JP2015130091A - Management system and management program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a management system capable of simply confirming whether a document, such as a medical chart is correctly associated with various relevant apparatuses.SOLUTION: The management system manages, for example, a document, such as a medical chart of a patient in association with an apparatus, such as a container in medical relations. A document side ID area is defined on the document, and a document side ID, for example, a patient ID is applied. In addition, an apparatus arrangement area is defined in the document or other work places, and an operator arranges an apparatus within the apparatus arrangement area. An apparatus side ID, such as a patient ID is preliminarily applied to an apparatus. Photographing means, such as a camera photographs a document and an apparatus arrangement area as a photographic image. The document side ID and the apparatus side ID are respectively read from the photographic image, and whether the document side ID and the apparatus side ID are coincident is determined. Then, a photographed date by the photographing means, the photographic image, the document side ID, the apparatus side ID, and a coincidence determination result are associated with one another to be stored in a management database.

Description

  The present invention relates to a system for managing a document such as a medical record and various instruments in the field of medical treatment and the like.

  Systems for managing articles using bar codes, RF tags, and the like are known. For example, Patent Literature 1 relates to an article installed in each section by dividing the inside of the tray into a plurality of sections and providing an article information reading unit in each section in an article placement system including a tray for placing articles and an information processing apparatus. Describes how to read information.

JP 2004-70803 A

  However, in a system such as Patent Document 1, a reading device is required for each section, and there are many restrictions. In addition, it is not considered to confirm the correspondence between a document such as a medical record and the instrument.

  An object of the present invention is to provide a management system capable of easily confirming whether a document such as a medical chart used in medical or other fields and various related instruments are correctly associated with each other.

  In one aspect of the present invention, the management system has a document and a document-side ID area on the document based on the photographed image and photographing means for photographing the document and the instrument arranged in the instrument placement area. Reading means for reading the attached document-side ID and the instrument-side ID attached to the instrument arranged in the instrument arrangement area, and whether the document-side ID and the instrument-side ID correspond to each other A storage for storing in the management database in association with the determination means for performing the determination, the photographing by the photographing means, the captured image, the document-side ID, the appliance-side ID, and the determination result by the determination means Means.

  The above management system is used in an environment for managing correspondence between a document and a device. For example, in a medical relationship, a document such as a patient chart and a device such as a container are associated with each other and managed. In addition to the medical records, the documents include various documents such as work instructions and work process charts. A document-side ID area is defined on the document, and a document-side ID such as a patient ID is assigned. In addition, an instrument placement area is defined on the document or at a place different from the document, and the worker places the instrument in the instrument placement area. A device ID such as a patient ID is assigned to the device in advance.

  An imaging unit such as a camera takes a document and an appliance arrangement area where the appliance is arranged as a captured image. From the photographed image, the document side ID and the instrument side ID are read, respectively, and it is determined whether or not they match. And at the time of imaging | photography by an imaging | photography means, a picked-up image, document side ID, appliance side ID, and a determination result are matched and memorize | stored in a management database. Therefore, it is possible to easily determine whether or not the document and the instrument correspond correctly, for example, whether or not they belong to the same patient, based on the photographing by the photographing means. Note that “the document ID and the appliance ID correspond” not only corresponds to the case where the IDs themselves match, but also corresponds to the patient having the same ID even if the IDs do not match. This includes cases that are related as things. When the document-side ID and the instrument-side ID correspond, the record in the database is a trail that the document and instrument surely existed in the correct correspondence at the time of shooting. When the document-side ID and the instrument-side ID do not correspond, the subsequent work can be stopped. Further, since the information at that time is stored, that is, it can be used to investigate the cause of the difference between the document and the instrument. Note that the time of photographing may be only the photographing time or may be a photographing date and time including the photographing date and the photographing time.

  In a preferred example, the photographing unit photographs the document and the instrument as one photographed image. In this example, it can be determined whether the document and the instrument correctly correspond. In this case, the instrument may be disposed on the document, or may be disposed adjacent to the document without being disposed on the document.

  In another preferred example, the instrument arrangement area is provided at a position different from the document, and the photographing unit photographs the document and the instrument as separate photographed images. In this example, it is possible to determine whether or not a document and an instrument arranged at a work place other than the document correspond correctly.

  In one aspect of the management system, the document-side ID area and the appliance arrangement in the photographing range when the document having the format ID and the document having the format ID are arranged in the photographing range of the photographing unit. An arrangement information database that stores arrangement information indicating an area in association with each other, and when the format ID of the document is specified, the reading unit refers to the arrangement information database and corresponds to the document side. An ID area and the appliance arrangement area are acquired, and the document-side ID and the appliance-side ID are read.

  In this aspect, the arrangement information indicating the positional relationship between the document-side ID area and the appliance arrangement area within the imaging range when the appliance is correctly arranged in the appliance arrangement area and the image is taken is a format ID indicating the type of document. Are stored in advance in association with each other. When the format ID is specified by the operator specifying the format ID or the like, the reading unit acquires the corresponding arrangement information and reads the document side ID and the instrument side ID. Therefore, the reading means can quickly read the document side ID and the instrument side ID from the position indicated by the arrangement information.

  The format ID includes not only the case where a document-side ID area and a device placement area are provided on one document, and these are set to be acquired as one image, but there is only a document-side ID area on the document. It is also prepared when an instrument placement area is set in a specific work place. An example of the latter setting will be described later in [Third Embodiment]. However, in another aspect of the management system in this case, the arrangement information is in the shooting range of the first shooting unit for one format ID. The document-side ID area and the appliance arrangement area in the imaging range of the second imaging unit are stored in association with each other. In this aspect, when a plurality of photographing means are used, the reading means reliably reads the document-side ID from the image photographed by the first photographing means by referring to the arrangement information, and the second photographing. The appliance-side ID can be reliably read from the image taken by the means.

  In another aspect of the management system, the format ID is attached to the document, and the reading unit reads the format ID from the document and identifies the format ID. This eliminates the need for the operator to input the document format ID and prevents input errors.

  In a preferred example, both the document-side ID and the instrument-side ID are patient IDs, and the determination means determines whether the document-side ID and the instrument-side ID match. In this example, the determination unit determines that the document-side ID and the instrument-side ID correspond when the document-side ID and the instrument-side ID match. This example can be applied when the patient ID is given to the document and the instrument.

  In another preferred example, the document-side ID is a chart ID, the instrument-side ID is an instrument ID, and indicates the correspondence between the chart ID and the patient ID, and the correspondence between the instrument ID and the patient ID. An ID correlation database is provided, and the determination unit refers to the ID correlation database to determine whether the document-side ID and the instrument-side ID correspond to the same patient ID. In this example, the medical chart ID that is the document side ID and the instrument ID that is the instrument side ID are associated with the patient ID, respectively. The determination unit determines that the document-side ID and the instrument-side ID correspond when the document-side ID and the instrument-side ID correspond to the same patient ID. This example can be applied when a medical chart ID is given on the document side, an equipment ID is given on the equipment side, and the correspondence between the medical chart ID and the equipment ID and the patient ID is separately stored. .

  In another preferred example, the document-side ID is attached to the document as a code pattern, the device-side ID is attached to the device as a code pattern, and the reading means reads the code pattern. The document-side ID and the appliance-side ID are obtained by decoding. The code pattern includes, for example, a one-dimensional or two-dimensional barcode.

  In another aspect of the present invention, a management program executed by a management system including a computer includes: a document; a photographing unit that photographs a device arranged in a device placement area as a photographed image; and Reading means for reading the document side ID attached to the document side ID area on the document and the instrument side ID attached to the instrument arranged in the instrument arrangement area, the document side ID and the instrument side ID A determination unit that performs a match determination, a shooting date / time by the shooting unit, the captured image, the document-side ID, the appliance-side ID, and a match determination result by the determination unit are associated and stored in the management database. The computer is caused to function as storage means. By executing this management program on a computer, the above management system can be realized.

1 shows a schematic configuration of a management system according to a first embodiment. An example of a medical chart is shown. An example of an instrument is shown. It is a block diagram which shows the structure of a terminal device. The state which looked at the state by which the instrument was arrange | positioned in the instrument arrangement | positioning area of a medical chart from upper direction is shown. Shows the contents stored in the management database. It is a flowchart of the management process by 1st Embodiment. The example of the arrangement | positioning information in 2nd Embodiment is shown. It is a flowchart of the management process by 2nd Embodiment. The working environment in 3rd Embodiment is shown. The example of the arrangement | positioning information in 3rd Embodiment is shown.

  Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings. In the following embodiment, in the fertility treatment field, when observing a fertilized egg or moving between culture vessels, the medical record and the instrument (petri dish) containing the fertilized egg are the same patient. It is assumed that the case is confirmed.

[First Embodiment]
FIG. 1 shows a schematic configuration of the management system of the present embodiment. The management system manages patient charts and instruments. Specifically, as shown in FIG. 1, an instrument (petri dish) 20 is placed on the chart 10 and these are photographed with a camera 30 from above. The camera 30 is connected to the terminal device 40 and sends a captured image to the terminal device 40.

  The instrument 20 contains a work object such as a fertilized egg. When observing this, the operator first prepares a chart 10 and the instrument 20 for a specific patient. Then, the operator places the instrument 20 at a predetermined position on the medical chart 10 and takes an image with the camera 30. The captured image by the camera 30 is sent to the terminal device 40, and as will be described later, the patient ID of the chart 10 and the instrument 20 is collated, and various information including the captured image is stored.

  FIG. 2 shows an example of the medical chart 10 used in the present embodiment. The medical chart 10 is an example of a document in the present invention. A two-dimensional barcode (QR code (registered trademark), hereinafter simply referred to as “barcode”) 11, patient information 12, an instrument placement area 13, and an entry field 14 are printed. The medical chart 10 is prepared for each patient.

  The bar code 11 corresponds to a code pattern indicating a patient ID as a document ID, and the patient ID of a patient who is a subject who uses the medical chart 10 is encoded. That is, the patient ID is obtained by reading the barcode 11 with the camera 30 and decoding it. The barcode 11 is printed in a predetermined position of the medical chart 10, in this example, in a predetermined range at the upper left of the medical chart 10.

  As the patient information 12, a patient ID “0001” and a patient name “Hanako Dainippon” are printed. The patient ID of the patient indicated by the patient information 12 is printed as a barcode 11.

  The instrument arrangement area 13 is a predetermined area on the chart 10 and is indicated by a thick black frame. The instrument arrangement area 13 is an area where the operator arranges the instrument 20. The entry column 14 is a column for entering a result of observation performed by the operator.

  FIG. 3 shows a petri dish into which a work object is placed as an example of the instrument. FIG. 3A is a perspective view of the instrument 20. The instrument 20 has a main body 21 and a lid 22. FIG. 3A shows a state where the lid 22 is covered. FIG. 3B is a plan view of the instrument 20 as viewed from above with the lid 22 removed. A barcode 23 is attached to the bottom surface of the main body 21 of the instrument 20. The barcode 23 is prepared as a sticker and is attached to the bottom surface of the main body 21 from the outside (lower surface side). However, since the main body 21 is transparent, the barcode 23 can be read from above. When an operator performs an operation such as observation, the worker 20 places the tool 20 in the tool placement area 13 of the medical chart 10 shown in FIG.

  FIG. 4 is a block diagram illustrating a configuration of the terminal device 40. The terminal device 40 can be configured by a general PC or the like, and has a camera I / F 42, a control unit 43, a ROM 44, a RAM 45, and a storage unit 46 connected to a common bus 41.

  The camera I / F 42 is connected to the camera 30 and receives a captured image from the camera 30. Further, the terminal device 40 controls the photographing of the camera 30 by sending a control signal through the camera I / F 42.

  The ROM 44 stores a program for executing a chart and instrument management process described later. The RAM 45 functions as a work memory when temporarily storing a photographed image from the camera 30. The storage unit 46 includes a management database (hereinafter, “database” will be referred to as “DB”) that stores the coincidence determination result of the patient ID between the medical chart 10 and the instrument 20, a photographed image, and the like.

  The control unit 43 includes a CPU and the like, and controls the entire terminal device 40. The control unit 43 performs a management process described later by executing a management program stored in the ROM 44.

  In the above configuration, the camera 30 is an example of an imaging unit and a first imaging unit, and the control unit 43 is an example of a reading unit, a determination unit, and a storage unit.

  Next, actual management processing will be described. The operator performs management processing to confirm whether the medical chart 10 and the instrument 20 belong to the same patient before observing the work target contained in the instrument 20. At this time, the operator arranges the instrument 20 in the instrument arrangement area 13 of the chart 10.

  FIG. 5 schematically shows a state in which the instrument 20 is arranged in the instrument arrangement area 13 of the medical chart 10 as viewed from above. As shown in FIG. 5, the medical chart 10 is arranged at the upper left of a table 32 prepared in advance. Preferably, a wall or the like that functions as a stopper may be provided along the upper end and the left end of the table 32. The operator can easily arrange the chart 10 on the upper left side of the table 21 by moving the chart 10 until it hits the upper end and left end stoppers on the table 32.

  In FIG. 5, for convenience of explanation, XY axes set within the shooting range of the camera 30 are shown. In FIG. 5, the upper left of the table 32 is the origin O, the X axis is defined along the upper side, and the Y axis is defined along the left side. Note that the origin O and XY axes shown in FIG. 5 are virtual, and the origin O and XY axes are not actually entered in the table 32. The XY coordinates will be described in detail in the second embodiment.

  The operator arranges the chart 10 at the upper left position of the table 32 and further arranges the instrument 20 in the instrument arrangement area 13 of the chart 10. The camera 30 images the medical chart 10 and the instrument 20 from above as shown in FIG. The photographing range by the camera 30 may be the entire chart 10 or a part on the upper side of the chart 10. In this example, it is determined that the barcode 11 on the medical chart 10 is printed in a predetermined range on the upper left of the medical chart 10, and the instrument placement area 13 is also printed on the upper side of the medical chart 10. The shooting range of the camera 30 may be the upper half of the chart 10. In other words, the camera 30 only needs to capture a range including the barcode 11 printed on the medical chart 10 and the instrument arrangement area 13.

  The captured image of the camera 30 is sent to the terminal device 40. The control unit 43 of the terminal device 40 saves the captured image together with the shooting date and time in the management DB in the storage unit 46. Further, the control unit 43 scans the captured image and detects a barcode. The barcode can be detected by, for example, matching processing using a template prepared in advance. In the example of FIG. 5, since the captured image includes the barcode 11 of the medical chart 10 and the barcode 23 of the instrument 20, the control unit 43 detects these by image processing and decodes each barcode. Patient ID. That is, the control unit 43 acquires the patient ID of the medical chart 10 from the barcode 11 of the medical chart 10, acquires the patient ID of the instrument 20 from the barcode 23 of the instrument 20, and stores them in the management DB of the storage unit 46. save. Further, the control unit 43 determines whether or not the patient ID of the medical chart 10 matches the patient ID of the instrument 20 and stores the determination result in the management DB of the storage unit 46.

  Data stored in the management DB is shown in FIG. As shown in the figure, regarding the single shooting of the camera, the management DB includes the shooting date and time, the patient ID of the chart, the patient ID of the instrument, and the comparison result of the patient ID of the chart and the patient ID of the chart (“match” or “ Discrepancy ") and image data taken by the camera 30 are stored. Thereby, when the operator observes the work target, the patient ID of the medical chart and the patient ID of the instrument correctly match, that is, whether or not the same patient chart and the instrument are correctly used. Can be checked. If the patient ID of the chart 10 and the patient ID of the instrument 20 match, it is proved that the chart 10 and the instrument 20 of the same patient were used correctly at that time. The photographed image data has a meaning as a trail that a medical chart and a device for the same patient existed at the same time at the same time.

  On the other hand, if the patient ID of the medical chart 10 and the patient ID of the instrument do not match, the subsequent work is stopped, so that an incorrect work is performed using the medical chart 10 and the instrument 20 of different patients. Can be prevented. Furthermore, the information stored in the management DB at that time can be verified to help prevent recurrence.

  FIG. 7 is a flowchart of the management process according to the first embodiment. As described above, this process is executed before the worker performs an operation such as observation of the work object. Moreover, this process is implement | achieved when the control part 43 of the terminal device 40 runs the program prepared beforehand.

  First, the operator prepares the chart 10 and the instrument 20, arranges the chart 10 on the table 32 as shown in FIG. 5, and arranges the instrument 20 in the instrument arrangement area 13 of the chart 10. The control unit 43 sends a control signal to the camera 30 to execute photographing (step S11).

  Next, the control unit 43 analyzes the captured image, and detects and reads the patient ID of the medical chart 10 (step S12). When reading of the patient ID of the medical chart 10 fails (step S12: No), the control unit 43 displays an error (step S17) and ends the process.

  On the other hand, when the patient ID of the medical chart 10 is successfully read (step S12: Yes), the control unit 43 reads the patient ID of the instrument 20 (step S13). If reading of the patient ID of the instrument 20 has failed (step S13: No), the process proceeds to step S17, an error is displayed, and the process ends.

  On the other hand, when the reading of the patient ID of the instrument 20 is successful (step S13: Yes), the control unit 43 determines whether or not the patient ID of the medical chart 10 matches the patient ID of the instrument 20 (step S14). . When the patient ID of the medical chart 10 does not match the patient ID of the instrument 20 (step S14: No), the control unit 43 performs NG display (step S18) and proceeds to step S16. In addition to the NG display, a buzzer sound for notifying the operator of the mismatch may be output.

  On the other hand, when the patient ID of the medical chart 10 matches the patient ID of the instrument 20 (step S14: Yes), the control unit 43 displays OK (step S15), and the process proceeds to step S16. In step S16, as shown in FIG. 6, the control unit 43 captures the imaging date and time, the patient ID of the medical chart 10, the patient ID of the instrument 20, the comparison result between the patient ID of the medical chart 10 and the patient ID of the instrument 20, and the imaging. The image data is saved in the management DB, and the process ends.

  As described above, in this embodiment, it is determined whether the medical chart 10 and the instrument 20 belong to the same patient simply by placing the instrument 20 at a predetermined position on the medical chart 10 and taking a single image with the camera 30. In addition, the captured image can be stored as a trail.

[Second Embodiment]
In the second embodiment, a format ID is prepared for each type of medical chart 10, and the position of the barcode 11 on the medical chart 10 and the position of the instrument arrangement area 13 are determined in advance in association with the format ID and stored in the arrangement information DB. Saved. The terminal device 40 acquires the format ID by user input or reading of the medical chart 10, refers to the arrangement information DB, identifies the position of the barcode 11 on the medical chart 10 and the device arrangement area 13, identifies the barcode 11 and the barcode The code 23 is detected. Except for this point, the second embodiment is the same as the first embodiment.

  FIG. 8 shows a storage example of the arrangement information DB according to the second embodiment. The arrangement information DB is provided in the storage unit 46 of the terminal device 40, for example. In the arrangement information DB, a format ID is prepared for each series of work indicated by the work number. For example, the operations “0001” and “0002” are observation operations of the work object, and the format ID indicating the type of medical chart used at that time is “observation 01”. The work “0003” is also an observation work, and the chart used at that time is another type of chart having another format ID “Observation 02”. For each format ID, a chart patient ID area and an instrument placement area are defined. Here, “patient ID area of the medical record” indicates the position coordinates where the barcode 11 indicating the patient ID is printed in the medical chart 10, and “appliance placement area” is the position where the equipment placement area 13 is printed in the medical chart 10. Indicates coordinates.

  The coordinates of the “patient ID area of medical chart” and the “instrument placement area” included in the placement information are defined by the XY coordinate system shown in FIG. FIG. 5 shows a state in which the medical chart 10 is arranged along the upper left of the table 32. As shown in FIG. 5, the camera 30 photographs the chart 10 placed on the table 32 from above, and sets an XY coordinate system in which the upper left position of the table 32 is the origin O within the photographing range. The coordinates of the patient ID area and the instrument arrangement area of the chart in the arrangement information are coordinates when the chart 10 is arranged on the table 32 so that the upper end and the left end of the chart 10 respectively match the upper end and the left end of the table 32 correctly. Is shown. Therefore, for example, assuming that the chart 10 shown in FIG. 5 is the chart of the format ID “Observation 01”, the barcode 11 of the chart 10 is (X1, Y1) to (X2, Y2) in the XY coordinate system shown in FIG. The barcode 23 of the instrument 20 exists in the range of coordinates (X11, Y11) to (X12, Y12). Thus, since the arrangement information indicates the position where the barcode 11 of the chart 10 and the barcode 23 of the instrument 20 exist for each format ID, that is, for each type of chart, the terminal device 40 acquires the arrangement information in advance. By doing so, the barcodes 11 and 23 can be easily found from the captured image in a short time.

  Actually, an operator who sets the chart 10 on the table 32 specifies the format ID by inputting the format ID of the chart 10 into the terminal device 40. In response to this, the control unit 43 of the terminal device 40 acquires arrangement information corresponding to the input format ID from the arrangement information DB, and uses it for detection of the barcodes 11 and 23 in the captured image.

  FIG. 9 is a flowchart of management processing in the second embodiment. This process is also realized by the control unit 43 of the terminal device 40 executing a program prepared in advance.

  First, when the operator inputs the format ID of the chart 10 to the terminal device 40, the control unit 43 receives the format ID and refers to the arrangement information DB to determine the patient ID area and the instrument arrangement area of the chart 10 corresponding to the format ID. Obtain (step S20). This step S20 is basically different from the first embodiment.

  The processing of the following steps S21 to S28 is basically the same as the processing of steps S11 to S18 shown in FIG. However, in step S22, the control unit 43 searches for the barcode 11 of the chart 10 from the photographed image based on the coordinate range of the patient ID area of the chart acquired from the arrangement information DB in step S20. Moreover, in step S23, the control part 43 searches the barcode 23 of the instrument 20 from a picked-up image based on the coordinate range of the instrument arrangement | positioning area acquired from arrangement | positioning information DB by step S20. Therefore, as in the first embodiment, it is possible to quickly detect the barcodes 11 and 23 and acquire the patient ID as compared with the case where the entire captured image is scanned to search for the barcodes 11 and 23. Become.

  In the above example, the operator inputs the format ID to the terminal device 40. However, in another example, the format ID may be printed on the chart 10 as a barcode. For example, it is determined that the format ID is printed on the upper left of the chart 10 and the barcode 11 indicating the patient ID is printed below the format ID. In this case, the control unit 43 of the terminal device 40 first scans the captured image from the upper left, detects a barcode indicating the format ID, acquires the format ID, and acquires the arrangement information from the arrangement information DB. In yet another example, the format ID may be included in the barcode 11 of the medical chart 10 together with the patient ID.

  Further, in the above example, as shown in FIG. 5, the chart 10 is arranged at the upper left of the table 32, that is, the upper end of the chart 10 and the upper end of the table 32 coincide, and the left end of the chart 10 and the table 32 are aligned. The XY coordinates indicated by the placement information are coordinates in the XY coordinate system of the camera with the upper left of the table 32 as the origin O, and at the same time the medical chart with the upper left of the chart 10 as the origin O. This coincides with the coordinates in the 10 XY coordinate system. On the other hand, for example, in FIG. 5, the chart 10 is arranged on the lower right side of the table 32, that is, the right end of the chart 10 and the right end of the table 32 coincide, and the lower end of the chart 10 and the lower end of the table 32 coincide. In such a case, after converting the coordinates of the barcode 11 and the instrument arrangement area 13 in the XY coordinate system of the medical chart 10 to the coordinates of the camera XY coordinate system with the upper left of the table 32 as the origin O. What is necessary is just to memorize | store in arrangement | positioning information DB.

[Third Embodiment]
In the third embodiment, a management process in an operation using two cameras will be described. For example, when performing the observation work of the work object, the worker enters the work object when the patient ID of the medical chart 10 and the patient ID of the instrument 20 are matched by the management processing of the first or second embodiment. The instrument 20 is placed on a microscope for observation. In the third embodiment, management processing in this state is enabled.

  FIG. 10A schematically shows a state during work in the third embodiment. The instrument 20 containing the work object is disposed on the stage 36 a of the microscope 36. In this state, a microscope photographing camera 35 different from the chart photographing camera 30 is installed above the microscope 36 and photographs the stage 36a from above. A photographed image obtained by photographing is transmitted to the terminal device 40.

  An example of an image captured by the microscope camera 35 is shown in FIG. The instrument 20 is disposed on the stage 36a of the microscope 36, and the stage 36a and the instrument 20 are photographed as one image. The captured image includes the barcode 23 of the instrument 20. The XY coordinate system shown in FIG. 10B is an XY coordinate system of the camera 35 in which one corner of the stage 36a is defined as the origin O.

  An example of arrangement information in the third embodiment is shown in FIG. As understood from comparison with FIG. 8, in the third embodiment, since there is an operation using two cameras, a camera ID is defined.

  For example, in the operation “0003”, as in the first and second embodiments, since the instrument 20 is arranged in the instrument arrangement area on the chart 10, both the patient ID area of the chart and the camera ID of the instrument arrangement area are both set. “Camera A” (corresponding to the camera 30). On the other hand, in operation “0004”, as shown in FIG. 10A, since the instrument 20 is arranged on the stage 36a of the microscope 36, the instrument arrangement area is on the stage 36a of the microscope 36, and the camera in the instrument arrangement area is displayed. The ID is “Camera B” (corresponding to the camera 35).

  Therefore, in the operation “0004”, the control unit 43 of the terminal device 40 refers to the arrangement information, and the coordinate range (X3, Y3) indicated by the “patient ID area of the medical record” in the captured image of the camera A (camera 30). The barcode 11 of the medical chart 10 is detected from (X4, Y4), and the patient ID of the medical chart 10 is acquired. Further, the control unit 43 refers to the arrangement information, and the barcode of the appliance 20 from the coordinate range (X15, Y15) to (X16, Y16) indicated by the “appliance arrangement area” in the captured image of the camera B (camera 35). 23 is detected and the patient ID of the instrument 20 is acquired. And the control part 43 compares patient ID of the acquired patient ID of the medical chart 10, and patient ID of the instrument 20, and preserve | saves a comparison result.

  In this way, by acquiring patient IDs from images captured by a plurality of cameras, the chart 10 and the instrument 20 can be used even in an operation where the chart 10 and the instrument 20 are arranged in different places where one camera cannot capture images simultaneously. It becomes possible to confirm whether 20 is of the same patient.

  The management process in the third embodiment is basically the same as the management process of the second embodiment shown in FIG. However, in step S24, on the condition that the time coincides, the control unit 43 determines that the patient ID of the medical chart 10 and the patient ID of the instrument coincide with each other at substantially the same time. This is because the patient ID of the medical chart 10 and the patient ID of the instrument 20 are extracted from images taken from different cameras, and therefore the identity of the patient ID cannot be guaranteed unless they substantially coincide with each other at the same time. is there. The substantially same time includes a time width range of about several seconds, for example. That is, if the patient IDs obtained from the captured images taken by the two cameras 30 and 35 within the time width of several seconds match, it is determined that the patient ID of the medical chart 10 and the patient ID of the instrument match. Also good.

  In the third embodiment, since it is very important which camera the camera that captured the chart 10 and the instrument 20 is, in step S26, the control unit 43 determines the camera ID of the camera that captured the chart 10. And the camera ID of the camera which image | photographed the instrument 20 is preserve | saved in management DB. In the third embodiment, a plurality of photographed image data from a plurality of cameras are stored in the management DB.

  In the above example, two cameras are used. However, if it is possible to ensure time coincidence, it is possible to match patient IDs assigned to three or more objects using three or more cameras. It may be determined.

[Modification]
(1) In the above example, it is determined that patient IDs match for one chart and one instrument, but patient IDs may be determined for one chart and a plurality of instruments. For example, when performing the work of transferring a work object contained in a certain instrument to another instrument, both the patient ID of the source instrument and the patient ID of the destination instrument must match the patient ID of the chart It is necessary to confirm. In this case, for example, two instruments are arranged in the instrument arrangement area 13 of one chart 10 and the state is photographed by the camera 30. The control unit 43 of the terminal device 40 reads the patient ID of the medical record, the patient ID of the first instrument, and the patient ID of the second instrument from the photographed image. You can allow it. In this case, the patient IDs of the two instruments are stored in the management DB.

  (2) In the above example, a patient ID is assigned to the chart and the instrument, but even if an ID other than the patient ID is assigned to the chart and the instrument, they can be associated with the patient ID. The present invention is applicable. For example, consider a case in which a medical chart ID is assigned to the medical chart and an instrument ID is assigned to the instrument. In this case, information indicating the correspondence between the chart ID and the patient ID and information indicating the correspondence between the instrument ID and the patient ID are stored in advance in the storage unit 46 of the terminal device 40 as an ID association DB. The control unit 43 of the terminal device 40 may obtain a medical chart ID and an instrument ID from the captured image, refer to the ID association DB, convert the medical chart ID and the instrument ID into patient IDs, and compare the two. Alternatively, a combination of a chart ID and an instrument ID corresponding to the same patient is stored for each patient in the ID association DB, and the control unit 43 refers to the ID association DB so that the chart ID and the instrument ID are the same. It may be determined whether or not the patient is to be handled. As a result, it is not always necessary to assign a patient ID to a medical chart and a device. For example, a medical record ID, a work instruction ID, a device ID, a container ID, and an article ID are assigned and managed in various units. The present invention can be applied even in an environment.

  (3) In the above example, the management DB, the arrangement information DB, and the ID association DB are provided in the storage unit 46 of the terminal device 40, but the application of the present invention is not limited to this. For example, when the terminal device 40 is connected to a center server such as a hospital through a network, these DBs are installed on the center server and accessed from the terminal device 40 when necessary to obtain necessary information. It is good as well.

  (4) In actual work, management processing using a single camera as in the first and second embodiments and management processing using a plurality of cameras as in the third embodiment are performed in combination. It is effective. For example, when observing a certain work object, first, an instrument is placed on the chart by the method of the first or second embodiment, and the coincidence of both patient IDs is checked. If the patient IDs match, the worker then moves the instrument to the microscope and checks using multiple cameras as in the third embodiment. When the patient IDs match, the operator observes. When the observation work is finished, the operator returns the instrument to the chart and checks the patient ID again by the method of the first or second embodiment. Thereby, since it is possible to check the coincidence of patient IDs before work, during observation, and after work, it is possible to guarantee the coincidence of patient IDs during a series of work. Furthermore, the patient ID matching determination by the method of the third embodiment may be repeatedly performed every predetermined time (for example, every few minutes) during the observation work by the worker. In this case, the instrument arrangement area shown in FIG. 11 does not need to be one area, and may be set as a specific area of camera A or a specific area of camera B, for example. In this case, the camera A indicates the instrument arrangement ID area on the document, the camera B indicates the instrument arrangement area on the microscope, and a management process using one camera as in the first and second embodiments, You may implement in combination with the management process which uses a some camera like 3rd Embodiment.

  (5) In the above example, a patient ID is assigned using a two-dimensional barcode, but other machine-readable signs such as a one-dimensional barcode and an IC tag may be used. it can. In addition, instead of a code pattern such as a barcode, an ID using numbers or characters may be assigned, and the ID may be acquired from the captured image by OCR processing and compared.

  Further, the position where the label such as a barcode is applied to the instrument is not limited to the bottom surface as in the above example, but may be the instrument, the lid of the container, the side surface, or the like. In addition, when the sign is affixed to the instrument with a seal, the seal may be printed by normal printing or mirror printing.

  (6) Alternatively, the worker ID or the like may be read into the terminal device 40 at the start of work and stored in the management DB together with the patient ID comparison result, the captured image data, and the like.

  (7) In the above embodiment, the shooting date and time of the shot image, that is, both the shooting date and the shooting time are stored in the management DB. Instead, only the shooting time may be stored in the management DB. .

  (8) In the above embodiment, an instrument is arranged on a document such as a medical chart, and the document and the instrument are photographed as a single image. Instead, the device may be placed adjacent to the document without being placed on the document, and photographing may be performed so that the document-side ID and the device-side ID fit in one image.

  (9) In the above embodiment, an example is shown in which the present invention is applied to observation and movement of eggs and fertilized eggs in the field of infertility treatment. The present invention can also be applied to cell management in the field.

DESCRIPTION OF SYMBOLS 10 Medical record 11, 23 Bar code 13 Instrument arrangement area 20 Instrument 30, 35 Camera 32 Table 36 Microscope 36a Stage 40 Terminal device 43 Control part 46 Storage part

Claims (10)

Photographing means for photographing the document and the instrument arranged in the instrument arrangement area as a photographed image;
Reading means for reading, based on the photographed image, a document-side ID attached to a document-side ID area on the document and an instrument-side ID attached to an instrument placed in the instrument placement area;
Determination means for determining whether or not the document side ID and the appliance side ID correspond;
Storage means for storing in the management database the image taken by the photographing means, the photographed image, the document-side ID, the appliance-side ID, and the determination result by the determination means in association with each other;
A management system comprising:   The management system according to claim 1, wherein the photographing unit photographs the document and the instrument as one photographed image. The appliance arrangement area is provided at a position different from the document,
The management system according to claim 1, wherein the photographing unit photographs the document and the instrument as separate photographed images. The format ID indicating the type of the document is associated with the arrangement information indicating the document-side ID area and the instrument arrangement area in the imaging range when the document having the format ID is arranged in the imaging range of the imaging unit. Provided with an arrangement information database for storing
When the format ID of the document is specified, the reading unit refers to the arrangement information database to acquire the document side ID area and the instrument arrangement area corresponding to the document, and the document side ID and the instrument The management system according to claim 1, wherein the side ID is read.   The arrangement information is stored in association with the document ID area in the imaging range of the first imaging unit and the appliance arrangement area in the imaging range of the second imaging unit for one format ID. The management system according to claim 4, wherein: The format ID is attached to the document,
6. The management system according to claim 4, wherein the reading unit reads the format ID from the document and specifies the format ID. Both the document side ID and the instrument side ID are patient IDs,
The management system according to claim 1, wherein the determination unit determines whether or not the document-side ID matches the appliance-side ID. The document side ID is a medical chart ID, the instrument side ID is an instrument ID,
An ID correspondence database indicating correspondence between the medical record ID and patient ID, and correspondence between the device ID and patient ID;
The said determination means determines whether the said document side ID and the said instrument side ID respond | correspond to the same patient ID with reference to the said ID matching database. The management system according to any one of the above. The document side ID is attached to the document as a code pattern,
The appliance ID is attached to the appliance as a code pattern,
The article management system according to claim 1, wherein the reading unit acquires the document-side ID and the instrument-side ID by reading and decoding the code pattern. A management program executed by a management system including a computer,
Photographing means for photographing the document and the instrument arranged in the instrument arrangement area as a photographed image;
Reading means for reading, based on the photographed image, a document-side ID attached to a document-side ID area on the document and an instrument-side ID attached to an instrument placed in the instrument placement area;
Determination means for determining whether or not the document-side ID and the appliance-side ID correspond;
A storage unit that stores the captured image, the document image, the document-side ID, the appliance-side ID, and the determination result by the determination unit in a management database in association with each other;
A management program for causing the computer to function as:

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