JP2011191204A - Clinical examination device, clinical examination data control system, and computer program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a clinical examination device, a clinical examination data control system, and a computer program, enhanced in user's convenience in relation to the display of abnormality than before. <P>SOLUTION: A clinical examination data control server enables a user to set an error display method at every error. When the production of the error is detected, an error pop-up screen containing error data is displayed in the case where the display method set to the error is pop-up display. In the case where an error to which a telop display is set is detected as the display method, the character row of the error data are displayed on the predetermined region of the screen while moving from the right to the left. <P>COPYRIGHT: (C)2011,JPO&amp;INPIT

Description

  The present invention relates to a clinical examination apparatus, a clinical examination information management system, and a computer program.

  Called WAM (Work Area Manager) or LIS (Laboratory Information System), which is connected to multiple clinical specimen analyzers as clinical laboratory equipment, and receives, stores, and displays examination information transmitted from the clinical specimen analyzers Clinical laboratory information management devices are known.

  As such an apparatus, there is one disclosed in Patent Document 1. When an abnormality occurs, the apparatus disclosed in Patent Document 1 superimposes a pop-up screen notifying that an error has occurred on a main screen where the details of the inspection result, the progress of the inspection, and the error state of the device can be confirmed. Display (pop-up display).

JP-T-2004-502179

  However, when the pop-up screen is displayed superimposed on the main screen as in the above system, a part or all of the main screen is hidden by the pop-up screen, and the work performed while viewing the main screen is interrupted. There is. In particular, in the field of clinical testing, the test result may be displayed on the screen and the user may approve the test result. When a pop-up screen is displayed to notify the abnormality during such approval work, The approval process cannot be resumed unless the pop-up screen is closed. If the approval work is not completed, the test result cannot be reported to the doctor or the clinical specimen cannot be re-examined, and the entire clinical test will be delayed. On the other hand, it is desirable that an emergency abnormality or the like that requires the user to take immediate action is displayed by a method that allows the user to clearly recognize the occurrence of the abnormality.

  In addition, the facilities where clinical tests are conducted include various facilities, ranging from small-scale facilities that handle dozens of samples to large-scale facilities that handle thousands of samples per day, and there is a need for abnormal indications. It depends on the scale of the. For example, there is a need for small-scale facilities to be notified of all abnormalities on a pop-up screen regardless of the importance of the abnormalities. On the other hand, large-scale facilities often display pop-up screens. There is a need to notify only important abnormalities on a pop-up screen because the work such as approval may be hindered and the sample may not be processed.

  As described above, in the field of clinical examination, it has been desired to further improve the convenience of the user regarding the display of abnormalities.

  The present invention has been made in view of such circumstances, and its main object is a clinical examination apparatus, a clinical examination information management system, and a computer program that improve user convenience with respect to display of abnormalities as compared with the prior art. Is to provide.

  In order to solve the above-described problem, a clinical testing apparatus according to an aspect of the present invention stores a display unit that displays a first screen that accepts approval of a test result, and notification information that notifies the operator of the test result. An operator's instruction on the setting screen for setting whether to display the storage unit and the notification information in a predetermined area on the first screen or on the second screen displayed superimposed on the first screen. And a control unit for displaying on the display unit.

  In this aspect, the clinical test apparatus receives information related to a test to be managed using a computer terminal and a clinical sample analyzer, and manages a test from receiving a test order to reporting a test result An information management device, wherein the notification information is error information relating to an error that occurs in the computer terminal and the clinical test analyzer, and information relating to a clinical test received by the control unit from the computer terminal and the clinical sample analyzer Is preferably stored in the storage unit.

  Moreover, in the said aspect, when the said error occurs, it is preferable that the said error information is displayed on the said display part according to the setting on the said setting screen.

  In the above aspect, the error information is character information indicating a name of the error that has occurred, and the control unit changes the character information to the predetermined area on the display unit so as to change with time. It is preferable to display.

  Moreover, in the said aspect, it is preferable that the said control part displays the said character information on the said display part so that it may move with progress of time within the said predetermined | prescribed area | region.

  In the above aspect, the dredger clinical testing apparatus further includes a receiving unit that receives an input from an operator, and the receiving unit receives an input for selecting the character information in the predetermined area. In this case, it is preferable that a third screen showing details of the error is superimposed on the first screen and displayed on the display unit.

  Further, in the above aspect, the storage unit displays error information related to an error that can continue a clinical test even if it occurs in the predetermined area, and error information related to an error that causes a clinical test to stop when the error occurs. It is preferable to store in advance settings to be displayed on the screen.

  Moreover, in the said aspect, the said clinical test apparatus is further equipped with the communication part for communicating the information regarding a clinical test with the said computer terminal and the said clinical sample analyzer, and the said memory | storage part contains the error information regarding the said communication part. It is preferable that a setting for displaying in the predetermined area and displaying error information regarding the mechanism of the clinical sample analyzer on the second screen is stored in advance.

  Further, in the above aspect, the clinical test apparatus is a clinical sample analyzer that prepares a sample from a sample and a reagent collected from a subject, measures the prepared sample, and analyzes a component contained in the sample Preferably, the notification information is error information related to an error occurring in the clinical test analyzer, and the control unit stores the analysis result of the component included in the sample in the storage unit.

  Moreover, in the said aspect, when the said error occurs, it is preferable that the said error information is displayed on the said display part according to the setting on the said setting screen.

  Further, in the above aspect, the error information is character information indicating a name of an error that has occurred, and the control unit displays the character information so that the character information moves as time passes in the predetermined area. It is preferable to display on the part.

  Moreover, in the said aspect, the said clinical test | inspection apparatus is further equipped with the reception part which receives the input from an operator, and the said control part received the input which selects the said character information of the said predetermined area | region In this case, it is preferable that a third screen showing details of the error is superimposed on the first screen and displayed on the display unit.

  Further, in the above aspect, the storage unit displays error information related to an error that can continue measurement of a sample even if it occurs in the predetermined area, and error information related to an error that causes the measurement of the sample to stop when it occurs. It is preferable to store in advance settings to be displayed on the second screen.

  The clinical test information management system according to one aspect of the present invention is a clinical test information management system for managing work from reception of test orders to reporting of test results, analyzing clinical samples, and analyzing results A clinical specimen analyzer for acquiring information on clinical tests including a computer terminal for inputting information on clinical tests to be managed by the user, a display unit for displaying a first screen for accepting approval of test results, A storage unit for storing information on clinical tests acquired by the clinical sample analyzer and the computer terminal, error information on errors occurring in the computer terminal and the clinical sample analyzer, and error information on the first screen A setting screen for setting whether to display in a predetermined area or to display on the second screen superimposed on the first screen, And a control unit for displaying on the display unit based on the author's instructions, the.

  The computer program according to one aspect of the present invention is a computer program for causing a computer terminal including a display unit and a storage unit to function as a clinical test apparatus, and the storage unit allows the test result and the operator to operate. Notification information to be notified, whether the notification information is displayed in a predetermined area of the first screen for accepting the approval of the inspection result or displayed on the second screen superimposed on the first screen Displaying a setting screen for setting on the display unit based on an instruction from the operator, displaying a first screen on the display unit, and displaying notification information when the first screen is displayed In this case, the computer is caused to execute the step of displaying the notification information on the display unit according to the setting made on the setting screen.

  In this aspect, the clinical test apparatus receives information related to a test to be managed from other computer terminals and clinical sample analyzers, and manages a test from receiving a test order to reporting a test result An information management device, wherein the notification information is error information relating to an error occurring in the other computer terminal and the clinical laboratory analyzer, and the computer program has received from the other computer terminal and the clinical sample analyzer It is preferable to further cause the computer to execute a step of storing information relating to the inspection in the storage unit.

  According to the clinical examination apparatus, the clinical examination information management system, and the computer program according to the present invention, it is possible to smoothly proceed with the work relating to the clinical examination as compared with the conventional case.

The figure which shows the in-hospital clinical testing apparatus group containing the clinical test information management apparatus which concerns on embodiment. The schematic diagram which shows the partial structure of the clinical laboratory information management system which concerns on embodiment. The block diagram which shows schematic structure of the measurement unit with which the blood cell analyzer which concerns on embodiment is provided. The block diagram which shows the structure of the information processing unit with which the blood cell analyzer which concerns on embodiment is provided. The block diagram which shows the structure of the clinical test information management server which concerns on embodiment. The schematic diagram which shows the structure of error master data. The block diagram which shows the structure of the client apparatus which concerns on embodiment. The flowchart which shows the flow of the whole clinical test. The flowchart which shows the procedure of the error display setting process of the clinical test information management server which concerns on embodiment. The figure which shows an example of an initial screen. The figure which shows an example of an error display setting screen. The flowchart which shows the procedure of the error display process of the clinical test information management server which concerns on embodiment. The figure which shows an example of an error pop-up screen. The figure which shows an example of the telop display of error information. The figure for demonstrating the structure of the detailed screen of error information.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, a preferred embodiment of the present invention will be described with reference to the drawings, taking as an example a clinical laboratory information management apparatus which is an embodiment of a clinical laboratory apparatus according to the present invention.

[Configuration of clinical laboratory information management system]
FIG. 1 is a diagram showing an in-hospital clinical examination apparatus group including a clinical examination information management apparatus according to the present embodiment. In the hospital, a host computer 100, a clinical laboratory information management server 9 which is a clinical laboratory information management apparatus, a client apparatus 10, and a blood analysis system are connected via a communication network NW constituted by a LAN (Local Area Network). 200, blood cell analyzer 300, blood coagulation measuring apparatus 400, and urine analyzer 500 are connected to each other. The host computer 100 is an upper server of the clinical test information management server 9 and manages the work of the entire test department in the hospital. In addition, the host computer 100 transmits a measurement order to the clinical test information management server 9. The clinical test information management server 9 manages the measurement progress and measurement results of the samples by the clinical sample analyzer belonging to a specific test field. In the present embodiment, the clinical laboratory information management server 9 manages the measurement progress and measurement results of the samples by the blood analysis system 200, the blood cell counter 300, the blood coagulation measuring device 400, and the urine analyzer 500. To do. The client device 10 is a computer used for data input to the clinical laboratory information management server 9 and browsing of a display screen. In this embodiment, the clinical laboratory information is managed by the clinical laboratory information management server 9, the two client apparatuses 10, the blood analysis system 200, the blood cell counter 300, the blood coagulation measuring apparatus 400, and the urine analyzer 500. A management system is configured.

  FIG. 2 is a schematic diagram showing a partial configuration of the clinical laboratory information management system according to the present embodiment. That is, FIG. 2 shows the configuration of only the clinical test information management server 9, the two client devices 10, and the blood analysis system 200. In order to simplify the description, only the clinical laboratory information management server 9, the two client devices 10, and the blood analysis system 200 will be described below.

<Configuration of blood analysis system 200>
The blood analysis system 200 includes a sample input device 2, a sample transport device 3, a sample storage device 4, a blood cell analyzer 5 that is a clinical sample analyzer, a smear sample preparation device 6, a blood cell image display device 7, The system controller 8 is mainly configured. The sample loading device 2 includes a barcode reading unit 22, reads the sample ID from a plurality of sample containers held in the sample rack, and carries the sample rack for which the reading of the sample ID has been completed to the sample transport device 3. . The sample transport device 3 selectively transports the sample rack to the blood cell analyzer 5, the smear preparation device 6, and the blood cell image display device 7. The sample storage device 4 receives and stores the sample rack that has been transported by the sample transport device 3. The blood smear preparation apparatus automatically prepares a blood smear on a slide glass. The blood image display device 7 images a blood smear, automatically analyzes the obtained sample image, and classifies the white blood cell subclass.

<Configuration of blood cell analyzer 5>
The blood cell analyzer 5 is an optical flow cytometry type multi-item blood cell analyzer, which acquires side scattered light intensity, fluorescence intensity, etc. with respect to blood cells contained in the blood sample, and is included in the sample based on these. The blood cells are classified, the number of blood cells is counted for each type, and a scattergram in which the blood cells thus classified are color-coded for each type is created and displayed. The blood cell analyzer 5 includes a measurement unit 51 that measures a blood sample, and an information processing unit 52 that processes the measurement data output from the measurement unit 51 and displays the analysis result of the blood sample.

  FIG. 3 is a block diagram illustrating a schematic configuration of the measurement unit 51. The measurement unit 51 includes a sample dispensing unit 511, a measurement sample preparation unit 512, an optical detection unit 513, a signal processing circuit 514, and a control unit 515.

  The sample dispensing unit 511 is provided with an aspiration tube (not shown), and this aspiration tube is pierced into the lid of the sample container of the sample rack conveyed on the measurement line 31a of the sample conveyance device 3. Aspirate the blood sample from the container. The measurement sample preparation unit 512 includes a mixing container (not shown), and mixes and stirs the blood sample, reagent, and diluent dispensed by the sample dispensing unit 511 to prepare a measurement sample.

  The optical detection unit 513 includes a flow cell (not shown). By supplying the measurement sample to the flow cell, a thin flow of the measurement sample is formed, and the measurement sample is irradiated with light, and the optical sensor irradiates the side. A direction scattered light signal, a forward scattered light signal, and a fluorescence signal are acquired. These signals are output to the signal processing circuit 514. The signal processing circuit 514 is a circuit that processes an electrical signal output from the optical detection unit 513. The signal processing circuit 514 acquires parameters such as a side scattered light signal, a forward scattered light signal, a peak of a fluorescence signal, and a pulse width.

  The control unit 515 includes a CPU and a memory, and is connected to the sample transport device 3 so as to be able to perform data communication. The control unit 515 controls the sample dispensing unit 511, the measurement sample preparation unit 512, the optical detection unit 513, and the signal processing circuit 514 in accordance with the analysis item given from the sample transport apparatus 3, and corresponds to the analysis item. The measurement operation to be executed is executed. Further, the measurement data including the parameters obtained by the signal processing circuit 514 is configured to be transmitted to the information processing unit 52.

  Next, the configuration of the information processing unit 52 will be described. The information processing unit 52 is configured by a computer. FIG. 4 is a block diagram illustrating a configuration of the information processing unit 52. The information processing unit 52 is realized by a computer 52a. As shown in FIG. 4, the computer 52 a includes a main body 521, an image display unit 522, and an input unit 523. The main body 521 includes a CPU 521a, a ROM 521b, a RAM 521c, a hard disk 521d, a reading device 521e, an input / output interface 521f, a communication interface 521g, and an image output interface 521h. The output interface 521f, the communication interface 521g, and the image output interface 521h are connected by a bus 521j.

  The reading device 521e can read a computer program 524a for causing the computer to function as the information processing unit 52 from the portable recording medium 524, and install the computer program 524a on the hard disk 521d.

<Configuration of System Controller 8>
The system control device 8 is realized by a computer including a CPU, a ROM, a RAM, a hard disk, and the like. The computer functions as the system control device 8 when the CPU executes the system control program installed in the hard disk. The system control device 8 receives a sample ID from the sample input device 2 and acquires a measurement order from the clinical test information management server 9 using the sample ID as a key. Further, the system control device 8 transmits the measurement order to the sample transport device 3.

<Configuration of clinical test information management server 9>
Next, the configuration of the clinical test information management server 9 will be described. FIG. 5 is a block diagram showing a configuration of the clinical test information management server 9 according to the present embodiment. The clinical test information management server 9 is realized by a computer 90. As shown in FIG. 5, the computer 90 includes a main body 91, an image display unit 92, and an input unit 93. The main body 91 includes a CPU 91a, ROM 91b, RAM 91c, hard disk 91d, reading device 91e, input / output interface 91f, communication interfaces 91g, 91h, 91i, and image output interface 91j. The CPU 91a, ROM 91b, RAM 91c, hard disk 91d, reading The device 91e, the input / output interface 91f, the communication interface 91g, the communication interface 91h, the communication interface 91i, and the image output interface 91j are connected by a bus 91k.

  The reading device 91e can read a computer program 94a for causing the computer to function as the clinical laboratory information management server 9 from the portable recording medium 94, and install the computer program 94a on the hard disk 91d.

  The hard disk 91d stores error master data SD, which is setting data for displaying error information. FIG. 6 is a schematic diagram showing the structure of the error master data SD. The error master data SD is tabular data, and each row corresponds to one error. In the error master data SD, a field F1 for storing an error code for identifying an error, a field F2 for storing an error title that is an error name, and a field F3 for storing an error content. A field F4 for storing the cause of the error, a field F5 for storing the error handling method, a field F6 for storing the address (path) indicating the storage location of the image data relating to the error, and the error A field F7 for storing a display method and a field F8 for storing terminal information indicating a terminal that is an error display target are provided. The setting value of each error in the error master data SD can be set and changed as will be described later. In this error master data SD, setting data for a display method of error information is stored in advance. As shown in FIG. 6, the display method of an abnormality that can continue a clinical test even if it occurs, for example, a communication error between the host computer 100 and the clinical test information management server 9, is set to a telop display. An abnormality that stops the examination, for example, a method of displaying the suction tube of the blood cell analyzer 5 is set to pop-up display. Details of the telop display and the pop-up display will be described later.

  The hard disk 91d is provided with an inspection information database DB for storing inspection information such as measurement orders and inspection results.

  The clinical test information management server 9 communicates with the client device 10 and provides various functions to the client device 10 in response to requests from the client device 10. For example, when the user operates the client device 10 to instruct the clinical laboratory information management system to log in, this log-in request is accepted and log-in processing is performed. After successful login, a menu screen described later is displayed on the client device 10, and thereafter, processing is executed in accordance with an instruction from the user, and the result is transmitted to the client device 10. For example, when a display request for a list of measurement results of a sample by the blood cell analyzer 5 is received from the client device 10, information on the measurement result of the corresponding sample is extracted from the examination information database DB, and the information is extracted from the client device. Send to 10. The client device 10 receives this information, and displays a sample measurement result list screen.

<Configuration of Client Device 10>
Next, the configuration of the client device 10 will be described. FIG. 7 is a block diagram illustrating a configuration of the client device 10. The client device 10 is realized by a computer 110. As shown in FIG. 7, the computer 110 includes a main body 111, an image display unit 112, and an input unit 113. The main body 111 includes a CPU 111a, ROM 111b, RAM 111c, hard disk 111d, reading device 111e, input / output interface 111f, communication interfaces 111g, 111h, 111i, and an image output interface 111j. The CPU 111a, ROM 111b, RAM 111c, hard disk 111d, reading The device 111e, the input / output interface 111f, the communication interface 111g, the communication interface 111h, the communication interface 111i, and the image output interface 111j are connected by a bus 111k.

  The reading device 111e can read a computer program 114a for causing the computer to function as the client device 10 from the portable recording medium 114, and install the computer program 114a on the hard disk 111d.

  The communication network NW is connected to a label printer 12 that prints a barcode label to be attached to a sample container, and a printer 13 that prints a report of a test result to a doctor. The user can access the clinical test information management server 9 by operating the client device 10 to cause the label printer 12 to print a barcode indicating the sample ID, and to cause the printer 13 to print a test result report. it can.

[Operation of clinical laboratory information management system]
First, the flow of the entire clinical examination will be described. FIG. 8 is a flowchart showing the flow of the entire clinical examination. A doctor determines a measurement item for a clinical test necessary for the patient, and registers a clinical test order (measurement order) including the measurement item in the host computer 100. The host computer 100 transmits the registered measurement order to the clinical laboratory information management server 9. The clinical test information management server 9 receives the measurement order (step S101) and registers the measurement order in the test information database DB (step S102).

  A blood sample collected from the patient is stored in a sample container and transported to the examination room. When arriving at the examination room, a sample arrival confirmation is input. The sample arrival confirmation is performed by the user operating the client device 10, and the arrival of the sample in the examination room is registered in the examination information database DB. After confirming the arrival of the sample, a bar code label for printing on the sample container is printed. The barcode label includes a barcode indicating the sample ID assigned to the sample. A barcode label is affixed to the sample container, and the sample container is set in the sample rack together with other sample containers. A sample rack holding a plurality of sample containers is placed on the sample loading device 2. The sample rack placed on the sample loading device 2 is transferred to the barcode reading unit 22, and the barcode ID is read from the barcode of the sample container by the barcode reading unit 22 (step S103). The read sample ID is transmitted to the system control device 8, and the system control device 8 generates measurement order transmission request data including the sample ID and transmits it to the clinical test information management server 9 (step S104). The clinical test information management server 9 that has received the sample ID based on the barcode reading result collates the sample ID included in the received transmission request data with the sample ID registered in the test information database DB, and includes it in the transmission request data. When a sample ID that matches the sample ID is found from the examination information database DB, a measurement order including a measurement item corresponding to the sample ID is transmitted to the system control device 8 (step S105).

  Upon receiving the measurement order, the system control device 8 determines a transport destination based on the measurement order, and transmits instruction data to the sample transport device 3 so as to transport the sample rack to the transport destination. This instruction data includes a measurement order, and the measurement order is transmitted to the blood cell analyzer 5 as the transport destination. The sample rack is transported by the sample transport device 3 to the blood cell analyzer 5 as a transport destination, and the blood cell analyzer 5 measures the sample according to the measurement order (step S106).

  The test information database DB of the clinical test information management server 9 records the progress of measurement of the sample (information on measured items and unmeasured items) as needed. The user can confirm the progress of the sample measurement by operating the client device 10 and confirming the contents of the examination information database DB of the clinical examination information management server 9.

  When the measurement is completed, the measurement result is transmitted from the blood cell analyzer 5 to the clinical test information management server 9. The clinical test information management server 9 stores the measurement result in the hard disk 91d and determines whether or not a reexamination is necessary based on the measurement result. The reexamination includes remeasurement by the blood cell analyzer 5, automatic white blood cell classification by the blood cell image display device 7 (hereinafter referred to as “automatic classification”), and inspection by a microscope (hereinafter referred to as “microscopic inspection”). In other words, the clinical laboratory information management server 9 analyzes the measurement result of the sample to determine whether the sample needs to be remeasured by the blood cell analyzer 5, whether white blood cell automatic classification by the blood cell image display device 7 is necessary, It is determined whether or not re-examination is necessary (step S107). When it is determined that remeasurement by the blood cell analyzer 5 is necessary, the measurement item for the remeasurement is determined.

  If it is determined that reexamination is unnecessary (NO in step S107), the process proceeds to step S112. If it is determined that reexamination is necessary (YES in step S107), the clinical examination information management server 9 registers the reexamination order in the examination information database DB.

  The sample rack that stores the sample for which the measurement has been completed is transported by the sample transport device 3 and stored in the sample storage device 4. The user can confirm whether there is a sample that has been determined to be reexamined among the samples that have been measured by, for example, accessing the clinical laboratory information management server 9 by operating the client device 10. After confirming the necessity of retesting, the user places the sample rack holding the sample determined to be retested on the sample loading apparatus 2 again. Thereafter, the specimen bar code is read (step S108) and a measurement order transmission request to the clinical laboratory information management server 9 is made (step S109) as in steps S103 and S104 described above. The clinical test information management server 9 that has received the sample ID based on the barcode reading result collates the sample ID included in the received transmission request data with the sample ID registered in the test information database DB, and includes it in the transmission request data. When a sample ID that matches the sample ID is found from the examination information database DB, a retest order including a retest item corresponding to the sample ID is transmitted to the system control device 8 (step S110).

  When receiving the retest order, the system control device 8 determines a transport destination based on the retest order, and transmits instruction data to the sample transport device 3 so as to transport the sample rack to the transport destination. The sample rack is transported to the instructed transport destination and retested (step S111).

  When the reexamination is completed, the reexamination result is transmitted from the blood cell analyzer 5 or the blood cell image display device 7 to the clinical examination information management server 9. The clinical test information management server 9 stores the retest result in the test information database DB in the hard disk 91d. The user operates the client device 10 to access the clinical laboratory information management server 9, display the measurement result, and input the approval (step S112). When the clinical test information management server 9 accepts an input of test result approval (YES in step S112), re-test result approval information is stored in the test information database DB in the hard disk 91d. The approved test results are then reported to the physician. This completes the clinical examination of one specimen.

  When an abnormality occurs in the above clinical examination, abnormal data indicating the abnormality is transmitted to the clinical examination information management server 9. For example, when the barcode reading by the barcode reading unit 22 is not normally performed, the abnormality data including the error code indicating the barcode reading abnormality is transmitted from the sample insertion device 2 to the system control device 8, and the system control device 8 transmits the abnormal data to the clinical examination information management server 9. When a sample rack transport failure by the sample transport device 3 occurs, abnormal data including an error code indicating the sample rack transport failure is transmitted from the sample transport device 3 to the system control device 8, and the system control device 8 Abnormal data is transmitted to the clinical laboratory information management server 9. When the suction tube of the sample dispensing unit 511 of the measurement unit 51 is generated, abnormal data including an error code indicating the suction tube is transmitted from the blood cell analyzer 5 to the system control device 8, and the system control device 8 Transmits the abnormal data to the clinical laboratory information management server 9. When a communication abnormality occurs between the system control device 8 and the clinical laboratory information management server 9, the clinical laboratory information management server 9 detects the communication abnormality and generates abnormal data including an error code indicating the communication abnormality. To do. The clinical test information management server 9 acquires various abnormal data in this way.

<Error display setting operation>
Next, an error display setting operation in the clinical laboratory information management system 1 will be described. FIG. 9 is a flowchart showing a procedure of error display setting processing by the clinical laboratory information management server 9. The user operates the clinical test information management server 9 and logs in to the clinical test information management server 9. This is performed by inputting a user name and a password registered in advance in the clinical test information management server 9. FIG. 10 is a diagram illustrating an example of an initial screen displayed on the image display unit 92. When the user authentication is completed and the user logs in, the image display unit 92 displays a screen W30 as shown in FIG. Next, the user inputs an instruction to display an error display setting screen. The display instruction is executed, for example, by selecting the “error master setting” menu displayed by pull-down by selecting the “setting” menu in the menu bar area A31 of the screen W30 by operating the mouse. The CPU 91a of the clinical examination information management server 9 waits for the input of this display instruction (NO in step S201), and when the display instruction of the error display setting screen is received (YES in step S201), the error display setting screen is displayed as an image. It is displayed on the display unit 92 (step S202).

  FIG. 11 is a diagram illustrating an example of an error display setting screen. The error display setting screen W10 is a screen for registering various information related to errors in the error master data SD and changing various information related to errors registered in the error master data SD. The error display setting screen is displayed superimposed on the screen W30. In the error display setting screen W10, an input area A11 for inputting an error code, an input area A12 for inputting an error title, an input area A13 for inputting error contents, and an error cause are input. Input area A14, an input area A15 for inputting an error handling method, an input area A16 for inputting a path indicating a storage location of image data relating to an error, and an input area for inputting an error display method A17 and an input area A18 for inputting terminal information indicating a terminal that is an error display target are provided. The error display setting screen W10 closes the error display setting screen without registering the error information in the error master data SD and the registration button B11 for registering the input error information in the error master data SD, and displays the error display. An end button B12 for ending the setting process is provided.

  The user inputs error information on the error display setting screen W10. Specifically, an error code for identifying an error is input to the input area A11. When the input error code is already registered in the error master data SD, the CPU 91a converts the error master data SD to the error title, error content, error cause, error handling method, and image data corresponding to the error code. The path, display method, and terminal information to be displayed are extracted and displayed on the error display setting screen W10. The user operates the input unit 93 to input error information in the input areas A11 to A18 or change the error information displayed in the input areas A11 to A18.

  Here, the image data whose path is specified in the input area A16 is a diagram or photo used for explaining the content of the error, or image data such as a diagram or photo for explaining a coping method for solving the error. It is. In the input area 17, any of pop-up display, telop display, and status bar display can be input as an error display method. The pop-up display is a method of displaying error information that displays an error pop-up screen superimposed on the display screen of the clinical laboratory information management server 9. The telop display is a method of displaying error information that is displayed while moving the character string of the error title to a predetermined area (information bar area) of the display screen. The status bar display is a method of displaying error information in which a character string of an error title is fixedly displayed in a predetermined area (status bar area) of the main screen. Details of the display method of these error information will be described later. In the input area 18, identification information of the display target terminal is input as terminal information indicating the terminal of the error information display target. Here, the clinical test information management server 9 and all the client devices 10 are specified as the display target terminals, only the disengagement test information management server 9 is specified, or only all the client devices 10 are specified. Alternatively, one or more specific client devices 10 can be designated.

  After registering the error information, when registering the error information, the user selects the registration button B11. When the CPU 91a waits for input from the user and accepts the selection of the registration button S11 (“registration instruction” in step S203), the CPU 91a is displayed in the input areas A11 to A18 of the error display setting screen W10. Error information is registered in the error master data SD (step S204), the error display setting screen is closed (step S205), and the error display setting process is terminated.

  On the other hand, when the selection of the end button B12 is accepted (“end instruction” in step S203), the CPU 91a advances the process to step S205 and displays the error display setting screen without registering the error information in the error master data SD. Close (step S205), the error display setting process is terminated.

  The error display can be set using the client apparatus 10 as well as the clinical test information management server 9 as described above. In this case, the user operates the client device 10 to log in to the clinical laboratory information management server 9 and operates the screen displayed on the image display unit 112 of the client device 10 to display the error display setting screen W10 as an image. It is displayed on the display unit 112. When error information is input to the error display setting screen W10 displayed on the image display unit 112 of the client device 10 and the registration button B11 is selected, the error information is transmitted to the clinical laboratory information management server 9, The laboratory information management server 9 registers the error information received in the error master data SD.

<Error display operation>
Next, an error display operation in the clinical test information management system 1 will be described. FIG. 12 is a flowchart showing a procedure of error display processing by the clinical laboratory information management server 9. When the clinical test information management server 9 is activated and the user inputs a user name and password on the login screen and gives a login instruction, the CPU 91a of the clinical test information management server 9 executes a login process (step S301). If the user authentication is successful, the CPU 91a reads the error master data SD from the hard disk 91d (step S302), and causes the image display unit 92 to display the screen of the clinical laboratory information management system (step S303).

  Next, the CPU 91a confirms the occurrence of an event (step S304). The event mentioned here occurs when an input from a user, reception of data from an external device, or an action by the computer program 94a occurs while the computer program 94a for managing laboratory information is being executed. This signal includes abnormal data acquisition, error recovery, and shutdown instruction reception. For example, when the user gives an instruction to change from the initial screen displayed immediately after login to another screen, this event is detected, and the display transitions to the instructed screen. In the clinical test information management server 9, a measurement result list screen for displaying a list of measurement results of the blood cell analyzer 5, a test result approval screen for displaying the test result in order to approve a test result of a specific sample, are registered. It is possible to display a measurement order list screen or the like that displays a list of measurement orders.

  When an event is detected in step S304, the CPU 91a determines whether or not the event is an error (step S305). In this process, as described above, the clinical laboratory information management server 9 receives abnormal data from the system control device 8 or the blood cell analyzer 5 or generates abnormal data by detecting a communication abnormality. This is performed by determining whether or not the event detected in step S304 is an abnormal data acquisition event.

  In step S305, if the event is an error occurrence (YES in step S305), the CPU 91a identifies the display method and display terminal registered in the error master data SD from the error code included in the abnormal data (step S305). Step S306). In the following description, a case where the clinical test information management server 9 is included in the display terminal will be described. The CPU 91a determines whether or not the error display method is pop-up display (step S307). If the error display method is pop-up display (YES in step S307), the CPU 91a superimposes it on the screen being displayed on the image display unit 92. An error pop-up screen is displayed (step S308).

  FIG. 13 is a diagram illustrating an example of an error pop-up screen. As shown in the figure, the error pop-up screen W20 includes a message EM “An error has occurred”. Further, an area A21 for displaying an error title is provided below the message EM, and further below the button B21 for displaying a detailed screen including more detailed information on the error and the error Is removed (cleared), and a button B22 for ending the display of the error pop-up screen W20 is provided. In the display area A21 of the error pop-up screen W20, the error title of the error registered in the error master data SD is displayed.

  Such an error pop-up screen W20 is displayed superimposed on the screen of the clinical examination system. In such a pop-up display, the error information is emphasized more than other information, so that the user can easily recognize the occurrence of the error.

  The error using the pop-up display as a display method as described above is preferably one in which clinical examination is interrupted when an error occurs. Examples of such an error include a suction tube of the blood cell analyzer 5, that is, a reagent shortage, a sample rack conveyance failure, and the like. When these errors occur, the blood cell analyzer 5 cannot stop the measurement operation or the transport operation of the sample transport device 3 and the like, and these operations cannot be resumed unless the error is released. Therefore, when these errors occur, the operation of the entire clinical test is interrupted. Such errors need to be addressed immediately to resume clinical testing.

  When the error pop-up screen W20 as described above is displayed, the CPU 91a returns the process to step S304 and confirms the occurrence of the event again.

  On the other hand, when the error display method is not pop-up display in step S307 (NO in step S307), the CPU 91a determines whether or not the error display method is telop display (step S309). If the error display method is telop display in step S309 (YES in step S309), the CPU 91a executes telop display of the error title on the display screen of the clinical laboratory information management system (step S310).

  FIG. 14 is a diagram illustrating an example of telop display of error information. As shown in the figure, the screen W30 of the clinical laboratory information management system includes a menu bar area A31 at the top of the screen, a toolbar area A32 below it, and an information bar area A33 provided below the toolbar area A32. The work area A34 is provided below the information bar area A33 and occupies most of the screen W30, and the status bar area A35 is provided at the lowermost side of the screen W30. The work area A34 is further divided into a menu tree window area A341 on the left side and a main area A342 on the right side. These areas A31 to A35 are provided in common on all the screens of the clinical laboratory information management system, and when the display screen is switched, only the display contents of the work area A34 are changed. For example, in the initial screen, a plurality of icons for switching the display to each screen are displayed side by side in the main area A342, and in the measurement result list screen, a part or all of the measurement results for each sample are listed in the main area A342. Is displayed. The example shown in FIG. 14 is an approval screen. In this approval screen, patient information such as patient ID, patient name, and sex, related information such as a patient's department in charge and a doctor in charge, and a specimen test result are displayed in the main area A342. On this screen, the user confirms the inspection result and approves if there is no abnormality in the inspection result. When the user approves the inspection result, a specific key (F12 key) is pressed. As a result, approval is executed, data indicating that the test result is approved is registered in the test information database DB, and the test result is reported to the doctor.

  In the menu tree window area A341 of the work area A34, menus are displayed in a tree shape. Each menu in the menu tree can be executed by a selection operation using a mouse. An error list display button B31 is displayed below the menu tree window. The error list display button B31 is designed such that the button image changes depending on the presence or absence of an error. When the error list display button B31 is selected when there is an error, a list of uncleared errors is displayed. The

  In the menu bar area A31, menus such as “file”, “sample”, “setting”, and the like are arranged, and a pull-down menu is displayed by selecting each menu by operating the mouse. . A plurality of menus are arranged in each pull-down menu, and the menu can be executed by selecting one of them by operating the mouse. A plurality of icons are arranged in the toolbar area A32. Below each icon, icon names such as “Close”, “Logoff”, and “Menu” are displayed.

  The information bar area A33 is divided into three areas in the left-right direction. In the area A331 on the left side, the date on which the clinical laboratory information management system 1 is operated, that is, the date of that day is displayed. The center area A332 is an area where the error title is displayed in telop. The right side area A333 displays an operation mode in which the clinical examination system is operating at that time. When the error title is displayed, the character string of the error title is displayed by moving from the right end to the left end of the area A332 as time passes. When the character string reaches the left end of the area A332 and is no longer displayed, the character string is displayed again from the right end and moves to the left. This display operation is repeated. As the error title is moved and displayed as time elapses as described above, the error title is emphasized and the user can easily recognize the occurrence of the error. Even when the character string to be displayed exceeds the range that can be displayed in the area A332, the entire character string is displayed so as to flow from right to left. Therefore, it is possible to display all of the error information even in the area A332 where the number of display character strings is limited.

  Furthermore, in such a telop display, the work area A34 is not hidden by the display of an error, so that the user's work related to the clinical examination is not hindered. For example, when the approval screen is displayed as in the example illustrated in FIG. 14, the inspection result is not hidden even if an error is displayed, and the inspection result can be continuously approved. Such approval of test results is generally performed by continuously approving test results of a plurality of specimens, and it is desired to approve test results as soon as possible and report them to a doctor. For this reason, if the display of the inspection result is hindered by the display of the error, the user must first perform the process of canceling the error, and the inspection result cannot be quickly approved. When error information is displayed in telop as in this embodiment, it is possible to continuously approve the test results of multiple specimens without canceling the error, and the approval work can be performed efficiently. Can do. In addition, after the approval work is finished, the user may cancel the error.

  The error using the telop display as a display method as described above is preferably one in which clinical examination is not interrupted even if an error occurs. Examples of such errors include abnormal communication between the host computer 100 and the clinical laboratory information management server 9 and insufficient sample amount. These errors are measured using the measurement order received by the take-off examination information management server 9 until a communication error occurs, or the next sample is measured without measuring the sample with insufficient sample amount. As a result, even if an error occurs, the operation of the entire clinical test is not interrupted. Even in the case of abnormal barcode reading, if the next sample is measured without measuring the sample whose barcode could not be read, the operation of the entire clinical test is interrupted even if the error occurs. This is suitable for telop display. Samples that could not be measured due to these errors can be measured again after the communication state is restored, the barcode is changed, or the sample is diluted.

  When the error information telop display area A332 is selected by a user operation (for example, right mouse click), a detailed screen including more detailed information on the error is displayed.

  The status of the clinical laboratory information management system is displayed in the status bar area A35. The status bar area A35 is also an area for displaying error information. The error displayed in the status bar area A35 is an error whose display method is the status bar display in the error master data SD, and the error for which telop display or pop-up display is specified is not displayed in the status bar area A35.

  When the error information telop display as described above is started, the CPU 91a returns the process to step S304 and confirms the occurrence of the event again.

  In step S309, when the error display method is not telop display (NO in step S309), the CPU 91a executes status bar display of the error title on the display screen of the clinical laboratory information management system (step S311). In this process, the error title of the error is fixedly displayed in the status bar area A35.

  The error using the status bar display as described above is preferably such that even if an error occurs, the clinical examination is hardly affected. An example of such an error is an abnormal barcode reading. For a sample in which bar code reading abnormality has occurred, if measurement is performed for a predetermined measurement item, the measurement is also performed for the sample, so that the entire clinical examination is hardly affected. Therefore, in such a case, the barcode reading abnormality is suitable for the status bar display.

  If the detected event is not an error occurrence event in step S305 (NO in step S305), the CPU 91a determines whether or not the event is reception of an instruction to display a detailed screen of error information (step S312). ). The detailed screen display instruction is such that the button B21 on the error pop-up screen W20 (FIG. 13) is selected by the user's mouse operation, or the error title displayed in the area A332 of the information bar A33 on the screen W30 (FIG. 14). It is accepted by being selected. When the detected event is reception of an instruction to display a detailed screen for error information (YES in step S312), the CPU 91a displays a detailed screen for error information on the image display unit 92 (step S313).

  FIG. 15 is a diagram for explaining a configuration of a detailed screen of error information. As shown in the figure, in the detail screen W40, an error occurrence date and time, an error code, an area A41 for displaying terminal information of an error display target, an area A42 for displaying the cause of the error, and an error content are displayed. Area A43 and an area A44 for displaying an error handling method are provided. Further, the detail screen W40 is also provided with a button B41 for clearing (canceling) the error. The user can confirm the error occurrence date and time, error code, terminal information of the error display target, error cause, error content, error handling method, and the like on this detailed screen 40, and perform an operation of selecting the button B41. The error can be canceled.

  When the error information detail screen W40 as described above is displayed, the CPU 91a returns the process to step S304 and confirms the occurrence of the event again.

  On the other hand, in step S312, if the detected event is not reception of an instruction to display a detailed screen of error information (YES in step S312), CPU 91a determines whether or not the event is an error clear (step S314). ). If the detected event is error clear (YES in step S314), CPU 91a ends the error display (step S315). In this process, the CPU 91a closes the error pop-up screen when the error display method is pop-up display, and displays the error title displayed in telop in the information bar area A33 when the error display method is telop display. If the error display method is status bar display, the error title displayed in the status bar area A35 is deleted. When the error information detail screen is displayed, the CPU 91a closes the detail screen.

  When the error information display end as described above is executed, the CPU 91a returns the process to step S304 and confirms the occurrence of the event again.

  On the other hand, when the detected event is not an error clear in step S314 (YES in step S312), the CPU 91a determines whether or not the event is a shutdown instruction acceptance (step S316). When the detected event is acceptance of shutdown instruction (YES in step S316), CPU 91a executes shutdown processing (step S317) and ends the process. In step S316, when the detected event is not acceptance of the shutdown instruction, the CPU 91a returns the process to step S304 and confirms the occurrence of the event again.

  In addition to the case where the error display is performed only by the clinical laboratory information management server 9 as described above, when the client device 10 is designated as the terminal of the error display target, the error display is also performed on the client device 10. In this case, when the user logs in to the clinical test management information server 9 using the client device 10 and the screen of the clinical test system is displayed on the client device 10, an error occurrence event occurs in the clinical test information management server 9. When detected, data indicating error information to be displayed (in the case of the present embodiment, an error title) and an error display method (either pop-up display, telop display, or status bar display) are clinical laboratory information. The client device 10 that is transmitted from the management server 9 to the display target client device 10 and receives the data displays error information on the image display unit 112 by the designated display method.

(Other embodiments)
In the above-described embodiment, the configuration in which error information to be displayed in telop is used as an error title has been described. However, the present invention is not limited to this. The error content may be used instead of the error title, or the error title, error content, error handling method, and the like may be displayed while being moved to the area A332.

  In the above-described embodiment, a message regarding an error that occurs in the system is cited as the displayed information. However, the present invention is not limited to this. For example, a message related to the progress of a clinical test in the system may be used. For example, when the test is normally completed, a message that “the test has been completed normally” may be displayed in a telop. Further, it may be a message related to a matter to be communicated at a facility where the system is installed, and for example, a message such as “XX system will be stopped at XX hour ΔΔ minutes” may be displayed as a telop. Also, it may be a message related to the test result. For example, when the value of a predetermined item of the test result is abnormal, a message such as “Please report to the doctor immediately” may be displayed in a pop-up.

  In the above-described embodiment, the configuration has been described in which the display method displays the error information of the telop display while moving from the right end to the left end of the area A332. However, the present invention is not limited to this. For example, other display methods may be used as long as the display method changes with the passage of time, such as blinking a character string of error information. When the length of the character string exceeds the display range of the area A332, the display portion of the character string may be changed with time so that another portion is displayed after displaying a part of the character string. .

  In the embodiment described above, an example is shown in which the clinical laboratory information management server 9 is connected to the blood analysis system 200, the blood cell counter 300, the blood coagulation measuring device 400, and the urine analyzer 500. However, it may be connected to clinical specimen analyzers other than these, or may be connected to only one clinical specimen analyzer such as blood analysis system 200.

  In the above-described embodiment, the clinical test information management apparatus, which is an example of the clinical test apparatus according to the present invention, is given as a specific example. However, the present invention is not limited to this. The clinical test apparatus according to the present invention prepares a measurement sample from a sample such as blood or urine collected from a subject and a reagent, analyzes the component of the sample by measuring the measurement sample, and validates the analysis result. May be a clinical sample analyzer that can execute and report the results. Specifically, a blood cell counter, a blood coagulation measurement device, a urine analyzer, an immunoassay device, a biochemical measurement device, and the like may be used.

  The clinical examination apparatus includes a measurement mechanism for measuring a specimen and a control device for controlling the measurement mechanism. A general personal computer is used for this control device. In addition, the control device displays a telop for a display method such as an abnormality that can continue the measurement of the sample even if it occurs, such as an insufficient sample amount error, and an abnormality that stops the measurement of the sample when it occurs, such as an error in the suction tube The display method is stored in a pop-up display.

DESCRIPTION OF SYMBOLS 1 Clinical laboratory information management system 2 Specimen input apparatus 3 Specimen transport apparatus 4 Specimen storage apparatus 5 Blood cell analyzer 51 Measurement unit 52 Information processing unit 6 Smear preparation apparatus 7 Blood cell image display apparatus 8 System controller 9 Clinical laboratory information management server 91a CPU
91b ROM
91c RAM
91d Hard disk 91g Communication interface 94a Computer program 10 Client device 111a CPU
111b ROM
111c RAM
111d hard disk 111g communication interface 114a computer program 100 host computer

Claims (16)

A display unit for displaying a first screen for accepting the inspection result;
A storage unit for storing the inspection result and notification information to notify the operator;
A setting screen for setting whether the notification information is displayed in a predetermined area of the first screen or displayed on the second screen superimposed on the first screen, based on an instruction from the operator, the display unit A control unit to be displayed on
A clinical examination apparatus. The clinical test apparatus is a clinical test information management apparatus for receiving information related to a test to be managed using a computer terminal and a clinical sample analyzer, and for managing work from receiving a test order to reporting a test result ,
The notification information is error information relating to an error occurring in the computer terminal and the clinical laboratory analyzer,
The control unit causes the storage unit to store information related to a clinical test received from the computer terminal and the clinical sample analyzer.
The clinical examination apparatus according to claim 1. When an error occurs, the control unit displays the error information on the display unit according to the setting on the setting screen.
The clinical examination apparatus according to claim 2. The error information is character information indicating the name of the error that has occurred,
The control unit causes the display unit to display the character information in the predetermined area so as to change over time.
The clinical examination apparatus according to claim 2 or 3. The control unit displays the character information on the display unit so as to move with the passage of time within the predetermined region.
The clinical examination apparatus according to claim 4. A reception unit for receiving input from the operator;
When the receiving unit receives an input for selecting the character information in the predetermined area, the control unit causes the display unit to display a third screen indicating the details of the error on the first screen. ,
The clinical examination apparatus according to any one of claims 2 to 5. The storage unit displays, in the predetermined area, error information related to an error that can continue a clinical test even if it occurs, and a setting for displaying error information related to an error that causes a clinical test to stop on the second screen in advance is generated. Remember,
The clinical examination apparatus according to any one of claims 2 to 6. A communication unit for communicating information on a clinical test with the computer terminal and the clinical sample analyzer;
The storage unit stores in advance settings for displaying error information related to the communication unit in the predetermined area and displaying error information related to the mechanism of the clinical sample analyzer on the second screen.
The clinical examination apparatus according to any one of claims 2 to 7. The clinical test apparatus is a clinical sample analyzer that prepares a sample from a sample and a reagent collected from a subject, measures the prepared sample, and analyzes components contained in the sample,
The notification information is error information regarding an error that occurs in a clinical laboratory analyzer,
The control unit causes the storage unit to store analysis results of components included in the specimen.
The clinical examination apparatus according to claim 1. When an error occurs, the control unit displays the error information on the display unit according to the setting on the setting screen.
The clinical examination apparatus according to claim 9. The error information is character information indicating the name of the error that has occurred,
The control unit displays the character information on the display unit so as to move with the passage of time within the predetermined region.
The clinical examination apparatus according to claim 9 or 10. A reception unit for receiving input from the operator;
When the receiving unit receives an input for selecting the character information in the predetermined area, the control unit causes the display unit to display a third screen indicating the details of the error on the first screen. ,
The clinical examination apparatus according to any one of claims 9 to 11. The storage unit is configured to display error information related to an error that can continue the measurement of the sample even if it occurs in the predetermined area, and to display error information related to an error that causes the measurement of the sample to stop when it occurs on the second screen. Is stored in advance,
The clinical examination apparatus according to any one of claims 9 to 12. A clinical test information management system for managing work from reception of test orders to reporting of test results,
A clinical specimen analyzer that analyzes clinical specimens and obtains information about clinical tests, including analysis results,
A computer terminal for inputting information on a clinical test to be managed by the user;
A display unit for displaying a first screen for accepting the inspection result;
A storage unit for storing information on clinical tests acquired by the clinical sample analyzer and the computer terminal, and error information on errors occurring in the computer terminal and the clinical sample analyzer;
A setting screen for setting whether the error information is displayed in a predetermined area of the first screen or displayed on the second screen superimposed on the first screen is displayed based on an instruction from the operator. A control unit to be displayed on the unit,
A clinical laboratory information management system. A computer program for causing a computer terminal including a display unit and a storage unit to function as a clinical examination apparatus,
The storage unit stores the test result and notification information to notify the operator,
A setting screen for setting whether the notification information is displayed in a predetermined area of the first screen that accepts the approval of the inspection result or displayed on the second screen superimposed on the first screen. Displaying on the display unit based on instructions;
Displaying a first screen on the display unit;
When displaying the notification information when the first screen is displayed, displaying the notification information on the display unit according to the setting performed on the setting screen;
A computer program for causing the computer to execute. The clinical examination apparatus is a clinical examination information management apparatus for accepting information related to examinations to be managed from other computer terminals and clinical specimen analyzers, and for managing operations ranging from acceptance of examination orders to reporting of examination results. ,
The notification information is error information related to an error that occurs in the other computer terminal and the clinical laboratory analyzer,
Causing the computer to further execute a step of storing information on the examination received from the other computer terminal and the clinical sample analyzer in the storage unit,
The computer program according to claim 15.

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