JP2002048792A - Blood transfusion examination analytical system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To solve the problems that a blood corpuscle reagent maker is required to send antigen composition information FD to a user every time a batch of blood corpuscles is changed, and that the user is required to take the antigen composition information into a blood transfusion examination analytical system from the antigen composition information FD sent every time a blood corpuscle reagent is changed. SOLUTION: The antigen composition information on the blood corpuscle reagent is retained in a center station, and a program 5 retained in the center station is transferred to the facility station side through a data transmission line and executed, and inputted blood transfusion result data are transmitted to the center station. This blood transfusion examination analytical system for executing analysis of the blood transfusion examination in the center station from blood corpuscle reagent reading result data transmitted from the facility station and antigen formation information 3 of each batch on the blood corpuscle reagent retained in the center station is used.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a blood transfusion test analysis system for analyzing a blood transfusion test when performing a blood transfusion test for checking the compatibility of blood transfusion before blood transfusion to a patient in a facility such as a hospital.

[0002]

2. Description of the Related Art At present, in the medical field, when a patient is transfused in a hospital or the like, various tests including an ABO blood type test are performed, and the patient's blood and the donated blood are subjected to an antigen-antibody reaction. It is necessary to prevent aggregation, hemolysis and the like.

[0003] In particular, when an irregular antibody is identified, a plurality of blood cell reagents are selected with reference to an antigen composition table, and it is confirmed whether or not agglutination with a blood cell to be inspected occurs. . Then, it is necessary to refer to the antigen composition table based on the result and select an additional combination of blood cell reagents to identify the irregular antibody. Conventionally, the antigen composition table is printed and attached on paper when a plurality of types of blood cell reagents are purchased as one group, and a clinical laboratory technician or the like refers to the antigen composition table based on empirical rules. The selection of a blood cell reagent was performed.

[0004] Further, in a blood transfusion test analysis system incorporating an analysis program owned by a user, antigen composition information is stored from a floppy disk (FD) storing antigen composition information relating to a blood cell reagent mainly supplied by transportation from a blood cell reagent manufacturer. Each time, the PC (Personal Computer) or the like is loaded with the antigen composition information into the blood transfusion test analysis system, and the user inputs the blood cell reagent interpretation result data into the blood transfusion test analysis system. The analysis of presence / absence of antibodies, discrimination of antibodies, blood transfusion tests, etc. was performed based on the inputted blood cell reagent interpretation result data.

[0005] Alternatively, as disclosed in Japanese Patent Application Laid-Open No. 9-269324, instead of FD transport storing antigen composition information relating to a blood cell reagent supplied by transport, the antigen composition information is distributed by data transmission. The analysis was taken into the blood transfusion analysis system at the facility bureau.

[0006] Further, as described above, in the blood transfusion test, ABO blood type and Rh type, antibody screening,
The presence or absence of antibodies and the type of antibodies must be analyzed. For this test, a blood cell reagent or antiserum is used, and a blood transfusion test is performed by reacting the blood cell with a test subject's blood. In particular, in an antibody identification test for examining antibodies retained by a subject, a blood cell reagent whose composition is known from an actual person is used. Since they are human blood cells, the composition generally changes each time the lot to be manufactured changes.

[0007] Antibodies possessed by a subject can be identified by a pattern (data on the results of interpretation of the blood cell reagent) of a degree (aggression) of agglutination (empowerment) due to mixing of about four types of blood cell reagents and the blood of the subject. (See FIG. 13 of JP-A-9-269324) This pattern changes when the lot changes.

Therefore, it is necessary for the blood cell reagent maker to send the antigen composition information FD to the user every time the lot of blood cells is changed. The composition information was taken into the transfusion analysis system. In addition, users at the facility prepared a blood transfusion test analysis system that was a dedicated device for antibody identification and the like.

[0009]

As described above, selecting a blood cell reagent from an antigen composition table is a complicated operation,
In addition, we cannot take enough time on site,
In addition, it is difficult to accurately and objectively identify antibodies because there are individual differences in the judgment of examiners. Further, the blood test for blood transfusion is complicated, and it has been difficult to make an accurate and objective blood test determination within a limited time.

[0010] Further, the blood cell reagent maker must send the antigen composition information FD to the user every time the blood cell lot is changed, and the user also obtains the above-mentioned antigen composition information from the antigen composition information FD sent each time the blood cell reagent is changed. It was necessary to incorporate the composition information into the transfusion analysis system. In addition, the user on the facility side needed to prepare a blood transfusion test analysis system that is a dedicated device for antibody identification, etc. In addition, version control was also required for each facility station for version upgrade of the system, It was complicated.

The present invention has been made in view of the above points, and it is an object of the present invention to provide a blood transfusion analysis for assisting a blood transfusion test, such as identification of an antibody, so that the test can be accurately and objectively performed. The purpose is to provide a system.

[0012]

In order to achieve this object, a blood transfusion test analysis system according to the present invention comprises a center station having antigen composition information on a blood cell reagent, and a blood transfusion test facility for performing a blood transfusion test using a blood cell reagent. A blood transfusion test analysis system comprising a center station provided in the center station and a facility station connected by a data transmission line, wherein the center station has antigen composition information on a blood cell reagent, and the center station holds the antigen composition information. Means for executing the program on the facility station side via the data transmission path, means for inputting blood transfusion test result data at the facility station to the executed program, and transmitting the inputted blood transfusion test result data to the center station. Means for transmitting, the blood cell reagent interpretation result data transmitted from the facility station and the antigen composition information on the blood cell reagent held in the center station. Characterized by comprising a blood transfusion test analyzing means for analyzing blood transfusion inspection at the center station.

Further, a center station having antigen composition information on a blood cell reagent, a center station provided in a blood transfusion test facility for performing a blood transfusion test using the blood cell reagent, and a facility station connected by a data transmission line are provided. A blood transfusion test analysis system comprising: a center station having antigen composition information on a blood cell reagent at a center station; and a program held at the center station and antigen composition information on a blood cell reagent to a facility station via the data transmission path. Means for transferring and executing; means for inputting blood cell reagent interpretation result data at the facility station; and a blood transfusion test analysis program for analyzing a blood transfusion test from the inputted blood cell reagent interpretation result data and antigen composition information relating to the blood cell reagent. And means for performing the following.

[0014] Further, there is provided means for transmitting the analysis result to the center station.

As described above, by using the blood transfusion test analysis system of the present invention, the antigen composition information of the blood cell reagent is transmitted to a facility station provided in a facility such as a hospital via a data transmission line, and based on the antigen composition information. Thus, the result of the blood transfusion test is analyzed, so that it is possible to easily and objectively and accurately determine the blood transfusion compatibility.

[0016]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment of the present invention will be described below with reference to the drawings.

FIG. 1 shows an outline of the present invention. As shown in FIG. 1, the present invention provides a server PC 1 located in a center station.
(Personal Computer) and client P at the facility bureau
Consists of C2. For example, public lines, LAN (Lo
cal Area Network). Here, it is assumed that the connection is made via the Internet 12.

The server PC1 stores antigen composition information (antibody composition information) 3 relating to a blood cell reagent, and an antibody identification program for analyzing and identifying an antibody or the like from the blood cell reagent reading result transferred from the client PC. 4,
It has a client program 5, a Web server 6, an inspection result database 13, and a keyboard 8 for data input. At this time, it is assumed that devices such as a monitor and a mouse generally included in the server PC in some cases are not shown.

The server PC in the center station
The client PC of the facility station connected to, for example, the Internet 12 includes program execution means for executing the client program 5 transmitted via the Internet 12, for example, a personal computer, a Web browser, and the like. At this time, this W
The web browser is not limited to the web browser as long as the information of the client program 5 can be browsed, and may be another browser using Java or the like or a dedicated application. . Here, the client uses a PC, but NC
(Network Computer) and PDA (Person)
al Data Assist), any client terminal that can execute the client program 5 may be used, and a client program corresponding to various OSs (Operating Systems) may be prepared.

Next, in the client PC, for example, W
By operating the web browser, the client program 5 is received from the server PC 1 and executed. The client program 5 has a function of inputting blood cell reagent interpretation result data and a function of transmitting the input blood cell reagent interpretation result data to the server.

Next, a series of operations will be described with reference to FIG. As shown in FIG. 2, first, the user inputs a predetermined user ID and password from the client PC 2. The server PC1 checks whether there is a corresponding user ID and password among a plurality of user IDs and passwords registered and stored in advance from the user management database. If so, proceed to the following. If it does not exist, deny access.

When the approval is obtained, the user from the client PC 2 operates the keyboard 9 or the bar code reader 11.
And input the blood transfusion test result data and the blood cell reagent lot information (described in the blood cell reagent container) supplied from the blood cell reagent manufacturer, and enter the inputted blood transfusion test result data, the lot information, and the test ID. Send to server PC1. Here, server PC1 and client PC2
Are connected via the Internet 12 or the like.

The server PC1 stores antigen composition information on the blood cell reagent for each lot of the blood cell reagent. Every time this lot is newly added, the antigen composition information is additionally input to the server and stored in the server. Server P
On the C1 side, the corresponding antigen composition information is selected based on the blood cell reagent lot information input at the client PC2, and the antibody, antigen, or the like is selected based on the blood cell reagent interpretation result data input at the client PC and the selected antigen composition information. Perform transfusion analysis.

The analysis results of a series of blood transfusion tests such as antibody identification performed by the server PC1 are transmitted to the client PC2.
And displayed on the client PC 2 screen. The result can be printed by the printer 10 as needed. At the same time, using the test ID and date sent from the client PC 2 as keys, the results are stored in the test result database 13 classified for each user from the user management database. The saved result can be browsed through a browser such as a Web browser when necessary.

Usually, a plurality of client PCs 2 are connected to the server PC 1 and used by a plurality of users. Therefore, the database is also divided for each user, and the result of the user is stored in the database corresponding to the user.
In addition, the results of blood transfusion test analysis are sent to the client
The data may be transmitted to C2 and the facility bureau may manage the blood transfusion test analysis data.

The processing flow is as follows.

The user operates the client PC 2 and
For example, the client program 5 is downloaded from the server PC 1 through a Web browser and executed (1). The client program 5 may be downloaded by, for example, FTP (File Transfer Protocol), and the transfer form is not limited.

Next, enter the user ID and password,
User authentication is performed. If OK, proceed to the next step.

Then, the blood of the subject is mixed with the blood cell reagent, and the blood transfusion test result data is obtained from the result (2).

Next, the blood transfusion test result data obtained using the blood cell reagent and the lot number of the blood cell reagent are transmitted to the client PC 2.
From the keyboard 9 or the barcode reader 11. If necessary, enter necessary information such as subject name, gender, age, test date, and test staff (3).

Subsequently, the client PC is connected to the server PC1.
The interpretation result data, the lot number, and the inspection ID input in step 2 are transmitted. At that time, the ID for each facility station is used to identify the facility station.
May be given, or all the test IDs may be issued by the center station.

If necessary, information such as the subject name is also transmitted (4).

The server PC1 retrieves the antigen composition information of the lot stored in the server PC1 based on the transmitted lot number, and retrieves the antigen composition information and the blood transfusion test result transmitted from the client PC2. Analyze the antibody using the data (5).

Next, the server PC1 transmits the analysis result to the client PC2 and, at the same time, saves the analysis result in the test result database 13 classified for each user from the test ID and the date (6).

Further, the client PC 2 can display the received analysis result and print it using the printer 10 or the like as necessary (7). Further, by operating from the client PC 2, the result of the past analysis can be taken out from the server PC 1 (8).
Further, the inspection result database may be introduced into the client PC 2 and the inspection result may be managed by the facility station.

The input of the blood transfusion test result data does not need to be performed using the keyboard 9, but is performed by using the blood cell reagent previously placed in a card-type reagent cassette as shown in FIG. 4 of Japanese Patent Application Laid-Open No. 9-269324. It may be an input from an automatic machine which automatically inserts and judges it, may be a voice input, etc., and is not particularly limited.

Normally, the server PC 1 and the client PC
2 is connected via the Internet, an intranet, or the like, but the form of information transmission, such as wireless communication or a dedicated line, is not limited.

Next, a second embodiment of the present invention will be described with reference to FIG.

The difference from the first embodiment is that a blood transfusion test analysis of antibodies, antigens and the like is performed by the client PC 2 at the facility bureau.

As shown in FIG. 3, first, the user inputs a predetermined user ID from the client PC 2.
And the password and the lot number of the blood cell reagent supplied from the blood cell reagent manufacturer (described on the blood cell reagent container). The server PC1 checks whether there is a corresponding user ID and password among a plurality of user IDs and passwords registered and stored in advance from the user management database. If so, proceed to the following. If it does not exist, deny access.

When the approval is obtained, the server PC
1 extracts the antigen composition information of the specified blood cell reagent using the lot number of the blood cell reagent input from the antigen composition information of the blood cell reagent held for each lot in the server PC1, and executes a transfusion test analysis program. With the client PC2. From the client PC 2, the user inputs the blood cell reagent interpretation result data, the test ID, the patient information, and the like using the keyboard 9 and the barcode reader 11. The blood transfusion test analysis program sent to the client PC2 performs a blood transfusion test analysis of an antibody, an antigen or the like based on the input contents and the antigen composition information of the blood cell reagent sent from the server PC1. This analysis result is the client PC
2 is arbitrarily displayed on the screen of the server PC1.
The results are stored in the test result database 13 classified for each user from the user management database using the test ID and the date as keys. This saved result can be viewed through a browser when needed.

Normally, the server PC 1 and the client PC
2 is connected via the Internet, an intranet, or the like, but the form of information transmission, such as wireless communication or a dedicated line, is not limited.

Also, a plurality of client PCs 2 are usually connected to the server PC 1 and used by a plurality of users. Therefore, the database used in the present invention is also divided for each user, and the result of the user is stored in the database corresponding to the user.

The processing flow is as follows.

First, the user operates the client PC 2 to download a program from a server through a Web browser and execute the program (1).

Next, a user ID, a password, and a lot number of a blood cell reagent are input, and user authentication is performed. If OK, proceed to the next (2).

Then, the server retrieves the antigen composition information of the lot held in the server based on the transmitted lot number, and downloads the antigen composition information and the blood transfusion analysis program to the client PC 2. that time,
If the latest blood transfusion analysis program is held in the client PC 2, it may not be downloaded.
The blood of the subject and the blood cell reagent are mixed, and the blood cell reagent interpretation result data is obtained from the result (3).

Further, the blood cell reagent interpretation result data obtained by using the blood cell reagent is input from the client PC 2 using a keyboard or a barcode reader. If necessary,
Enter necessary information such as subject name, gender, age, test date, and test staff (4).

Next, an antibody is analyzed on the client PC 2 using a blood transfusion analysis program (5).

Then, the client PC 2 displays the analysis result and simultaneously transmits the analysis result to the server PC 1 (6).

Then, the server PC1 saves the received inspection ID and date in an inspection result database classified for each user. If necessary, the user can hold the inspection result (7).

By operating from the client PC 2, the results of past analysis can be retrieved from the server (8).

As described above, according to the embodiment of the present invention, since the server PC has the antigen composition information on the blood cell reagent and the blood transfusion test analysis means, it is not necessary to send the antigen composition information which changes for each lot to the user to the client PC. Also,
The server PC manages all information and is responsible for information processing. Further, by transmitting a client program from the server PC to the client PC and executing the program, the client PC side can perform normal processing with low processing capability. A personal computer having a Web browser mechanism or the like may be used, and a special blood transfusion test analysis system or the like is not required. In addition, since the antigen composition information and the like relating to the blood cell reagent were manually input by the FD or the like in the past, there was a possibility that the input was complicated and an input error occurred. A blood transfusion test analysis system with high cost can be provided. Further, according to the present invention, for example, the client PC may be a personal computer having a normal Web browser mechanism, and a special blood transfusion test analysis system or the like may be unnecessary. Further, since the latest program is always downloaded from the server PC, the latest program can be automatically used, and the trouble of management such as upgrading the program can be eliminated. Also, by writing the program in a language such as Java, the terminal of the client is not selected.

[Supplementary Notes] [Supplementary Note 1] A center station having antigen composition information on blood cell reagents, and a blood transfusion test facility that performs blood transfusion tests using blood cell reagents and is connected to the center station by a data transmission path. A blood transfusion test analysis system comprising a facility station, wherein the center station has antigen composition information on blood cell reagents, and the program held on the center station and antigen composition information on blood cell reagents are stored in the facility station by the data. Means for transferring and executing via a transmission line, means for inputting blood transfusion test result data at the facility station, and transfusion for analyzing a blood transfusion test from the inputted blood transfusion test result data and antigen composition information relating to the blood cell reagent. Means for executing a test analysis program.

[Supplementary Note 2] The blood transfusion test analysis system according to supplementary note 1, further comprising means for transmitting the analysis result to the center station.

[Supplementary Note 3] The means for transferring the program held in the center station to the facility station side via the data transmission path and executing the program is an ASP. Blood transfusion analysis system.

[Supplementary Note 4] The blood transfusion test analysis system according to supplementary note 1, wherein the analysis result of the blood transfusion test can be arbitrarily displayed at a center station or a facility station.

[Supplementary note 5] The transfusion according to Supplementary note 1 or 2, characterized in that when transmitting the analysis result to the center station, an ID is assigned to each of the facility stations in order to determine the facility station. Inspection analysis system.

[Supplementary Note 6] When transmitting the analysis result to the center station, the center station issues all test IDs for identifying the facility station.
Or the blood transfusion test analysis system according to supplementary note 2.

[Supplementary Note 7] A center station having antigen composition information on a blood cell reagent and a facility station provided at a blood transfusion test facility for performing a blood transfusion test using the blood cell reagent and connected to the center station by a data transmission line are provided. A blood transfusion test analysis method comprising: transmitting, via a data transmission path, the antigen composition information from the center station to the facility station provided in the blood transfusion test facility, and a data transmission path at the facility station. Steps of receiving antigen composition information, and performing a blood transfusion test using a blood cell reagent in the blood transfusion test facility,
Analyzing the blood transfusion test from the antigen composition information received at the facility station and the result of the blood transfusion test.

[Supplementary Note 8] A center station having antigen composition information on a blood cell reagent, and a facility station provided at a blood transfusion test facility for performing a blood transfusion test using a blood cell reagent and connected to the center station by a data transmission line A blood transfusion test analysis system comprising: a center station having antigen composition information on a blood cell reagent at a center station; and transmitting the program and the antigen composition information on the blood cell reagent at the center station to a facility station through the data transmission path. Transferring and executing via
A step of inputting blood cell reagent interpretation result data at the facility station; and executing a blood transfusion analysis program for analyzing a blood transfusion test from the inputted blood cell reagent interpretation result data and antigen composition information relating to the blood cell reagent. A blood transfusion test analysis method, characterized in that:

[0062]

According to the present invention, a user prepares an apparatus having a function of taking in the antigen composition information from the antigen composition information FD relating to the blood cell reagent sent each time the blood cell reagent is changed and a dedicated analyzing means. There is no need.
Manufacturers no longer need to send antigen composition information about blood cell reagents to each user, but only add data to the server.

[Brief description of the drawings]

FIG. 1 is a diagram schematically showing a blood transfusion test analysis system according to a first embodiment of the present invention.

FIG. 2 is a view showing a flow of a blood transfusion test analysis system according to the first embodiment of the present invention.

FIG. 3 is a view showing a flow of a blood transfusion test analysis system according to a second embodiment of the present invention.

[Explanation of symbols]

1 Server PC 1 Client PC 3
..Antibody composition information for each lot, 4 ... Antibody identification program, 5 ... Client program, 6 ... We
b server, 13 ... inspection result database

Claims (3)

[Claims] 1. A center station having antigen composition information on a blood cell reagent, a center station provided in a blood transfusion test facility for performing a blood transfusion test using a blood cell reagent, and a facility station connected by a data transmission line. A blood transfusion test analysis system comprising: a center station having antigen composition information on a blood cell reagent at a center station; and means for executing a program held at the center station to the facility station via the data transmission path; Means for inputting the blood transfusion test result data at the facility station to the executed program; means for transmitting the input blood transfusion test result data to the center station; transfusion test result data transmitted from the facility station and the center station A blood transfusion analysis means for analyzing the blood transfusion test at the center station from the antigen composition information on the blood cell reagent held in the Blood transfusion inspection analysis system and butterflies. 2. A center station having antigen composition information on a blood cell reagent, a center station provided in a blood transfusion test facility for performing a blood transfusion test using a blood cell reagent, and a facility station connected by a data transmission line. A blood transfusion test analysis system comprising: a center station having antigen composition information relating to a blood cell reagent at a center station; and a program held at the center station and antigen composition information relating to a blood cell reagent to a facility station via the data transmission path. Means for transferring and executing; means for inputting blood cell reagent interpretation result data at the facility station; and a blood transfusion test analysis program for analyzing a blood transfusion test from the inputted blood cell reagent interpretation result data and antigen composition information relating to the blood cell reagent. Means for executing a blood transfusion test analysis system. 3. The blood transfusion analysis system according to claim 2, further comprising means for transmitting the analysis result to the center station.