JP2009104674A - Program and system for clinical test - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system for a clinical test, which can easily and accurately obtain the clinical test having a problem in progressing. <P>SOLUTION: The system for the clinical tests, which manages a clinical test task for requiring a report associated with receiving a clinical test order and providing a result of the clinical test comprises: a display means; a clinical test information input means for inputting information about the clinical test, which is under management; a clinical test information storing means for storing the clinical test information to be input by the clinical test information input means; a range selection means for displaying a range selection screen, which in turn selectably displays a plurality of selections corresponding to a different range for the clinical test on the display means; an extraction means for extracting the clinical test information, which in turn matches predefined conditions for the progress of the clinical test tasks, from among the clinical test information stored in the clinical test information storing means within the clinical test range corresponding to the selection being selected; and a screen generating means for generating and displaying a progress management screen for displaying the clinical test information extracted by the extraction means. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

The present invention relates to a clinical examination system and a program for managing examination information relating to clinical examinations, to which computers and analyzers are connected via a network. It is intended to provide a clinical laboratory system and program for making it easier to manage the progress of clinical laboratory work.

  In recent years, in medical institutions such as hospitals, reservation and acceptance of examinations, printing of barcode labels attached to specimen containers such as blood collection tubes, printing of worksheets as instruction manuals for examination procedures, and transport of specimens to examination rooms In addition, clinical laboratory systems have been widely used to manage various clinical laboratory operations ranging from measurement using various analyzers, aggregation of measurement results, validation (confirmation of measurement results), retest instructions, and reporting of test results. ing. Such a clinical examination system is constructed by arranging computers and analyzers as input / output terminals at various locations in a hospital and connecting them via a network.

    In clinical laboratory work, if a test result is not reported even after a predetermined time has passed, it will be supported by the patient's medical care. Such troubles may be caused by the specimen collected from the patient not having arrived at the laboratory where the analyzer is installed even after the scheduled time for some reason, the examination in the laboratory is delayed, or measurement This can be caused by various reasons, such as a later report not being sent. If a trouble that has occurred in a sample is left unattended for a long time, the smooth flow of not only the sample but also a series of examination operations is hindered. There is known a clinical examination system having a progress management function for detecting the occurrence of such troubles. This clinical examination system has a function of displaying a list of progress of each examination which is a management target of the clinical examination system. The operator of the clinical examination system searches for a problem in the progress of the examination from the list display and takes some measures to solve the trouble.

JP-A-11-51942 Japanese Patent Laid-Open No. 08-233825

  However, in the conventional clinical examination system, the number of examinations in progress that should be displayed in a list increases as the type of examination and the number of samples to be managed by the clinical examination system increase. On the other hand, if there are a lot of inspections that do not have a problem in the progress, or if there is a problem in the progress, the inspection is outside the scope of the inspection that the operator is responsible for There was. For this reason, it is not easy to quickly find inspections that are within the control range of the operator and have a problem in progress among the many inspections displayed in the list, and respond quickly to inspection problems. There were cases where it was not possible.

In view of the above problems, the present invention is a clinical examination system that manages clinical examination work from reception of examination orders to reporting of examination results, and includes examination means for inputting information relating to a display means and examination to be managed The display means displays an input means, an examination information storage means for storing examination information input by the examination information input means, and a range selection screen for displaying a plurality of options corresponding to different examination information ranges. Extraction means for extracting test information corresponding to a predetermined extraction condition relating to the progress of clinical test work from the test information stored in the test information storage means in the test information range corresponding to the selected option. And a screen creation means for creating a progress management screen for displaying the examination information extracted by the extraction means and displaying the screen on the display means. To provide an inspection system.

Further, the present invention is a program that has an input means, a storage means, and a display means, and operates on a computer that constitutes a clinical examination system that manages clinical examination work from reception of examination orders to reporting of examination results, The display means accepts input of information related to the examination to be managed from the input means, stores the examination information in the storage means, and a range selection screen for displaying a plurality of options corresponding to different examination information ranges. A function to display, a function to extract test information corresponding to a predetermined extraction condition regarding the progress of clinical laboratory work, from the test information stored in the storage means in the test information range corresponding to the selected option, and extraction A function for creating a progress management screen for displaying the inspection information, a function for displaying the created progress management screen on a display means, Providing a program for implementing on a computer.

  According to the clinical examination system of the present invention, since only examinations that require some kind of response for the operator are extracted and displayed, there is no oversight. Also, a range is specified such as “Comprehensive”, “Specimen type”, “By device”, etc., and only the tests that need some action for the operator are extracted and displayed. It is possible to display information only for examinations that have problems in progress. As a result, although there is a problem in the progress, the inspection outside the management range of the operator is not output on the progress management screen, so only the information that is truly necessary for the individual operator is displayed.

  In addition, by automatically updating the output at a predetermined timing, even if a situation requiring an operator's sudden response occurs, the operator can be promptly urged to respond in a series of clinical tests. Lead time can be shortened.

It is a figure explaining the relationship between the hardware constitutions of this system, and each operation | work of a clinical test. It is a conceptual diagram explaining a test | inspection information database. It is a conceptual diagram explaining a test | inspection information database. It is a figure explaining operation | movement of a progress management program. It is a figure which shows an example of the screen used in order that an operator may select the range of test | inspection information. It is a figure explaining the function of this system. It is a figure explaining a search program. It is a figure which shows an example of the screen for progress management. It is a figure which shows an example of the screen for progress management. It is a figure explaining operation | movement of a progress management program.

  Hereinafter, an embodiment of a clinical examination system using the present invention will be described. In addition, this invention is not necessarily limited to this Example.

    <Embodiment 1> FIG. 1 is a diagram for explaining the relationship between the hardware configuration of this system and each operation of a clinical test. This system consists of a computer (server 1, client 2, 3, 4, 5, 6), sample container supply device 7, analysis device group 8 (ME-1, ME-2, ME-3, ME-4), FAX 9 Each component is connected through a LAN 10.

    The computers (server 1, client 2, 3, 4, 5, 6) are all general-purpose computers having CPU, ROM, RAM, hard disk, etc., and these are input devices such as keyboard and mouse, CRT and LCD Etc. are provided. Each client functions as an input / output terminal for performing various inputs / outputs in the system, and transmits / receives information to / from the server 1. When any device is connected to the client, the client transmits / receives information to / from the connected device.

    The server 1 is a program for causing each client to function as an input / output terminal as described above, and for the server 1 to receive information transmitted from each client or analyzer and perform information processing such as storage / output based on the information. Group 11 is stored and managed. Each client implements various functions as an input / output terminal by reading the program group 11 managed by the server 1 as necessary.

    The server 1 manages the examination information database 12. The examination information database 12 is for storing various information (examination information) relating to examinations such as patient attribute information, examination results, and input times for each examination managed by the present system. The information stored here includes clinical laboratory work (test acceptance, sample arrival confirmation, measurement, measurement result confirmation, report creation, report output, etc.) performed via each client or analyzer. Is input by each client or analysis device in each step of (described later).

    The feature of this system is that it stores the test information related to the test to be managed, checks the progress status of the clinical test work from the stored test information, causes a delay in the progress of work, or tests a sample again. When there is an examination that is in a situation to be notified to the operator, for example, there is a progress management function for outputting it to the display device of the client. The progress management function searches for the inspection information database 12 based on a predetermined extraction condition and extracts the inspection information corresponding to the extraction condition by inputting and storing inspection information in the inspection information database 12 The progress management screen output function generates and outputs a progress management screen from the extracted examination information. The progress management function including these is realized by the progress management program 111 included in the program group 11 managed by the server 1 operating on the server 1 and each client constituting the system.

    (1. Test Information Collection Function) Hereinafter, the test information collection function will be described for each step of a series of clinical test tasks managed by this system. As shown in FIG. 1, a series of clinical examination operations in this system includes steps such as “reception”, “specimen arrival confirmation”, “measurement”, “measurement result confirmation”, and “report”. When each operation is completed, the inspection information is input and stored in the inspection information database 12 from the client or analyzer used for each operation.

    (Reception) When the doctor determines that the patient needs to be examined, he / she requests an examination at the medical office. At the time of the request, it is accepted that an order such as a patient name and examination items is accepted and registered. As a result, a series of inspection operations in the clinical inspection system is started. The reception input is performed by the operator using an input device such as a mouse or a keyboard on a predetermined reception input screen displayed on the display device of the client 2. The input content is stored in the examination information database 12 managed by the server 1 together with the reception time.

    FIG. 2 is a conceptual diagram of the inspection information database 12. The examination information database 12 has a record for each examination that has been accepted, and “reception number”, “patient name”, “patient ID”, “whether it is an emergency examination”, “examination item”, Information such as “specimen / device identification code” for identifying the type of sample used and the analyzer is stored. In addition, the time when the reception is input is stored. Information stored in the inspection information database 12 and records that are a set of these are hereinafter referred to as “inspection information”.

    Since the type and number of sample containers to be used vary depending on the type of sample, measurement items, and analyzer, it is necessary to prepare an appropriate type and number of sample containers according to the contents of the accepted test. First, the examination information input / stored at the reception is transmitted from the server 1 to the sample container supply device 7 via the client 3. The specimen container supply device 7 stores a plurality of kinds of specimen containers for collecting specimens, and selects and supplies the kind and number of specimen containers according to the received examination information. The sample container supply device 7 has a built-in barcode printer, and in accordance with the received examination information, a barcode label including various information such as the examination date, the reception number, the specimen container ID, and the type of analyzer to be used is provided. Print and automatically affix to the selected specimen container. In this way, the sample container supply device 7 supplies a sample container according to the contents of the examination. In the supplied specimen container, specimens such as blood and urine collected from the patient are stored.

    (Specimen arrival confirmation) A specimen container containing a specimen is transported to a laboratory such as a blood laboratory or a urine laboratory. In FIG. 1, a plurality of examination rooms are shown as one examination room for convenience. When the sample collected from the patient arrives at the laboratory, a sample arrival confirmation is input. The sample arrival confirmation is input by reading a barcode label attached to the sample container using a barcode reader (not shown) of the client 4 arranged in the laboratory. If the barcode is dirty and cannot be read by the barcode reader, use the input device such as a mouse or keyboard to input the specified sample arrival confirmation input screen displayed on the display device of the client 4 It is also possible to do. When the sample arrival confirmation is input, the time when the sample arrival confirmation is input is stored in the examination information database 12 managed by the server 1.

    (Measurement) The sample for which the sample arrival confirmation has been completed is set in the analyzer, and the requested test item is measured. Of the analyzers ME-1, ME-2, ME-3, and ME-4 included in the analyzer group 8, ME-1 and ME-2 are all blood analyzers. ME-1 is a blood analyzer for measuring red blood cell count, white blood cell count, platelet count and hemoglobin concentration in blood. ME-2 is a blood analyzer for measuring reticulocytes. ME-3 and ME-4 are urine analyzers. The ME-3 is a urine analyzer for measuring formed components such as red blood cells, white blood cells, bacteria, and cylinders in urine, and is used for so-called urine sediment examination. ME-4 is a urine analyzer for measuring chemical components such as protein, glucose and occult blood in urine, and is used for so-called urine qualitative tests. Any of the analyzers included in the analyzer group 8 can read the barcode label attached to the sample container and perform the measurement of the requested test item fully automatically.

    The analyzers ME-1, ME-2, ME-3, and ME-4 are connected to the server 1 via a network. When each analyzer is finished, information such as acceptance number, sample container ID, and measurement date At the same time, the measurement result is automatically transmitted to the server 1 to input the measurement result. By the measurement result input, the test information database 12 managed by the server 1 stores the measurement result and the time when the measurement result was input. In addition, when an inspection is performed by using a method without using these analyzers, the operator uses a mouse, a keyboard, or the like for a predetermined measurement result input screen displayed on the display device of the client 4. It is also possible to input a measurement result using an input device. In this case, the measurement result and the time when the measurement result is input are stored.

    (Measurement result confirmation) Measurement result confirmation includes validation and re-examination instructions. Validation means that a certain measurement result is approved as “an official measurement result may be reported to the requester of the inspection” and is performed only by an authorized operator. The validation input is performed by the operator using an input device such as a mouse or a keyboard on a predetermined validation input screen displayed on the display device of the client 5. This screen displays the measurement results that are subject to validation and performs validation input by selecting on the screen what can be validated. When a validation input is made, the validation input and its input time are stored in the examination information database 12 managed by the server 1.

    Abnormal measurement results may be discovered during the validation process. The cause is considered to be a specimen abnormality and an analyzer abnormality. If it is determined that a re-examination (re-examination) is necessary, the operator gives an instruction that the re-examination should be performed without validating the measurement result. This is a retest instruction. In order to issue a reexamination instruction, a measurement result determined to require reexamination is selected on the validation input screen, and a reexamination instruction is designated. For an examination for which a reexamination instruction has been issued, the reexamination instruction and its input time are stored in the examination information database 12.

    The measurement result for which a retest instruction has been issued is not validated, and the retest is performed on the same sample. When the reexamination is completed, the reexamination measurement result and the time of the reexamination measurement result input are stored in the examination information database 12 in the same manner as the first measurement.

    For the examination that has undergone re-examination, the first measurement result and the re-examination measurement result are displayed on the validation input screen, so the operator compares the two. If the re-examination measurement result can be reported as an official measurement result, a validation input is made for the re-examination measurement result.

    (Report) When the validation of the measurement results is completed, a report about the examination is created, and the examination is reported from the laboratory to the requesting medical office. The report is created by an operator inputting necessary items on a predetermined report creation input screen displayed on the display device of the client 5 by using an input device such as a mouse or a keyboard. When the creation of the report is completed, the data of the created report is transmitted to the server 1 and associated with the inspection information record stored in the inspection information database 12 and stored in the server 1. This data is transmitted from the server 1 to the FAX 9 via a FAX modem (not shown). The FAX 9 is distributed to the medical station that requested the examination, and prints out the data of the received report. When the transmission of information from the server 1 to the FAX 9 is completed, the time when the transmission is completed is stored in the examination information database 12. Note that the report data stored in the server 1 can be viewed on a predetermined report browsing screen displayed on the display device of the client 6 disposed in the medical station that is the examination request source.

    As described above, when each work is completed, various information is input to the examination information database 12 from the client or analyzer used for each work and stored as examination information. FIG. 3 shows a conceptual diagram of the inspection information database 12. The receipt number, patient name, patient ID, examination item, specimen type / analyzer identification code, etc. are stored for each record. In addition, as described above, the time at which completion of each operation of the clinical test is input is stored. In other words, the work whose time is stored in the examination information database 12 has already been completed. If the time is not stored, the work is not completed. For example, in the inspection record of the reception number 110002, reception, arrival confirmation, measurement, and validation are completed, but reporting is not completed. If the time is stored in the “retest” column, it indicates that a retest instruction has been issued for the test.

    Note that the examination information collection function is always executed while the system is in operation, and if examination information is input from each client or analysis apparatus, it is received as needed and stored in the examination information database 12.

    Flow of information processing during execution of test information collection function The test information collection function described above, that is, the input of test information performed at each step of a series of clinical test operations and storage in the test information database 12 is progressing. The management program 111 is realized by operating on a computer constituting the system. FIG. 4 shows an operation flow of the progress management program 111 when the examination information collection function is executed. The inspection information collection function is started when the system is started and is always executed while the system is operating.

  Step S1: While this system is in operation, the storage is accepted at any time if inspection information is input from each client or analyzer. If inspection information is input, the process proceeds to step S2, and if not input, the process proceeds to step S3.

  Step S2: The entered examination information is stored in the examination information database 12.

  Step S3: When the operation of the present system is continued, the process proceeds to step S1, and the acceptance of inspection information input is continued. When the operation of this system is terminated, the execution of the inspection information collection function is also terminated.

    As described above, the inspection information collection function is executed by the progress management program 111, and each client or analyzer inputs inspection information to the inspection information database 12.

    (2. Progress Management Screen Output Function) As described above, the progress management function realized on this system by the progress management program 111 is as follows. In addition to the examination information collection function described in (1), the screen management function includes a progress management screen output function described below.

    In a series of clinical examination operations from reception of examinations to reports, there are cases where the operator needs to take some action due to a delay in progress due to trouble or the need for re-examination. The screen output function for progress management of this system defines such a situation as an extraction condition in advance, and outputs a predetermined screen to the client display device when the inspection information corresponding to the extraction condition exists in the inspection information database 12. This is a function to notify the operator.

    When the progress management screen output function by the progress management program 111 is executed by any one of the clients, only the examinations corresponding to the predefined extraction conditions are extracted from the examination information database 12 and listed as predetermined progress management screens. Is displayed. The operator can see the progress management screen and know that it is necessary to directly deal with the examination displayed on the screen.

    The progress management screen output function can be executed by any of the clients 2, 3, 4, 5, and 6. When the progress management screen output is executed by any one of the clients, the progress management program 111 performs information processing through the steps of “range selection”, “extraction”, and “output” described below.

    (Range Selection) In the “range selection” step, a range of examination information to be output as a progress management screen is selected from the examination information stored in the examination information database 12. When the execution of the progress management screen output function is started, the progress management program 111 displays a screen for requesting the operator to select the inspection range on the display device of the client. An example of the screen is shown in FIG. Here, the range selection options are “General”, “Sample type (blood)”, “Sample type (urine)”, “Analyzer (ME-1)”, “Analyzer (ME-2)”, “Analyzer” (ME-3) "and" Analyzer (ME-4) ". If one of them is designated on the screen by an input device such as a mouse or a keyboard of the client, a range of examination information to be output as a progress management screen can be selected. In FIG. 5, the option of “specimen type (blood)” is selected, and the color is displayed inverted. When “Comprehensive” is selected, a search based on a predetermined extraction condition is performed on all examination records stored in the examination information database 12 in an “extraction” step described later. When “specimen type (blood)” is selected, in the “extraction” step to be described later, out of the test information stored in the test information database 12, only a test record using blood as a sample is targeted. A search based on the extraction condition is performed. When “specimen type (urine)” is selected, in the “extraction” step, which will be described later, among the tests stored in the test information database 12, only a test record using urine as a sample is targeted. Search according to conditions is performed. When “by analyzer” (ME-1) is selected, only the record of the test using the analyzer ME-1 among the test information stored in the test information database 12 in the “extraction” step to be described later is targeted. As a result, a search based on a predetermined extraction condition is performed. When “by analyzer” (ME-2) is selected, only the record of the test using the analyzer ME-2 is included in the test information stored in the test information database 12 in the “extraction” step described later. As a result, a search based on a predetermined extraction condition is performed. When “by analyzer” (ME-3) is selected, only the record of the test using the analyzer ME-3 is included in the test information stored in the test information database 12 in the “extraction” step described later. Is compared with a predetermined extraction condition. When “by analyzer” (ME-4) is selected, only the record of the inspection using the analyzer ME-4 among the inspection information stored in the inspection information database 12 is targeted in the “extraction” step described later. As a result, a search based on a predetermined extraction condition is performed.

    With the “range selection” step, this system does not require progress management for urinalysis, and operators who only need to perform progress management for blood tests limit the scope of test information depending on the type of specimen used for the test. By selecting “Specimen Type (Blood)”, which is one of the options for performing the test, only the test that has a problem in progress among the tests whose test target is blood is displayed on the progress management screen. It is possible to make it. In addition, an operator who only needs to manage the examination related to the measurement of reticulocytes is one of the options for limiting the scope of examination information depending on the analyzer used for the examination. By selecting “2)”, it is possible to display on the progress management screen only those tests that have a problem in progress among the tests measured by the analyzer ME-2 having the function of measuring reticulocytes. . In addition, an operator who needs to manage the progress of all examinations managed by this system selects “Comprehensive” to make progress from all examination information stored in the examination information database 12. It is possible to extract the inspection information regarding the inspection having a problem and display it on the progress management screen.

    The “range selection” step as described above is realized by the progress management program 111 operating.

    (Extraction) When “range selection” is performed, according to the range of the selected inspection information, the inspection information stored in the inspection information database 12 is searched for and extracted from the inspection information stored in the inspection information database 12. . FIG. 6 is a schematic diagram of functions of the present system centering on the progress management program 111. The inspection information input from the inspection information input means 13 (here, each client or analyzer) by execution of the inspection information collection function by the progress management program 111 is stored in the inspection information database 12. The progress management program 111 includes a search program group 112 that performs a search using a predetermined extraction condition in accordance with each range of examination information selected using the range selection means 14 (here, each client). Yes. Each search program is associated with each option for range selection displayed on the screen of FIG. 5, and the corresponding search program is activated to perform a search in response to the input of range selection. The predetermined extraction conditions used for the search are described in a macro language for each search program, and can be set so that the extraction conditions used for the search differ depending on the range of the examination information to be selected.

For example, when “analyzer ME-1” is selected in the “range selection” step, the corresponding search program 112a is activated. FIG. 7A shows the contents of the extraction condition described in the macro language in the search program 112a corresponding to the range selection option “analysis apparatus ME-1.” Here, as a condition
(1) An inspection using the analyzer ME-1.
(2) Validation is not completed after 45 minutes (10 minutes in case of emergency test) after the sample arrives.
(3) Re-examination instructions are given.
(4) Re-examination has been completed for the sample for which re-examination is instructed.
Is set. Also, the combination formula “(1) × ((2) + (3) + (4))” using the above (1) to (4) is set (“×” is an AND condition, “+” is Indicates OR condition). This combination formula is used as an extraction condition to perform a search. That is, when this search program 112a is executed, it corresponds to the condition (1) (“inspection using the analyzer ME-1”) among the records stored in the inspection information database 12, In addition, one corresponding to any of (2), (3), and (4) is retrieved and extracted.

  For the condition (1), the search program 112a searches for a record of a test using the analyzer ME-1 based on the specimen type / analyzer identification code stored in each record of the test information database 12.

  As for condition (2), whether or not a certain time has passed since a certain reference time is a problem, the search program 112a becomes the reference (when condition (2), sample arrival) The time difference from to the present is calculated, and the calculated time difference is compared with a certain time set in the condition (45 minutes for the normal inspection and 10 minutes for the emergency inspection in the condition (2)). In this way, whether the condition is met or not is determined.

  Other conditions (3) and (4) that are not related to the passage of time are determined by the presence or absence of input in each item of inspection information. When judging the condition (3), it is judged that the condition is met if a retest instruction is input. If there is no input, it is determined that the condition is not met. When judging about condition (4), if there is an input of completion of reexamination, it is judged that the condition is met. If there is no input, it is determined that the condition is not met.

Similarly, search conditions corresponding to other range selection options also describe individual conditions and combination formulas using them as extraction conditions. FIG. 7 b shows the contents of the extraction condition described in the macro language in the search program 112 b corresponding to the option “overall”. Here as a condition
(5) Specimen arrival is not confirmed even after 15 minutes (5 minutes for urgent specimens) have passed since acceptance.
(6) Measurement is not completed even after 40 minutes (10 minutes for urgent samples) have passed since sample arrival.
(7) Report FAX transmission has not been completed even after 50 minutes (15 minutes for urgent specimens) have passed since specimen arrival. Is set, and the combination formula “(5) + (6) + (7)” using the above (5) (6) (7) is set (“+” indicates an OR condition) . That is, when this search program 112b is executed, the inspections that satisfy any of the conditions (5), (6), and (7) among the inspections stored in the inspection information database 12 are retrieved and extracted. Will be.

  The predetermined times set in the above conditions (2), (5), (6), and (7) are set to apply to the normal inspection and to apply to the emergency inspection. In this embodiment, in any conditions, a shorter time is set in the case of an emergency test than in a normal test. As a result, it is possible to check the progress delay earlier in the emergency inspection than in the normal inspection and notify the operator.

  The extraction steps as described above are executed when each search program constituting the search program group 112 is read and operated by the client.

  (Output) The progress management program 111 creates data for a progress management screen based on the contents of the examination information included in the extracted record. The created data is output to the client display device as a progress management screen. The output steps as described above are executed by the progress management program 111 being read and operated by the client.

  FIG. 8 is an example of the progress management screen when “by analyzer” (ME-1) is selected in the “range selection” step, and the examination that is determined to meet the extraction conditions is displayed on the screen. Listed on the left. For each examination, in addition to its reception number, sample number, etc., whether or not it is an emergency examination (in the case of an emergency examination, “Sudden” is displayed in the “Emergency” column) is displayed. In the “arrival elapsed time” column, how long a predetermined time has passed after the arrival confirmation of the sample is displayed. Tests indicated here correspond to condition (2) (validation is not completed after 45 minutes (10 minutes in case of emergency test) from sample arrival). After 45 minutes (10 minutes in case of emergency inspection), how much time has passed is displayed. The time displayed in the “Elapsed Arrival Time” column uses the time calculated when the inspection information and the conditions are compared. The list display is sorted in the order of emergency inspection / normal inspection, and is sorted and displayed in the order in which the elapsed time of arrival has passed.

  When one of the listed tests is selected, various information related to the selected test (patient name information, patient number, date of birth, blood type, etc. Past measurement results, current measurement results, etc.) are displayed. The selected examination is displayed with the characters and background colors reversed in the list display.

  Inspections that do not meet the extraction conditions are not displayed on the progress management screen. In other words, since only the items that need some kind of response for the operator are selected and displayed, there is no possibility of overlooking the necessary items from the displayed list (only necessary items are displayed).

  On the upper right side of this screen, the total number of specimens currently accepted and the number of processed specimens are displayed for each urgent / normal basis. As a result, the progress of the entire inspection can be grasped.

  FIG. 9 is an example of a progress management screen when “comprehensive” is selected in the “range selection” step, and examinations determined to satisfy the extraction conditions are listed on the left side of the screen. For each test, the patient number, patient name, whether the patient is an inpatient or outpatient, the name of the medical office from which the test is requested, the reception number, and whether it is an emergency sample (in the case of an emergency sample, “Emergency” "Sudden" is displayed in the column), and the reception time is displayed. In the “arrival elapsed time” column, how long a predetermined time has elapsed after the arrival of the sample is confirmed is displayed.

  In this list display, when the reception time is displayed and the elapsed arrival time is not displayed, the sample arrival is not confirmed even if (5) (15 minutes from the reception (5 minutes in the case of an emergency sample) elapses). )). In addition, if there is an indication of the elapsed time of arrival, the above situation (6) (measurement is not completed even after 40 minutes (10 minutes in the case of an emergency sample) has passed since the arrival of the sample) or (7) (sample arrival) This is a test that falls within 50 minutes (15 minutes for urgent specimens). You can determine whether the test falls under (6) or (7) by referring to the “Sample Status” column displayed on the right side of this list and checking the current sample status. be able to.

  When one of the examinations in the list is selected using an input device such as a mouse or a keyboard, details of the examination are displayed in the specimen status column. When any examination is selected in the list display, the patient attribute information related to the selected examination is displayed in the “Patient attribute” column, and whether the report is output by FAX is displayed in the “Output status” column. . The selected examination is displayed with the characters and background colors reversed in the list display.

  On the upper right side of the progress management screen, the total number of inspection orders currently accepted and the number of orders processed for them are displayed for each urgent / normal basis. As a result, the progress of the entire inspection can be grasped.

FIG. 10 shows an operation flow of the progress management program 111 when the progress management screen output function is executed. When execution of the progress management screen output function is started by any client, the following steps are executed.
Step S11: Accept range selection input. Subsequently, the process proceeds to step S12.
Step S12: Based on the input of the range selection, a search program corresponding to the range of the selected inspection information is activated to search the inspection information database 12. Subsequently, the process proceeds to step S13.
Step S13: A record corresponding to the extraction condition is extracted from the examination information database 12. Subsequently, the process proceeds to step S14.
Step S14: Create data for output as a progress management screen based on the inspection information of the extracted record. Subsequently, the process proceeds to step S15.
Step S15: The progress management screen is displayed by outputting the created data to the display device of the client.

  When the display of the progress management screen is not terminated and the display is continued within the range of the currently selected examination information, the process returns from step S15 to step S12 (indicated by a dashed arrow in FIG. 10). Repeat steps S12 to S15. By periodically repeating this cycle, even when a new input is made in the examination information database 12, the progress management screen is updated to reflect the input content. For this reason, even if a situation requiring an operator's sudden response occurs, the screen update is periodically repeated, so that it is possible to prompt the operator to respond immediately.

  <Embodiment 2> In Embodiment 1, the screen is regularly updated as a predetermined timing for updating the screen. However, the update is always performed when a new input is made to the examination information database 12. You may do it. For example, when new inspection information is input while the progress management screen is displayed, the progress management program 111 creates search / extraction / display data by the search program corresponding to the range of the inspection information selected at that time. To update the output contents of the progress management screen. By adopting such a configuration, even if a situation requiring an operator's immediate response occurs, the progress management screen is output and updated in real time, so that it is possible to prompt the operator to respond immediately. .

  <Embodiment 3> When new inspection information is input, the progress management program 111 performs a search using a search program having a predetermined extraction condition, and if there is inspection information corresponding to the predetermined extraction condition, the operator is informed. A warning will be issued. The warning is issued even when the operator is performing work other than progress management using the client, that is, even when the progress management screen is not displayed on the display device of the client. Such warnings may be displayed on the display device of the client operated by the operator. A warning may be issued by voice.

  <Embodiment 4> In Embodiment 1, the operator can arbitrarily select the range of inspection information when executing the progress management screen output function. However, the range of options that can be selected depending on the authority of the operator You may make it restrict | limit. For example, the server 1 stores the login name when the operator logs in to the system. In the progress management program, a login name and a selectable range according to the login name are set. When the operator inputs range selection, the progress management program refers to the login name stored in the server 1 and restricts the range options that can be selected according to the login name. This allows laboratory managers to select any range of “general”, “specimen type”, and “analyzer”, and analyze analyzers related to blood tests (analyzers ME-1, ME). -2) Laboratory technicians who are only authorized to operate urine analyzers (ME-3, ME-4) and are not authorized to operate are classified as “specimen type (blood)” and “analyzer”. Only a range such as “separate (ME-1)” or “analytical device (ME-2)” can be specified. By adopting such a configuration, it is possible to promptly display an appropriate progress management screen according to the business scope of each operator.

111: Progress management program 112: Search program group 113: Screen creation means 12: Inspection information database 13: Inspection information input means 14: Range selection means

Claims (13)

A clinical examination system for managing clinical examination operations from acceptance of examination orders to reporting of examination results, display means, examination information input means for inputting information relating to examinations to be managed, and examination information input means Inspection information storage means for storing the inspection information input by the range, range selection means for displaying a selection screen for selecting a plurality of options corresponding to different inspection information ranges on the display means, and selected Extraction means for extracting examination information corresponding to a predetermined extraction condition relating to the progress of clinical examination work from the examination information stored in the examination information storage means in the examination information range corresponding to the option, and extracted by the extraction means A clinical test system comprising: a screen creation unit that creates a progress management screen for displaying test information and displays the screen on a display unit. The clinical examination system according to claim 1, wherein the plurality of options displayed on the range selection screen includes an option for specifying a type of specimen used for the examination . The clinical examination system according to claim 1 or 2, wherein the plurality of options displayed on the range selection screen includes an option for specifying an analyzer to be used for the examination. The clinical examination system according to claim 2 or 3, wherein the plurality of options displayed on the range selection screen include options corresponding to all examination information. The clinical examination system according to claim 1, wherein the extraction unit updates a progress management screen at a predetermined timing. The clinical examination system according to claim 1, wherein the extraction unit issues a warning when examination information corresponding to a specific extraction condition is extracted. The extraction condition according to any one of claims 1 to 6, wherein the extraction condition is a condition relating to whether or not a predetermined clinical laboratory operation is completed when a predetermined time has elapsed from a reference time. The clinical laboratory system described. The clinical test system according to claim 7, wherein the reference time is any one of a test reception time and a sample arrival time. The clinical test system according to claim 7, wherein the predetermined time is set to a time shorter for an emergency test than for a normal test. The clinical examination system according to any one of claims 1 to 6, wherein the extraction condition is a condition relating to whether or not a reexamination instruction is given. The clinical examination system according to any one of claims 1 to 6, wherein the extraction condition is a condition relating to whether or not retesting of a sample for which retesting is instructed has been completed. The test information input unit includes a test order reception input unit, a sample arrival confirmation input unit, a measurement result input unit, and a measurement result confirmation input unit. Clinical laboratory system. A program that has an input means, a storage means, and a display means and that operates on a computer constituting a clinical examination system that manages clinical examination work from reception of examination orders to reporting of examination results. A function of accepting input of information relating to a target examination and storing the examination information in the storage means; and a function of causing the display means to display a range selection screen for selecting a plurality of options corresponding to different examination information ranges; A function for extracting test information corresponding to a predetermined extraction condition regarding the progress of clinical test work from the test information stored in the storage means in the test information range corresponding to the selected option, and the extracted test information A function of creating a progress management screen for display and a function of displaying the created progress management screen on a display means Program to be implemented.

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