JP2015133053A - clinical examination support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a clinical examination support system that avoids an error such as a mix-up of an analyte and the like by integrally managing clinical examination information.SOLUTION: A clinical examination support system comprises: a medical support mechanism 200 that acquires a patient attribute from a medical facility as electronic data and operates a medical support system (M system): a data center 300 that generates IC tag data on the medical support mechanism, manages examination request data taken in by the medical support mechanism, and operation data on a collection/delivery service office and a mobile office, and associates a barcode label adhered in a medical facility with data on a barcode label attached with an IC tag of the medical support mechanism; a mobile office that deliveries an analyte between the medical facility and the collection/delivery service office and between the collection/delivery service office and an examination laboratory; and the collection/delivery service office that once intensively picks up the analyte collected by going around each medical facility, reads the barcode label attached with the IC tag associated with the barcode label adhered in the medical facility by the data center, and the barcode label adhered by the medical facility; and makes the barcode label adhered in the medical facility unreadable.

Description

  The present invention relates to a management system for specimen testing of blood, biological tissue, urine, etc. of patients in the medical field, and particularly the distribution and storage status of specimens from collection of specimens such as blood, biological tissue, urine, etc. to testing. The present invention relates to a clinical test support system that provides a highly reliable test result by appropriately managing.

  Samples such as blood, biological tissue, and urine collected from patients at medical institutions such as hospitals, clinics, and health centers (hereinafter simply referred to as medical facilities) are used to specify the name of the medical facility, the name of the patient, and the date and time of collection. It is placed in a specimen storage container (hereinafter simply referred to as a specimen container) with a label on which patient data (patient attributes) is recorded, and is further collected in a delivery box (case, cassette) and stored until collection. The The collected specimen is delivered to a specimen testing center (hereinafter also simply referred to as a testing laboratory).

  In the medical facility, these clinical test data are also attached to the subject register that specifies the attributes of the medical facility and the patient and managed. In the inspection laboratory, the specimen is taken out from the delivered cassette, the inspection is performed with a predetermined inspection apparatus, and the inspection result is reported to the medical facility. Samples are delivered and collected by a designated collection / delivery company or inspection lab staff and delivered to an analysis (test) center. Patent Document 1 can be cited as an example of disclosing a conventional technique related to management of this type of clinical laboratory information.

JP 2001-306692 A

  Samples may be altered by storage temperature, freezing, etc. during transportation from medical institutions to analysis centers. For this reason, the conveying means is usually provided with a temperature adjusting device. Temperature management is also important for temporary storage of specimens at medical institutions and analysis centers. Laboratory laboratories collect and test specimens generated in various forms of management. For each specimen, each specimen is collected, collected from a medical facility, transported to the inspection center, carried in, and stored in the inspection center. Centralized management of the clinical laboratory information based on a label describing a bar code or the like affixed at a medical facility is difficult.

  The manner in which such a specimen test request is generated varies depending on the medical facility. In many large-scale medical facilities such as so-called general hospitals, a management system specific to the medical facility using IT (Information Technology) is employed. Management of IT facilities is often different depending on the medical facility. On the other hand, relatively small-scale medical facilities such as clinics currently rely on the manual management of clerks and nurses, and there are some facilities that use the traditional in-hospital large fortune book system using personal computers. .

  Therefore, for example, when the specimen is blood, the label (including the barcode label) attached to the container (specimen container) into which the collected blood is stored has a different type and attribute notation (medical facility name, patient name, The management number is often described in different data structures).

  A sample is collected from a patient in a sample container to which the label is attached, and the sample container is carried from a medical facility to an inspection laboratory and inspected in the inspection laboratory. The test results are then reported to the medical facility. In the course of such a series of processes, errors such as switching of the attributes of the cuvette and the specimen are not completely absent. The occurrence of such an error results in a patient who needs treatment being overlooked from the treatment target, and conversely, an unnecessary treatment is performed on a healthy body, which may develop into a social problem.

  An object of the present invention is to provide a clinical test support system that can prevent sample mix-up by centrally managing the above-described clinical test data different in a medical facility. In particular, by associating a facility label (barcode label) to be attached to a sample container containing a sample collected at a medical facility where IT has not been introduced with an IC tag (barcode label with an IC chip) of this support system, An object of the present invention is to provide a system capable of performing an inspection based on a single unified attribute data regardless of a label attached to a sample container in a medical facility, and preventing an error such as a sample mistake.

In order to achieve the above object, the present invention provides:
A medical support organization that operates a medical support system (M system) to assist in the inspection work of clinical laboratory specimens in medical facilities where IT has not been introduced;
Generates barcode label data with IC tag of the medical support mechanism, manages inspection request data taken into the medical support mechanism, operation data of the collection / delivery sales office, and mobile office, and is affixed at the medical facility A data center for associating the tag with the data of the barcode label with the IC tag of the medical support mechanism,
A mobile office for delivering the specimen between the medical facility and the collection and delivery office, between the collection and delivery office and a laboratory;
Samples collected by patroling each medical facility are collected once, read the barcode label with the IC tag associated with the tag attached at the medical facility and the data center, and attached at the medical facility A collection / delivery office that makes the barcode label unreadable, distributes the specimen identified by the barcode tag with the IC tag to a predetermined laboratory, and creates a daily report;
A test lab that inspects the sample that has been carried in, and reports the test results to the medical support mechanism and the data center, the medical facility;
And consists of
The medical facility acquires a specimen patient attribute as electronic data, selectively acquires a patient attribute acquisition unit that transfers the specimen patient attribute to the medical support mechanism, and a specimen request form (check sheet image) from the medical support mechanism. Specimen request form selection display means to be displayed on the in-facility doctor, and collected specimen transfer for transferring the examination items checked in the sample request form by the in-facility doctor to the medical support mechanism along with patient attributes Instructing means and bar code label printing means with IC tag for printing the sample request form transferred to the medical support mechanism together with a bar code, and the in-facility nurse attaches the label to the sample container and uses the mobile office It is characterized by storing until collection.

  Specimen data managed with barcode labels generated by different management systems is carried into the laboratory using a common barcode label with IC tag, so patient attributes during sample collection and transport to the laboratory It is possible to provide a clinical test support system capable of removing a data error such as a mistake in test data and performing a specimen test with an accurate attribute correspondence.

1 is a system configuration diagram illustrating one embodiment of a clinical test support system according to the present invention. It is a processing flow figure explaining the example of operation of the clinical examination support system shown in FIG. FIG. 3 is a process flow diagram following FIG. 2 for explaining an operation example of the clinical test support system shown in FIG. 1. FIG. 2 is a perspective view schematically illustrating a schematic configuration of an apparatus that constitutes a sample label reading / unification processing unit for unifying labels at the collection sales office of FIG. 1.

  Embodiments of a clinical test support system according to the present invention will be described below with reference to the drawings.

  FIG. 1 is an explanatory diagram of one embodiment of a clinical laboratory information management system according to the present invention. In FIG. 1, reference numeral 100 denotes a medical facility, 100A, 100B, 100C,... Denotes a medical facility that does not support IT, 100a, 100b, 100c,. A mechanism (server), 201 is a data storage means, 300 is a data center, 301 is a data storage means, and 302 is a label association means.

  Reference numeral 400 is a collection / delivery office, 401 is a specimen-patient confirmation unit, 402 is a single label unit, 500 is a mobile office (500A, 500B, 500C,...), 600 is a laboratory (600A, 600B,. 600C,..., 700 indicates a communication network.

  In this embodiment, the support system of the present invention is also applied to a medical facility where the medical facility does not have an inspection system. The patient attribute for the clinical examination, the attribute of the medical facility, the sample collection date, the inspection item, This makes it possible to centrally manage data management from the creation of a barcode label with an IC tag to a sample container after sample collection, pasting to the container, and storage.

  The medical support system 200 (hereinafter also simply referred to as a support system, which is referred to as an M system) stores test data that stores test data including attributes such as facility, patient, and sample collection date obtained from a medical facility. It consists of a server that stores a storage area, a reference table storage area that is a basis for calculation of inspection specifications (examination items, minimum required sample quantity corresponding to inspection items: number of containers, etc.), support programs, and the like.

  The data center 300 creates an IC tag of this support system based on the examination data from the medical facility 100 transferred from the medical support mechanism 200. At this time, the label (barcode label) attached at the medical facility 100 and the IC tag data of the support system are associated (linked) with each other.

  The person in charge of the mobile office 500 (driver and collector) is a vehicle that visits a plurality of medical facilities, collects sample containers, and collects them at the collection sales office 400. Equipped with a barcode label printer with IC tag. The person in charge of collection collected the examination data transferred from the medical support organization (including specimen examination request data such as medical facilities, specimen acquisition date and time, patient attributes, number of samples collected, etc.), checked examination items The label (barcode label) affixed to the sample container is collated, the result is transmitted to the data center 300, and the barcode tag with IC tag of the present system is printed out. The bar code label is separated from the printed sheet and attached to the sample container.

  The person in charge of the mobile office 500 cuts out the bar code label with an IC tag from the printed paper and attaches it to the corresponding sample container. At this time, the IC tag is attached to a portion different from the label already attached on the medical facility side. When the sample is blood, since the container is a test tube-like glass bottle, two labels are attached in parallel to the side wall of the glass bottle. At the same time, the mobile office 500 sends a receipt indicating that the sample container has been received to the support system 200 via the data center 300. The support system transfers this deposit receipt to the medical facility 100 that requested the examination.

  Thereafter, the person in charge of the mobile office 500 transports the sample container with two barcode labels attached thereto to the collection sales office 400. In the collection office 400, the sample-patient confirmation unit 401 confirms that each sample container and the patient match, and the barcode label unifying unit 402 cannot read the label attached on the medical facility side. The label attached to the sample container is only one barcode label with an IC tag issued by the support system. This process will be described later.

  The collection sales office 400 uses only one barcode tag with an IC tag issued by the support system by the label unifying unit 402, and the test contents and data recorded on the barcode label with the IC tag. Based on the inspection facility operation data stored in the center 300, it is delivered to a predetermined individual inspection laboratory 600. The collection sales office 400 creates a daily report and transmits it to the data center 300.

  The inspection laboratory inspects the loaded sample container according to the specified inspection item, totals the inspection results, and transmits the result to the support system 200 via the data center 300. The support system 200 notifies the predetermined medical facility 100 of the received test result.

  FIG. 4 is a perspective view schematically illustrating a schematic configuration of an apparatus constituting sample label reading / unification processing means for unifying labels in the collection sales office of FIG. The sample label reading / unifying apparatus (hereinafter, also simply referred to as a sample label unifying apparatus) reciprocates in one direction (here, the X direction in the figure) on the flat base 1. A possible X table 2 is provided. On the X table 2, a cassette (case) 9 in which a plurality of loaded sample containers 10 are vertically stored is placed.

  The Y beam 3 and the Y beam 3 which are provided on a gate-shaped upper beam installed on the X table 2 in the other direction (here, the Y direction) crossing the X direction and which can reciprocate in the Y direction. And a Z column 4 that is movable in the vertical direction (here, the Z direction) with respect to the base 1.

  An air chuck 5 is attached to the Z column 4 so as to be rotatable around the vertical axis of the sample container for pulling up the sample container 10 accommodated in the cassette 9 at the lower end thereof. Further, a barcode reader 7 for reading the barcode of the IC tag attached to the sample container 10 accommodated in the cassette 9 and a stamp 8 for making one of the unnecessary tags unreadable are provided. A camera 6 for confirming the position of the sample container is mounted on the Y beam 3.

  In the label unification process at the collection office described with reference to FIG. 3, the sample container flowing through the subsequent processes is recorded on the IC tag issued by the support system by the sample label unification apparatus described with reference to FIG. It is processed based on the data. The data recorded on the IC chip of the bar code label with the IC tag is reflected in the bar code display constituting the bar code label with the IC tag (the data contents of both are the same). Therefore, the present invention can be applied to both a test lab in which a specimen test is executed by reading data of the IC tag of the barcode label with the IC tag and a test lab executed by reading the barcode.

  According to this embodiment, since a test for a container (sample container) containing a sample to be tested is processed according to the unique attribute recorded in the IC tag, the label attached to the sample container in the medical facility Regardless of this, in the laboratory, specimens generated at any medical facility of any system can be inspected based on the single unified attribute data, and errors such as specimen mix-up can be prevented.

  In the above embodiment, the label attached to the sample container on the support system side is described as being attached in parallel with the label already attached to the sample container on the medical facility side. However, according to the present invention, since only one label (only one label) is attached to the sample container to prevent an error, the label attached to the sample container on the support system side. Can be applied over the label already attached to the sample container on the medical facility side. As a result, the facility label processing (S system label ink-removal processing) in the sample label unification processing apparatus can be simplified.

  The present invention is not limited to the test using the sample container described in the above embodiment, but can be similarly applied to the sample test using another type of container or the physical distribution using the bar code label.

100 ... Medical facilities 100A, 100B, 100C ... Medical facilities 100a, 100b, 100c that are not IT-enabled Medical facilities 200 that are IT-enabled 200 ... Medical support mechanism (server)
201 ... data storage means 300 ... data center 301 ... data storage means 302 ... label association means 400 ... collection / delivery sales office 401 ... sample-patient confirmation means 402 ... label one Main means 500 ... mobile office (500A, 500B, 500C, ...)
600 ... Inspection laboratory (600A, 600B, 600C, ...)
700 ... communication network

Claims (3)

A medical support organization that operates a medical support system;
A tag that generates a barcode label with an IC tag of the medical support mechanism, manages inspection request data taken into the medical support mechanism, operation data of the collection / delivery sales office, and the mobile office, and is attached to the medical facility And a data center for associating the data of the barcode tag with IC tag of the medical support mechanism,
A mobile office for delivering the specimen between the medical facility and the collection and delivery office, between the collection and delivery office and a laboratory;
Collect and collect the samples collected by visiting each medical facility, read the barcode label attached at the medical facility and the barcode label with IC tag associated with the data center, and attach it at the medical facility A collection / distribution office that makes the read tag unreadable, distributes the specimen identified by the IC tag to a predetermined laboratory, and creates a daily report;
A test lab that inspects the sample that has been carried in, and reports the test results to the medical support mechanism and the data center, the medical facility;
Consisting of
The medical facility acquires a specimen patient attribute as electronic data, and transfers it to the medical support mechanism, and selectively acquires a specimen request form from the medical support mechanism and displays it on the in-facility doctor A specimen request form selection display means to perform, a collected specimen transfer instructing means for transferring a test item checked by the in-facility doctor along with a patient examination to the medical support mechanism together with patient attributes, And a label printing unit that prints the specimen request form transferred to the medical support mechanism together with a barcode, and the nurse in the facility applies the specimen container to the label and stores it until collection by the mobile office. Inspection support system.   The means for making the bar code label affixed at the medical facility unreadable is a means for applying ink such as black to a bar code recording portion of the bar code label affixed at the medical facility. Item 2. The clinical examination support system according to Item 1.   The means for making the bar code label affixed at the medical facility unreadable is to apply the bar code label with the IC tag of the medical support mechanism over the bar code recording portion of the bar code label affixed at the medical facility. The clinical test support system according to claim 1, wherein a means for performing the test is used.

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