JP2008249359A - Inspection information management system, inspection information managing device, inspection information management program, inspection information management method, and specimen container set - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To efficiently perform matching work between a specimen and a medical examinee. <P>SOLUTION: In an inspection information management system 1, each bar code is attached to a storage bag 101 and specimen containers 102, 103 in a specimen container set 100, respectively, and each bar code on the specimen containers 102, 103 can be read in the stored state in the storage bag 101. Bar-code information of the specimen containers 102, 103 is correlated with inspection data and outputted from a specimen automatic analyzer 10 to an inspection information management device 20, and the inspection information management device 20 correlates bar code information of the storage bag 101 on which the name of the medical examinee is written, the bar code information of the specimen containers 102, 103, and inspection data thereof together. Due to this, each information included in one specimen container set 100 can be correlated together readily and surely, and the matching work between the specimen and the medical examinee can be performed efficiently. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a test information management system, a test information management device, a test information management program, a test information management method, and a sample container set that manage test data related to a specimen of a patient.

Conventionally, when a medical examination or the like is performed, a specimen test is performed in which a specimen collected from a medical examinee is examined to check a health condition.
In the sample examination, samples such as urine and stool collected from the examinee are submitted to the examination organization, and the examination organization conducts the prescribed examination, thereby notifying the examination result.
In such specimen tests, multiple specimens such as specimens collected on different days are collected from the examinees, and the health status of the examinees is determined based on the examination data (hereinafter referred to as “multiple specimen type examinations as appropriate”). ")" Is known.

For example, in the case of fecal occult blood test, based on the fecal occult blood test 2-day method, specimens (feces) collected on different days on the first day and the second day are examined, and colorectal cancer etc. are obtained from the results of the examination. Screening for abnormalities.
Here, when the above-described multiple specimen type examination is performed in the examination, the examination is generally performed in the following procedure. In addition, two stool collection containers placed in a storage bag that can be opened and closed by a zipper are distributed in advance to the examinee.

(1) First, at the examination hall, the recipients are confirmed and accepted, and a list of examinees is created in the order of acceptance. At this time, a specimen (a stool collection container placed in a storage bag) is submitted from the examinee, and the number of specimens submitted by the examinee is recorded in the recipient list.
(2) Along with the list of examinees, the specimens submitted by the examinees are collectively delivered to the laboratory. For those who have not been able to submit the specimen at the examination venue, the specimen can be submitted to the laboratory by mail.
(3) Assign a processing number (examination number) in the laboratory only to the patient who submitted the specimen.

(4) The inspector writes the inspection number in the containing bag containing the stool collection container while checking it against the examinee list, and transcribes the stool collection date entered in the stool collection container. Also, open the storage bag and enter the inspection number on the stool collection container. Furthermore, the inspector visually confirms the name of the examinee of the stool collection container, inputs the inspection number into a device that manages inspection data such as a PC (Personal Computer), and associates the name of the examinee with the inspection number. Register (match). Instead of entering the examination number of the stool collection container and associating it with the name of the examinee, a barcode is attached to the stool collection container, and the barcode is read to associate the sample with the name of the examinee. Is also possible.

(5) A stool collection container is arranged for each examinee in the sample rack of the fecal occult blood analyzer. At this time, for each patient, the stool collection containers are arranged in order from the oldest stool collection date, and for those who have only one stool collection container, the next one is left open without being packed. Line up the stool collection containers of the examinees.
(6) When the stool collection container for one sample rack is prepared, the sample rack is set in the fecal occult blood analyzer and the analysis is started.
(7) The analysis result of the fecal occult blood analyzer is printed out on an output roll paper. The contents of the test result include, for example, the position in the rack where the sample is set, a quantitative value indicating the analysis result of the sample, and a determination result (positive (+) or negative (-) compared with the cutoff value) ).

Samples determined to be positive (+) based on the above results are re-examined by the fecal occult blood analyzer, and the re-analysis results are posted on the roll paper output in (7) to confirm the coincidence of the analysis results. .
In addition, the technique relevant to such a fecal occult blood test is disclosed by patent document 1, for example.
JP 2001-183362 A

However, in a mass examination such as a health checkup, since a large number of samples are submitted, the work of associating these with the examinee becomes complicated. In the multiple specimen type test, since there are a plurality of specimens, the matching work is increased accordingly, and the complexity is further increased.
In addition, when confirming and registering the patient information attached to the sample container (such as a stool collection container), if there is an omission in the sample container, the inspector will check the bag in which the sample container is placed. In this case, the operation becomes more complicated.

In addition, since it is necessary to transfer the stool collection date (sample collection date) written in the sample container to the examinee's list, the burden on the inspector increases.
Since the sample cannot be measured or analyzed unless the matching operation between the specimen and the examinee is completed, the complexity of the matching work is a factor that reduces the work efficiency of the specimen inspection.
In the case of multiple specimen type examinations, there are some examinees who cannot prepare multiple specimens on the examination day. Therefore, if the specimens of each examinee are listed, the specimen will be missing, Attention is required.

In the case of a multiple sample type test, the sample container is taken out from the bag in which a plurality of sample containers are put and matching is performed. However, the sample container taken out may be mistaken for another examinee, It is also necessary to be careful not to lose one of these items or to reverse the sample collection date.
Furthermore, when checking the test result of the re-examined sample, it is necessary for the inspector to visually check the correspondence with the corresponding examinee, the other sample, and the like.
As described above, in the conventional technique for managing the examination data of the specimen, it is difficult to efficiently perform the matching operation between the specimen and the examinee.
An object of the present invention is to more efficiently perform a matching operation between a specimen and a examinee.

In order to solve the above problems, the present invention provides:
A sample automatic analyzer for analyzing a sample (for example, the sample automatic analyzer 10 in FIG. 1) and a test information management device for managing the test data output by the sample automatic analyzer (for example, the test information management device in FIG. 1) 20) and a sample container containing a sample collected from the examinee (for example, the sample containers 102 and 103 in FIG. 6) and a storage bag for storing the sample container (for example, the storage bag 101 in FIG. 6). A test information management system including a set (for example, the sample container set 100 in FIG. 1), and identification information (for example, a barcode) for identifying each is attached to the sample container and the containing bag. In addition, a name of the examinee or information (for example, a examinee ID) for identifying the examinee is attached to the containing bag, and the automatic sample analyzer is attached to the sample container. The identification information reading means for reading the identification information (for example, the barcode reader 12a in FIG. 2), the identification information of the sample container read by the identification information reading means, and the inspection data about the sample container correspond to each other. Test data output means (for example, the control unit 14 and the test data output unit 16 in FIG. 2), and the test information management device includes identification information attached to a storage bag for storing the sample container, and The identification information reading means (for example, the barcode reader 28 in FIG. 3) capable of reading the identification information attached to the sample container in the state of being accommodated in the accommodation bag and the sample automatic analyzer Test data acquisition means for acquiring the identification information of the sample container and the test data for the sample container (for example, the storage unit 23 in FIG. 3 or The test data, the identification information of the containing bag, and the identification information of the sample container based on the identification information of the sample container acquired by the communication unit 27) and the test data acquisition means It is characterized by comprising inspection information management means (for example, the control unit 22 and the storage unit 23 in FIG. 3) that are managed in association with each other.

  Further, the apparatus further includes a examinee information management device (for example, the host computer 30 in FIG. 1) that stores a examinee information database including information on the attributes of the examinee and information on the examination results of the examinee. 3. Examination result output means (for example, the control of FIG. 3) that outputs the examination person identification information (eg, the name of the examination person or the examination person ID) and the examination data relating to the examination person in association with each other. Section 22 and storage section 23 or communication section 27), and the examiner information management device obtains the examiner identification information output by the examination result output means and the examination data relating to the examinee. Based on the acquisition unit (for example, the storage unit 33 and the communication unit 37 in FIG. 5) and the patient identification information acquired by the examination result acquisition unit. Te, the inspection data regarding the examinee, database management means for adding to the testee information database (e.g., control unit 32 of FIG. 5) is characterized in that it comprises a.

The inspection information management apparatus further includes a data input sheet (for example, the data input barcode sheet S of FIG. 4) on which identification information corresponding to predetermined data or instructions is represented. It is characterized in that an input of data or a command corresponding to the identification information of the data input sheet read by the above is accepted.
Further, the storage bag and the sample container in the sample container set are characterized in that identification information representing an arbitrary number is attached.
Further, the sample container set includes a plurality of sample containers each having the identification information attached thereto.

The identification information is information represented by a barcode, and the identification information reading means of the inspection information management apparatus includes a barcode reader for reading the barcode.
Further, the accommodation bag is characterized in that it is made of a blue transparent material having a light transmittance of 12% or more at a wavelength of 650 nanometers.
Further, the accommodation bag is made of a polyethylene material.

The specimen container has a rectangular parallelepiped outer shape portion, and the one-dimensional barcode is attached to a plurality of outer peripheral surfaces of the rectangular parallelepiped outer shape portion.
Further, the identification information is information represented by a one-dimensional barcode, and is represented on the surface of the seal member, and the sample container has an outer shape portion having a rectangular cross section, and a short side in the cross section and The seal member is affixed in such a manner that the one-dimensional barcode can be read on three outer peripheral surfaces corresponding to the long sides opposed to each other.

The present invention also provides:
A test information management apparatus for managing test data of a sample, the identification information attached to the storage bag for storing the sample container, and the identification information attached to the sample container in a state of being stored in the storage bag Obtained by the identification data reading means, the identification information of the specimen container, and the examination data acquisition means for obtaining the examination data for the specimen container associated therewith from an external device, and obtained by the examination data acquisition means Inspection information management means for managing the inspection data for the sample container, the identification information of the containing bag, and the identification information of the sample container in association with each other based on the identification information of the sample container. It is a feature.

The present invention also provides:
A test information management program for managing sample test data,
Identification information attached to the storage bag for storing the sample container, an identification information reading function for reading the identification information attached to the sample container in a state of being stored in the storage bag, and the identification information of the sample container And the test data acquisition function for acquiring the test data for the sample container associated therewith from an external device, and the sample container based on the identification information of the sample container acquired by the test data acquisition function And a test information management function for managing the test data, the identification information of the containing bag, and the identification information of the sample container in association with each other.

The present invention also provides:
A test information management method for managing test data of a sample collected from a medical examinee, wherein identification information for identifying each is attached to a sample container for storing the sample and a storage bag for storing the sample container, Attaching information that can identify the name of the examinee or the examinee to the accommodation bag, reading the identification information of the accommodation bag, and the identification information of the sample container in a state of being accommodated in the accommodation bag, After associating these pieces of identification information, the specimen container is analyzed, and the identification information of the specimen container and the test data are obtained in association with each other, whereby the name of the examinee attached to the containing bag or the examinee And the test data of the sample container stored in the storage bag are associated with each other.

The present invention also provides:
A sample container set including a sample container for storing a sample collected from a medical examinee and a storage bag for storing the sample container, wherein identification information for identifying each of the sample container and the storage bag is attached to the sample container. In addition, a name of the examinee or information capable of identifying the examinee is attached to the containing bag, and the containing bag receives the identification information attached to the sample container contained therein from the outside. It is configured to be readable by a reading device.

Further, the storage bag and the sample container are characterized in that identification information representing an arbitrary number is attached.
In addition, the apparatus includes a plurality of the specimen containers each having the identification information attached thereto.
In addition, the identification information is information represented by a barcode read by a barcode reading device.
Further, the accommodation bag is characterized in that it is made of a blue transparent material having a light transmittance of 12% or more at a wavelength of 650 nanometers.
Further, the accommodation bag is made of a polyethylene material.

The specimen container has a rectangular parallelepiped outer shape portion, and the one-dimensional barcode is attached to a plurality of outer peripheral surfaces of the rectangular parallelepiped outer shape portion.
Further, the identification information is information represented by a one-dimensional barcode, and is represented on the surface of the seal member, and the sample container has an outer shape portion having a rectangular cross section, and a short side in the cross section and The seal member is affixed in such a manner that the one-dimensional barcode can be read on three outer peripheral surfaces corresponding to the long sides opposed to each other.

According to the present invention, the barcode is attached to each of the storage bag and the sample container of the sample container set, and the identification information of the sample container can be read by the identification information reading means while being stored in the storage bag. is there. The automatic specimen analyzer associates the identification information of the specimen container with the examination data and outputs it to the examination information management apparatus. The examination information management apparatus adds information that can identify the name of the examinee or the examinee. The identification information of the contained bag, the identification information of the sample container, and the inspection data thereof are associated with each other.
Therefore, information included in one sample container set can be easily and reliably associated.
Therefore, the matching operation between the sample and the examinee can be performed efficiently.

Hereinafter, an embodiment of an inspection information management system to which the present invention is applied will be described with reference to the drawings.
In the examination information management system according to the present embodiment, a barcode corresponding to the name of the person who submitted the specimen is attached to the container bag of the specimen container, and further, the barcode attached to the specimen container inside the container bag is attached. It can be read from the outside of the storage bag. The automatic sample analyzer outputs the barcode information of the sample container and the test result of the sample in association with each other. The device for managing the data related to the sample manages the barcode information of the sample container and the barcode information of the containing bag that are read in a state of being put in the containing bag, and the sample output from the automatic sample analyzer The barcode information of the container is associated with the inspection result of the sample container. Thereby, the association (matching) between the sample container and the examinee is performed.

Therefore, when performing matching between the specimen and the examinee, it is not necessary for the inspector to write the examination number into the specimen container or its containing bag, and without opening the containing container of the specimen container. Therefore, it is difficult to cause mistakes such as loss or misuse of sample containers.
Therefore, the matching operation between the sample and the examinee can be performed more efficiently.

Hereinafter, specific embodiments will be described.
FIG. 1 is a diagram showing a system configuration of an inspection information management system 1 to which the present invention is applied.
In FIG. 1, a test information management system 1 includes a sample automatic analyzer 10, a test information management device 20, and a host computer 30. The test information management device 20 communicates with the sample automatic analyzer 10 and the host computer 30. It is configured to be possible. Further, in the examination information management system 1, the sample container set 100 to which the present invention is applied is used together, and a barcode sheet S for data input in which barcodes associated with predetermined data and commands are listed. The process is performed using.

Here, the test information management system 1 can be applied to various types of sample tests, but in the following description, a case of performing a sample test in a fecal occult blood test will be described as an example.
The automatic sample analyzer 10 is a device that automatically analyzes a sample, and has a function of testing a set sample, storing the test data, and outputting the test data to the outside.
Note that the automatic sample analyzer 10 can be configured by NS-PlusC (trademark) manufactured by Alfresa Pharma when performing a fecal occult blood test.

FIG. 2 is a diagram showing a functional configuration of the automatic sample analyzer 10.
In FIG. 2, the automatic sample analyzer 10 includes an operation unit 11, a rack unit 12, a test unit 13, a control unit 14, a test data storage unit 15, and a test data output unit 16.
The operation unit 11 has keys for inputting various instructions to the automatic sample analyzer 10, for example, a power button for turning on and off the power, various settings for testing, and data output. A dedicated key for performing various settings (whether or not to perform real-time output, etc.) is provided. It is also possible to connect a PC to the automatic sample analyzer 10 and input an instruction to the automatic sample analyzer 10 from this PC.

  The rack unit 12 includes a rack in which sample containers are arranged and a rack holder that houses a plurality of racks. The rack unit 12 moves the rack to the position of the arm for transporting the samples one by one to the examination unit 13 when the automatic sample analyzer 10 starts operating. The specimen containers arranged in the rack are sequentially moved to the examination unit 13 every time examination for one specimen is completed by this arm. A bar code reader 12a for reading a bar code attached to the sample container is provided at the position of the arm, and the bar code of the sample container moved to the examination unit 13 is read by the arm.

The test unit 13 has a function of automatically performing a predetermined test on a specimen. For example, when performing a fecal occult blood test, a test for measuring hemoglobin concentration is performed on feces collected in a specimen container. Do. At this time, the inspection unit 13 reads the barcode attached to the sample container.
Then, the inspection unit 13 outputs the inspection result relating to the sample to the control unit 14 together with the barcode information attached to the sample container.

The control unit 14 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and a ROM (Read Only Memory). The CPU expands and executes a control program stored in the ROM on the RAM. Thus, the entire sample automatic analyzer 10 is controlled. Further, the control unit 14 receives the barcode information of the sample container and the test result related to the sample from the test unit 13, and stores them in the test data storage unit 15 in association with each other.
The test data storage unit 15 is configured by a non-volatile storage device such as a hard disk device or a flash memory, and associates the barcode information of the sample container with the test result of the sample in accordance with an instruction from the control unit 14. Remember.

The inspection data output unit 16 transmits inspection data to other devices by communication based on a standard such as USB (Universal Serial Bus) or RS-232C, and a storage medium writing unit that writes inspection data to a magnetic recording medium or an optical recording medium. And a communication unit.
Returning to FIG. 1, the examination information management device 20 is configured by a PC or the like equipped with a barcode reading device, and associates (matching) the sample container and the storage bag in the sample container set 100 with the examinee who submitted the sample. The function to perform.

FIG. 3 is a block diagram showing a functional configuration of the inspection information management apparatus 20.
In FIG. 3, the inspection information management apparatus 20 includes an input unit 21, a control unit 22, a storage unit 23, a RAM 24, a VRAM 25, a display unit 26, a communication unit 27, and a barcode reader 28. Yes.
The input unit 21 includes a keyboard and a pointing device such as a mouse having cursor keys and numeric input keys, and outputs a key pressing signal pressed on the keyboard and a mouse position signal to the control unit 22.
The control unit 22 controls the entire inspection information management apparatus 20 and performs various processes (for example, described later) stored in the storage unit 23 according to various instruction signals input from the input unit 21, the communication unit 27, or the barcode reader 28. Read matching program, etc.) and execute it.

Then, the control unit 22 stores the processing results of executing various programs and the like in a predetermined area of the storage unit 23 and the RAM 24 or displays them on the display unit 26.
The storage unit 23 is configured by a non-volatile storage device such as a hard disk or a flash memory. For example, a matching processing program (described later) or various subprograms in the matching processing, various programs related to the control of the test information management device 20, and sample testing Various data such as an inspection data file for storing information on the information or customization information set in order to customize the function of the inspection information management apparatus 20 is stored.

Further, the storage unit 23 stores the barcode information read by the barcode reader 28, the examination result input from the sample automatic analyzer 10 and the like in the examination data file according to the instruction of the control unit 22, Update customization information.
Further, the storage unit 23 includes a removable recording medium reading device, and reads information stored in the attached recording medium or writes information in the recording medium.

The RAM 24 forms a work area when the control unit 22 executes the program, and temporarily stores data generated in various processes executed by the control unit 22.
The VRAM 25 is a video memory that stores display data displayed on the display unit 26.
The display unit 26 is composed of, for example, a dot matrix type color liquid crystal display cell or the like, and displays the display data stored in the VRAM 25 on the screen.
The communication unit 27 communicates with other devices by communication based on a standard such as USB or RS-232C.

The barcode reader 28 is a device that reads a one-dimensional barcode with red light (for example, light having a wavelength of 650 nm or 660 nm), and outputs the read barcode information to the control unit 22.
Here, in addition to inputting data and commands from the keyboard in the input unit 21, the inspection information management device 20 has barcodes representing the data and commands (for example, specific codes listed in the data input barcode sheet S). The data or command can also be input to the control unit 22 by reading the bar code representing data and commands with the bar code reader 28.

  For example, by reading the barcode associated with “return” (input of the return key) on the keyboard, the same instruction input as the return input is performed, and in addition to the numerical input, the return is input. By reading the barcode associated with the command to be executed (number key input and return key input), it is possible to input the same instruction as the return input after inputting the number from the keyboard. is there.

  In the present embodiment, a predetermined barcode is printed on the data input sheet S, and these barcodes are associated with data and commands used when managing inspection information as customization information. The control unit 22 converts (interprets) the barcode information read by the barcode reader 28 with reference to the customization information to process it as representing various data or commands. Thereby, the input operation in the inspection information management system 1 can be easily performed by the reading operation using the barcode.

FIG. 4 is a diagram showing an example of the data input barcode sheet S. As shown in FIG.
In FIG. 4, a plurality of barcodes are printed on the data input barcode sheet S, and some of these are “0” to “0” indicating the number of days before the sample collection date. Each barcode is associated with a barcode corresponding to 7 ″, and the other barcodes are associated with each other as barcodes representing various special items related to the sample (sample comments to be described later).

  Returning to FIG. 1, the host computer 30 is constituted by a PC or a server, and the name of the examinee managed at the facility where the examination information management system 1 is installed, the examinee ID (the number unique to the examinee), the affiliated organization, It has a database for storing information on individual attributes such as age, and information on examinations of the examinee such as past examination results and medical history (hereinafter collectively referred to as “recipient information”). .

FIG. 5 is a diagram illustrating a functional configuration of the host computer 30.
In FIG. 5, the host computer 30 includes an input unit 31, a control unit 32, a storage unit 33, a RAM 34, a VRAM 35, a display unit 36, and a communication unit 37.
Among these, the memory | storage part 33 has a patient database in which patient information is stored.

In addition, the control unit 32 manages the examinee database, and when receiving the examinee and the sample test result from the examination information management device 20, stores the examination result in each examinee information of the examinee database, Update the patient database.
The configurations of the input unit 31, RAM 34, VRAM 35, display unit 36, and communication unit 37 are substantially the same as the corresponding parts of the examination information management apparatus 20 shown in FIG.

  Returning to FIG. 1, the sample container set 100 includes a storage bag 101 made of a blue transparent material, and sample containers 102 and 103 stored in the storage bag 101, and the storage bag 101 and the sample container 102, Each bar 103 is assigned a barcode (here, a one-dimensional barcode). About these barcodes, since the barcodes are read and associated with the sample containers 102 and 103 stored in the storage bag 101 later, it is not necessary to assign the associated numbers in advance. A bar code can be assigned.

FIG. 6 is a diagram illustrating a configuration example of the sample container set 100.
In FIG. 6, the storage bag 101 is made of a transparent material in order to increase the reading rate by the barcode reader 28, and is given a blue color in which the color of stool, which is a specimen, is not noticeable when viewed from the outside.
The container bag 101 has a higher transparency (that is, a lighter blue color), a higher reading rate of the barcode reader 28, and a darker blue color (that is, a lower transparency), the less conspicuous the color of the stool sample is. It will be a thing.

In other words, “transparency” and “darkness of blue” of the storage bag 101 are in a trade-off relationship with respect to the conditions of “the reading rate of the barcode reader 28” and “the difficulty of conspicuous stool”.
Here, since the barcode reading rate is highly dependent on the transmittance of red light when the barcode reader 28 reads the barcode, the “blue intensity” (that is, transparency) is variously changed to change the red color. The light transmittance was investigated.

FIG. 7 is data showing the transmittance of red light when the blue density of the containing bag 101 is changed.
In the investigation shown in FIG. 7, samples A to D were prepared in the order of dark blue, and the light transmittance in the red region in each was measured.
According to FIG. 7, the red light having a wavelength of 650 nanometers in the barcode reader 28 is 4.5% for the sample A, 11.7% for the sample B, 20.2% for the sample C, 51. A transmittance of 8% is shown.
For these transmittances, reading with the barcode reader 28 was tried 10 times, and the barcode reading rate was investigated.

FIG. 8 is a table showing the results of bar code reading trials.
According to FIG. 8, sample A having a transmittance of 4.5% of red light having a wavelength of 650 nanometers is sample B having a reading rate of 50%, a transmittance of 11.7%, and a sample having a transmittance of 20.2%. C and the sample D having a transmittance of 51.8% both had a reading rate of 100%. In the comparative experiment conducted without the containing bag 101, the reading rate was 100%.
Therefore, it is considered that the condition of the containing bag 101 is preferably a blue transparent material having a light transmittance of 12% or more at a wavelength of 650 nanometers.

  In addition, polypropylene or polyethylene is generally used as the material for the storage bag 101. However, in consideration of changes in the surface of the material (wrinkles, folds, etc.) during the use process, polyethylene is made of polypropylene. It is desirable that the storage bag 101 be made of polyethylene because it is more difficult to cause irregular reflection of light.

Returning to FIG. 6, the sample containers 102 and 103 are containers for storing a sample (here, stool) collected from the examinee, and each is provided with a barcode.
Here, the sample containers 102 and 103 have flat rectangular parallelepiped portions having a rectangular cross section, and the outer peripheral surfaces corresponding to the long sides of the cross section are stored in the storage bag 101 as front and back surfaces.
In this embodiment, one sticker on which a barcode is printed is affixed to each of the specimen containers 102 and 103, and this barcode sticker has two long sides on the outer peripheral surfaces of the specimen containers 102 and 103. Is attached to the surface corresponding to the surface and the surface corresponding to the short side sandwiched between them, and the entire barcode appears on any of these three surfaces.

Therefore, when the storage bag 101 is placed on a desk or the like, the barcodes of the sample containers 102 and 103 are always visible to the inspector, and the barcode reading operation can be easily performed.
In addition, in order to display the barcode on the plurality of surfaces of the sample container as described above, in addition to sticking one barcode seal over the plurality of outer peripheral surfaces, the barcode may be printed on the plurality of surfaces, It is possible to affix a bar code seal to each of the surfaces.

Next, the operation will be described.
FIG. 9 is a flowchart showing matching processing executed by the control unit 22 of the inspection information management apparatus 20.
The matching process shown in FIG. 9 is started in response to an instruction input to start the matching process in the inspection information management apparatus 20.
In FIG. 9, when the matching process is started, the control unit 22 reads the barcode information registration process, the inspection data reception process, the inspection data reading process, the inspection ledger display process, the inspection date setting process, the customization information registration process, and the end instruction. A menu screen on which operation buttons corresponding to these processes are displayed is displayed (step S1).

FIG. 10 is a diagram illustrating an example of a menu screen.
In FIG. 10, bar code information registration processing, inspection data reception processing, inspection data reading processing, inspection ledger display processing, inspection date setting processing, and customization information registration processing are shown as operation buttons for inputting a selectable menu. An operation button for starting each process and an end button for ending the matching process are displayed.
Subsequent to step S1, the control unit 22 determines whether or not the menu selection for ending the matching process or starting one of the processes has been performed (step S2).

If it is determined in step S2 that the barcode information registration process is selected, the control unit 22 executes the barcode information registration process (step S3). If it is determined that the inspection data reception process is selected, the control data reception is performed. Processing is executed (step S4).
If it is determined in step S2 that the inspection data reading process is selected, the control unit 22 executes the inspection data reading process (step S5). If it is determined that the inspection ledger display process is selected, the control register display is performed. Processing is executed (step S6).

Furthermore, if it is determined in step S2 that the examination date setting process has been selected, the control unit 22 executes the examination date setting process (step S7), and if it is determined that the customization information registration process has been selected, the customization information registration is performed. Processing is executed (step S8).
After step S3 to step S8, the control unit 22 repeats the matching process.
On the other hand, if it is determined in step S2 that the end of the matching process has been selected, the control unit 22 ends the matching process.

Next, subflows corresponding to each menu in the matching process will be described.
FIG. 11 is a flowchart showing the barcode information registration process.
In the barcode information registration process, for each patient belonging to the group of patients to be processed, the storage bag 101 and the sample containers 102 and 103 are associated with each other, and date information and special notes described later are input for each sample. This is a process for registering in the data file.

In the following description, it is assumed that the sample on the first day is collected in the sample container 102 and the sample on the second day is collected in the sample container 103.
In FIG. 11, when the barcode information registration process is started, the control unit 22 receives an input of the type of the examinee group (hereinafter, referred to as “examination target group”) performing the specimen test (step S101).
Here, the type of the examination target group is, for example, the company name in the case of a company health examination, and the contents of the municipality and examination venue in the case of a health examination of the local government.

Next, the control unit 22 waits for reading of barcode information attached to the storage bag 101 of the sample container set 100 (step S102), and when the barcode information of the storage bag 101 is read, the first day It waits for reading of the barcode information attached to the sample container corresponding to the sample (step S103).
At this time, the inspector can read the barcode information attached to the sample containers 102 and 103 without taking out the sample containers 102 and 103 from the containing bag 101 after reading the barcode information of the containing bag 101. .

After step S103, when the barcode information of the sample container 102 from which the sample of the first day has been collected is read, the control unit 22 corresponds to the sample collection date (stool collection date) entered in the sample container. A standby state awaits input of date information (step S104).
Here, the date information corresponding to the sample collection date is information indicating the number of days before the sample collection date with respect to the sample test date (the date when the sample is automatically tested by the sample automatic analyzer 10).

  In the present embodiment, as described above, in the data input barcode sheet S (see FIG. 4) in which the data input barcodes are listed, “0” indicating that the sample collection date is the day of the sample examination date. ”, Date information from“ 1 ”(previous day) to“ 7 ”(7 days ago) is set as a barcode in the order that the sample collection date is one day before, two days before, etc. Is read by the barcode reader 28, whereby date information is input.

When the date information is input after step S104, the control unit 22 enters a standby state waiting for input of a special note (hereinafter referred to as “sample comment”) for the sample (step S105).
Specimen comment refers to “specimen inappropriate” indicating that the specimen is not collected within a predetermined period from the specimen test date and is inappropriate as the specimen, “foreign substance” indicating that the specimen contains foreign matter, specimen This is a matter that is specially noted for the sample, such as “inappropriate amount” indicating that the collected amount is less than the standard, and these various sample comments are set as barcodes in the barcode sheet S for data input.

After the sample comment is input after step S105, the control unit 22 determines whether or not the input of the registration key is detected (step S106).
This registration key is a key for confirming the data input of the examinee who is currently inputting. For “input of registration key”, the form of clicking the “Register” button displayed on the screen or the return of the keyboard It is possible to adopt a form in which a key is pressed or a bar code corresponding to a registration key set in the data input bar code sheet S is read.

If the input of the registration key is detected in step S106, the control unit 22 finalizes the data input of the examinee who is currently inputting and registers it in the examination data file (step S107), and proceeds to the process of step S102. .
On the other hand, when the input of the registration key is not detected in step S106, the control unit 22 enters a standby state waiting for reading the barcode information attached to the sample container corresponding to the sample on the second day (step S108). ).
After step S108, when the barcode information of the sample container 103 from which the sample on the second day has been collected is read, the control unit 22 inputs date information corresponding to the sample collection date written in the sample container. The waiting state is entered (step S109).

When date information is input after step S109, the control unit 22 enters a standby state waiting for input of a sample comment for the sample (step S110).
After step S110, the control unit 22 displays a screen (registration request screen) for prompting the input of a registration key for confirming data input (step S111), and subsequently, whether or not the input of the registration key is detected. Is determined (step S112).
If the input of the registration key is detected in step S112, the control unit 22 proceeds to the process of step S107.

On the other hand, when the input of the registration key is not detected in step S112, the control unit 22 proceeds to the process of step S111.
The control unit 22 repeats the above-described operation, and is a main flow corresponding to the instructor inputting an instruction to end the barcode information registration process when registration of all samples in the examination target group is completed. Return to the matching process.
As a result of executing the barcode information registration process, the examination data file includes the type of the examination target group, the barcode information of the containing bag 101, and the barcodes of the submitted specimen containers 102 and 103 for the examinee who submitted the specimen. Information, respective sample collection dates and sample comments are entered.

FIG. 12 is a diagram showing the data contents of the inspection data file after the barcode information registration process.
In FIG. 12, for each examinee of the input screening target group, the type of screening target group, the barcode information of the containing bag 101, the barcode information of the submitted specimen containers 102 and 103, the respective sample collection dates and Data is stored in each item of the sample comment.

Next, the inspection data receiving process will be described.
FIG. 13 is a flowchart showing the inspection data receiving process.
The test data reception process is a process in which the test information management apparatus 20 receives test data from the sample automatic analyzer 10 (real time or batch reception) and stores the received test data in a test data file.
When the test data reception process is executed, the automatic sample analyzer 10 is set to transmit the test data to the test information management apparatus 20 by communication.

In FIG. 13, when the test data receiving process is started, the control unit 22 enters a standby state in which data is received from the sample automatic analyzer 10 via the communication unit 27 (step S201).
Next, when receiving the test data from the automatic sample analyzer 10, the control unit 22 displays the received data as a list and stores the received test data in the test data file in association with the examinee (step S202).

FIG. 14 is a diagram showing the contents of the inspection data file after the inspection data is stored in step S202.
In FIG. 14, in addition to the data contents of the test data file in FIG. 12, the test data of the sample containers 102 and 103 are further stored.
Here, the hemoglobin concentration measurement value of each sample container, the position in the rack in the sample automatic analyzer 10, the measurement date, and the determination result of the sample test are included in the data output from the sample automatic analyzer 10. , Stored in the inspection data file.

Returning to FIG. 13, the control unit 22 enters a state of detecting an instruction input for closing the displayed list display screen (step S <b> 203), and closes the list display screen when detecting that an instruction input for closing the list display screen has been performed. (Step S204), the data reception process is terminated, and the process returns to the matching process which is the main flow.
As a result of such processing, the examination data file is in a state where the examinee and the examination data are stored in association with each other.

  And the control part 22 inputs the instruction | indication which makes the host computer 30 transmit the content of the test data file (information specifying the examinee such as the name or ID number of the examinee and the examination result of the examinee), When an instruction to be written to the recording medium is input, the information is read from the inspection data file in the storage unit 23 and transmitted to the host computer 30 or written to the recording medium.

Next, the inspection data reading process will be described.
FIG. 15 is a flowchart showing the inspection data reading process.
The test data reading process is a process for acquiring the test data of the automatic sample analyzer 10 via the recording medium in the test information management apparatus 20.
In FIG. 15, when the inspection data reading process is started, the control unit 22 displays a dialog box for specifying a file (inspection data file) for storing inspection data (step S301). A standby state for accepting a data reading instruction is entered (step S302).

Next, when a file is specified and an instruction to read inspection data is given, the control unit 22 reads the inspection data from the recording medium and stores it in the specified file (step S303). A message indicating the completion of data storage is displayed (step S304).
And the control part 22 complete | finishes a test | inspection data reading process, and returns to the matching process which is a main flow.
After the inspection data reading process is executed, the inspection data file is in the same state as in FIG.

Next, the inspection ledger display process will be described.
FIG. 16 is a flowchart showing the inspection ledger display process.
The inspection ledger display process is a process for the examiner to check the examination data by displaying the examination ledger that lists the examinee information, examination results, and examination comments for each examinee in the specified examination target group. .
In FIG. 16, when the examination ledger display process is started, the control unit 22 accepts the designation of the examination target group (step S401), and when the examination target group is designated, the examination data of the designated examination target group is displayed. Is displayed as an inspection ledger with the specified data items as a list (step S402).
After step S402, the control unit 22 ends the examination ledger display process and returns to the matching process that is the main flow.

FIG. 17 is a diagram showing an example of a display screen of the examination ledger.
In FIG. 17, the examination ledger includes a visitor ID for identifying a examinee, a name of a group to be examined, a sample examination date, barcode information of the containing bag 101, barcode information of the first day sample container, and the sample container. The position in the rack where the is set, the sample comment, the determination result (positive / negative), the hemoglobin concentration of the sample, the barcode information of the sample container on the second day, the position in the rack where the sample container is set Sample comments, determination results (positive / negative), and hemoglobin concentration of the sample are displayed in a worksheet format as test results. When the examination information management apparatus 20 holds the name of the examinee as data in association with the examinee ID, the name of the examinee can be displayed in the examination ledger.

Next, the inspection date setting process will be described.
FIG. 18 is a flowchart showing the examination date setting process.
The examination date setting process is a process for changing the sample examination date, which is set as “the date when data is stored in the examination data file in the barcode information registration process” by default.
In FIG. 18, when the inspection date setting process is started, the control unit 22 displays an input screen for inputting the inspection date (step S501) and enters a standby state waiting for the input of the inspection date (step S502). .
When an inspection date is input after step S502, the control unit 22 updates the set value of the inspection date to the input date (step S503).
After step S503, the control unit 22 ends the inspection date setting process and returns to the matching process that is the main flow.

Next, the customization information registration process will be described.
FIG. 19 is a flowchart showing customization information registration processing.
The customization information registration process is a process for changing the association of the data or command indicated by the barcode displayed on the data input barcode sheet S.
In FIG. 19, when the customization information registration process is started, the control unit 22 displays a setting screen including a button for reading the current customization information (step S601), and the button for reading the current customization information is displayed. When pressed, a list of current customization information is displayed (step S602).

Next, the control unit 22 receives a change of the customization information displayed as a list in step S602 (step S603), and waits for an instruction input (such as pressing a registration button) to register the changed customization information (step S604). ).
When the registration instruction is input, the control unit 22 updates the customization information to the changed one (step S605), ends the customization information registration process, and returns to the matching process that is the main flow.

Next, an operation procedure in which the examination organization performs information matching on the specimen using the examination information management system 1 will be described.
As a premise, when information about a sample is matched by the examination information management system 1, the storage bag 101 with a barcode attached to the examinee, and the sample containers 102 and 103 stored in the storage bag 101 Is distributed.
The examinee collects specimens (here, feces) in different specimen containers 102 and 103 on different days. Then, the examinee fills in the name in the storage bag 101 and submits the sample containers 102 and 103 placed in the storage bag 101 to the reception on the date of the check-up.

Hereinafter, a specific work procedure performed by the screening organization after acceptance will be described.
When the receiving bag 101 is submitted by the examinee at the reception of the examination, the receiving person of the examination organization collates the name of the examinee written in the containing bag 101 with the examinee list, and the examinee is collated. In this case, examination numbers are assigned to the examinees in the order of acceptance (procedure 1).
The inspection information management device 20 reads the barcode attached to the storage bag 101 and associates it with the inspection number in the examinee list (procedure 2). Instead of the association in the procedure 2, a bar code seal corresponding to the inspection number may be issued and the bar code seals may be attached to the accommodation bag 101 in the order of the inspection number.

The barcode of the storage bag 101 is read by the barcode information registration process executed by the examination information management apparatus 20 while the sample containers 102 and 103 are stored in the storage bag 101, and the bar of the sample containers 102 and 103 is further read. The reading of the code and the input of the sample collection date and the sample comment are executed (procedure 3). Thereby, the storage bag 101 and the sample containers 102 and 103 are associated with each other.
The accommodation bags 101 for a plurality of examinees are opened, and the sample containers are taken out together (procedure 4).
At this time, since the storage bag 101 and the sample containers 102 and 103 are already associated with each other and the barcode information of the storage bag 101 is matched with the examination number of the examinee, the sample containers are mixed among a plurality of examinees. Is no problem.

The sample containers taken out in the procedure 4 are arranged in the rack of the sample automatic analyzer 10 (procedure 5).
At this time, the sample containers may be arranged randomly without worrying about the examinee and the sample collection date.
The rack is set in the sample automatic analyzer 10 and sample inspection is performed (procedure 6).
In step 6, the automatic sample analyzer 10 reads the barcode of each sample container, and the test data is acquired in a state where the measurement result of the sample container and the barcode are associated with each other.
By the test data receiving process executed by the test information management apparatus 20, the test data is output from the automatic sample analyzer 10 to the test information management apparatus 20, and the test data is stored in the test data file of the test information management apparatus 20 (procedure 7). ).

Thus, the name of the examinee, the barcode information of each sample container, the measurement result of each sample container, and the determination result of the sample test are associated with each other and stored in the file.
Since the inspection data includes the position of each sample container in the rack, the reexamined sample can be easily reexamined using the position in the rack as a clue.
Further, when the examination organization refers to the specimen test result of each examinee, the examination ledger of the designated group to be examined is displayed by the examination ledger display process executed by the examination information management apparatus 20 (procedure 8).
Information of the examination data file is output to the host computer 30 and reflected in the examinee database (procedure 9).
As a result, the result of the sample test can be reflected in the examinee database without the information regarding the examinee flowing out from the host computer 30.

  As described above, in the test information management system 1 according to the present embodiment, the barcode is attached to each of the storage bag 101 and the sample containers 102 and 103 of the sample container set 100 and is stored in the storage bag 101. Thus, it is possible to read the barcodes of the sample containers 102 and 103 by the barcode reader 28. The automatic sample analyzer 10 associates the barcode information of the sample containers 102 and 103 with the examination data and outputs the data to the examination information management apparatus 20. The examination information management apparatus 20 writes the name of the examinee. The barcode information of the containing bag 101, the barcode information of the sample containers 102 and 103, and the inspection data thereof are associated with each other.

Therefore, information included in one sample container set 100 can be easily and reliably associated.
Therefore, the matching operation between the sample and the examinee can be performed efficiently.
In addition, if the name of the examinee is described only in the containing bag 101, it is possible to perform matching between the sample and the examinee, so that the examiner can save the trouble of writing the name on the sample container, The inspector can perform the matching operation without worrying about omission of the name in the sample container.

In addition, since the matching operation can be performed in a state where the sample containers 102 and 103 are put in the storage bag 101, it is possible to prevent the sample containers from being mixed and lost between different examinees.
Even if all examinees have not submitted a predetermined number of specimen containers (for example, two on the first day and the second day) and the specimen is missing, Since the specimen inspection and matching work can be performed without worrying about omissions, the burden on the inspector can be reduced particularly in the case of the multiple specimen type inspection.

Furthermore, in the test information management system 1 according to the present embodiment, the inspector confirms the sample collection date described in the sample containers 102 and 103, and the corresponding date information is read by the barcode reader 28. You can enter data on the date of collection.
Therefore, it is not necessary to transfer the sample collection date to the examinee's list, and the work burden on the inspector can be reduced.

It is a figure which shows the system configuration | structure of the test | inspection information management system 1 to which this invention is applied. 2 is a diagram showing a functional configuration of an automatic sample analyzer 10. FIG. 3 is a block diagram illustrating a functional configuration of an inspection information management device 20. FIG. It is a figure which shows an example of the barcode sheet S for data input. 2 is a diagram illustrating a functional configuration of a host computer 30. FIG. FIG. 3 is a diagram illustrating a configuration example of a sample container set 100. It is data which shows the transmittance | permeability of red light at the time of changing the blue intensity | strength of the storage bag 101. FIG. It is a table | surface which shows the trial result of barcode reading. 4 is a flowchart showing a matching process executed by a control unit 22 of the inspection information management apparatus 20. It is a figure which shows an example of a menu screen. It is a flowchart which shows barcode information registration processing. It is a figure which shows the data content of the test | inspection data file after barcode information registration processing. It is a flowchart which shows a test | inspection data reception process. It is a figure which shows the content of the test | inspection data file after test | inspection data was stored in the test | inspection data reception process. It is a flowchart which shows a test | inspection data reading process. It is a flowchart which shows an inspection ledger display process. It is a figure which shows the example of a display screen of an inspection ledger. It is a flowchart which shows an inspection date setting process. It is a flowchart which shows a customization information registration process.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Test information management system, 10 Sample automatic analyzer, 11 Operation part, 12 Rack part, 12a Bar code reader, 13 Test part, 14 Control part, 15 Test data storage part, 16 Test data output part, 20 Test information management apparatus 21, 31 input unit, 22, 32 control unit, 23, 33 storage unit, 24, 34 RAM, 25, 35 VRAM, 26, 36 display unit, 27, 37 communication unit, 28 bar code reader, 30 host computer, 100 specimen container set, 101 containing bag, 102, 103 specimen container

Claims (21)

Sample autoanalyzer for analyzing a sample, test information management device for managing test data output by the sample autoanalyzer, a sample container for storing a sample collected from a examinee, and a storage bag for storing the sample container A test information management system comprising a sample container set including
The specimen container and the containing bag are given identification information for identifying each, and the containing bag is given information that can identify the name of the examinee or the examinee,
The sample automatic analyzer is
Identification information reading means for reading the identification information attached to the sample container;
Test data output means for associating and outputting the identification information of the sample container read by the identification information reading means and the inspection data for the sample container;
The inspection information management device includes:
Identification information attached to the storage bag for storing the sample container, and identification information reading means capable of reading the identification information attached to the sample container in a state of being stored in the storage bag;
Test data acquisition means for acquiring the test container identification information output by the sample automatic analyzer and the test data for the sample container;
Based on the identification information of the sample container acquired by the inspection data acquisition means, the inspection for the sample container, the identification information of the containing bag, and the identification information of the sample container are associated and managed An inspection information management system comprising an information management means. Further comprising a patient information management device for storing a patient information database including information on the attributes of the patient and information on the examination results of the patient;
The inspection information management device includes:
Comprising test result output means for associating and specifying test subject specifying information for specifying a test subject and the test data relating to the test subject,
The examinee information management device includes:
Test result acquisition means for acquiring the test subject identification information output by the test result output means and the test data relating to the test subject;
The database management means for adding the examination data relating to the examinee to the examinee information database based on the examinee identification information obtained by the examination result acquisition means. Inspection information management system. A data input sheet on which identification information corresponding to predetermined data or instructions is represented;
3. The inspection information management system according to claim 1, wherein the inspection information management device accepts input of data or a command corresponding to the identification information of the data input sheet read by the identification information reading unit. .   The examination information management system according to any one of claims 1 to 3, wherein identification information representing an arbitrary number is attached to the accommodation bag and the sample container in the sample container set.   The examination information management system according to any one of claims 1 to 4, wherein the sample container set includes a plurality of sample containers each having the identification information attached thereto. The identification information is information represented by a barcode,
6. The inspection information management system according to claim 1, wherein the identification information reading unit of the inspection information management device includes a barcode reader that reads the barcode.   The inspection information management system according to any one of claims 1 to 6, wherein the containing bag is made of a blue transparent material having a light transmittance of 12% or more at a wavelength of 650 nanometers. .   The inspection information management system according to claim 7, wherein the storage bag is made of a polyethylene material.   9. The sample container according to claim 1, wherein the sample container has a rectangular parallelepiped outer shape portion, and the one-dimensional barcode is attached to a plurality of outer peripheral surfaces of the rectangular parallelepiped outer shape portion. Inspection information management system described in the section. The identification information is information represented by a one-dimensional barcode, and is represented on the seal member surface,
The sample container has an outer shape having a rectangular cross section, and the three-dimensional outer surface corresponding to the short side and the long side opposite to each other across the cross section can read the one-dimensional barcode. The inspection information management system according to any one of claims 1 to 9, wherein a seal member is affixed. A test information management device for managing test data of a specimen,
Identification information attached to the storage bag for storing the sample container, and identification information reading means capable of reading the identification information attached to the sample container in a state of being stored in the storage bag;
Test data acquisition means for acquiring the identification information of the sample container and the test data for the sample container associated therewith from an external device;
Based on the identification information of the sample container acquired by the inspection data acquisition means, the inspection information for the sample container, the identification information of the containing bag and the identification information of the sample container are managed in association with each other An inspection information management apparatus comprising a management means. A test information management program for managing sample test data,
An identification information reading function for reading the identification information attached to the storage container for storing the sample container, and the identification information attached to the sample container in a state of being stored in the storage bag;
A test data acquisition function for acquiring identification information of the sample container and test data for the sample container associated therewith from an external device;
Based on the identification information of the sample container acquired by the inspection data acquisition function, the inspection information for the sample container, the identification information of the containing bag, and the identification information of the sample container are managed in association with each other An inspection information management program characterized by causing a computer to realize a management function. A test information management method for managing test data of a sample collected from a patient,
Identification information for identifying each of the sample container for storing the sample and the storage bag for storing the sample container is attached, and information for identifying the name of the examinee or the examinee is attached to the storage bag. And
After reading the identification information of the storage bag and the identification information of the sample container in the state of being stored in the storage bag, and associating these identification information, the sample container is subjected to analysis to identify the sample container By acquiring information and test data in association with each other, information that can identify the name of the examinee or the examinee attached to the containing bag and the examination data of the sample container contained in the containing bag And an inspection information management method characterized by associating. A sample container set including a sample container for storing a sample collected from a medical examinee and a storage bag for storing the sample container,
Identification information for identifying each of the sample container and the storage bag is attached to the storage container, and a name of the examinee or information capable of identifying the examinee is attached to the storage bag. Is configured so that the identification information attached to the sample container accommodated therein can be read from the outside by a reading device.   The specimen container set according to claim 14, wherein identification information representing an arbitrary number is attached to the accommodation bag and the specimen container.   16. The sample container set according to claim 14, comprising a plurality of the sample containers each having the identification information attached thereto.   The sample container set according to any one of claims 14 to 16, wherein the identification information is information represented by a barcode read by a barcode reader.   The specimen container set according to any one of claims 14 to 17, wherein the container bag is made of a blue transparent material having a light transmittance of 12% or more at a wavelength of 650 nanometers.   The sample container set according to claim 18, wherein the accommodation bag is made of a polyethylene material.   20. The sample container according to claim 14, wherein the sample container has a rectangular parallelepiped outer shape portion, and the one-dimensional barcode is attached to a plurality of outer peripheral surfaces of the rectangular parallelepiped outer shape portion. The specimen container set according to Item. The identification information is information represented by a one-dimensional barcode, and is represented on the seal member surface,
The sample container has an outer shape having a rectangular cross section, and the three-dimensional outer surface corresponding to the short side and the long side opposite to each other across the cross section can read the one-dimensional barcode. The specimen container set according to any one of claims 14 to 20, wherein a seal member is affixed.

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