JP2010146233A - Inspection data fetching device and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To determine whether or not an inspection value is within a reference value range according to patient attributes, and to use the result of determination at the outside. <P>SOLUTION: An inspection data fetching device 70 preliminarily stores the reference value range of each of inspection items and patient attributes. The inspection data fetching device 70 obtains inspection data from an analyzer 80, and obtains patient attribute information from a medical image server 40, an inspection data management server 60, an electronic medical record server 30 or a medium M1 for data acquisition. Then, the inspection data acquisition device 70 reads the reference value range corresponding to the inspection items and the patient attributes for each inspection item, and determines whether or not an inspection value included in the inspection data is within the reference value range. Then, the inspection data fetching device 70 makes a medium M2 for external provision store the inspection data, the reference value range, the determination result and a viewer program for displaying them. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an inspection data fetching apparatus and a program.

  Pathological examinations and clinical examinations are important examinations for grasping a patient's health condition and performing disease name diagnosis. In these examinations, specimens such as blood, cells, urine, and stool collected from patients are examined. In pathological examinations and clinical examinations, specimens are analyzed (inspected) using an analyzer, and examination results are obtained. Test results include the amount of characteristic components in the specimen, the presence or absence of an antibody reaction, the tumor marker value, and the like. This test result is objective data that does not depend on the subjectivity of the patient or medical staff. Therefore, it is not necessary to identify patients in pathological examinations and clinical examinations.

  By the way, small medical facilities often do not have an analyzer. For this reason, in a small medical facility, it is a common practice to request (outsource) specimen testing from an analysis center equipped with an analyzer.

  However, the identifier (patient ID) of the patient managed at the medical facility is not associated with the identifier (sample ID) of the sample managed at the analysis center. Therefore, it has been troublesome to refer to the test result of a desired sample in a medical facility that requests the analysis center to test the sample.

As an apparatus for solving this problem, each specimen ID managed separately in a plurality of analysis centers is associated with a patient ID managed in a medical facility, and a bridge is provided when referring to a test result of the specimen. A specimen test result combining server is disclosed (see Patent Document 1).
JP 2005-267373 A

  By the way, in the medical facility, when the test result data (test data) from the analysis center is taken in, it is necessary to give an identifier such as a patient attribute (patient ID or patient name) to the test data. Moreover, in the diagnosis of an emergency patient, until the identifier for the examination data is given, the examination data cannot be taken in and referred to the medical facility, resulting in a time loss.

  In addition, the examination data cannot be used in a small-scale medical facility that does not have a server for storing and managing examination data or in an offline environment such as when introducing a patient to another medical facility.

  In addition, the reference value range, which is a reference for determining whether the test value obtained in the test is normal or abnormal, differs depending on the patient attributes such as gender, age, height, weight, etc. When it was unknown whether the patient was such a patient, it was not possible to determine whether the test value was normal.

  The present invention has been made in view of the above problems in the prior art, and determines whether or not a test value is within a reference value range according to patient attributes, and makes the determination result available to the outside. Is an issue.

  In order to solve the above-described problem, the examination data capturing device according to claim 1 relates to a storage unit that stores a reference value range for each examination item and patient attribute, and relates to the examination item and the sample collected from the patient. First acquisition means for acquiring inspection data including an inspection value for an inspection item, second acquisition means for acquiring patient attribute information related to the patient, and each inspection item included in the inspection data acquired by the first acquisition means In addition, the reference value range corresponding to the patient attribute indicated by the examination item and the patient attribute information acquired by the second acquisition unit is read from the storage unit, and is included in the inspection data acquired by the first acquisition unit It is determined whether the inspection value to be read is within the read reference value range, the inspection data acquired by the first acquisition means, the read reference value range, and the determination And a control means for the determination result storage in the portable storage medium.

  According to a second aspect of the present invention, in the inspection data capturing device according to the first aspect, the control unit further displays the inspection data, the reference value range, and the determination result stored in the portable storage medium. The viewer program is stored in the portable storage medium.

  According to a third aspect of the present invention, in the examination data capturing device according to the first or second aspect, the second acquisition means acquires the patient attribute information from medical data, and the control means Further, the original medical data from which the patient attribute information is acquired is stored in the portable storage medium.

  According to the fourth aspect of the present invention, the storage means for storing the reference value range for each examination item and patient attribute, and the examination data including the examination value for the examination item and the examination item are obtained with respect to the sample collected from the patient. First acquisition means, second acquisition means for acquiring patient attribute information relating to the patient, for each inspection item included in the inspection data acquired by the first acquisition means, the inspection item, and the second acquisition means The reference value range corresponding to the patient attribute indicated by the patient attribute information acquired by the above is read from the storage means, and the test value included in the test data acquired by the first acquisition means is within the read reference value range. The inspection data acquired by the first acquisition means, the read reference value range, and the determined determination result are stored in a portable storage medium. Control means to be stored, a program to function as a.

  According to a fifth aspect of the present invention, in the program according to the fourth aspect, the control unit further displays a test data, a reference value range, and a determination result stored in the portable storage medium. Are stored in the portable storage medium.

  The invention according to claim 6 is the program according to claim 4 or 5, wherein the second acquisition means acquires the patient attribute information from medical data, and the control means further includes the The original medical data from which the patient attribute information is acquired is stored in the portable storage medium.

  According to the first and fourth aspects of the present invention, it is possible to determine whether or not the test value is within the reference value range according to the patient attribute, and to make the determination result available outside.

  According to the second and fifth aspects of the invention, since the viewer program is stored in the portable storage medium, the inspection data, the reference value range, and the determination result stored in the portable storage medium can be displayed externally. .

  According to the third and sixth aspects of the invention, since the original medical data from which the patient attribute information is acquired is stored in the portable storage medium, it is possible to refer to the medical data of the same patient as the examination data outside. .

[First embodiment]
Hereinafter, a first embodiment of the present invention will be described.

[System configuration of diagnostic system]
FIG. 1 shows a system configuration of the diagnostic system 100.

  The diagnostic system 100 is applied to a relatively small medical facility such as a practitioner or a clinic. The diagnostic system 100 includes a medical accounting system 10, a client PC 20, an electronic medical record server 30, a medical image server 40, a modality 50, an examination data management server 60, and an examination data capturing device 70. Yes. Each of the above-described devices and systems are connected via a communication network N1 such as a LAN (Local Area Network) so that data communication is possible. Further, each of the above devices and systems is connected to an analyzer 80 installed in the analysis center via a communication network N2 such as the Internet so that data communication is possible. A general-purpose PC 90 is installed at the patient's home.

  The modality 50 is an image generation apparatus that performs imaging using a patient's diagnosis target region as a subject and digitally converts the captured image to generate a medical image. A medical image is an image used for interpretation diagnosis in the medical field. The modality 50 adds incidental information to the generated medical image, and generates DICOM-compliant image data in accordance with the DICOM standard. The incidental information includes patient attribute information indicating patient attributes. The modality 50 transmits the generated DICOM-compliant image data to the medical image server 40. As the modality 50, an ultrasonic diagnostic apparatus (US), an FPD (Flat Panel Detector), or the like is applicable.

  The medical image server 40 is an information processing apparatus that stores and manages DICOM-compliant image data generated by the modality 50. A PACS (Picture Archiving and Communication System) or the like is applicable as the medical image server 40.

  When receiving an acquisition request for DICOM-compliant image data from an external device, the medical image server 40 transmits DICOM-compliant image data corresponding to the acquisition request to the external device. When receiving an acquisition request for patient attribute information from an external device, the medical image server 40 reads patient attribute information corresponding to the acquisition request from DICOM-compliant image data and transmits it to the external device.

  The analyzer 80 analyzes (tests) a sample such as blood or urine collected from a patient, and generates test data as an analysis result. The inspection data includes one or a plurality of inspection items and inspection values for each inspection item. For example, when the specimen is blood, the test data includes test items such as “total protein”, “GOT”, “GPT”, and “LDH”. The analyzer 80 transmits the generated inspection data to the inspection data capturing device 70 via the communication network N2. In the analysis center, in response to a test request from each medical facility, the samples brought from these medical facilities are analyzed by the analyzer 80, and test data as analysis results are provided.

  The inspection data capturing device 70 is a device for capturing inspection data into the inspection data management server 60. The inspection data capturing device 70 receives (acquires) inspection data from the analyzer 80 via the communication network N2. The test data fetching device 70 performs various processes on the received test data, and generates HL7-compliant sample test result data in accordance with the HL7 standard. The test data fetching device 70 stores the HL7-compliant sample test result data and the like in a portable storage medium (hereinafter referred to as an external providing medium) M2 (see FIG. 2) for providing to the outside. Further, the test data capturing device 70 transmits HL7-compliant sample test result data to the test data management server 60.

  FIG. 2 shows the data flow of inspection data. First, inspection data is generated in the analyzer 80 installed in the analysis center. Next, the inspection data is transmitted to the inspection data capturing device 70 via the communication network N2.

  In the examination data capturing device 70, the medical image server 40, the examination data management server 60, the electronic medical record server 30, or a portable storage medium (hereinafter referred to as a data acquisition medium) M1 for acquiring data is stored. The patient attribute information is acquired from the medical data, and the acquired patient attribute information is given to the examination data as an identifier. Medical data refers to medical-related data such as DICOM-compliant image data, HL7-compliant specimen test result data, visit information, medical record data, prescription data, diagnostic reports, and letters of introduction. The medical data includes patient attribute information indicating patient attributes.

  In the examination data capturing device 70, for each examination item, the reference value range is read based on the patient attribute information, and it is determined whether or not the examination value included in the examination data is within the reference value range. The range and the determination result are given to the inspection data. The inspection data capturing device 70 displays the HL7-compliant specimen test result data including the test data, the reference value range, and the determination result, and the viewer program 753 for displaying the test data, the reference value range, and the determination result (see FIG. 4). Is stored in the external providing medium M2. The external providing medium M2 in which various data is stored is provided to the patient and taken home to the home where the general-purpose PC 90 is installed.

  Returning to FIG. 1, the test data management server 60 is an information processing apparatus that stores and manages HL7-compliant sample test result data transmitted from the test data capturing device 70. When receiving an acquisition request for HL7-compliant sample test result data from an external device, the test data management server 60 transmits HL7-compliant sample test result data corresponding to this acquisition request to the external device. When receiving an acquisition request for patient attribute information from an external device, the test data management server 60 extracts patient attribute information corresponding to the acquisition request from the HL7-compliant sample test result data and transmits it to the external device.

  The medical accounting system 10 is a computer device for performing registration registration, accounting calculation, insurance score calculation, and the like of a patient who has visited a hospital. The medical accounting system 10 generates visit information when receiving and registering a patient who has visited by user operation. The medical accounting system 10 stores and manages the generated visit information. The medical accounting system 10 transmits the generated visit information to the electronic medical record server 30. The visit information is information indicating a patient visit date and time, an insurance card number, and the like. The visit information includes patient attribute information indicating the attributes of the patient who has visited.

  The medical accounting system 10 receives prescription data from the electronic medical record server 30. The prescription data is information indicating the treatment contents of diagnosis and the medicine prescribed to the patient. The prescription data includes patient attribute information indicating patient attributes. Based on the received prescription data and the generated visit information, the medical accounting system 10 performs an accounting calculation and an insurance score calculation for the visited patient.

  The electronic medical record server 30 is an information processing apparatus that stores and manages medical record data (information such as a patient's medical condition and diagnosis result) and prescription data created in the client PC 20. The medical record data includes patient attribute information indicating patient attributes. The electronic medical record server 30 stores and manages the visit information received from the medical accounting system 10. The electronic medical record server 30 transmits the prescription data stored and managed to the medical accounting system 10.

  When the electronic medical record server 30 receives an acquisition request for visit information, medical record data, or prescription data from an external device, the electronic medical record server 30 transmits the visit information, medical record data, or prescription data corresponding to the acquisition request to the external device. When receiving an acquisition request for patient attribute information from an external device, the electronic medical record server 30 reads patient attribute information corresponding to the acquisition request from visit information, medical record data, prescription data, and the like, and transmits it to the external device.

  The client PC 20 is a client terminal such as the electronic medical record server 30, the medical image server 40, and the examination data management server 60. The client PC 20 is installed in a medical room or the like of a medical facility. The doctor diagnoses the patient using the client PC 20.

  The client PC 20 transmits a DICOM-compliant image data acquisition request to the medical image server 40 based on an operation signal generated by a user operation, and acquires DICOM-compliant image data corresponding to the acquisition request. The client PC 20 displays a medical image on the screen based on the data stored in the DICOM-compliant image data.

  The client PC 20 transmits an acquisition request for HL7-compliant sample test result data to the test data management server 60 based on an operation signal or the like by a user operation, and acquires HL7-compliant sample test result data corresponding to the acquisition request. The client PC 20 displays test data on the screen based on the HL7-compliant sample test result data.

  The client PC 20 transmits a visit information acquisition request to the electronic medical record server 30 based on an operation signal generated by the user's operation, and acquires the visit information corresponding to the acquisition request.

  The client PC 20 has a medical record data creation function. The client PC 20 creates medical record data and prescription data based on an operation signal generated by a user operation, visit information acquired from the electronic medical record server 30, and the like. The client PC 20 transmits the created medical record data and prescription data to the electronic medical record server 30. The electronic medical record server 30 stores the transmitted medical record data and prescription data.

[Functional configuration of inspection data management server]
FIG. 3 shows a functional configuration of the inspection data management server 60.

  As shown in FIG. 3, the inspection data management server 60 includes a control unit 61, an operation unit 62, a display unit 63, a communication unit 64, and a storage unit 65, and each unit is connected by a bus 66.

  The control unit 61 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the inspection data management server 60. Specifically, the CPU reads various processing programs stored in the storage unit 65 in accordance with an operation signal input from the operation unit 62 or an instruction signal received by the communication unit 64, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 62 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 62 controls operation signals input by key operations or mouse operations on the keyboard. To 61.

  The display unit 63 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 61.

  The communication unit 64 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), and the like, and is connected to external devices such as the inspection data capturing device 70 and the client PC 20 connected via the communication network N1. Send and receive data.

  The storage unit 65 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program. The storage unit 65 stores one or a plurality of HL7-compliant specimen test result data. The storage unit 65 stores a database program for managing HL7-compliant specimen test result data (not shown).

  The control unit 61 manages the HL7-compliant specimen test result data stored in the storage unit 65 in cooperation with the database program stored in the storage unit 65. When the control unit 61 receives HL7-compliant sample test result data from the test data capturing device 70 via the communication unit 64, the control unit 61 stores the HL7-compliant sample test result data in the storage unit 65 and registers it in the database.

  When receiving an acquisition request for HL7-compliant sample test result data from an external device via the communication unit 64, the control unit 61 reads out HL7-compliant sample test result data corresponding to the acquisition request from the storage unit 65. Then, the control unit 61 transmits the read HL7-compliant specimen test result data to the external device via the communication unit 64.

  When receiving an acquisition request for patient attribute information from an external device via the communication unit 64, the control unit 61 extracts patient attribute information corresponding to the acquisition request from HL7-compliant specimen test result data stored in the storage unit 65. To do. Then, the control unit 61 transmits the extracted patient attribute information to the external device via the communication unit 64.

[Functional configuration of inspection data capture device]
FIG. 4 shows a functional configuration of the inspection data capturing device 70.

  As shown in FIG. 4, the test data capturing device 70 includes a control unit 71, an operation unit 72, a display unit 73, a communication unit 74, a storage unit 75, and a media drive 76, and each unit is connected by a bus 77. Has been.

  The control unit 71 includes a CPU, a RAM, and the like, and comprehensively controls the processing operation of each unit of the inspection data capturing device 70. Specifically, the CPU reads various processing programs stored in the storage unit 75 in accordance with an operation signal input from the operation unit 72 or an instruction signal received by the communication unit 74, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 72 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 72 controls operation signals input by key operations or mouse operations on the keyboard. To 71.

  The display unit 73 is configured by an LCD, and displays various screens based on display data input from the control unit 71.

  The communication unit 74 includes a LAN adapter, a router, a TA, and the like, and is connected via the communication network N1 via the examination data management server 60, the medical image server 40, the electronic medical record server 30, the communication network N1, and the communication network N2. Data is transmitted to and received from an external device such as the connected analyzer 80.

  The storage unit 75 includes a hard disk or the like, and stores a control program, parameters and files necessary for executing the program, and the like. The storage unit 75 stores an inspection data fetch program 751, a reference value table 752, and a viewer program 753.

  The reference value table 752 stores a reference value range for each examination item and patient attribute. FIGS. 5A, 5B, 5C, and 5D show examples of the reference value table 752 when the specimen is blood. FIG. 5A is an example of the reference value table 752 for the test item “total protein”, and the reference value range of “total protein” is stored for each patient attribute “sex” and “age”. FIG. 5B is an example of the reference value table 752 for the examination item “GOT”, in which a reference value range of “GOT” is stored for each patient attribute “sex” and “age”. FIG. 5C shows an example of the reference value table 752 for the examination item “GPT”, in which a reference value range of “GPT” is stored for each patient attribute “sex” and “age”. FIG. 5D is an example of the reference value table 752 for the examination item “LDH”, and the reference value range of “LDH” is stored for each patient attribute “sex” and “age”.

  The media drive 76 reads data stored in the data acquisition medium M1 based on a control signal from the control unit 71. Further, the media drive 76 writes various data to the external providing medium M2 based on a control signal from the control unit 71.

  The control unit 71 receives (acquires) test data from the analyzer 80 via the communication unit 74 in cooperation with the test data capturing program 751, and obtains HL7-compliant sample test result data based on the test data. Generate.

  FIG. 6 shows the data structure of test data and the data structure of HL7-compliant sample test result data.

  As shown in FIG. 6, the test data includes sample identification information, container identification information, and result identification information. The sample identification information is information related to the sample such as the sample ID, the collection method, the collection amount, the collection date / time, and the reception date / time. The container identification information is information about the container such as the container ID, the container volume, the additive, the dilution rate, and the temperature. The result identification information is information relating to the inspection result such as the inspection item, the inspection value, the unit, the reference value range, the determination result, the performer, the analysis date, and the device ID. Here, the reference value range and the determination result are empty data (invalid values).

  The HL7-compliant specimen test result data includes header information, patient attribute information, visit information, specimen identification information, container identification information, result identification information, and examination identification information. Patient attribute information is information about a patient such as patient ID, patient name, date of birth, sex, and age. The visit information is information related to a patient visit such as a visit number, a visit date and time, a patient ID, and an insurance card number. The inspection identification information is information relating to the inspection such as the inspection purpose, the inspection content, and the acquisition date and time.

  Returning to FIG. 4, when the control unit 71 receives test data (test identification information, container identification information, and result identification information) from the analyzer 80, the test data includes header information, patient attribute information, visit information, and test identification information. Etc. are added to generate HL7-compliant specimen test result data. Here, patient attribute information, visit information, and examination identification information are empty data (invalid values).

  The control unit 71 acquires the value (valid value) of “patient ID” based on an operation signal from the operation unit 72 by a user operation. For example, the control unit 71 acquires the value “0000000001” of “patient ID”.

  The control unit 71 generates an acquisition request for patient attribute information using the acquired patient ID value as a search condition. For example, the control unit 71 generates a patient attribute information acquisition request with the search condition “patient ID: 0000000001”. The control unit 71 transmits the generated acquisition request for patient attribute information to the medical image server 40, the examination data management server 60, and the electronic medical record server 30 via the communication unit 74. If each server (medical image server 40, examination data management server 60, electronic medical record server 30) stores patient attribute information corresponding to the acquisition request (for example, patient attribute information whose patient ID is 0000000001), this server The patient attribute information is transmitted to the examination data capturing device 70. The control unit 71 receives (acquires) patient attribute information that matches the search condition via the communication unit 74.

  Alternatively, the controller 71 stores medical data (medical data including patient attribute information) such as DICOM-compliant image data, a diagnostic report, and a letter of introduction via the media drive 76 using the acquired patient ID value as a search condition. The patient attribute information that matches the search condition is read (obtained) from the data acquisition medium M1.

  The control unit 71 assigns patient attribute information acquired from each server (medical image server 40, examination data management server 60, electronic medical record server 30) or data acquisition medium M1 to examination data. Specifically, the control unit 71 reflects the value of the acquired patient attribute information in the patient attribute information of the HL7-compliant specimen test result data.

  For each test item included in the test data acquired from the analyzer 80, the control unit 71 sets the reference value range corresponding to the patient attribute indicated by the test item and the acquired patient attribute information as the reference of the storage unit 75. Read from the value table 752. The control unit 71 determines, for each inspection item, whether or not the inspection value included in the acquired inspection data is within the read reference value range. The control unit 71 gives the reference value range and the determination result to the inspection data. Specifically, the control unit 71 assigns a value to the “reference value range” and “determination result” included in the result identification information of the HL7-compliant specimen test result data.

  The control unit 71 stores the inspection data, the reference value range, and the determination result in the external providing medium M2. Specifically, the control unit 71 stores the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are assigned in the external providing medium M2. The control unit 71 further stores a viewer program 753 for displaying the inspection data, the reference value range, the determination result, and the like stored in the external providing medium M2 in the external providing medium M2.

  The control unit 71 transmits the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are assigned to the test data management server 60 via the communication unit 74.

[Functional configuration of general-purpose PC]
FIG. 7 shows a functional configuration of the general-purpose PC 90.

  As shown in FIG. 7, the general-purpose PC 90 includes a control unit 91, an operation unit 92, a display unit 93, a storage unit 94, and a media drive 95, and each unit is connected by a bus 96.

  The control unit 91 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of each unit of the general-purpose PC 90. Specifically, the CPU reads various processing programs stored in the storage unit 94 or the external providing medium M2 in accordance with an operation signal input from the operation unit 92, and stores it in a work area formed in the RAM. Expand and perform various processes in cooperation with the program.

  The operation unit 92 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 92 controls operation signals input by key operations or mouse operations on the keyboard. To 91.

  The display unit 93 is configured by an LCD, and displays various screens based on display data input from the control unit 91.

  The storage unit 94 includes a hard disk or the like, and stores a control program, parameters and files necessary for executing the program, and the like.

  The media drive 95 reads data stored in a portable storage medium such as the external providing medium M2 based on a control signal from the control unit 91. The media drive 95 writes various data to the portable storage medium based on the control signal from the control unit 91.

  The control unit 91 reads the HL7-compliant specimen test result data (test data to which a reference value range, a determination result, and the like are assigned) and the viewer program 753 from the external providing medium M2 via the media drive 95.

  The control unit 91 causes the display unit 93 to display test data, a reference value range, a determination result, and the like based on the HL7-compliant sample test result data in cooperation with the viewer program 753.

[Operation of inspection data fetching device]
Next, the operation of the inspection data capturing device 70 will be described.
FIG. 8 is a flowchart showing a first inspection data acquisition process executed in the inspection data acquisition device 70. The first inspection data acquisition process is realized by software processing in cooperation with the control unit 71 and the inspection data acquisition program 751 stored in the storage unit 75.

  First, when a doctor determines that a sample test is necessary for a patient who visits a medical facility, a sample is collected from the patient. The sample is stored in a container and sent to the analysis center. The analyzer 80 installed in the analysis center analyzes this sample, acquires a result (test value) for each test item, and generates test data. For example, when the specimen is blood, the test data result identification information includes a plurality of test items “total protein”, “GOT”, “GPT”, “LDH”, and the like. The analyzer 80 transmits the generated inspection data to the inspection data capturing device 70 via the communication network N2.

  The control unit 71 of the inspection data capturing device 70 receives (acquires) inspection data transmitted from the analyzer 80 via the communication unit 74 (step S1). And the control part 71 adds patient attribute information etc. which are empty data to the received test | inspection data, and produces | generates HL7 reference | standard test result data.

  Next, the control unit 71 displays a test result display screen 731 (see FIG. 9A) on the display unit 73 based on the HL7-compliant sample test result data (step S2). The inspection result display screen 731 is a screen for displaying inspection results (inspection data).

  FIG. 9A shows a screen example of the inspection result display screen 731. As shown in FIG. 9A, the test result display screen 731 has a sample management number (corresponding to “sample ID”) and a sample collection date (“collection date”) based on the sample identification information included in the test data. Is displayed). The examination result display screen 731 includes an examination result display area A1, a patient ID input area A2, and a reference value determination button A3.

  The inspection result display area A1 is an area where each inspection item and an inspection value for each inspection item are displayed. In the example shown in FIG. 9A, test items “total protein”, “GOT”, “GPT”, and “LDH” and test values for each test item are displayed. The patient ID input area A2 is an area for inputting a “patient ID” value. The reference value determination button A3 is a button for acquiring patient attribute information using the value of the patient ID input in the patient ID input area A2 as a search condition and performing a reference value determination process (see FIG. 10).

  Returning to FIG. 8, when the user inputs the patient ID in the patient ID input area A2 of the examination result display screen 731 (step S3) and presses the reference value determination button A3, the control unit 71 operates the operation unit 72 by this user operation. Based on the operation signal from, the value of the input patient ID is acquired.

  Next, the control unit 71 searches the medical image server 40, the examination data management server 60, the electronic medical record server 30, or the data acquisition medium M1 using the acquired patient ID value as a search condition, and finds the corresponding patient attribute information. Obtain (step S4).

  Specifically, the control unit 71 generates a patient attribute information acquisition request using the value of the patient ID as a search condition, and communicates with the medical image server 40, the examination data management server 60, and the electronic medical record server 30 via the communication unit 74. Send. The control unit 71 receives (acquires) patient attribute information that matches the search condition via the communication unit 74.

  Alternatively, the control unit 71 uses the value of the patient ID as a search condition, and retrieves the search condition from the data acquisition medium M1 in which medical data such as DICOM-compliant image data, diagnosis report, and a letter of introduction is stored via the media drive 76. Read (acquire) patient attribute information that matches.

  Next, the control unit 71 assigns patient attribute information acquired from each server (medical image server 40, examination data management server 60, electronic medical record server 30) or data acquisition medium M1 to examination data (step S5). . Specifically, the control unit 71 reflects the value of the patient attribute information acquired in step S4 in the patient attribute information included in the HL7-compliant specimen test result data.

Next, the control unit 71 performs a reference value determination process (step S6).
Here, the reference value determination process will be described with reference to FIG.

  The control unit 71 stores the reference value range corresponding to the patient attribute indicated by the patient attribute information acquired in step S4 and the test item to be processed among the test items included in the test data. Read from the table 752 (step S11). Here, a case where “male” is acquired as the patient attribute “sex” and “43” is acquired as the patient attribute “age” will be described as an example. When the test item to be processed is “total protein”, the control unit 71 reads the reference value range “gender: male” and “age: 18 years old” from the reference value table 752 shown in FIG. 6.7 to 8.3 ”are read out. When the inspection item to be processed is “GOT”, the control unit 71 reads the reference value range “10” corresponding to “sex: male” and “age: 18 years old” from the reference value table 752 shown in FIG. Read "34". When the inspection item to be processed is “GPT”, the control unit 71 reads the reference value range “7” corresponding to “sex: male” “age: 18 years old” from the reference value table 752 shown in FIG. Read ~ 42 ". When the inspection item to be processed is “LDH”, the control unit 71 reads the reference value range “120” corresponding to “sex: male” “age: 18 years old” from the reference value table 752 shown in FIG. To 230 ".

  Next, the control unit 71 determines whether or not the inspection value included in the inspection data is within the read reference value range for the inspection item to be processed (step S12). Specifically, the control unit 71 sets the determination result to “◯” when the inspection value is within the reference value range, and sets the determination result to “Δ” when the inspection value is not within the reference value range. For example, when the test value of the test item “total protein” is “7.4” and the reference value range is “6.7 to 8.3”, the control unit 71 sets the determination result to “ "

  Next, the control unit 71 gives the reference value range read in step S11 and the determination result determined in step S12 to the inspection data for the inspection item to be processed (step S13). Specifically, the control unit 71 assigns a value to the “reference value range” and “determination result” included in the result identification information of the HL7-compliant specimen test result data.

  Next, the control unit 71 determines whether there are other inspection items (step S14). When the control unit 71 determines that there are other inspection items (step S14; YES), the control unit 71 returns to step S11 and repeats the processes of steps S11 to S13 for the other inspection items. When the control unit 71 determines in step S14 that there are no other inspection items (step S14; NO), the control unit 71 proceeds to step S7 in FIG.

  Returning to FIG. 8, the control unit 71 causes the display unit 73 to display the reference value range, the determination result, and the like obtained in the reference value determination process in addition to the inspection result (step S7).

  FIG. 9B shows a screen example of the determination result display screen 732 displayed on the display unit 73. As shown in FIG. 9B, the determination result display screen 732 includes a patient ID display area B1, a patient name display area B2, a gender display area B3, an age display area B4, an examination result display area B5, and a reference value range display. An area B6, a determination result display area B7, and a save button B8 are included.

  The patient ID display area B1 is an area for displaying the value of “patient ID” input by a user operation. The patient name display area B2, the sex display area B3, and the age display area B4 are areas in which “patient name”, “sex”, and “age” are displayed based on the patient attribute information acquired in step S4. In the example shown in FIG. 9B, the value “0000000001” of “patient ID” is displayed in the patient ID display area B1, and the value “Suzuki ^ Kazuo” of “patient name” is displayed in the patient name display area B2. Then, the “sex” value “male” is displayed in the gender display area B3, and the “age” value “43” is displayed in the age display area B4.

  The inspection result display area B5 is an area where each inspection item and an inspection value for each inspection item are displayed. The reference value range display area B6 is an area in which the reference value range of each inspection item is displayed. The determination result display area B7 is an area in which the determination result of each inspection item is displayed.

  The save button B8 is a button for saving the HL7-compliant specimen test result data and the viewer program 753 in the external providing medium M2.

  Returning to FIG. 8, a user such as a doctor confirms the content displayed on the determination result display screen 732, and presses the save button B <b> 8. The control unit 71 provides HL7-compliant sample test result data including test data, reference value ranges, determination results, and the like, and a viewer program 753 for displaying the test data, reference value ranges, determination results, and the like. The information is stored in the medium M2 (Step S8).

  Further, the control unit 71 transmits the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are given to the test data management server 60 via the communication unit 74 (step S9).

  When the control unit 61 of the test data management server 60 receives the HL7-compliant sample test result data from the test data capturing device 70 via the communication unit 64, the control unit 61 stores the HL7-compliant sample test result data in the storage unit 65 ( Save) and register in the database.

[Operation of general-purpose PC]
Next, the operation of the general-purpose PC 90 will be described.
FIG. 11 is a flowchart showing a first provided data display process executed in the general-purpose PC 90.

  The patient receives from the doctor the HL7-compliant specimen test result data (test data to which the reference value range, determination results, etc. are assigned) and the external providing medium M2 in which the viewer program 753 is stored, and takes it home. When the patient sets the external providing medium M2 in the media drive 95 of the general-purpose PC 90, the control unit 91 detects that the external providing medium M2 is set. Then, the control unit 91 reads out the HL7-compliant specimen test result data and the viewer program 753 from the external providing medium M2 via the media drive 95 (step S21).

  Next, the control part 91 starts the viewer program 753 (step S22). The control unit 91 displays a test result (test data), a reference value range, a determination result, and the like based on the HL7-compliant sample test result data read from the external providing medium M2 in cooperation with the viewer program 753. Is displayed (step S23).

  FIG. 12 shows a screen example of the provided data display screen 931 displayed on the display unit 93. As shown in FIG. 12, the provided data display screen 931 includes a patient ID display area C1, a patient name display area C2, a gender display area C3, an age display area C4, an examination result display area C5, a reference value range display area C6, A determination result display area C7 is included.

  The patient ID display area C1, the patient name display area C2, the gender display area C3, and the age display area C4 are respectively “patient ID”, “patient name”, “sex” based on the patient attribute information included in the HL7-compliant specimen test result data. "Age" is an area where it is displayed.

  The test result display area C5 is an area in which each test item and a test value for each test item are displayed based on the result identification information included in the HL7-compliant sample test result data. The reference value range display area C6 is an area in which the reference value range of each test item is displayed based on the result identification information included in the HL7-compliant sample test result data. The determination result display area C7 is an area in which the determination result of each test item is displayed based on the result identification information included in the HL7-compliant sample test result data.

  As described above, according to the examination data capturing device 70 in the first embodiment, for each examination item, by reading out the reference value range corresponding to the examination item and the patient attribute from the reference value table 752, Whether or not the inspection value is within the reference value range can be determined according to the attribute. In addition, since the inspection data, the reference value range, and the determination result are stored in the external providing medium M2, the determination result and the like can be used externally.

  Even if the patient is provided with only the test value, it is difficult to determine whether or not the value is normal, but the reference value range and the determination result are stored in the external providing medium M2 together with the test value. This facilitates understanding of the test results.

  Since the viewer program 753 is stored in the external providing medium M2, the inspection data, the reference value range, and the determination result stored in the external providing medium M2 can be displayed on the outside.

  In the first embodiment, the examination data capturing device 70 acquires patient attribute information from the medical image server 40, the examination data management server 60, the electronic medical record server 30, or the data acquisition medium M1. In the examination data capturing device 70, patient attribute information manually input from the operation unit 72 by the user may be acquired.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the configuration of the diagnostic system in the second embodiment is the same as that of the diagnostic system 100 shown in the first embodiment, the illustration and description are omitted with the aid of FIGS. Hereinafter, a configuration and processing characteristic of the second embodiment will be described.

[Functional configuration of inspection data capture device]
The control unit 71 receives (acquires) test data from the analyzer 80 via the communication unit 74 in cooperation with the test data capturing program 751, and obtains HL7-compliant sample test result data based on the test data. Generate.

  When receiving the test data (test identification information, container identification information and result identification information) from the analyzer 80, the control unit 71 adds header information, patient attribute information, visit information, test identification information, etc. to the test data. Compliant specimen test result data is generated (see FIG. 6). Here, patient attribute information, visit information, and examination identification information are empty data (invalid values).

  The control unit 71 acquires the value (valid value) of “patient ID” based on an operation signal from the operation unit 72 by a user operation. For example, the control unit 71 acquires the value “0000000001” of “patient ID”.

  The control unit 71 uses the acquired patient ID value as a search condition, and medical data including patient attribute information that matches the search condition (DICOM-compliant image data, HL7-compliant sample test result data, visit information, medical record data, prescription data) Etc.) is generated. For example, the control unit 71 generates a medical data acquisition request with the search condition “patient ID: 0000000001”. The control unit 71 transmits the generated medical data acquisition request to the medical image server 40, the examination data management server 60, and the electronic medical record server 30 via the communication unit 74. Each server (medical image server 40, examination data management server 60, electronic medical record server 30) stores medical data (for example, medical data including patient attribute information with a patient ID of 0000000001) in response to the acquisition request. For example, this medical data is transmitted to the examination data capturing device 70. The control unit 71 receives (acquires) medical data including patient attribute information that matches the search condition via the communication unit 74.

  Alternatively, the control unit 71 uses the acquired patient ID value as a search condition from the data acquisition medium M1 in which medical data such as DICOM-compliant image data, diagnosis report, and a letter of introduction is stored via the media drive 76. Medical data including patient attribute information that matches the search condition is read (obtained).

  The control unit 71 assigns patient attribute information included in medical data acquired from each server (medical image server 40, examination data management server 60, electronic medical record server 30) or data acquisition medium M1 to examination data. Specifically, the control unit 71 reflects the value of the patient attribute information in the patient attribute information of the HL7 compliant specimen test result data.

  For each test item included in the test data acquired from the analyzer 80, the control unit 71 sets a reference value range corresponding to the patient attribute indicated by the test item and patient attribute information included in the acquired medical data. Reading from the reference value table 752 of the storage unit 75. The control unit 71 determines, for each inspection item, whether or not the inspection value included in the acquired inspection data is within the read reference value range. The control unit 71 gives the reference value range and the determination result to the inspection data. Specifically, the control unit 71 assigns a value to the “reference value range” and “determination result” included in the result identification information of the HL7-compliant specimen test result data.

  The control unit 71 stores the inspection data, the reference value range, and the determination result in the external providing medium M2. Specifically, the control unit 71 stores the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are assigned in the external providing medium M2. The control unit 71 further stores the medical data acquired from the medical image server 40, the examination data management server 60, the electronic medical record server 30, or the data acquisition medium M1 (that is, the original medical data from which patient attribute information has been acquired). It is stored in the external providing medium M2. The control unit 71 further stores a viewer program 753 for displaying the examination data, the reference value range, the determination result, the medical data, and the like stored in the external providing medium M2 in the external providing medium M2.

  The control unit 71 transmits the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are assigned to the test data management server 60 via the communication unit 74.

[Functional configuration of general-purpose PC]
The control unit 91 reads out HL7-compliant specimen test result data (test data to which a reference value range, a determination result, and the like are assigned), medical data, and a viewer program 753 from the external providing medium M2 via the media drive 95.

  The control unit 91 causes the display unit 93 to display test data, a reference value range, a determination result, medical data, and the like based on the HL7-compliant sample test result data and medical data in cooperation with the viewer program 753.

[Operation of inspection data fetching device]
Next, the operation of the inspection data capturing device 70 will be described.
FIG. 13 is a flowchart showing a second inspection data acquisition process executed in the inspection data acquisition device 70. The second inspection data acquisition process is realized by software processing in cooperation with the control unit 71 and the inspection data acquisition program 751 stored in the storage unit 75.

  Since the process of step S31-step S33 is the same as the process of step S1-step S3 of FIG. 8, description is abbreviate | omitted.

  Next, the control unit 71 searches the medical image server 40, the examination data management server 60, the electronic medical record server 30, or the data acquisition medium M1 using the acquired patient ID value as a search condition, and finds the corresponding patient attribute information. The medical data including is acquired (step S34).

  Specifically, the control unit 71 uses the patient ID value as a search condition, and medical data including patient attribute information that matches the search condition (DICOM-compliant image data, HL7-compliant sample test result data, visit information, medical record data) , Prescription data, etc.) acquisition request is generated and transmitted to the medical image server 40, the examination data management server 60, and the electronic medical record server 30 via the communication unit 74. The control unit 71 receives (acquires) medical data including patient attribute information that matches the search condition via the communication unit 74.

  Alternatively, the control unit 71 uses the value of the patient ID as a search condition, and retrieves the search condition from the data acquisition medium M1 in which medical data such as DICOM-compliant image data, diagnosis report, and a letter of introduction is stored via the media drive 76. Medical data including patient attribute information that matches the above is read (obtained).

  Next, the control unit 71 assigns patient attribute information included in medical data acquired from each server (medical image server 40, examination data management server 60, electronic medical record server 30) or data acquisition medium M1 to examination data. (Step S35). Specifically, the control unit 71 reflects the value of the patient attribute information included in the medical data acquired in step S34 in the patient attribute information included in the HL7-compliant specimen test result data.

Next, the control unit 71 performs a reference value determination process (step S36).
The reference value determination process is the same as the process of steps S11 to S14 shown in FIG. When the control unit 71 determines in step S14 that there are no other inspection items (step S14; NO), the control unit 71 proceeds to step S37 in FIG.

  Next, in addition to the test result, the control unit 71 causes the display unit 73 to display the reference value range and determination result obtained in the reference value determination process, the medical data acquired in step S34, and the like (step S37).

  FIG. 14 shows a screen example of the determination result display screen 733. As shown in FIG. 14, the determination result display screen 733 includes a patient ID display area D1, a patient name display area D2, a gender display area D3, an age display area D4, an examination result display area D5, a reference value range display area D6, A determination result display area D7, a medical data display area D8, and a save button D9 are included.

  The patient ID display area D1 is an area for displaying the value of “patient ID” input by a user operation. In the patient name display area D2, the gender display area D3, and the age display area D4, “patient name”, “sex”, and “age” are displayed based on the patient attribute information included in the medical data acquired in step S34, respectively. It is an area.

  The inspection result display area D5 is an area where each inspection item and an inspection value for each inspection item are displayed. The reference value range display area D6 is an area in which the reference value range of each inspection item is displayed. The determination result display area D7 is an area in which the determination result of each inspection item is displayed.

  The medical data display area D8 is based on the medical data acquired in step S34 (medical data from which the patient attribute information given to the test data is acquired), medical images, test results, visit information, medical record data, prescriptions. This is the area where data, diagnostic reports, referral letters, etc. are displayed. In the example shown in FIG. 14, an abdominal image obtained by MR imaging is displayed in the medical data display area D8.

  The save button D9 is a button for saving the HL7-compliant specimen test result data, medical data, and the viewer program 753 in the external providing medium M2.

  Returning to FIG. 13, a user such as a doctor confirms the content displayed on the determination result display screen 733 and presses the save button D <b> 9. The control unit 71 then displays a viewer for displaying HL7-compliant sample test result data including test data, reference value ranges, determination results, medical data, test data, reference value ranges, determination results, medical data, and the like. The program 753 is stored in the external providing medium M2 (step S38).

  In addition, the control unit 71 transmits the test data (HL7-compliant sample test result data) to which the reference value range, the determination result, and the like are given to the test data management server 60 via the communication unit 74 (step S39).

  When the control unit 61 of the test data management server 60 receives the HL7-compliant sample test result data from the test data capturing device 70 via the communication unit 64, the control unit 61 stores the HL7-compliant sample test result data in the storage unit 65 ( Save) and register in the database.

[Operation of general-purpose PC]
Next, the operation of the general-purpose PC 90 will be described.
FIG. 15 is a flowchart showing a second provided data display process executed in the general-purpose PC 90.

  The patient receives the HL7-compliant specimen test result data (test data to which the reference value range, determination results, and the like are assigned), medical data, and the external provision medium M2 in which the viewer program 753 is stored from the doctor, and takes it home. When the patient sets the external providing medium M2 in the media drive 95 of the general-purpose PC 90, the control unit 91 detects that the external providing medium M2 is set. Then, the control unit 91 reads out the HL7-compliant specimen test result data, the medical data, and the viewer program 753 from the external providing medium M2 via the media drive 95 (Step S41).

  Next, the control part 91 starts the viewer program 753 (step S42). The control unit 91 cooperates with the viewer program 753, based on the HL7-compliant specimen test result data and medical data read from the external providing medium M2, based on test results (test data), reference value ranges, determination results, medical Data or the like is displayed on the display unit 93 (step S43).

  FIG. 16 shows a screen example of the provided data display screen 932 displayed on the display unit 93. As shown in FIG. 16, the provided data display screen 932 includes a patient ID display area E1, a patient name display area E2, a gender display area E3, an age display area E4, an examination result display area E5, a reference value range display area E6, A determination result display area E7 and a medical data display area E8 are included.

  The patient ID display area E1, the patient name display area E2, the gender display area E3, and the age display area E4 are respectively “patient ID”, “patient name”, “sex” based on the patient attribute information included in the HL7-compliant specimen test result data. "Age" is an area where it is displayed.

  The test result display area E5 is an area in which each test item and a test value for each test item are displayed based on the result identification information included in the HL7-compliant sample test result data. The reference value range display area E6 is an area in which the reference value range of each test item is displayed based on the result identification information included in the HL7-compliant sample test result data. The determination result display area E7 is an area in which the determination result of each test item is displayed based on the result identification information included in the HL7-compliant sample test result data.

  The medical data display area E8 is an area in which medical images, examination results, visit information, medical record data, prescription data, diagnostic reports, letters of introduction, and the like are displayed based on medical data.

  As described above, according to the examination data capturing device 70 in the second embodiment, for each examination item, by reading out the reference value range corresponding to the examination item and the patient attribute from the reference value table 752, the patient Whether or not the inspection value is within the reference value range can be determined according to the attribute. In addition, since the inspection data, the reference value range, and the determination result are stored in the external providing medium M2, the determination result and the like can be used externally.

  Further, since the original medical data from which the patient attribute information is acquired is stored in the external providing medium M2, it is possible to refer to the same patient medical data as the examination data outside.

  Further, since the viewer program 753 is stored in the external providing medium M2, the examination data, the reference value range, the determination result, and the medical data stored in the external providing medium M2 can be displayed on the outside.

  Note that the descriptions in the first and second embodiments are examples of the inspection data fetching apparatus according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of the system and each device can be changed as appropriate.

  For example, in each of the above embodiments, the inspection data capturing device 70 acquires inspection data by receiving inspection data transmitted from the analyzer 80 via the communication unit 74. In the loading device 70, the inspection data may be acquired by reading the inspection data from the portable storage medium in which the inspection data is stored.

  In the above description, an example in which a hard disk or a portable storage medium is used as a computer-readable medium storing a program is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a non-volatile memory such as a flash memory can be applied. Also, a carrier wave can be applied as a medium for providing program data via a communication line.

It is a system configuration figure of a diagnostic system in a 1st embodiment of the present invention. It is a figure which shows the data flow of the test | inspection data in the 1st Embodiment of this invention. It is a block diagram of an inspection data management server. It is a block diagram of a test | inspection data taking-in apparatus. (A) is an example of a reference value table for the test item “total protein”. (B) is an example of a reference value table for the inspection item “GOT”. (C) is an example of a reference value table for the inspection item “GPT”. (D) is an example of a reference value table for the inspection item “LDH”. It is a data block diagram of test | inspection data and HL7 reference | standard test result data. It is a block diagram of general purpose PC. It is a flowchart which shows the 1st test | inspection data acquisition process performed in a test | inspection data acquisition apparatus. (A) is a screen example of an inspection result display screen. (B) is a screen example of a determination result display screen. It is a flowchart which shows a reference value determination process. It is a flowchart which shows the 1st provision data display process performed in general purpose PC. It is an example of a provision data display screen. It is a flowchart which shows the 2nd test | inspection data taking-in process performed in the test | inspection data taking-in apparatus of the 2nd Embodiment of this invention. It is a screen example of a determination result display screen. It is a flowchart which shows the 2nd provision data display process performed in general purpose PC. It is an example of a provision data display screen.

Explanation of symbols

10 Medical Accounting System 20 Client PC
30 electronic medical record server 40 medical image server 50 modality 60 examination data management server 61 control unit 62 operation unit 63 display unit 64 communication unit 65 storage unit 66 bus 70 examination data capturing device 71 control unit 72 operation unit 73 display unit 74 communication unit 75 Storage unit 76 Media drive 77 Bus 80 Analyzer 90 General-purpose PC
91 control unit 92 operation unit 93 display unit 94 storage unit 95 media drive 96 bus 100 diagnostic system 731 inspection result display screen 732 determination result display screen 733 determination result display screen 751 inspection data fetch program 752 reference value table 753 viewer program 931 provided Data display screen 932 Provided data display screen M1 Data acquisition medium M2 External provision medium N1 Communication network N2 Communication network

Claims (6)

Storage means for storing a reference value range for each examination item and patient attribute;
A first acquisition means for acquiring test data including test items and test values for the test items with respect to a sample collected from a patient;
Second acquisition means for acquiring patient attribute information relating to the patient;
For each examination item included in the examination data obtained by the first obtaining means, the examination value and the reference value range corresponding to the patient attribute indicated by the patient attribute information obtained by the second obtaining means are stored in the memory. The inspection data read from the means and determined whether the inspection value included in the inspection data acquired by the first acquisition means is within the read reference value range, and the inspection data acquired by the first acquisition means Control means for storing the read reference value range and the determined determination result in a portable storage medium;
An inspection data capturing device comprising: The control means further stores, in the portable storage medium, a viewer program for displaying inspection data, a reference value range, and a determination result stored in the portable storage medium.
The inspection data capturing device according to claim 1. The second acquisition means acquires the patient attribute information from medical data,
The control means further stores the original medical data from which the patient attribute information is acquired in the portable storage medium.
The inspection data capturing device according to claim 1 or 2. Computer
Storage means for storing a reference value range for each examination item and patient attribute;
First acquisition means for acquiring test data including a test item and a test value for the test item with respect to a sample collected from a patient;
Second acquisition means for acquiring patient attribute information relating to the patient;
For each test item included in the test data acquired by the first acquisition unit, the reference value range corresponding to the patient attribute indicated by the test item and patient attribute information acquired by the second acquisition unit is stored in the memory. The inspection data read from the means and determined whether the inspection value included in the inspection data acquired by the first acquisition means is within the read reference value range, and the inspection data acquired by the first acquisition means Control means for storing the read reference value range and the determined determination result in a portable storage medium;
Program to function as. The control means further stores, in the portable storage medium, a viewer program for displaying inspection data, a reference value range, and a determination result stored in the portable storage medium.
The program according to claim 4. The second acquisition means acquires the patient attribute information from medical data,
The control means further stores the original medical data from which the patient attribute information is acquired in the portable storage medium.
The program according to claim 4 or 5.