JP2020060601A - Specimen inspection system, information processing device, information processing method, and program - Google Patents

Abstract

To provide a specimen inspection system, an information processing device, an information processing method and a program capable of efficiently performing visual inspection.SOLUTION: A specimen inspection system 10 includes a urinary sediment device 30 for analyzing a formed element included in a urinary specimen about a plurality of analysis items, and an information processing device 50 for receiving an analysis result of the urinary specimen acquired by the urinary sediment device 30. The information processing device 50 includes an input part 54, a display part 53, and a control part 51 for displaying a first region for displaying analysis values corresponding to each of the plurality of analysis items of the urinary specimen received from the urinary sediment device 30, a second region for displaying information for suggesting an analysis item showing an analysis value matching a prescribed rule among the plurality of analysis values corresponding to the plurality of analysis rules, and a third region for displaying a discrete value of the formed element received through the input part 54 in the visual inspection of the urinary specimen, using a microscope in the display part 53.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a sample inspection system, an information processing device, an information processing method, and a program.

  Patent Document 1 describes a urine sediment inspection device that automatically classifies formed components such as red blood cells and white blood cells in urine, and a urine qualitative inspection device that inspects chemical components such as sugar and protein in urine. . The urine sediment test results and urine qualitative test results are displayed together on a display device.

JP-A-7-49346

  The types and states of formed matter contained in urine specimens are diverse, and specimens that cannot be accurately divided into formed bodies or the classification results of the urine sediment tester are not sufficient to judge the state of urine specimens. There are also specimens. Such a specimen needs to be closely observed by a technician by visual inspection using a microscope.

  However, in the visual inspection, it is necessary to observe the number and state of various tangible components, and to carefully examine even the cylinders that rarely appear, which is a great burden on the inspection technician and can be performed as efficiently as possible. desired.

  A first aspect of the present invention relates to a sample testing system. A sample testing system according to this aspect is a urine sediment device that analyzes formed elements contained in a urine sample for a plurality of analysis items, and an information processing device that receives an analysis result of the urine sample obtained by the urine sediment device. And The information processing device includes an input unit, a display unit, a first region for displaying analysis values corresponding to each of the plurality of analysis items of the urine sample received from the urine sediment device, and the plurality of regions. In a visual inspection of the urine sample using a microscope, a second region for displaying information for suggesting an analysis item indicating an analysis value showing an analysis value that matches a predetermined rule among a plurality of analysis values corresponding to the analysis item And a control unit that causes the display unit to display a third region for displaying the count value of the tangible portion received via the input unit. The control unit causes the display unit to display a screen including the first region, the second region, and the third region, and the third region is more detailed than at least one analysis item of the plurality of analysis items. Display multiple inspection items including sub-classification items.

  A second aspect of the present invention relates to an information processing device that receives the analysis result of the urine sample obtained by a urine sediment device that analyzes formed elements in the urine sample for a plurality of analysis items. The information processing apparatus according to the present aspect, an input unit, a display unit, a first area for displaying analysis values corresponding to each of the plurality of analysis items of the urine sample received from the urine sediment device, A second area for displaying information for suggesting an analysis item indicating an analysis value that meets an analysis rule that matches a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items, and the urine sample using a microscope. And a control unit that causes the display unit to display a third region for displaying the count value of the formed amount received through the input unit in the visual inspection. The control unit causes the display unit to display a screen including the first region, the second region, and the third region, and the third region is more detailed than at least one analysis item of the plurality of analysis items. Display multiple inspection items including sub-classification items.

  A third aspect of the present invention relates to an information processing method for inputting a result of a visual inspection on a urine sample containing formed particles. In the information processing method according to this aspect, the urine sediment device analyzes the formed components in the urine sample for a plurality of analysis items to obtain analysis values corresponding to each of the plurality of analysis items. To display a first area for receiving and displaying from the device and information for suggesting an analysis item indicating an analysis value that matches a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items The second area and the third area for displaying the count value of the tangible component received through the input unit in the visual inspection of the urine sample using the microscope are displayed on the display unit. The processing causes the display unit to display a screen including the first area, the second area, and the third area, and the third area is more detailed than at least one analysis item of the plurality of analysis items. Display multiple inspection items including classification items.

  A fourth aspect of the present invention relates to a program for causing a computer to execute a process for inputting a result of a visual inspection on a urine sample containing a formed component. The program according to this aspect is such that the urine sedimentation device analyzes the analytical values corresponding to each of the plurality of analysis items obtained by analyzing the formed components in the urine sample for a plurality of analysis items from the urine sedimentation device. A first area for receiving and displaying, and a first area for displaying information for suggesting an analysis item showing an analysis value that matches a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items. It includes a process of displaying, on the display unit, two regions and a third region for displaying the count value of the formed portion received through the input unit in the visual inspection of the urine sample using a microscope. The processing causes the display unit to display a screen including the first area, the second area, and the third area, and the third area is more detailed than at least one analysis item of the plurality of analysis items. Display multiple inspection items including classification items.

  According to the present invention, visual inspection can be efficiently performed.

FIG. 1 is a diagram showing a schematic configuration of a sample testing system according to an embodiment. FIG. 2 is a block diagram showing the configuration of the sample testing system according to the embodiment. FIG. 3 is a schematic diagram illustrating information transmitted between the analysis device and the information processing device according to the embodiment. 4A to 4D are schematic diagrams showing the configurations of a patient table, a sample table, a measurement order table, and an analysis result table of the database according to the embodiment, respectively. FIG. 5 is a schematic diagram showing a configuration of a screen including a sample list display area according to the embodiment. FIG. 6 is a reference information display including an input value display area according to the embodiment, and a patient information display area, a sample information display area, a report comment display area, a review comment display area, a research information display area, and a rule comment display area. It is a schematic diagram which shows the structure of the screen containing an area | region. 7A to 7C are schematic views illustrating screens for inputting the value of the formed component counted in the visual inspection according to the embodiment. FIG. 8 is a schematic diagram showing a configuration of a reference information display area for displaying the urine qualitative analysis result, the urine sediment analysis result, and the visual inspection result side by side according to the embodiment. FIG. 9 is a schematic diagram showing a state in which analysis items and inspection items according to the embodiment are rearranged. FIG. 10 is a schematic diagram showing a configuration of a reference information display area in which analysis results and visual inspection results having research significance according to the embodiment are displayed side by side. FIG. 11 is a schematic diagram showing the configuration of the reference information display area for displaying the graph according to the embodiment. FIG. 12 is a schematic diagram showing a configuration of a reference information display area for displaying analysis values and visual inspection results in time series according to the embodiment. FIG. 13 is a schematic diagram showing the configuration of a reference information display area for displaying a time-series graph according to the embodiment. FIG. 14 is a schematic diagram showing a configuration of a screen including an input value display area for a bodily fluid sample according to the embodiment, and a reference information display area for displaying an analysis result of a bodily fluid sample and a visual inspection result of a bodily fluid sample side by side. 15A and 15B are flowcharts showing the processing performed by the control unit of the information processing apparatus according to the embodiment. 16A and 16B are flowcharts showing processing performed by the control unit of the information processing apparatus according to the embodiment. 17A and 17B are flowcharts showing the processing performed by the control unit of the information processing apparatus according to the embodiment.

  As shown in FIG. 1, the sample testing system 10 includes a urine qualitative device 20, a urine sediment device 30, a carrier device 40, an information processing device 50, and a microscope 60. The transport device 40 transports the sample rack 12 holding a plurality of sample containers 11. The sample container 11 stores the sample collected from the subject. Since it is assumed that the sample testing system 10 of this embodiment is installed in a hospital, a sample is collected from a patient.

  The urine qualitative analyzer 20 analyzes chemical components in urine for a plurality of analysis items related to urine qualitative analysis. The analysis item refers to the type of chemical component to be analyzed, and the analysis items of the urine qualitative apparatus 20 include glucose (GLU), protein (PRO), albumin (ALB), bilirubin (BIL), and urobilinogen (URO). , Occult blood (OB), ketone bodies (KET), nitrite (NIT), white blood cells (WBC) and the like. The analysis items of the urine qualitative apparatus 20 further include pH (PH), specific gravity (SG), color tone (COL), and the like.

  When the sample container 11 is positioned in front of the barcode reader 20a, the urine qualitative apparatus 20 reads the barcode information from the label attached to the sample container 11 and acquires the sample ID. The urine qualitative apparatus 20 inquires of the information processing apparatus 50 about the measurement order based on the acquired sample ID, and receives the measurement order from the information processing apparatus 50. The urine qualitative apparatus 20 sucks the sample contained in the sample container 11 through the nozzle 20b when the sample container 11 is positioned immediately below the nozzle 20b. The urine qualitative apparatus 20 measures the sample based on the measurement order. The urine qualitative apparatus 20 analyzes based on the measurement result and transmits the analysis result to the information processing apparatus 50.

  When urine protein, urine sugar, urine occult blood, etc. are detected by the analysis of the urine qualitative apparatus 20, a test is performed by the urine sediment apparatus 30 in order to estimate the type and site of diseases of the kidney and urinary tract system. The number and existence of formed elements in the inside can be investigated.

  The urine sediment device 30 analyzes formed elements in urine for a plurality of analysis items related to urine sediment. The analysis items refer to the types of formed components to be analyzed, and the analysis items of the urine sediment device 30 include red blood cells (RBC), white blood cells (WBC), epithelial cells (EC), casts (CAST), bacteria ( BACT) is included. The analysis items of the urine sediment device 30 further include urine conductivity (Cond.). In addition, the urine sedimentation device 30 is a pathological column (Path.CAST) containing crystals (X'TAL), yeast-like fungus (YLC), small round cells (SRC), cell components, etc. as research items for research. , Mucus thread (MUCUS), sperm (SPERM), erythrocyte morphology information (RBC-Info.), Etc. can also be analyzed.

  The urine sediment device 30 can further analyze the components in the body fluid. The “body fluid” in this case refers to a body cavity fluid existing in a body cavity, which does not include blood, urine, and lymph fluid. Specifically, body fluid refers to spinal fluid, cerebrospinal fluid, pleural fluid, pleural fluid, ascites fluid, pericardial fluid, synovial fluid, synovial fluid, ocular fluid, aqueous humor, and the like. In addition, a dialysate for peritoneal dialysis, an intraperitoneal lavage fluid and the like are also included as one type of body fluid.

  When the sample container 11 is positioned in front of the barcode reader 30a, the urine sediment device 30 reads the barcode information from the label attached to the sample container 11 and acquires the sample ID. The urine sediment device 30 makes an inquiry about the measurement order to the information processing device 50 based on the acquired sample ID, and receives the measurement order from the information processing device 50. When the sample container 11 is positioned immediately below the nozzle 30b, the urine sediment device 30 sucks the sample contained in the sample container 11 through the nozzle 30b. The urine sediment device 30 measures the sample based on the measurement order. The urine sediment device 30 performs analysis based on the measurement result, and transmits the analysis result to the information processing device 50.

  The visual inspection using the microscope 60 is performed when a reexamination is required based on the analysis result of the urine qualitative apparatus 20 and the analysis result of the urine sediment apparatus 30. In this embodiment, as will be described later, the information processing device 50 determines whether or not a visual inspection needs to be performed based on the analysis results received from the urine qualitative device 20 and the urine sediment device 30.

  The information processing device 50 receives and stores the analysis results of the urine qualitative device 20 and the urine sediment device 30, and displays the stored analysis results. Note that the information processing device 50 may not store the analysis results of the urine qualitative device 20 and the urine sediment device 30, and may only display the analysis results of the urine qualitative device 20 and the urine sediment device 30. In this case, another device for storing the analysis results of the urine qualitative device 20 and the urine sediment device 30 is separately arranged in the sample test system 10. Then, the information processing apparatus 50 displays the analysis result and receives the input of the visual inspection result, as described later, based on the analysis result stored in the other apparatus.

  The information processing device 50 includes a control unit 51, a storage unit 52, a display unit 53, and an input unit 54. The control unit 51 performs processing based on the programs and data stored in the storage unit 52. The storage unit 52 stores a database 52b as described later with reference to FIG. The control unit 51 stores the analysis result of the sample received from the urine qualitative apparatus 20 and the urine sediment apparatus 30 in the analysis result table of the database 52b stored in the storage unit 52. The control unit 51 causes the display unit 53 to display the screen 100 including the input value display area 110 and the reference information display area 120. The input value display area 110 and the reference information display area 120 display information about one selected sample.

  The reference information display area 120 is an area for displaying the analysis result of the sample read from the analysis result table of the database 52b stored in the storage unit 52. The input value display area 110 is an area used in visual inspection of a sample using the microscope 60. The operator drops the sample determined to require visual inspection on the slide glass, and observes the sample on the slide glass with the microscope 60 to perform the visual inspection. The operator uses the input unit 54 to input the type of the formed portion determined by the operator in the visual inspection. The control unit 51 receives the value of the formed portion counted in the visual inspection of the sample via the input unit 54 while the screen 100 is displayed, and displays the received count value in the input value display area 110. . The control unit 51 stores the count value displayed in the input value display area 110 in the analysis result table of the database 52b stored in the storage unit 52 as the visual inspection result.

  The reference information display area 120 includes areas 121 to 123. The area 121 is an area for displaying the analysis result of the sample by the urine qualitative apparatus 20. The area 122 is an area for displaying the analysis result of the sample by the urine sediment device 30. The area 123 is an area for displaying the visual inspection result read out from the analysis result table of the database 52b stored in the storage unit 52 for the target sample.

  When the display and processing are performed as described above, the operator can refer to the analysis result of the sample as reference information on the screen 100 when performing the visual inspection, and therefore the operator can visually check the points to be noted in the visual inspection in advance. An inspection can be done. As a result, the efficiency and accuracy of the visual inspection can be improved. Further, the operator can input the value of the formed amount counted in the visual inspection performed using the microscope 60 to the information processing apparatus 50 via the input unit 54 while the screen 100 is displayed. This makes it possible to continuously refer to the reference information and input the visual inspection result, so that the efficiency of inputting the visual inspection result can be improved.

  In addition, the input value display area 110 and the area 123 for displaying the visual inspection result read out from the analysis result table of the database 52b stored in the storage unit 52 for the sample to be visually inspected are 1 It is displayed on one screen 100. As a result, the operator can refer to the visual inspection result already performed by another operator as reference information. For example, when the visual inspection is performed by a plurality of operators, an operator who intends to perform the visual inspection can refer to the visual inspection already performed by another operator as reference information. Therefore, it is possible to prevent mistakes in visual inspection and further improve efficiency and accuracy of visual inspection.

  Further, in the reference information display area 120, the areas 121 to 123 are displayed so as to be adjacent to each other. As a result, the operator can easily see the analysis results of the areas 121 and 122 and the visual inspection result of the area 123, which are referred to as reference information, in the display unit 53. Therefore, the efficiency of the visual inspection can be measured.

  As shown in FIG. 2, the urine qualitative apparatus 20 includes a barcode reader 20a, a qualitative control unit 21, a storage unit 22, a suction unit 23, a test paper supply unit 24, a detection unit 25, and an interface 26. , Is provided. The qualitative control unit 21 is composed of, for example, a CPU. The storage unit 22 is composed of, for example, a ROM, a RAM, and a hard disk. The qualitative control unit 21 performs processing based on the program stored in the storage unit 22. The qualitative control unit 21 controls each unit of the urine qualitative device 20 via the interface 26, controls the transport device 40, and communicates with the information processing device 50.

  The suction unit 23 sucks the sample contained in the sample container 11 via the nozzle 20b shown in FIG. 1, and transfers the sucked sample to the test paper supply unit 24. The test strip supply unit 24 takes out the test strip required for the measurement from the test strip feeder containing the test strip, and attaches the sample to the measurement area of the taken-out test strip. The detection unit 25 images the measurement area of the test paper to which the sample is attached. The detecting unit 25 may be any other reflected light measuring system as long as it can measure the reflected light.

  The qualitative control unit 21 performs analysis based on the measurement result obtained by the detection unit 25. Specifically, the qualitative control unit 21 performs image processing on the acquired imaging data to determine the coloration status of the measurement region to which the sample is attached, and to determine the analysis item corresponding to each measurement region. Make a decision. The color condition of the measurement area is divided into a plurality of stages. For example, the coloration status is divided into nine levels such as “−”, “±”, “+”, “2+”, “3 +”, ..., “7+” according to the concentration of the target component. In this way, the urine qualitative apparatus 20 performs semi-quantitative measurement such as 9-step classification as the urine qualitative measurement. Note that the urine qualitative apparatus 20 may perform qualitative measurement such as two-step classification as the urine qualitative measurement. In this case, the coloration status of the measurement area is divided into two stages such as "+" and "-" to indicate the presence or absence of the component. The qualitative control unit 21 transmits the analysis result generated for each sample to the information processing device 50.

  The urine sediment device 30 includes a barcode reader 30a, a sediment control unit 31, a storage unit 32, a suction unit 33, a sample preparation unit 34, a detection unit 35, and an interface 36. The sediment control unit 31 is composed of, for example, a CPU. The storage unit 32 includes, for example, a ROM, a RAM, and a hard disk. The sediment control unit 31 performs processing based on the program stored in the storage unit 32. The sediment control unit 31 controls each unit of the urine sediment device 30 via the interface 36 to communicate with the information processing device 50.

  The suction unit 33 sucks the sample contained in the sample container 11 via the nozzle 30b shown in FIG. 1, and transfers the sucked sample to the sample preparation unit 34. The sample preparation unit 34 mixes a sample and a reagent to prepare a sample for measurement. The detection unit 35 measures the sample prepared by the sample preparation unit 34 with a flow cytometer.

  The sediment control unit 31 performs analysis based on the measurement result obtained by the detection unit 35. Specifically, the sediment control unit 31 classifies the formed component in the measurement sample based on the detection signal obtained by the detection unit 35. The sediment control unit 31 acquires the analysis result for each analysis item by counting the classified formed components. The sediment control unit 31 transmits the analysis result generated for each sample to the information processing device 50.

  Note that the detection unit 35 may directly optically capture the form of the formed component in the sample instead of performing the measurement using the flow cytometer. In this case, the detection unit 35 is configured by, for example, a microscope having a function of automatically focusing the sample image of the solid component. The sediment control unit 31 processes the captured image to identify the components in the sample.

  The information processing device 50 includes a control unit 51, a storage unit 52, a display unit 53, an input unit 54, a reading device 55, and an interface 56. The control unit 51 is composed of, for example, a CPU. The storage unit 52 is composed of, for example, a ROM, a RAM, and a hard disk. The control unit 51 performs processing based on various programs stored in the storage unit 52. The control unit 51 controls each unit of the information processing apparatus 50 via the interface 56 and communicates with the urine qualitative apparatus 20 and the urine sediment apparatus 30.

  The storage unit 52 stores a program 52a that causes a computer to execute a process for inputting a result of a visual inspection on a sample. The program 52a displays the screen 100 used in the visual inspection on the display unit 53, and displays the count value received via the input unit 54 in the analysis result table of the database 52b stored in the storage unit 52 as the visual inspection result. Including processing to be stored. The program 52a also causes the display unit 53 to display a screen 200 showing a list of samples. The screen 200 will be described later with reference to FIG. Further, the program 52a switches the information displayed in the reference information display area 120 according to the display switching instruction. Detailed information displayed in the reference information display area 120 will be described later with reference to FIGS. In this way, the control unit 51 displays the screen on the display unit 53 by executing the program 52a, and processes the instruction input via the input unit 54.

  The storage unit 52 also stores a database 52b for storing information regarding a patient, information regarding a specimen, information regarding a measurement order, and an analysis result. The database 52b will be described later with reference to FIGS. The storage unit 52 also stores a rule 52c used when setting a review flag, a high / low flag, an analysis rule comment, a visual flag, and a rule comment described later. The rule 52c includes a plurality of pieces of rule information. The operator can set an appropriate rule 52c according to the usage environment of the sample test system 10 by changing the content of the rule 52c via the input unit 54 while the setting screen is displayed on the display unit 53. . The rule 52c will be described later with reference to FIG.

  The display unit 53 is composed of, for example, a display. The input unit 54 is composed of, for example, a keyboard and a mouse. The display unit 53 and the input unit 54 may be integrally configured, for example, a touch panel. In this case, the screen 100 described above, the screen 200 described later, and the like are displayed on the touch panel. By performing a touch operation on the touch panel, the operator can perform the same input as that using the keyboard and the mouse. The reading device 55 is composed of, for example, an optical disk drive. The reading device 55 can read the program recorded on the optical disc 57. As a result, the program 52a stored in the storage unit 52 can be updated as needed.

  As shown in FIG. 3, the urine qualitative apparatus 20 and the urine sediment apparatus 30 will be collectively referred to as “analyzer” hereinafter. When the analysis apparatus inquires of the information processing apparatus 50 about the measurement order, the information processing apparatus 50 transmits the measurement order to the analysis apparatus. The urine qualitative apparatus 20 and the urine sediment apparatus 30 each perform measurement based on the measurement order. The qualitative control unit 21 and the sediment control unit 31 each generate analysis result information based on the measurement result obtained by each device. The analysis result information includes a sample ID, measurement date and time, analysis value, graph, analyzer flag, review comment, research information and the like. The urine qualitative apparatus 20 and the urine sediment apparatus 30 respectively transmit analysis result information to the information processing apparatus 50, the information processing apparatus 50 receives the analysis result information transmitted by the analysis apparatus, and stores the analysis result information in the database 52b. To do.

  Each information included in the analysis result information is as follows. The sample ID is a number by which the sample can be individually identified. The measurement date and time is the date and time when the measurement was performed by the analyzer. The analysis value is a value indicating the analysis result. The analysis value includes, for example, a character string such as “Yellow”, a numerical level such as “1+”, and a numerical value such as “40.3” according to the analysis item. The analysis result information includes the analysis value corresponding to each analysis item as the analysis result of the sample.

  The graph is a distribution diagram showing the distribution of components in the sample, and is, for example, an image of a scattergram or a histogram generated at the time of analysis. In the graph generated by the urine sediment device 30, axes are set based on the measurement result of the sample obtained by the detection unit 35. The graph generated by the urine sediment device 30 is generated, for example, from an image of a scattergram in which the intensities of two different lights generated from the formed matter in the sample are set on the vertical axis and the horizontal axis, or from the formed matter in the sample. It is a histogram image in which the intensity of one light is set on the horizontal axis and the frequency is set on the vertical axis. The graph is included only in the analysis result information generated by the urine sediment device 30.

  The analysis device flag is a flag related to the analysis value. The analysis result information includes an analysis device flag corresponding to each analysis item. The analyzer flags include, for example, a flag indicating an abnormal analysis value, a flag indicating a reexamination required, and a flag indicating an analysis value having low reliability.

  The review comment is annotation information regarding the analysis result. For example, the urine sedimentation apparatus 30 sets "RBC / X'TAL fraction abnormality" in the review comment when the red blood cells and the crystals cannot be fractionated by the scattergram during the analysis. The research information is annotation information for research related to the analysis result. For example, the urine sedimentation apparatus 30 sets “suspected renal disease” in the research information when it obtains the analysis result that there are many tubular epithelial cells and the analysis result that the erythrocyte morphology is not uniform. As described above, the urine qualitative apparatus 20 and the urine sediment apparatus 30 each relate to a disease derived from the predetermined relationship in the research information when the analysis values of at least two analysis items in the apparatus have a predetermined relationship. Set annotation information.

  As shown in FIGS. 4A to 4D, the database 52b includes a patient table, a sample table, a measurement order table, and an analysis result table.

  As shown in FIG. 4A, the patient table stores attribute information of patients. The patient table includes items such as patient ID, name, sex, date of birth, age, blood type, medical history, and health condition of the patient. As shown in FIG. 4B, the sample table stores information about samples. The sample table includes items such as sample ID, patient ID, reception date, reception number, medical department, ward name, and family doctor name. As shown in FIG. 4C, the measurement order table stores information about measurement orders. The measurement order table includes items such as types and analysis items. The type indicates whether the sample is urine or body fluid. The analysis item indicates the analysis item set for the target sample. The analysis device measures according to the analysis item and generates an analysis value for each analysis item from the measurement result.

  As shown in FIG. 4D, the analysis result table stores information about the analysis result. The analysis result table is used to input the sample ID, measurement date and time, analysis value, graph, analyzer flag, review comment, research information, review flag, high / low flag, analysis rule comment, visual flag, rule comment, visual inspection result, visual inspection result input. Includes items such as date and time and report comments. Items surrounded by broken lines in FIG. 4D, that is, items of sample ID, measurement date and time, analysis value, graph, analyzer flag, review comment, and research information are stored based on the analysis result information received from the analyzer. To be done.

  The review flag is a flag indicating whether or not re-examination is necessary for each analysis item determined by the control unit 51 based on the rule 52c. The height flag is a flag indicating the height of the analysis value for each analysis item determined by the control unit 51 based on the rule 52c. The analysis rule comment is annotation information for each analysis item generated by the control unit 51 based on the rule 52c. For example, when the analysis value of the analysis item related to red blood cells is large, the control unit 51 sets the annotation information of “suspected hematuria” in the analysis rule comment corresponding to this analysis item.

  The visual inspection flag is a flag indicating whether or not visual inspection is necessary for the sample determined by the control unit 51 based on the rule 52c. When the item of each table matches the condition for determining the necessity of visual inspection included in the rule 52c, the control unit 51 sets a flag indicating that visual inspection is necessary in the visual inspection flag. For example, when the analysis value regarding occult blood in the urine qualitative apparatus 20 and the analysis value regarding erythrocytes in the urine sediment apparatus 30 are significantly different, the control unit 51 sets the visual flag as a flag indicating that visual observation is necessary.

  The rule comment is annotation information for the sample generated by the control unit 51 based on the rule 52c. For example, when the control unit 51 determines that the visual inspection is necessary based on the rule 52c, the annotation information that is the basis for determining that the visual observation is necessary is set in the rule comment based on the rule 52c. For example, when the analysis value of the analysis item regarding occult blood in the urine qualitative apparatus 20 and the analysis value of the analysis item regarding erythrocyte in the urine sediment apparatus 30 are significantly different, the control unit 51 sets the “urine qualitative apparatus according to rule 52c”. The occult blood value and the erythrocyte red blood cell value of the urine sediment device are significantly different. "

  In addition, when the control unit 51 determines that the analysis values of at least two analysis items of the target sample have a predetermined relationship based on the rule 52c, the control unit 51 sets the annotation information about the disease derived from the predetermined relationship to the rule. Based on 52c, the rule comment is set. For example, when the ratio of albumin and creatinine in the urine qualitative apparatus 20 is larger than a predetermined value and the analysis value regarding the columnar concentration in the urine sediment apparatus 30 is larger than a predetermined value, the control unit 51 is set to rule 52c. The comment information "Suspected of early diabetic nephropathy" is set in the rule comment. When the analysis value regarding the protein concentration in the urine qualitative apparatus 20 is larger than the predetermined value and the analysis value regarding the red blood cells in the urine sediment apparatus 30 is larger than the predetermined value, the control unit 51 sets “chronic” set in the rule 52c. The comment information "suspected of nephritis" is set in the rule comment.

  Further, the control unit 51 compares the analysis result of the urine qualitative apparatus 20 and the analysis result of the urine sediment apparatus 30 based on the rule 52c, and performs a cross check to check whether or not there is a discrepancy in the analysis results. The control unit 51 performs a cross check based on the rule 52c, and sets the result of the cross check in the rule comment.

  The control unit 51 sets the review flag, the high / low flag, the analysis rule comment, the visual flag, and the rule comment at a predetermined timing. For example, the control unit 51 makes a determination based on the rule 52c at the timing when the analysis values of all the analysis items performed on the sample are stored in the analysis result table, and sets a flag or annotation information to each value. . When generating a plurality of annotation information, the control unit 51 stores the plurality of annotation information in the rule comment.

  The visual inspection result is the result of the visual inspection for each inspection item input via the input unit 54. The visual inspection result input date and time is the date and time when the visual inspection result was saved in the analysis result table. The report comment is a comment regarding the visual inspection input by the operator during the visual inspection.

  It should be noted that the table set in the database 52b is not limited to the configuration shown in FIGS. It suffices if the database 52b can store information regarding a patient, information regarding a sample, information regarding a measurement order, and information regarding an analysis result.

  Next, a detailed configuration of the screens 100 and 200 displayed on the display unit 53 of the information processing device 50 will be described. The display of the screens 100 and 200, the display of the screens 100 and 200, and the switching of the display contents in the screens 100 and 200 are all performed by the control unit 51 executing the program 52a.

  As shown in FIG. 5, the screen 200 includes a sample list display area 210 arranged in the center and a visual input button 220 arranged in the upper part. The screen 200 is displayed on the display unit 53 when the list display button 101 shown in FIG. 6 described later is pressed via the input unit 54.

  The sample list display area 210 displays information for each sample in a list format based on the information read from each table of the database 52b. From the left, the sample list display area 210 includes “sample ID”, “qualitative” indicating the state of urine qualitative analysis result, “sediment” indicating the state of urinary sediment analysis result, and “state of visual inspection result”. It includes items such as "visual inspection", "body fluid" indicating the state of analysis result of body fluid, "visual body fluid" indicating state of visual inspection result of body fluid, "patient ID", "patient name" and the like. The range of items displayed in the horizontal direction and the range of sample information displayed in the vertical direction can be changed by scroll operation units arranged on the right side and the lower side of the sample list display area 210.

  The "qualitative" check mark indicates a state in which the urine qualitative analysis result is stored in the analysis result table of the database 52b. The check mark of "sediment" indicates a state in which the analysis result of the urine sediment is stored in the analysis result table of the database 52b. The check mark “visual” indicates a state in which the visual inspection result of the urine sample is stored in the analysis result table of the database 52b. The “visual” circle mark indicates a state in which it is determined that a visual inspection of the urine sample is necessary, and a flag indicating that visual inspection is necessary is set in the visual analysis flag of the analysis result table.

  The check mark "Body fluid" indicates a state in which the analysis result of the body fluid sample by the urine sediment device 30 is stored in the analysis result table of the database 52b. The check mark "visual body fluid" indicates a state in which the visual inspection result of the body fluid sample is stored in the analysis result table of the database 52b. The circle mark of “visual body fluid” indicates a state in which it is determined that a visual inspection of the body fluid sample is necessary, and a flag indicating that visual inspection is necessary is set in the visual analysis flag of the analysis result table.

  When the visual input button 220 is pressed via the input unit 54 in the state where the sample with the “visual” circular mark is selected, the screen 100 including the information about the urine sample selected in the sample list display area 210. Is displayed on the display unit 53. In this case, the screen 100 as shown in FIG. 6 is displayed. On the other hand, when the visual input button 220 is pressed via the input unit 54 in a state in which the sample with the “visual fluid” circled is selected, information regarding the selected biological fluid sample in the sample list display area 210 is displayed. The screen 100 including the screen is displayed on the display unit 53. In this case, the screen 100 as shown in FIG. 14 is displayed.

  The screen 100 shown in FIG. 6 includes an input value display area 110, a reference information display area 120, a headline information display area 130, a list display button 101, a save button 102, and a comment input button 103.

  The headline information display area 130 includes areas 131 and 132. The area 131 displays the sample ID, the patient ID, and the patient name based on the information read from the patient information table. The area 132 displays whether the sample displayed on the screen 100 is a urine sample or a body fluid sample based on the information read from the measurement order table. A region 132 shown in FIG. 6 indicates that the sample information displayed on the screen 100 is a urine sample.

  In the input value display area 110, the inspection item of the visual inspection that can input the value of the formed portion counted in the visual inspection for the sample displayed on the screen 100 is displayed. The inspection item refers to the type of tangible substance to be inspected. The plurality of inspection items of the visual inspection displayed in the input value display area 110 are the inspection items of the same kind of formed components as the analysis items of the urine sediment device 30 and the analysis items of the urine sediment device 30. Includes detailed subcategories.

  Examples of the inspection item for which a formed component of the same type as the analysis item of the urine sediment device 30 is to be inspected include, for example, an inspection item for which the red blood cells analyzed in the analysis item “RBC” of the urine sediment device 30 are to be inspected. "Red blood cells" are included. Thereby, when the value of the analysis item “OB” of the urine qualitative apparatus 20 and the value of the analysis item “RBC” of the urine sediment apparatus 30 are different from each other, the operator visually confirms and counts the red blood cells, The count value of the test item "red blood cells" can be reported to the doctor.

  Further, as the detailed classification items more detailed than the analysis items of the urine sediment device 30, for example, the inspection items “glass cylinder” and “epithelial epithelium” in which the analysis target “CAST” of the urine sediment device 30 is finely classified. "Cylinder", "granular cylinder" and the like are included. As a result, when a high value is detected in the analysis item “PRO” of the urine qualitative apparatus 20 and a high value is also detected in the analysis item “CAST” of the urine sediment apparatus 30 performed in the reexamination, the operator visually checks. The column can be confirmed, subclassified and counted, and the count values of the inspection items “glass column”, “epithelial column”, and “granular column” can be reported to the doctor.

  The input value display area 110 includes a value display area 110a for displaying a count value of the visual inspection and a button 110b for each inspection item of the visual inspection. When inputting the count value by the visual inspection, the operator presses the button 110b corresponding to the input visual inspection item via the input unit 54 to display the screen corresponding to the visual inspection item.

  For example, when the button 110b corresponding to the inspection item of the visual inspection of blood cells and epithelial cells is pressed via the input unit 54, the screen 111 shown in FIG. 7A is displayed below the button 110b. It The number of screens 111 is less than 1, 1 to 4, 5 to 9, 10 to 19, 20 to 29, 30 to 49, 50 to 99, 100 or more as the number in one visual field. Either of them can be selected via the input unit 54. For example, when the button 110b corresponding to the item of the visual inspection of the cylinders is pressed via the input unit 54, the screen 112 shown in FIG. 7B or the screen 113 shown in FIG. Is displayed below. The screen 112 is configured such that any one of “−”, “1+”, “2+”, “3+”, “4+”, and “5+” can be selected via the input unit 54 according to the number. There is. The number of screens 113 is 0, 1 to 4, 5 to 9, 10 to 19, 20 to 29, 30 to 49, 50 to 99, 100 to 999, and 1000 as the number in the entire visual field. Any of the above can be selected via the input unit 54.

  The operator presses an item that matches the result of the value of the formed component counted by the visual inspection on the screens 111 to 113 shown in FIGS. 7A to 7C via the input unit 54, Select the visual inspection count. As a result, the screens 111 to 113 are closed, and the display of the corresponding value display area 110a of the input value display area 110 is updated to the count value input via the input unit 54.

  When saving the visual inspection result input in the input value display area 110, the operator presses the save button 102 at the top of the screen 100 via the input unit 54. As a result, the count value displayed in the input value display area 110 is stored in the visual inspection result of the analysis result table as the visual inspection result. Further, the visual flag of the analysis result table is changed from the flag indicating that visual observation is necessary to the flag indicating that visual observation is unnecessary. As a result, when the screen 200 is displayed, a check mark is displayed in the "visual" item.

  The operator's instruction for saving the count value obtained by the visual inspection in the analysis result table is not limited to the operation of the save button 102 via the input unit 54. For example, when the screen 100 is closed, the program 52a is configured so that a dialog such as "Do you want to save the count value of the visual inspection?" Is displayed, and the operator clicks the "Yes" button displayed on the dialog with the input unit 54. The count value of the visual inspection may be stored in the analysis result table by selecting via the.

  The items displayed in the input value display area 110 can be changed by operating a setting screen (not shown) via the input unit 54. Further, a shortcut key for the input unit 54 is set so that the visual inspection result can be easily input through the input unit 54 while performing the visual inspection by the microscope 60. For example, when the "1" key is pressed on the keyboard of the input unit 54, the red blood cell test item is selected, and the screen for input as described with reference to FIGS. 7A to 7C is displayed. The input value display area 110 is set to open. Thereby, the visual inspection result can be efficiently input. When the inspection item of the visual inspection is selected, the information processing device 50 makes a sound associated with the selected inspection item. As a result, the selected inspection item for the visual inspection can be confirmed not only on the screen 100 but also by the sound, so that the inspection item for the visual inspection can be prevented from being mistakenly selected.

  The reference information display area 120 includes switching units 120a to 120e. The switching units 120a to 120e receive a switching instruction for switching the display content of the reference information display area 120. When the control unit 51 receives a switching instruction for the switching units 120a to 120e via the input unit 54, the control unit 51 displays the display content according to the switching instruction in the reference information display area 120. Specifically, the reference information display area 120 is configured by so-called tab control, and the switching units 120a to 120e are configured by buttons for switching tab display. When the switching units 120a to 120e are pressed via the input unit 54, the display contents of the reference information display area 120 are changed as shown in FIGS. 6, 8, 10, 11, and 12, respectively. Note that the reference information display area 120 does not necessarily have to be configured by the tab control, and may be configured to display and switch the reference information display area 120 by other means.

  The reference information display area 120 shown in FIG. 6 includes a patient information display area 141, a sample information display area 142, a report comment display area 143, a review comment display area 144, a research information display area 145, and a rule comment display area. And 146.

  The patient information display area 141 displays attribute information of the patient who has collected the sample based on the information read from the patient information table. The patient information display area 141 displays, for example, a patient name, patient ID, sex, age, blood type, and the like. The sample information display area 142 displays information related to the sample based on the information read from the sample information table. The sample information display area 142 displays, for example, the sample ID, reception date, reception number, medical department, ward name, and the like.

  The report comment display area 143 displays the comment regarding the visual inspection of the sample received from the operator based on the information read from the report comment of the analysis result table. The control unit 51 receives the input of the comment regarding the visual inspection of the sample. Specifically, when the comment input button 103 is pressed via the input unit 54, the control unit 51 displays a screen for comment input and accepts the comment input. When the screen for comment input is closed, the control unit 51 updates the display content of the report comment display area 143 with the received comment. When the save button 102 is pressed via the input unit 54, the control unit 51 saves the comment displayed in the report comment display area 143 in the report comment of the analysis result table.

  As a result, the operator can leave a comment such as "Is follow-up necessary?" To the doctor in charge. In the report comment display area 143, the feeling visually confirmed by the operator can be left, or "there are many pathological casts", "the degree of hemolysis is large", etc. can be left.

  The review comment display area 144 displays the annotation information on the analysis result of the sample generated by the analyzer based on the review comment read from the analysis result table. For example, the review comment display area 144 displays "RBC / X'TAL fraction abnormality" or the like. By confirming the "RBC / X'TAL fraction abnormality" displayed in the review comment display area 144, the operator can know that automatic classification of red blood cells and crystals may not be properly performed. It is possible to perform visual inspection by focusing on red blood cells and crystals.

  The research information display area 145 displays annotation information regarding the analysis result of the sample generated by the analysis device based on the research information read from the analysis result table. For example, when the urinary sedimentation apparatus 30 has obtained an analysis result that there are many tubular epithelial cells and an analysis result that the erythrocyte morphology is non-uniform, the research information display area 145 displays “suspected renal disease” as annotation information. indicate.

  As described above, annotation information is set in the research information when the analysis values of at least two analysis items have a predetermined relationship. Therefore, when the analysis values of at least two analysis items have a predetermined relationship, the research information display area 145 displays the annotation information about the disease derived from the predetermined relationship. When “suspected renal disease” is displayed in the research information display area 145, the operator can visually confirm the presence of tubular epithelial cells, the morphology of red blood cells, and the like. In the research information display area 145, instead of "suspected renal disease", for example, "heterogeneous erythrocyte morphology" may be displayed. This allows the operator to focus on the red blood cells and visually confirm whether or not the morphology of the red blood cells is truly non-uniform.

  The rule comment display area 146 displays the annotation information for the sample generated by the control unit 51 based on the rule comment read from the analysis result table. In the rule comment display area 146, when visual observation is necessary, for example, “because the occult blood value of the urine qualitative apparatus and the erythrocyte value of the urinary sediment apparatus are significantly different,” which is the basis for determining that the visual observation is necessary, are displayed. Is displayed. When the analysis values of at least two analysis items have a predetermined relationship, the rule comment display area 146 displays, for example, “suspected early diabetic nephropathy” and “suspected chronic nephritis”. The rule comment display area 146 displays the result of the cross-check performed between the analysis result of the urine qualitative apparatus 20 and the analysis result of the urine sediment apparatus 30.

  The reference information display area 120 shown in FIG. 8 includes the areas 121 to 123 as described with reference to FIG. The area 121 displays analysis values of urine qualitative analysis items and the like. The area 122 displays analysis values of analysis items of urine sediment. The area 123 is a visual inspection result read out from the analysis result table of the database 52b stored in the storage unit 52 for the inspection item of the visual inspection similar to the input value display area 110 and the sample displayed on the screen 100. And are displayed. The areas 121 and 122 are displayed based on the measurement date and time and the analysis value read from the analysis result table, and the area 123 is displayed based on the visual inspection result read from the analysis result table. The range of items displayed in the horizontal direction and the range of items displayed in the vertical direction can be changed by the scroll operation units arranged on the right side and the lower side of the reference information display area 120.

  Even when the reference information display area 120 includes the area 123 as shown in FIG. 8, when the save button 102 described with reference to FIG. 6 is pressed via the input unit 54, it is displayed in the input value display area 110. The counted value is stored in the visual inspection result of the analysis result table as the visual inspection result. In this case, the visual inspection result is further read from the analysis result table, and the count value of the visual inspection of the area 123 shown in FIG. 8 is updated.

  As shown in FIG. 8, when the analysis value of each urine qualitative analysis item and the analysis value of each urine sediment analysis item are displayed on one screen 100, the operator determines the urine qualitative analysis result and urine sediment. You can easily check the discrepancy with the analysis result of. That is, the operator can easily perform a cross-check referring to the screen 100 to compare the urine qualitative analysis result with the urine sediment analysis result and check whether or not there is a discrepancy in the analysis results. Therefore, the operator can efficiently perform the visual inspection based on the discrepancy in the analysis results.

  In the areas 121 and 122, the analysis values of the plurality of analysis items are arranged in the vertical direction, and in the area 123, the count values of the plurality of inspection items are arranged in the vertical direction. Further, the regions 121 to 123 are arranged side by side in the lateral direction. When the areas 121 to 123 are displayed in this manner, it becomes easy to compare the analysis values of the analysis items and the count values of the inspection items with each other in the horizontal direction.

  The analysis values of the plurality of analysis items may be arranged in the horizontal direction in the regions 121 and 122, and the count values of the plurality of inspection items may be arranged in the horizontal direction in the region 123. In this case, by arranging the regions 121 to 123 so as to be adjacent to each other in the vertical direction, it becomes easy to compare the analysis value of the analysis item and the count value of the inspection item with each other in the vertical direction. When the analysis items of the analyzer and the inspection items of the visual inspection are many as in the present embodiment, it is preferable to display the regions 121 to 123 as shown in FIG.

  When the target sample is analyzed by both the urine qualitative apparatus 20 and the urine sediment apparatus 30, both the areas 121 and 122 are displayed in the reference information display area 120 as shown in FIG. It When the target sample is analyzed by only one of the urine qualitative apparatus 20 and the urine sediment apparatus 30, the reference information display area 120 displays only the area corresponding to the analyzed apparatus. .

  The analysis items in the area 121, the analysis items in the area 122, and the inspection items in the area 123 are configured to be rearrangeable. The operator can rearrange analysis items and inspection items arranged in the vertical direction in the regions 121 to 123 by operating a rearrangement screen (not shown) via the input unit 54. Thereby, the operator can display two areas of the areas 121 to 123 so that the related analysis items and inspection items are laterally adjacent to each other between the two areas arranged side by side.

  As shown in FIG. 9, for example, the operator can arrange “OB” in the area 121, “RBC” in the area 122, and “red blood cells” in the area 123 so as to be laterally adjacent to each other. Since “OB” is an analysis item regarding occult blood and “RBC” is an analysis item regarding red blood cells, “OB”, “RBC”, and “red blood cell” arranged in the lateral direction are associated with each other. Further, the operator can arrange the “WBC” in the area 121, the “WBC” in the area 122, and the “white blood cells” in the area 123 so as to be laterally adjacent to each other. Since "WBC" is an analysis item regarding white blood cells, "WBC", "WBC", and "white blood cells" arranged in the lateral direction are associated with each other.

  Further, the operator may arrange "PRO" in the area 121, "CAST" in the area 122, and "glass column", "epithelial column" or "granular column" in the area 123 so as to be laterally adjacent to each other. it can. Since "PRO" is an analysis item related to protein concentration and "CAST" is an analysis item related to a cylinder, "PRO", "CAST", and "glass cylinder" arranged in the lateral direction are associated with each other. Further, the operator can arrange “SG” in the area 121 and “Cond.” In the area 122 so as to be laterally adjacent to each other. Since “SG” is an analysis item related to specific gravity and “Cond.” Is an analysis item related to electrical conductivity, “SG” and “Cond.” Arranged in the lateral direction are associated with each other. Further, the operator can arrange “NIT” in the area 121 and “BACT” in the area 122 so as to be adjacent to each other in the horizontal direction. Since “NIT” is an analysis item for nitrite and “BACT” is an analysis item for bacteria, “NIT” and “BACT” arranged in the lateral direction are related to each other.

  Note that in the regions 121 and 122 shown in FIG. 8, analysis values of analysis items that can be considered to have clinical significance are displayed. Further, in an area 124 shown in FIG. 10, which will be described later, analysis values of analysis items that can be regarded as having research significance are displayed. When the analysis values of all the analysis items shown in FIGS. 8 and 10 are displayed on one screen 100, a combination of analysis items and inspection items related to each other may be considered other than the above-described combinations.

  As described above, since the analysis items and inspection items in the regions 121 to 123 can be rearranged, the operator can detect that the related analysis items and inspection items are laterally adjacent to each other between the two regions as shown in FIG. Analysis items and inspection items in the two areas can be displayed so as to match. When the analysis items and the inspection items related to each other are arranged in the horizontal direction as shown in FIG. 9, the urine qualitative analysis result and the urine sediment are compared to the case where the analysis items and the inspection items are arranged as shown in FIG. The discrepancy with the analysis result can be more easily confirmed. Therefore, the operator can perform the visual inspection more efficiently based on the discrepancy in the analysis results.

  The analysis items in the regions 121 and 122 and the inspection items in the region 123 are not only rearranged manually by the operator as described above, but also when the button or the like is pressed via the input unit 54, the control unit 51 , The analysis items in the areas 121 and 122 and the inspection items in the area 123 are automatically rearranged as shown in FIG.

  Returning to FIG. 8, areas 121 and 122 include items such as “R”, “LH”, “M”, and “Rule” in addition to the items of “item name” and “value”. The items “R”, “LH”, “M”, and “Rule” are displayed based on the review flag, the high / low flag, the analyzer flag, and the analysis rule comment read from the analysis result table, respectively.

  In the case of the areas 121 and 122 shown in FIG. 8, in the “OB” and “RBC”, “Δ” indicating that the control unit 51 has determined that re-examination is necessary is displayed in the “R” item, and “LH” is displayed. “H” indicating that the analysis result was a high value is displayed in the item, and “2” indicating that the qualitative control unit 21 or the sediment control unit 31 has determined that re-examination is required is displayed in the item “M”. “Suspected hematuria” is displayed in the “Rule” item. In “SG” and “Cond.”, “L” indicating that the analysis result was a low value is displayed in the item “LH”. In “PRO” and “CAST”, “1” indicating an abnormal analysis is displayed in the “M” item. In “BIL” and “EC”, “3” indicating low reliability is displayed in the “M” item.

  As described above, since a lot of information is displayed in the areas 121 and 122 as shown in FIG. 8, the operator can efficiently perform a visual inspection with reference to these items.

  When the analysis item with “Δ” or “2” indicating that re-examination is required is on the screen, the operator can perform a visual inspection by focusing on the analysis item with the mark. Explaining the case where urine occult blood is detected by the urine qualitative apparatus 20 as an example, when urine occult blood is detected and the presence of red blood cells is suggested in the urine sample, the subject is treated with acute glomerulonephritis, pyelonephritis, Suspected cystitis, urethritis, renal tumor, renal stones, etc. Therefore, in order to confirm the red blood cells in the urine sample, the urine sediment device 30 also inspects the urine sample. However, if the urine sediment test shows only a small number of red blood cells, it is unclear whether the urine sample was normal or the urine sediment result is incorrect. There is a need. In such a case, in the areas 121 and 122 shown in FIG. 8, since “Δ” indicating that re-examination is required is displayed in association with the occult blood analysis item and the red blood cell analysis item, the operator pays attention to the red blood cell and conducts a visual inspection. It is easy to understand what needs to be done, and it is possible to reliably perform a visual inspection to confirm the red blood cells in the urine sample, input the correct number of red blood cells, and input a comment regarding the degree of hemolysis of the red blood cells. Therefore, accurate information about the properties of the urine sample can be reported to the doctor in charge.

  Moreover, when there is an analysis item with “3” indicating low reliability, it is suggested that the urine qualitative apparatus 20 or the urine sediment apparatus 30 could not obtain an accurate analysis result for this analysis item. Therefore, the operator can perform a visual inspection by paying attention to the analysis item with this mark. For example, when “3” indicating low reliability is attached to “CAST”, it is possible to visually confirm whether or not a mucus thread having a shape similar to a column appears in the sample.

  In addition, for example, when "CAST" is attached to "CAST" indicating that the analysis result is a high value, the operator visually inspects the cylinder to check the shape of the cylinder, the number of appearances, etc. Can be visually confirmed. A case where urine protein is detected by the urine qualitative apparatus 20 will be described as an example. When urine protein is detected, there is a suspicion of chronic nephritis, glomerulonephritis, pyelonephritis, and the like. Therefore, in order to infer the degree of progression and the site of the disease, the urine sediment apparatus 30 also inspects the urine sample, and the obtained urine sediment result confirms the presence or absence of a column and the amount thereof. When the disease is progressing, in the urine, red blood cells and white blood cells that have leaked from the glomerulus become cylindrical with protein components in the renal tubules, such as "red blood cell casts" and "white blood cell casts" Other pathological casts (cellular casts) may be observed, and when such pathological casts appear, it can be determined that there is a high possibility of glomerulonephritis. When "CAST" is attached to "CAST", which indicates that the analysis result was a high value, the operator can focus on the cylinder and perform a visual inspection with certainty. You can enter comments such as "A pathological cast is observed" and "Is glomerulonephritis?" Therefore, accurate information about the properties of the urine sample can be reported to the doctor in charge.

  The reference information display area 120 shown in FIG. 10 includes areas 124 and 125. The area 124 displays the analysis value of the analysis item having research significance among the analysis items of the urine sediment. The area 124 is displayed based on the measurement date and time and the analysis value read from the analysis result table. The area 125 is similar to the area 123 in FIG.

  The area 124 also includes items such as “R”, “LH”, “M”, and “Rule”, similar to the area 122 shown in FIG. Since all the urine qualitative analysis items are considered to have clinical significance, the urine qualitative analysis items are not displayed in the reference information display area 120 shown in FIG. Also in the case shown in FIG. 10, since the operator can refer to the analysis value of the analysis item having research significance as reference information, the visual inspection can be efficiently performed.

  The reference information display area 120 shown in FIG. 11 displays a graph 150 such as a scattergram or a histogram based on the graph read from the analysis result table. In the example shown in FIG. 11, the graph 150 is a graph used when the urine sediment device 30 generates an analysis result.

  The reference information display area 120 shown in FIG. 12 includes areas 161 to 163. The area 161 receives the setting of whether to display the analysis value or the graph in the area 163. When the radio button for displaying the analysis value is selected in the area 161, the measurement date and time read from the analysis result table, the analysis value, and the visual inspection result are displayed in the area 163, as shown in FIG. Based on the visual inspection result input date and time, the analysis value of the analysis item and the visual inspection result are displayed in chronological order. In FIG. 12, a total of three results of this time, the previous time, and the previous two times are displayed. Further past results can be displayed by the scroll operation unit arranged below the reference information display area 120.

  The area 162 receives the setting of which of the qualitative analysis result, the sediment analysis result, and the visual inspection result is displayed in the area 163 shown in FIG. When the radio button for displaying the graph in the area 161 is selected, as shown in FIG. 13, the area 163 is based on the measurement date and time and the graph read from the analysis result table, and the scatter along the time series is performed. Graphs such as gram and histogram are displayed.

  The reference information display area 120 shown in FIG. 14 includes areas 126 and 127. The area 126 displays the analysis value of the analysis item of the body fluid sample based on the measurement date and time and the analysis value read from the analysis result table. The input value display areas 110 and 127 display the items of the visual inspection for the body fluid sample. In the case of the body fluid sample, the display content of the reference information display area 120 can be switched according to the switching units 120a to 120e, as in the case of the urine sample.

  When the reference information display area 120 is displayed as shown in FIGS. 6 to 14, the operator can efficiently perform the visual inspection by referring to the reference information display area 120. Further, the operator can change the display content of the reference information display area 120 as shown in FIGS. 6, 8, and 10-14 by pressing the switching units 120a to 120e via the input unit 54. Thereby, the operator can switch the display content of the reference information display area 120 with a simple operation to efficiently perform the visual inspection.

  Next, the processing performed by the control unit 51 will be described with reference to the flowchart.

  As shown in FIG. 15A, in step S11, the control unit 51 determines whether the analysis result information has been received from the urine qualitative apparatus 20 or the urine sediment apparatus 30. When the analysis result information is received, the control unit 51 stores the received analysis result information in the analysis result table in step S12.

  As shown in FIG. 15B, in step S21, the control unit 51 determines whether the analysis values of all the analysis items performed on the sample are stored in the analysis result table. When all the analysis values are stored, the control unit 51 sets each item of the analysis result table based on the rule 52c in step S22. Specifically, the control unit 51 sets the items of the review flag, the height flag, the analysis rule comment, the visual flag, and the rule comment of the corresponding sample. The control unit 51 may set each item of the analysis result table based on the rule 52c at a predetermined timing other than the timing at which all the analysis values are stored.

  As shown in FIG. 16A, in step S31, the control unit 51 determines whether or not a sample is selected in the sample list display area 210 of the screen 200, and in step S32, via the input unit 54. It is determined whether the visual input button 220 has been pressed. When the visual input button 220 is pressed via the input unit 54 with the sample selected in the sample list display area 210, in step S33, the control unit 51 determines whether the selected sample is urine or bodily fluid. Determine if there is. In step S34, the control unit 51 reads out the information necessary for displaying the screen 100 shown in FIG. 6 or 14 from the database 52b based on the selected sample. In step S35, the control unit 51 displays the screen 100 as shown in FIG. 6 or 14 on the display unit 53, based on the type of sample acquired in step S33 and the information read in step S34.

  As shown in FIG. 16B, in step S41, the control unit 51 determines whether or not the switching instruction is accepted by pressing the switching units 120a to 120e on the screen 100 via the input unit 54. . When the switching instruction is accepted, in step S42, the control unit 51 reads out information necessary for displaying the reference information display area 120 according to the content of the switching instruction from the database 52b. In step S43, the control unit 51 switches the display content of the reference information display area 120 based on the information read in step S42. For example, when the switching unit 120b is pressed via the input unit 54, the control unit 51 reads out and reads out the analysis result of the urine qualitative apparatus 20 and the urine sediment apparatus 30 and the visual inspection result from the analysis result table. The analysis result and the visual inspection result are displayed in the reference information display area 120.

  As shown in FIG. 17A, in step S51, when the display content of the reference information display area 120 is in the state shown in FIG. 8, the control unit 51 stores the analysis items in the areas 121 and 122 and the analysis items in the area 123. It is determined whether a button or the like for rearranging the inspection items is pressed via the input unit 54. When a rearrangement button or the like is pressed via the input unit 54, in step S52, the control unit 51 arranges the analysis items in the regions 121 and 122 and the inspection items in the region 123, as shown in FIG. Change. Even when the display content of the reference information display area 120 is in the state shown in FIG. 14, the control unit 51 similarly performs a process of rearranging analysis items and inspection items.

  As shown in FIG. 17B, in step S61, the control unit 51 determines whether or not the save button 102 has been pressed on the screen 100 via the input unit 54. When the save button 102 is pressed via the input unit 54, in step S62, the control unit 51 stores the count value displayed in the input value display area 110 in the analysis result table as a visual inspection result. When the area 123 is displayed in the reference information display area 120, the control unit 51 further reads the visual inspection result from the analysis result table and updates the count value of the visual inspection of the area 123. When a comment is displayed in the report comment display area 143 as shown in FIG. 6 when the save button 102 is pressed via the input unit 54, the control unit 51 displays in the report comment display area 143. The displayed comment is stored in the analysis result table.

10 Sample Testing System 20 Urine Qualitative Device 30 Urine Sedimentation Device 50 Information Processing Device 51 Control Unit 52 Storage Unit 52a Program 52c Rule 53 Display Unit 100 Screen 110 Input Value Display Area 110a Value Display Area 120 Reference Information Display Area 121 to 127 Area 146 Rule comment display area 163 area

Claims (20)

A urinary sedimentation device that analyzes formed elements contained in a urine sample for a plurality of analysis items,
An information processing device for receiving the analysis result of the urine sample obtained by the urine sediment device,
The information processing device,
Input part,
Display part,
A first area for displaying an analysis value corresponding to each of the plurality of analysis items of the urine sample received from the urine sediment device, and a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items A second area for displaying information for suggesting an analysis item indicating an analysis value that conforms to, and the count value of the formed portion received through the input unit in the visual inspection of the urine sample using a microscope And a control unit that causes the display unit to display a third region for displaying
The control unit causes the display unit to display a screen including the first region, the second region, and the third region,
The said 3rd area | region is a sample test | inspection system which displays several test items containing a detailed classification item more detailed than at least 1 analysis item of said some analysis item.   The sample inspection system according to claim 1, wherein the control unit causes the second area to display information for suggesting an analysis item indicating an abnormal analysis value.   The sample test system according to claim 1 or 2, wherein the control unit causes the second area to display information for suggesting an analysis item indicating an analysis value having low reliability. Further comprising a urine qualitative device for analyzing chemical components contained in the urine sample,
The information processing device obtains an analysis result of the urine sample obtained by the urine qualitative device,
The control unit is
Cross-check between the analysis result of the urine sample obtained by the urine sediment device and the analysis result of the urine sample obtained by the urine qualitative device,
Information indicating an analysis item having a predetermined relationship between the analysis result of the urine sample obtained by the urine sediment device and the analysis result of the urine sample obtained by the urine qualitative device is provided in the second area. The specimen testing system according to claim 1, which is displayed on the display.   The control unit, the analysis result of the urine sample obtained by the urine sedimentation device, and the information suggesting an analysis item having a discrepancy between the analysis result of the urine sample obtained by the urine qualitative device, The specimen testing system according to claim 4, which is displayed in the second area.   The sample inspection system according to claim 1, wherein the control unit causes the display unit to display the second region as a display region of information suggesting an inspection item to be noted in a visual inspection. .   7. The control unit causes the display unit to display information indicating that a visual inspection is necessary for the urine sample, when the control unit determines that the visual inspection is necessary. Sample inspection system described.   The said 3rd area | region further displays at least 1 test item which carries out the test | inspection object of the same kind as the at least 1 analysis item of said some analysis item, and displays at least 1 test item. Sample inspection system described. The third region displays a plurality of inspection items corresponding to the plurality of analysis items and a value display region corresponding to each inspection item,
9. The controller according to claim 1, wherein the control unit accepts the value of the formed component counted in the visual inspection for each inspection item via the input unit, and displays the accepted count value in the value display area. The specimen inspection system according to one item.   10. The sample testing system according to claim 1, wherein the first region displays a current analysis value and a previous analysis value as analysis results of the urine sample obtained by the urine sedimentation device. . Further comprising a storage unit that stores the predetermined rule,
The control unit provides information for suggesting an analysis item indicating an analysis value that matches the predetermined rule stored in the storage unit among a plurality of analysis values corresponding to the plurality of analysis items in the second area. The specimen testing system according to claim 1, which is displayed on the display. An information processing apparatus for receiving the analysis result of the urine sample obtained by a urine sediment device that analyzes formed elements in a urine sample for a plurality of analysis items,
Input part,
Display part,
A first area for displaying an analysis value corresponding to each of the plurality of analysis items of the urine sample received from the urine sediment device, and a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items A second area for displaying information for suggesting an analysis item indicating an analysis value that conforms to, and the count value of the formed portion received through the input unit in the visual inspection of the urine sample using a microscope And a control unit that causes the display unit to display a third region for displaying
The control unit causes the display unit to display a screen including the first region, the second region, and the third region,
The said 3rd area | region is an information processing apparatus which displays several inspection items containing a detailed classification item more detailed than at least one analysis item of these analysis items.   The information processing apparatus according to claim 12, wherein the control unit causes the second area to display information for suggesting an analysis item indicating an abnormal analysis value.   The information processing device according to claim 12, wherein the control unit causes the second area to display information for suggesting an analysis item indicating an analysis value having low reliability. The control unit is
Obtaining the analysis result of the urine sample obtained by the urine qualitative device for analyzing the chemical components contained in the urine sample,
Cross-check between the analysis result of the urine sample obtained by the urine sediment device and the analysis result of the urine sample obtained by the urine qualitative device,
Information indicating an analysis item having a predetermined relationship between the analysis result of the urine sample obtained by the urine sediment device and the analysis result of the urine sample obtained by the urine qualitative device is provided in the second area. The information processing apparatus according to any one of claims 12 to 14, which is displayed on the screen.   The control unit, the analysis result of the urine sample obtained by the urine sedimentation device, and the information suggesting an analysis item having a discrepancy between the analysis result of the urine sample obtained by the urine qualitative device, The information processing device according to claim 15, which is displayed in the second area.   17. The information processing apparatus according to claim 12, wherein the control unit causes the display unit to display the second region as a display region of information suggesting an inspection item to be noted in a visual inspection. . Further comprising a storage unit that stores the predetermined rule,
The control unit provides information for suggesting an analysis item indicating an analysis value that matches the predetermined rule stored in the storage unit among a plurality of analysis values corresponding to the plurality of analysis items in the second area. The information processing apparatus according to any one of claims 12 to 17, wherein the information processing apparatus displays the information on the information processing apparatus. An information processing method for inputting a result of a visual inspection for a urine sample containing formed components,
A urine sediment device for receiving and displaying an analysis value corresponding to each of the plurality of analysis items obtained by analyzing formed elements in the urine sample for a plurality of analysis items from the urine sediment device A first area, a second area for displaying information for suggesting an analysis item indicating an analysis value that matches a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items, and a microscope are used. And a third region for displaying the count value of the formed portion received through the input unit in the visual inspection of the urine sample, which is included in the display unit,
The processing causes the display unit to display a screen including the first area, the second area, and the third area,
The said 3rd area | region is an information processing method which displays several inspection items containing a detailed classification item more detailed than at least one analysis item of these analysis items. A program for causing a computer to execute a process for inputting a result of a visual inspection for a urine sample containing a formed component,
A urine sediment device for receiving and displaying an analysis value corresponding to each of the plurality of analysis items obtained by analyzing formed elements in the urine sample for a plurality of analysis items from the urine sediment device A first area, a second area for displaying information for suggesting an analysis item indicating an analysis value that matches a predetermined rule among a plurality of analysis values corresponding to the plurality of analysis items, and a microscope are used. And a third region for displaying the count value of the formed portion received through the input unit in the visual inspection of the urine sample, which is included in the display unit,
The processing causes the display unit to display a screen including the first area, the second area, and the third area,
The said 3rd area | region is a program which displays several inspection items containing a detailed classification item more detailed than at least one analysis item of these analysis items.

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