JP2018059715A - Specimen management program, specimen management device and specimen management method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable management of examination status of specimens used for patient examination.SOLUTION: Computer implementation processes include: acquiring examination-request identification information associated with a specimen, when an examination state of the specimen is displayed to be confirmable, referring to a storage unit of an electronic medical chart system where the examination-request identification information associated with examination-appointment time are stored based on examination-request identification information associated with the specimen, and specifying examination-appointment time corresponding to the specimen and displaying the examination state of the specimen and examination-appointment time corresponding to the specimen associated with each other.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a sample management program, a sample management device, and a sample management method.

  Various tests are performed on collected blood and other specimens in a hospital laboratory, and in the system for managing specimen examination information, the time when the specimen is received and the elapsed time from that time are managed. (Refer to patent document 1 etc.). As a result, specimens that have not been tested in spite of a predetermined period of time since reception are automatically detected, and a notification (alarm) is given to the person in charge, thereby suppressing the delay in the examination. It was.

JP 2010-236962 A

  As described above, in the conventional system, since the elapsed time from the reception of the sample is managed, it is possible to prevent the sample from being left without being examined. However, since the conventional system is not managed in consideration of the patient's examination time, even if the examination of the sample is completed within a predetermined time from the reception of the specimen, the examination result is in time for the patient's examination. However, there was a problem that the medical examination was hindered.

  Therefore, an object of one aspect is to be able to manage the examination status of a sample used for a patient's examination.

  In one embodiment, the examination request identification information associated with the specimen is acquired, and the examination request is displayed based on the examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner. Referencing the storage unit of the electronic medical record system that stores the identification information and the appointment appointment time in association with each other, specifies the appointment appointment time corresponding to the specimen, the examination status of the specimen, and the appointment appointment time corresponding to the specimen, Are displayed in association with each other.

  It is possible to manage the examination status of specimens used for patient examination.

It is a figure which shows the structural example of the system concerning one Embodiment. It is a figure which shows the function structural example of a system. It is a figure which shows the hardware structural examples, such as a sample test system and a server apparatus. It is a sequence diagram which shows the process example of embodiment. It is a figure which shows the example of acquisition of reservation information. It is a figure which shows the example of acquisition of search result reference information. It is a flowchart which shows the example of a process of the screen display in a terminal device. It is FIG. (1) which shows the example of a screen in a terminal device. It is FIG. (2) which shows the example of a screen in a terminal device. It is FIG. (3) which shows the example of a screen in a terminal device.

  Hereinafter, preferred embodiments of the present invention will be described.

<Configuration>
FIG. 1 is a diagram illustrating a configuration example of a system according to an embodiment. In FIG. 1, a sample test system / server apparatus 1 that manages information on a sample test includes one or more test apparatuses 2 via a network 5 such as an in-hospital local area network (LAN), and mainly a test department. One or more terminal devices 6 used by the person in charge are connected. The inspection apparatus 2 has a function of transmitting an inspection result to the sample inspection system / server apparatus 1 online. Note that for a type of test in which the test result cannot be transmitted online to the sample test system / server apparatus 1, the test result may be input from the terminal device 6 to the sample test system / server apparatus 1.

  In addition, the electronic medical record system / server apparatus 3 that manages electronic medical record information is also connected via the network 5 to one or more terminal devices 7 that are mainly used by persons in charge of medical departments (doctors, nurses, etc.). Has been. Further, between the specimen testing system / server apparatus 1 and the electronic medical record system / server apparatus 3, data can be referred to by a mechanism such as ODBC (Open Database Connectivity), and various notifications can be performed. Yes.

  FIG. 2 is a diagram illustrating a functional configuration example of the system. In FIG. 2, the sample test system / server apparatus 1 includes a test order receiving unit 11, a label issuing unit 12, a sample receiving unit 13, a reservation information acquiring unit 14, a test result reference information acquiring unit 15, and a test result / approval receiving unit 16. And an inspection result information providing unit 17, inspection management information 18, and a communication unit 19.

  The inspection order receiving unit 11 has a function of receiving an inspection order from the electronic medical record system / server apparatus 3. The label issuing unit 12 has a function of managing the issue of a label to be attached to a sample container or the like. The sample receiving unit 13 has a function of receiving a sample via the terminal device 6. The reservation information acquisition unit 14 has a function of acquiring, from the electronic medical record system / server apparatus 3, reservation information for a diagnosis using the received specimen. The test result reference information acquisition unit 15 has a function of acquiring test result reference information such as whether or not a test result of a sample is being referenced from the electronic medical record system server device 3.

  The inspection result / approval acceptance unit 16 has a function of accepting the inspection result from the inspection device 2 and the terminal device 6 and accepting the approval for the inspection result from the terminal device 6. The inspection result information providing unit 17 has a function of providing inspection result information to the electronic medical chart system server device 3. The inspection management information 18 includes various types of information related to inspection, and is configured by a plurality of tables in mounting. The examination management information 18 includes items to be displayed in a screen example to be described later. The collection date, the collection time, the reception number, the patient number, the patient name, the state (under examination, tested), the requester, It includes the presence / absence of result reference, examination time, remaining time until the start of examination, etc. The communication unit 19 has a function of communicating data (information) with other devices.

  The electronic medical record system / server apparatus 3 includes a reservation receiving unit 31, an examination order receiving unit 32, an examination result information providing unit 33, medical management information 34, and a communication unit 35. The reservation accepting unit 31 has a function of accepting a medical examination reservation from the terminal device 7 operated by a doctor or a nurse. The inspection order receiving unit 32 has a function of receiving an inspection order from the terminal device 7. The inspection result information providing unit 33 has a function of providing inspection result information to the terminal device 7. The medical management information 34 holds various information as an electronic medical record, and includes medical information 341, reservation information 342, examination history information 343, and examination result information 344. The medical information 341 includes patient medical records. The reservation information 342 holds the reservation contents of the examination and includes a patient ID, a reservation date, a user department, a reservation start time, and a reservation end time. The inspection history information 343 holds the handling history of inspection results, and includes an order number, an order date, a report type, a collection date, a referrer ID, a reference date, a reference time, and the like. The inspection result information 344 holds inspection results. The communication unit 35 has a function of communicating data (information) with other devices.

  The terminal devices 6 and 7 include communication units 61 and 71 and input / output units 62 and 72, respectively. The communication units 61 and 71 have a function of communicating data (information) with other devices. The input / output units 62 and 72 have functions of inputting / outputting data (information), screen display, and the like.

  FIG. 3 is a diagram illustrating a hardware configuration example of the sample test system / server apparatus 1 and the like. The hardware configuration of the electronic medical record system server device 3 and the terminal devices 6 and 7 is the same.

  In FIG. 3, the sample testing system / server apparatus 1 and the like include a CPU (Central Processing Unit) 1002, a ROM (Read Only Memory) 1003, a RAM (Random Access Memory) 1004, and an NVRAM (Non-Volatile) connected to a system bus 1001. Random Access Memory) 1005. The sample testing system / server apparatus 1 and the like include an I / F (Interface) 1006, an I / O (Input / Output Device) 1007, an HDD (Hard Disk Drive) / SSD (Solid) connected to the I / F 1006. State Drive) 1008 and NIC (Network Interface Card) 1009. The sample testing system / server apparatus 1 and the like further include a monitor 1010, a keyboard 1011, a mouse 1012, and the like connected to the I / O 1007. A CD / DVD (Compact Disk / Digital Versatile Disk) drive or the like can be connected to the I / O 1007.

  The functions (FIG. 2) of the sample testing system / server apparatus 1 and the like are realized by executing a predetermined program in the CPU 1002. The program may be acquired via a recording medium, may be acquired via a network, or may be embedded in a ROM.

<Operation>
FIG. 4 is a sequence diagram showing a processing example of the above embodiment. In FIG. 4, when a patient's examination reservation is made in the medical department, the patient ID, medical department, examination start time, examination end time, etc. are specified from the terminal device 7 to the electronic medical record system / server apparatus 3 A diagnosis appointment is made (step S101). Receiving this, the reservation receiving part 31 of the electronic medical record system server device 3 registers the reservation contents of the examination in the reservation information 342 (step S102).

  When an examination is instructed in the medical department, a patient ID, medical department, examination items, etc. are specified from the terminal device 7 to the electronic medical record system / server apparatus 3, and an examination order is placed (step S103). In response to this, the examination order receiving unit 32 of the electronic medical record system / server apparatus 3 registers the contents of the examination order in the medical information 341 and the like (step S104) and transfers the examination order to the sample examination system / server apparatus 1. (Step S105).

  When receiving the test order, the test order receiving unit 11 of the sample test system / server apparatus 1 registers the content of the test order in the test management information 18 (step S106). The label issuing unit 12 of the sample testing system / server apparatus 1 notifies the terminal device 6 of the label information (step S107), and the terminal device 6 issues a label with a predetermined printer or the like (step S108). The terminal device 6 notifies the sample test system / server device 1 of the completion of label issuance (step S109), and the label issuing unit 12 of the sample test system / server device 1 registers the label issued in the test management information 18 (step S110). ). Note that the label issuance may be performed at the terminal device 7 in the medical department. The issued label is affixed to a specimen container or the like, and a specimen such as blood is collected in the medical department and transferred to the examination department.

  After that, when a sample is received in the examination department, a sample reception operation is performed in the terminal device 6 (step S111), and the terminal device 6 notifies the sample reception to the sample test system / server device 1 (step S112). . In response to this, the sample receiving unit 13 of the sample test system / server apparatus 1 registers the sample reception in the test management information 18 (step S113).

  Next, the reservation information acquisition unit 14 of the sample test system / server apparatus 1 requests the electronic medical record system / server apparatus 3 to acquire reservation information for a diagnosis using the received sample (step S114). In response to this, the electronic medical record system server apparatus 3 searches for the reservation information 342 (step S115), and if the corresponding reservation information exists, the reservation information is returned (step S116). The reservation information acquisition unit 14 of the sample test system / server apparatus 1 registers the acquired reservation information in the test management information 18 (step S117). FIG. 5 is a diagram showing an example of acquisition of reservation information. A request for searching for reservation information is made by patient number, reservation date (specimen reception date), etc. using SQL (Structured Query Language), etc. Update date / time, reservation start time, reservation end time, etc. are acquired. The reservation information may be specified as long as it can specify the specimen and the patient, and an examination order ID or the like may be used. Although the case where reservation information is acquired only once after reception of a sample will be described, the reservation information may be acquired again at a predetermined timing thereafter in order to cope with a change in the reservation information.

  Returning to FIG. 4, the test result reference information acquisition unit 15 of the sample test system / server apparatus 1 periodically requests the electronic medical record system / server apparatus 3 to acquire test result reference information (step S118). In response to this, the electronic medical record system / server apparatus 3 searches the examination history information 343 (step S119), and the corresponding examination result reference information is returned (step S120). The test result reference information acquisition unit 15 of the sample test system / server apparatus 1 registers the acquired test result reference information in the test management information 18 (step S121). FIG. 6 is a diagram showing an example of acquisition of search result reference information, and search history information is searched by order number, order date, report type, collection date, etc. using SQL or the like for unreferenced data that has been inspected or has been inspected. A request is made, and a referrer ID, a reference date, a reference time, etc. are acquired as a response.

  Returning to FIG. 4, when the test result of the sample is notified from the test apparatus 2 (step S122), the test result / approval accepting unit 16 of the sample test system / server apparatus 1 registers the test result in the test management information 18 ( Step S123). Then, the test result / approval accepting unit 16 of the sample test system / server apparatus 1 notifies the terminal device 6 of the test result (step S124), and the terminal device 6 approves (step S125). Then (step S126), it registers in the inspection management information 18 (step S127). Thereafter, the test result information providing unit 17 of the sample test system / server apparatus 1 transmits the test result to the electronic medical record system / server apparatus 3 (step S128). The inspection result is stored as inspection result information 344 of the electronic medical chart system server device 3.

  On the other hand, the user of the terminal device 6 can check the state of the test managed by the sample test system / server apparatus 1 at an arbitrary time. FIG. 7 is a flowchart illustrating an example of screen display processing in the terminal device 6. In FIG. 7, the input / output unit 62 of the terminal device 6 acquires examination information and examination result reference information from the specimen examination system / server apparatus 1 (step S21), and the remaining time from the current time to the examination start time for each specimen. The elapsed time from the sample reception time to the current time is calculated (step S22). Further, the input / output unit 62 changes the display mode of the remaining time according to the remaining time or the remaining time and the elapsed time (step S23). For example, when the remaining time becomes shorter than a predetermined time, the display is changed to a conspicuous color, blinked, or a pop-up message for an alert is displayed.

  Next, the input / output unit 62 displays a list of the examination state (under examination, examination completed), examination result reference state, examination time, remaining time, etc. in association with the reception number, patient number, and the like (step S24). FIG. 8 shows an example of a comprehensive list screen in the terminal device 6, and “category”, “emergency”, “processing”, “reference”, “examination” are set for the examination to be managed on the collection date (the day). “Time” (examination time), “remaining time”, “collection date”, “time” (collection time), “reception number”, “patient number”, “patient name”, “state”, “rice 1” (comment 1) “Requester” is displayed. Here, the “reference” in the part surrounded by a thick frame is based on the test result reference information, and for the test for which “referenced” is displayed, the test result is referred to by a doctor or the like. Show. “Examination time” (examination time) indicates an examination start time and an examination end time at which the examination result is scheduled to be used. “Remaining time” indicates the time from the current time to the diagnosis start time.

  FIG. 9 shows an example of a result input screen in the terminal device 6, which is a detailed screen about the examination selected from the general list screen shown in FIG. As indicated by a thick frame in the upper right of the figure, when and by whom the inspection result is referenced is displayed. Further, since it is inconvenient if the examination result that has already been referred to is silently transmitted again, as shown in FIG. 10, a pop-up message that informs the doctor in charge is displayed.

<Summary>
As described above, according to the present embodiment, it is possible to manage the examination status of the specimen used for patient examination.

  In other words, by providing the inspection department with information on the reservation time, it is possible to perform the inspection in consideration of the reservation time and to report in advance when the delay occurs. In the list, the display can be changed according to the time until the medical treatment time and the time exceeding the medical treatment time, and the display can be changed according to the time. The presence or absence can be determined. By optimizing the order of examination, waiting for the clinic (doctor, nurse, patient) is reduced. By grasping the medical treatment appointment time in the examination department, it becomes possible to examine an appropriate examination execution order and to transmit information to the medical care side when the examination is delayed. The waiting time due to waiting for test results is reduced, and smooth medical treatment is possible.

  In the above, it demonstrated by preferred embodiment. While specific embodiments have been illustrated and described herein, it will be apparent that various modifications and changes may be made thereto without departing from the broad spirit and scope as defined in the claims. . That is, it should not be construed as being limited by the details of the specific examples and the accompanying drawings.

Regarding the above description, the following items are further disclosed.
(Appendix 1)
Obtain test request identification information associated with the specimen,
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , Specify the appointment appointment time corresponding to the specimen,
Displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A sample management program that causes a computer to execute processing.
(Appendix 2)
The inspection state includes an inspected state during the inspection,
The sample management program according to appendix 1, characterized by:
(Appendix 3)
Based on the examination appointment time corresponding to the examination request identification information and the current time, the remaining time until the examination appointment time corresponding to the examination request identification information is also displayed.
The sample management program according to appendix 1, characterized by:
(Appendix 4)
In accordance with the remaining time, the display of the remaining time is changed.
The sample management program according to appendix 3, characterized by:
(Appendix 5)
Based on the reception time of the sample and the current time, an elapsed time after reception of the sample is calculated,
Changing the display of the remaining time according to the remaining time and the elapsed time after the reception,
The sample management program according to appendix 3, characterized by:
(Appendix 6)
An acquisition unit for acquiring examination request identification information associated with a specimen;
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , And a specific unit for specifying a diagnosis appointment time corresponding to the sample,
A display unit for displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A specimen management apparatus comprising:
(Appendix 7)
The inspection state includes an inspected state during the inspection,
The sample management device according to appendix 6, wherein
(Appendix 8)
Based on the examination appointment time corresponding to the examination request identification information and the current time, the remaining time until the examination appointment time corresponding to the examination request identification information is also displayed.
The sample management device according to appendix 6, wherein
(Appendix 9)
In accordance with the remaining time, the display of the remaining time is changed.
Item 8. The sample management apparatus according to appendix 8.
(Appendix 10)
Based on the reception time of the sample and the current time, an elapsed time after reception of the sample is calculated,
Changing the display of the remaining time according to the remaining time and the elapsed time after the reception,
Item 8. The sample management apparatus according to appendix 8.
(Appendix 11)
Obtain test request identification information associated with the specimen,
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , Specify the appointment appointment time corresponding to the specimen,
Displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A sample management method, wherein a computer executes a process.
(Appendix 12)
The inspection state includes an inspected state during the inspection,
The specimen management method according to appendix 11, wherein the specimen management method is provided.
(Appendix 13)
Based on the examination appointment time corresponding to the examination request identification information and the current time, the remaining time until the examination appointment time corresponding to the examination request identification information is also displayed.
The specimen management method according to appendix 11, wherein the specimen management method is provided.
(Appendix 14)
In accordance with the remaining time, the display of the remaining time is changed.
The specimen management method according to appendix 13, wherein the specimen management method is provided.
(Appendix 15)
Based on the reception time of the sample and the current time, an elapsed time after reception of the sample is calculated,
Changing the display of the remaining time according to the remaining time and the elapsed time after the reception,
The specimen management method according to appendix 13, wherein the specimen management method is provided.

DESCRIPTION OF SYMBOLS 1 Specimen inspection system / server apparatus 11 Inspection order reception part 12 Label issuing part 13 Specimen reception part 14 Reservation information acquisition part 15 Inspection result reference information acquisition part 16 Inspection result / approval reception part 17 Inspection result information provision part 18 Inspection management information 19 Communication unit 2 Examination device 3 Electronic medical record system / server device 31 Reservation acceptance unit 32 Examination order acceptance unit 33 Examination result information providing unit 34 Medical treatment management information 341 Medical treatment information 342 Reservation information 343 Examination history information 344 Examination result information 35 Communication unit 5 Network 6, 7 Terminal device 61, 71 Communication unit 62, 72 Input / output unit

Claims (7)

Obtain test request identification information associated with the specimen,
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , Specify the appointment appointment time corresponding to the specimen,
Displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A sample management program that causes a computer to execute processing. The inspection state includes an inspected state during the inspection,
The sample management program according to claim 1, wherein: Based on the examination appointment time corresponding to the examination request identification information and the current time, the remaining time until the examination appointment time corresponding to the examination request identification information is also displayed.
The sample management program according to claim 1, wherein: In accordance with the remaining time, the display of the remaining time is changed.
The sample management program according to claim 3. Based on the reception time of the sample and the current time, an elapsed time after reception of the sample is calculated,
Changing the display of the remaining time according to the remaining time and the elapsed time after the reception,
The sample management program according to claim 3. An acquisition unit for acquiring examination request identification information associated with a specimen;
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , And a specific unit for specifying a diagnosis appointment time corresponding to the sample,
A display unit for displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A specimen management apparatus comprising: Obtain test request identification information associated with the specimen,
Storage unit of an electronic medical record system that stores examination request identification information and examination appointment time in association with each other based on examination request identification information associated with the specimen when displaying the examination state of the specimen in a confirmable manner , Specify the appointment appointment time corresponding to the specimen,
Displaying the examination state of the specimen and the examination appointment time corresponding to the specimen in association with each other;
A sample management method, wherein a computer executes a process.