination result of this time in the dental record table T100. In the embodiment 2, the dental record table T100 contains the item of the dental care method, the dental care product, the contribution and the dental care comment field.
The control unit 11 adds, to the comment DB, the comment directly inputted by the user (the dentist) in the comments about the respective examination items determined in step S210. For example, when the user (the dentist) directly inputs the comment as the comment of “toothbrushing time”, the control unit 11 adds the directly inputted comment to the comment table T610 of the comment DB in the storage unit 12. The added comment is one of the comments displayed when determining the comment on the next opportunity.
Step S212 is the same as step S109 in the embodiment 1.
In step S213, the control unit 11 creates the examination result sheet, andprints the examination result sheet on the print paper by the print unit 15. The printed examination result sheet is handed over to the examinee (the patient) from the user (the dentist).
The control unit 11 may display the examination result sheet on the display unit 14. Hereat, the user (the dentist) can explain the examination results to the examinee (the patient) while seeing the examination result sheet displayed on the display unit 14 together with the examinee (the patient). At this time, the control unit 11 of the examination result sheet creation apparatus 10 may not print the examination result sheet by the print unit 15. The electronic data representing the examination result sheet may also be stored on the storage unit 12.
The examinee's (patient's) name P210, the examination date/time P220, the measurement result chart P230, the caries risk related field P240, the periodontal disease risk related field P250, the intraoral cleanness related field P260, the overview comment field P270, the clinic name field P280 and the dentist name field P290 are the same as the corresponding fields of the examination result sheet P100 in the embodiment 1.
The intraoral state of the examinee (the patient), which is determined in step S209, is described in the intraoral state field P310.
The dental care method related items such as “toothbrushing time”, “use of inter-dental brush, “smoking”, “between-meal snack” and “undergoing periodic health checkup” are described in the dental care method related field P320, and the contributions for improving the intraoral states are described corresponding to these items. The comments selected or inputted in relation to the dental care methods are described in the comment field. The comments are the comments determined in step S210. The same as the dental care method related field P320 is also applied to the dental care product related field P330.
(Others)
In the embodiment 2, the user (the dentist) makes the comments (dental care comments) about the dental care methods and the dental care products after determining the intraoral state of the examinee (the patient), and hence the comment table T210 may not contain the comments about the dental care methods and the dental care products.
(Operation and Effect of Embodiment 2)
The examination result sheet creation apparatus 10 causes the user (the dentist) to determine the intraoral state. The examination result sheet creation apparatus 10 extracts the respective items of the dental care methods and the contributions, for improving the intraoral state, of the respective products as the dental care products on the basis of the determination result of the intraoral state. The examination result sheet creation apparatus 10 causes the user (the dentist) to select or input the comments with respect to the items of the dental care methods and the dental care products. The selected or inputted the comments are provided to the examinee (the patient).
The examinee (the patient) can effectively take care of the intraoral state such as the teeth by using the dental care method and the dental care product, which have the high contributions for improving the intraoral state, based on the description of the examination result sheet.
The embodiments discussed above can be carried out by being combined to the greatest possible degree.
Number | Date | Country | Kind |
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2014-120774 | Jun 2014 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2015/066388 | 6/5/2015 | WO | 00 |