JP3873092B2 - Distributed inspection and measurement system - Google Patents

Description

[0001]
[Technical field to which the invention belongs]
The present invention relates to a distributed inspection / measurement system configured by connecting a plurality of inspection / measurement terminal devices to a central management device via a communication line. The present invention relates to a configuration in which data transmitted from a plurality of terminal devices can be managed centrally in a central management device in response to changes.
[0002]
BACKGROUND OF THE INVENTION
For example, long-term treatment such as diabetes and liver disease Cost As a system for managing such patients while staying at home or supporting home medical care in order to reduce the physical burden of patients with chronic diseases, as shown in JP-A-2-279056, a diabetic patient It has been proposed that blood glucose level data can be transmitted and input to a central microcomputer via a telephone line so that data can be stored for each patient and managed as group data.
[0003]
In the above system, terminal devices are installed in a large number of patient homes, and health management for each patient is performed by clinical data such as blood glucose level data transmitted from each terminal device to a central microcomputer via a telephone line. Or collect it as group data and perform statistical processing.
[0004]
By the way, the terminal device installed in the patient's home is initially adjusted so that each terminal can detect accurate clinical data, but the terminal device installation environment and use conditions are different. Therefore, for example, the output level may change over time, and it is necessary to periodically perform maintenance and inspection.
[0005]
However, when the number of installed terminal devices increases, it becomes difficult to perform regular maintenance and inspection work as described above by dispatching personnel.
[0006]
The present invention has been conceived under such circumstances, and a distributed inspection / measurement system is constructed by connecting a plurality of inspection / measurement terminal devices to a central management device via a communication line. In this case, it is an object of the present invention to enable the central management device to perform accurate data management in response to the difference in characteristics of each terminal device and changes with time.
[0007]
DISCLOSURE OF THE INVENTION
In order to solve the above problems, the present invention employs the following technical means.
[0008]
The distributed inspection / measurement system according to the present invention includes a central management device and a plurality of inspection / measurement terminal devices that can be connected to the central management device via a communication line. A data collection unit that collects data from a sample; and a data transmission unit that transmits data collected by the data collection unit to the central management device. The data collection unit includes: Installed in this data collection department Maintenance data collecting means for measuring a reference sample and collecting maintenance data is provided, and the central management device compares the maintenance data received from the terminal device with a reference value. Other than the maintenance data transmitted from the terminal device It is characterized by comprising data adjustment means for adjusting data.
[0009]
Each terminal device measures a sample to be measured and collects measurement data. At the same time, the terminal device measures a reference sample installed in advance in the data collection unit, and collects the data as maintenance data. These measurement data and maintenance data are transmitted to the central management apparatus via a communication line. In the system according to the present invention, when a plurality of terminal devices are connected to the central management device via a communication line and the central management device performs statistical processing of measurement data, the number of installed terminal devices is enormous. There are numbers. Even in this case, the reference sample provided in each terminal device is a sample of the same standard.
[0010]
By the way, when the data collection unit of the terminal device is configured to amplify the output from the sensor unit by the amplification unit, a reference sample of the same standard is obtained due to variations in initial settings for each terminal device and changes over time. Even in the case of measurement, the output level of the amplifying unit may vary. That is, the gain and offset amount of the amplification unit may be different for each terminal device. In the present invention, the maintenance data obtained from the reference sample is compared with the reference value corresponding to the reference sample in the central management device, and the data is adjusted. Specifically, for example, when adjusting only the gain of the amplifying unit, a ratio between the value of the maintenance data and the reference value is used as an error coefficient, and the sample to be measured is measured using the error coefficient. It adjusts the data that is obtained. When adjusting to the offset amount, two types of reference samples are measured, a function representing the characteristics of the amplification unit in the terminal device is specified, and data is adjusted using this function.
[0011]
In a preferred embodiment, each terminal device collects sample raw data and transmits it to the central management device, and the central management device is configured to obtain the measurement data by calculating the raw data. In this case, data obtained by measuring the reference sample is also raw data. In the central management device, the data is adjusted at the raw data stage or adjusted at the post-computation data stage.
[0012]
In any case, as a result of such a configuration, according to the distributed inspection / measurement system according to the present invention, the number of inspection / measurement terminal devices is enormous, and the characteristics of each terminal device vary with time. Even if there is an error in the measurement data due to a general change, the central management device can unify such errors in the data centrally without requiring maintenance work for each terminal device. Accurate measurement data can be accumulated.
[0013]
In a preferred embodiment, the raw data collection unit in each terminal device measures a calibration sample and collects calibration raw data necessary for calculating measurement data from the measurement raw data. The data calculation means in the central management device further includes measurement raw data received from each terminal device or measurement raw data adjusted by the data adjustment means, and calibration raw data received from each terminal device. Data calculation means for generating measurement data using the data is included.
[0014]
That is, for example, when the system of the present invention is configured to measure the concentration of a specific component in urine by spectroscopic analysis, each terminal device is mainly caused by variations in the output level of the amplification unit as described above. In addition to the reference sample used for centrally correcting the error in the data to be processed in the central management device, for example, preferably a plurality of calibration samples having a prescribed concentration are provided in advance. From the calibration raw data obtained from such a calibration sample, the central control unit creates a calibration curve, and in light of this calibration curve, the concentration of the characteristic component in the sample to be measured, that is, the urine sample set by the patient Is calculated. Even in this case, since all the raw data are error-adjusted as described above, the measurement data accumulated in this way is accurate regardless of variations in the characteristics of the amplifying unit for each terminal device. It will be a thing. In the present invention, the raw data means previous output data having the meaning as clinical data in the case of the clinical examination as described above. That is, it is data at a stage where an output value using an optical method, an electrochemical method, a photoacoustic method, or other methods suitable for a measurement object is converted into an electrical signal. The raw data collected in this way is sent to the central management device via the communication line. After the data adjustment as described above is performed for the first time in the central management device, analysis / calculation (calibration) is performed as clinical data. Meaningful measurement data is obtained.
[0015]
In this way, for example, the distributed type in the above example Inspection / Measurement In the system, the terminal device to be installed at the patient's home has a basic function of measuring the test object (including each sample) and generating the raw data, and placing the raw data on a communication line as a central management device. It is not necessary to provide each terminal device with a complicated function of calculating the concentration of a specific component in a measurement sample by an analysis / calculation (calibration) algorithm. .
[0016]
In a preferred embodiment, the raw data collection unit in the terminal device includes an output level adjustment unit that operates according to a command from a central management device, and the central management device receives maintenance raw data received from the terminal device. Terminal data output level adjusting means for issuing a command to adjust the data output level of the terminal device in a predetermined manner when the deviation from the reference value is greater than or equal to a predetermined value. The data output level is adjusted so that there is no deviation from the reference value of the maintenance raw data. Of course, even if this maintenance of the raw data for maintenance cannot be eliminated by adjusting the output level, the accuracy of the measurement data can be ensured by using the data adjustment means built in the central management device together. Can do.
[0017]
In a preferred embodiment, the central management device includes an abnormality notifying means for notifying that the terminal device is abnormal when the deviation from the reference value of the maintenance raw data received from the terminal device is a predetermined value or more. I have.
[0018]
In such a case, the terminal device has malfunctioned to such an extent that the measurement data cannot be corrected, either by adjusting the terminal data output level or by the action of the data adjusting means performed in the central management device. For example, such an abnormality notification is issued to a system maintenance company or a terminal device. Only when such a situation occurs, each terminal device undergoes maintenance and inspection work by maintenance personnel.
[0019]
Other features and advantages of the present invention will become more apparent from the detailed description given below with reference to the drawings.
[0020]
DETAILED DESCRIPTION OF THE INVENTION
The distributed test and measurement system described below is a distributed health management system in which a clinical test terminal device installed in a home of a home patient who needs long-term treatment is connected to a central management device via a communication line. The present invention is applied to the above. FIG. 1 shows the concept of this distributed health management system 10.
[0021]
The distributed health management system 10 includes a central management device 20 and a plurality of terminal devices 30 that can be connected to the central management device 20 via a communication line 15. For example, the central management device 20 may be installed inside a high-function medical institution such as a university hospital, or may be installed in a monitoring center independent of the medical institution. In principle, each terminal device 30 is installed in a patient's house, but it may be installed in a small medical institution such as a depopulated clinic. When the central management device 20 is independent of the high-function medical institution, as shown in FIG. 1, in order to effectively reflect the results of the distributed health management system 10 in the patient prescription, It is configured to be able to link with the medical institution to which the institution 60 and the doctor in charge of a specific patient belong via the communication line 15. The communication line 15 is generally a public telephone line, but in some cases, an internet line may be used.
[0022]
FIG. 2 is a block diagram showing a configuration of each terminal device 30 described above. Each terminal device 30 includes a CPU 31, a ROM 32, a RAM 33, a gate array 34, an NCU 35, a modem 36, an EEPROM 37, an operation unit 38, a raw data collection unit 40, and a display unit 39. The CPU 31, ROM 32, RAM 33, gate array 34, NCU 35, modem 36, and EEPROM 37 are connected to each other by a bus line. An operation unit 38, a display unit 39, and the raw data collection unit 40 are connected to the gate array 34. The NCU 35 is connected to the modem 36 and the communication line 15. The raw data collection unit 40 includes a maintenance raw data collection unit 50 and a calibration raw data collection unit 51 (see FIG. 5). The specific configuration will be described later.
[0023]
The CPU 31 controls the entire terminal device 30. The ROM 32 stores various programs. The RAM 33 stores various data such as data processed by the CPU 31. The gate array 34 controls input / output with respect to the CPU 31. The NCU 35 is connected to a communication line and performs network control. The modem 36 demodulates reception data and modulates transmission data. The EEPROM 37 stores a flag and the like. The operation unit 38 includes a key switch and the like. The display unit 39 includes an LCD or the like, and is connected to the CPU 31 to perform various displays.
[0024]
FIG. 3 schematically illustrates a configuration example of the raw data collection unit 40 of the terminal device 30. The raw data collection unit 40 is configured to collect raw data for analyzing the concentration of a specific component in a patient's urine by a spectral analysis technique. The sample loading unit 41 can slide by loading a plurality of samples. The first of the samples loaded in the sample loading unit 41 is urine (measurement sample) collected from a patient to be examined. 42 ). This urine is loaded in a state of being put in a predetermined cell. The second of the samples is a reference sample for obtaining raw data for maintenance for adjusting an error on the data caused by the deviation of the output level of the amplifying unit 45. The reference sample 42A can be constituted by, for example, a glass plate, and a plurality of reference samples. 42A May be equipped. A third sample is a calibration sample 42B for obtaining calibration raw data in order to calculate (calibrate) the raw data collected by the terminal device 30 into meaningful data as clinical data. Specifically, the calibration sample 42B is a simulated sample or a real sample containing a specific component having a specified concentration. More preferably, a plurality of calibration samples containing different concentrations of specific components 42B Is prepared. This is because a calibration curve is created in the central management device 20. The above reference sample 42A Part of the above calibration sample 42B It is also conceivable that it can serve as both. The reference sample 42A and the calibration sample 42B are used for each terminal device. 30 Each is equipped with the same standard.
[0025]
The sample loading unit 41 slides between the light emitting unit 43 and the light receiving unit 44 and sequentially guides each sample to the measurement position. At the time of measurement, the light intensity signal received by the light receiving unit 44 is output via the amplification unit 45. More specifically, an electric signal indicating the incident light intensity at the selected wavelength to be incident on the sample and the sample transmitted light intensity at each selected wavelength is input via the amplifying unit 45. Life Output from the data collection unit 40. For wavelength selection, for example, a light emitting unit 43 In addition, a plurality of filters having different colors may be arranged, or light having a selected wavelength among the light dispersed by the spectroscope may be transmitted through the sample.
[0026]
Urine sample to be measured 42 The output electrical signal about is the measured raw data and the reference sample 42A The output electrical signal about is raw data for maintenance, and a calibration sample 42B The output electrical signal for is the raw data for calibration. As shown in FIG. 3, in the present embodiment, the output level of the amplifying unit 45 can be changed by the output level adjusting unit 46. The output level adjustment unit 46 operates according to a command from the central management device 20 described later. Each raw data obtained in this way is transmitted to the central management apparatus 20 via the modem 36 and the communication line 15.
[0027]
FIG. 4 is a block diagram showing the configuration of the central management device 20. The central management device 20 is basically a large computer capable of communication and data processing. That is, the central management device 20 includes a processor 21, a memory such as a ROM 22a, a RAM 22b, an EEPROM 22c, and a hard disk 22d, a gate array 25, a modem 26, an NCU 27, an operation unit 28, a display unit 29, and a recording unit 23. Processor 21, ROM 22a, RAM 22b, gate array 25, EEPROM 22c, modem 26 , Hard disk 22d The NCU 27 and the NCU 27 are connected to each other by a bus line. An operation unit 28, a display unit 29, and a recording unit 23 are connected to the gate array 25. The NCU 27 is connected to the modem 26 and the communication line 15.
[0028]
The processor 21 controls the central management apparatus 20 as a whole. The ROM 22a stores various programs and data. The RAM 22b stores various data such as data processed by the processor 21. The gate array 25 controls input / output with respect to the processor 21. The EEPROM 22c stores a flag and the like. The hard disk 22d is a large-capacity memory, clinical data files for individuals or groups, or each terminal device. 30 A maintenance data file or the like is formed. The modem 26 demodulates the reception data and modulates the transmission data. NCU27 is a communication line 15 Connect to the network and perform network control. The operation unit 28 includes various switch groups and outputs an operation signal corresponding to a user operation. The display unit 29 includes a CRT and the like, and is controlled by the processor 21 to perform various displays. The recording unit 23 records various data on a recording sheet.
[0029]
As shown in the block diagram of FIG. 5, the central management device 20 is provided with various functions substantially realized by a program. That is, broadly divided, the data calculation means 210 for calculating clinical data using each raw data transmitted from the terminal device 30, and clinical data for performing statistical management for each patient using the clinical data thus obtained. A management unit 220 and a system management unit 230 that manages maintenance data and statistical processing of each terminal device.
[0030]
In this embodiment, De The data calculating means 210 uses the maintenance raw data transmitted from each terminal device 30 to each terminal device. 30 The data adjustment means 214 for adjusting the error on the data due to the difference in the output level of the data and the calibration raw data transmitted from each terminal device 30 are used to convert the measurement data (clinical data) from the measurement raw data. Data calibration means 215 for performing calculation (calibration) is included.
[0031]
In the present embodiment, the clinical data management means 220 includes individual clinical data management means 221 for managing the health status of the patient corresponding to each terminal device 30, and each terminal device. 30 And statistical data processing means 222 for performing statistical processing of the corresponding clinical data and determining a normal range as a group, and the individual clinical data management means 221 includes Statistical processing unit 223 for performing processing such as statistical processing of corresponding clinical data for each individual to determine a normal range for each individual, and clinical data calculated from raw data transmitted from each terminal device 30 include the above-mentioned group When there is an abnormality in relation to the normal range and / or the individual-specific normal range, the abnormality report means 224 for issuing an abnormality report, and the clinical data calculated from the raw data transmitted from each terminal device 30 as the group The central management device 20 connects the abnormal clinical data via the communication line 15 when there is an abnormality in the normal range and / or the individual normal range. Abnormal data transfer means 225 for transferring the ability medical institution 60, and the like.
[0032]
In the present embodiment, the system management unit 230 includes a terminal device. 30 Maintenance data statistical processing means 231 for each terminal that records the maintenance data for each time or records the maintenance history, all terminal devices 30 All terminal maintenance data statistical processing means 232 for statistically processing the maintenance data for the terminal device 30 when the maintenance raw data transmitted from the terminal device 30 falls within a predetermined condition range. 45 Terminal data output level adjusting means 233 for issuing an output level adjustment command and a terminal device 30 Maintenance data sent from the terminal device 30 Terminal abnormality notifying means 234 for notifying the terminal abnormality when the malfunction or abnormality is indicated.
[0033]
Next, an example of the operation of the terminal device 30 and the central management device 20 will be described.
[0034]
First, FIG. 6 is a flowchart illustrating an example of the operation of the terminal device 30. For example, a home patient with diabetes has a measurement sample in which urine collected preferably at a predetermined time every morning is placed in a predetermined cell in the sample loading unit 41 of the terminal device 30 installed at home. 42 Set. Measurement sample like this 42 Is set (S101: YES), the raw data collection unit of the terminal device 30 40 Automatically measures the reference sample 42A, the calibration sample 42B, and the measurement sample 42 in order, and collects the maintenance raw data, the calibration raw data, and the measurement raw data (S102, S103, S104). Each of the raw data is data amplified by the amplification unit 45 under a predetermined amplification condition.
[0035]
The maintenance raw data, calibration raw data, and measurement raw data are then automatically transmitted to the central management apparatus 20 by the data transmission means (FIG. 5, reference numeral 55) (S105). More specifically, the electrical signal is A / D converted and transmitted via the modem 36. In this case, an ID code for specifying each terminal device 30 or a patient corresponding to this terminal device 30 is given to the transmission data.
[0036]
Next, when an output level change and data re-transmission command is received from the central management device 20 regarding the raw data previously transmitted within a predetermined time ( S106 : YES), the amplification condition of the amplification unit 45 is adjusted based on the command. (S107) The steps S102 to S105 are repeated. If no amplification condition change and data retransmission instruction is received from the central management apparatus 20 in S106 (S106: NO), the process is terminated.
[0037]
FIG. 7 shows a central management device 20 It is a flowchart which shows an example of the process of. When the raw data, that is, the maintenance raw data, the calibration raw data, and the measurement raw data are received from the terminal device 30 (S201: YES), the ID code of the data is checked and the data relates to which patient. Is identified (S202). Next, the value of the maintenance raw data is compared with the reference value, and it is determined whether the deviation is equal to or less than the first set value (S203). That is, the reference value of the raw data to be obtained by measuring the maintenance samples of the same standard equipped in all the terminal devices 30 is compared with the maintenance raw data actually transmitted from each terminal device 30. If there is a deviation between them, the raw data sent from the terminal device 30 includes the terminal device 30 Amplification part 45 This means that an error due to the output level shift is included. This error is amplified 45 If the error is caused by the difference in gain, the error value is obtained by dividing the maintenance raw data value by the reference value to obtain the error coefficient, and dividing the measurement raw data by this error coefficient. Excluded. In S203, if the deviation between the value of the maintenance raw data and the reference value is equal to or less than the first set value, in S204, the measurement raw data adjustment is performed to remove the error from the measurement raw data using the error coefficient. Is done. Each terminal device 30 In some cases, the output level deviation of the amplification unit 45 during the period includes not only the gain deviation as described above but also the offset amount deviation. In order to adjust the output level in such a case, at least Two reference samples 42A Measure the amplification section 45 The linear characteristics of the measured data are examined, and the measurement raw data is adjusted based on the linear characteristics. The raw data to be adjusted includes the measurement sample 42 Measurement raw data obtained from, and calibration sample 42B There is raw data for calibration obtained from. In both cases, the output section has an output level shift. 45 This is because it is output via.
[0038]
Next, the measurement data is calculated (calibrated) from the measured raw data adjusted as described above (S205). Specifically, two types of calibration samples 42B A calibration curve is created from the adjusted calibration raw data obtained from the above, and the concentration of the specific component in urine corresponding to the value of the adjusted measurement raw data is calculated from the calibration curve.
[0039]
The measurement data as clinical data obtained in this way is judged whether it is normal in view of the normal range as a group (S206), and if abnormal (S206: YES), an abnormality report is made (S206: YES). S214). Specifically, the abnormality report is performed by transmitting an abnormality report signal to the terminal device 30 and displaying the abnormality report signal on the display unit 39 or by reporting to the medical institution 60 to which the doctor in charge of the patient belongs. Is called. When the abnormality report is made to the medical institution 60, the abnormality data is also transferred to the medical institution 60 (S215).
[0040]
The clinical data is then subjected to individual statistical processing (S207) and population statistical processing (S208). That is, in the individual statistical processing, clinical data is accumulated for each identical ID code, and predetermined statistical processing is performed. When long-term home treatment is performed, it is possible to define the normal range as an individual patient by accumulating the above clinical data for each individual, and the normal range is usually the normal range as a group. Narrower. Therefore, by checking the clinical data collected each time in light of such individual normal ranges, it becomes possible to finely manage changes in the health status of home patients. In the group statistical processing, regardless of the ID code, predetermined clinical processing is performed for all clinical data, and a normal range as a group is defined.
[0041]
In S203, if the deviation of the maintenance raw data from the reference value is larger than the first set value (S203: NO), is the deviation of the maintenance raw data from the reference value equal to or less than the second set value? It is determined whether or not (S211). Usually, the second set value is set larger than the first set value. When the deviation is equal to or less than the second set value (S211: YES), an amplification condition change and data retransmission command is transmitted to the terminal device 30 (S212). That is, in this embodiment, when the deviation of the output level of the maintenance raw data transmitted from the terminal device 30 is relatively small, as described above, the data of each raw data in the internal processing of the central management device 20 If the output level shift is relatively large, the adjustment is not handled by the data adjustment in the central management device 20, but the amplification unit of the terminal device 30. 45 This can be dealt with by changing the amplification conditions. The processing within the terminal device 30 that has received such an amplification condition change and data re-transmission command is as described above. The terminal device 30 retransmits the measurement raw data and the calibration raw data collected after changing the amplification conditions. In this case, the processes of S201 to S203 are executed again.
[0042]
In S211, when the deviation of the maintenance raw data from the reference value is larger than the second set value (S211: NO), the terminal device 30 has malfunctioned to the extent that maintenance inspection is required. As a result, a terminal abnormality notification is made (S213). Specifically, this terminal abnormality notification is the distributed health management system. 10 System maintenance company, terminal equipment 30 Or related medical institutions 60 To prevent medical accidents.
[0043]
The maintenance raw data and the history of amplification condition change are attached to the maintenance data statistical processing for each terminal. For example, how the deviation from the reference value has changed over time, or how the amplification condition change has changed. It records what was done in the background. By such statistical processing, for example, it is possible to predict the change tendency of the deviation of the maintenance raw data, and thereby it is possible to predict the maintenance and inspection time of the terminal device 30.
[0044]
Raw data for maintenance and history of changes in amplification conditions are also available for all terminal devices. 30 (S210). Thereby, for example, the overall tendency of deviation from the reference value of the raw data for maintenance can be known, and such information can be effectively used for system maintenance.
[0045]
As described above, in the distributed health management system 10 according to the present embodiment, each terminal device 30 The raw data collection unit 40 and the central management device 20 are provided respectively. De The data calculation means 210 cooperates to exhibit a complete clinical test function. In other words, the central management device 20 constituted by a large computer is in charge of the function of obtaining measurement data having significance as clinical data by executing calculations using raw data. Therefore, the terminal device 30 to be installed in the patient's home can be configured as a simple device having the necessary minimum functions of the raw data collection function and the data transmission function. Therefore, the terminal device 30 becomes relatively inexpensive, and a patient who desires this kind of home health management service or home treatment support service can receive such a service with a relatively low economic burden. .
[0046]
And the terminal device as above 30 Can be provided at low cost is also very significant from the viewpoint of statistical processing of clinical data. That is, since a large amount of data transmitted from a large number of installed terminal devices 30 can be used as a population, more accurate statistical processing can be performed.
[0047]
Further, the error in data caused by the output level deviation for each terminal device 30 is, for example, a reference sample of the same standard equipped in each terminal device 30. 42A Using the maintenance raw data obtained by measuring, for example, the maintenance raw data 20 The measured raw data can be substantially eliminated by a simple method of comparing with the reference value and adjusting the measurement raw data based on the result. Also, depending on the error tendency, the terminal device 30 Central management device for abnormalities 20 Can also grasp. Therefore, the central management device 20 It is possible to remarkably improve the reliability of the measurement data as clinical data that is accumulated in the data and used for grasping the health condition of the patient and statistically processed. Further, when a large number of terminal devices 30 are connected to the central management device 20 to construct a distributed inspection / measurement system, each terminal device 30 Maintenance management is greatly simplified. In this way, on the premise of statistical processing, a huge number of terminal devices 30 In addition, the present invention makes it possible to realize a reliable distributed inspection / measurement system.
[0048]
Of course, the scope of the present invention is not limited to the embodiment described above. For example, as the raw data collection unit 40 included in each terminal device 30, in the above embodiment, as illustrated in FIG. 3, raw data is collected to measure a specific component in a sample by a spectroscopic analysis technique. However, when raw data is collected by an electrochemical method, it can be configured as shown in FIG. That is, a sample loading unit 41 including a measurement electrode 421 and a counter electrode 422, and a plurality of reference resistors 42A, 42B, and 42C corresponding to the difference in concentration are arranged in parallel. The sample loading unit 41 and each reference resistor 42A , 42B, and 42C can be switched and connected to the amplifying unit 45 via the switch 42S. The amplifying unit 45 can adjust the output level by an instruction from the central management device 20 by the output level adjusting unit 46. In this case, any one or a plurality of reference resistors function as a reference sample, and any one or a plurality function as a data calibration sample.
[0049]
In the embodiment, the terminal device 30 Collecting raw data at the central management unit 20 If possible, for example, measurement data having clinical meaning is sent to each terminal device. 30 Get this in the central management device 20 Similarly, the present invention can be applied to the case where statistical processing is performed by transmitting to the network. In short, the present invention is a central management device. 20 Data adjustment, ie, amplification section 45 To adjust the error on the data due to the output level deviation of 42A Each terminal device 30 All the distributed inspection / measurement systems adopting such a concept are included in the scope of the present invention.
[0050]
Furthermore, using the calibration data, the central control unit 20 Of course, as a means for performing calibration, a multivariate regression analysis method is used to simultaneously quantitatively analyze a plurality of urinary components, which is included in the scope of the present invention.
[0051]
Further, in the above-described embodiment, the terminal device 30 In the measurement sample 42 Each time raw data is collected 42A Raw data, ie terminal equipment 30 Central management device that collects raw data for maintenance 20 For example, sequentially, central management device 20 Collect raw data for maintenance in accordance with the instructions from the central management device 20 You may make it transmit to a maintenance raw data regularly, and this is centralized management equipment 20 You may make it transmit to.
[Brief description of the drawings]
FIG. 1 is a conceptual diagram of a distributed health management system as an example of a distributed inspection / measurement system of the present invention.
FIG. 2 is a block diagram of a terminal device constituting the distributed health management system.
FIG. 3 is a schematic diagram of a configuration example of a raw data collection unit (spectral analysis means) included in the terminal device.
FIG. 4 is a block diagram of a central management device constituting the distributed health management system.
FIG. 5 is a functional block diagram of a terminal device and a central management device constituting the distributed health management system.
FIG. 6 is a flowchart showing an example of processing in the terminal device.
FIG. 7 is a flowchart showing an example of processing in the central management apparatus.
FIG. 8 is a schematic diagram of a configuration example of a raw data collection unit (electrochemical technique) included in the terminal device.
[Explanation of symbols]
10 Decentralized health management system
20 Central management device
30 Terminal device
40 Raw Data Collection Department
41 Sample loading section
42A Reference sample
42B school Regular sample
50 Maintenance data collection means
210 De Data calculation means
214 Data adjustment means
220 Clinical data management means
230 System management means
233 Terminal data output level adjustment means

Claims (5)

A central management device and a plurality of inspection / measurement terminal devices connectable to the central management device via a communication line;
Each terminal device includes a data collection unit that collects data from a sample, and a data transmission unit that transmits data collected by the data collection unit to the central management device,
The data collection unit includes maintenance data collection means for measuring a reference sample installed in the data collection unit and collecting maintenance data,
The central management device includes data adjustment means for comparing maintenance data received from the terminal device with a reference value and adjusting data other than the maintenance data transmitted from the terminal device. A featured distributed inspection and measurement system. A central management device and a plurality of inspection / measurement terminal devices connectable to the central management device via a communication line;
Each of the terminal devices includes a raw data collection unit that collects raw data from a sample, and a data transmission unit that transmits the raw data collected by the raw data collection unit to the central management device,
The raw data collection unit includes maintenance raw data collection means for measuring a reference sample and collecting maintenance raw data.
The central management device calculates the measurement raw data received from each terminal device to generate measurement data, and compares the maintenance raw data received from each terminal device with a reference value to measure the measurement data. A distributed inspection characterized by comprising raw data adjustment means or data adjustment means for adjusting the measurement data by comparing maintenance data calculated from the maintenance raw data with a reference value・ Measurement system. The raw data collection unit in each of the terminal devices further includes a calibration raw data collection unit that measures a calibration sample and collects calibration raw data necessary to calculate measurement data from the measurement raw data. ,
The data calculation means in the central management device uses the measurement raw data received from each terminal device or the measurement raw data adjusted by the data adjustment means and the calibration raw data received from each terminal device. The distributed inspection / measurement system according to claim 2, further comprising data operation means for generating The raw data collection unit in the terminal device includes an output level adjustment unit that operates according to a command from a central management device,
The central management device, when the deviation from the reference value of the maintenance raw data received from each terminal device is greater than or equal to a predetermined value, terminal data that issues a command to adjust the data output level of the terminal device as predetermined The distributed inspection / measurement system according to claim 2, further comprising an output level adjustment unit.   The central management device includes abnormality notifying means for notifying that the terminal device is abnormal when the deviation from the reference value of the maintenance raw data or maintenance data received from each terminal device is greater than or equal to a predetermined value. The distributed inspection / measurement system according to claim 2 or 3.

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