JP4413115B2 - Sample information management apparatus and sample information management method - Google Patents

Description

  The present invention relates to a sample information management apparatus and a sample information management method for managing various types of information (hereinafter referred to as sample information) of a sample contained in a sample container such as a blood collection tube, a test tube, and a petri dish.

  In hospitals, when a patient's (subject's) blood or urine obtained by blood collection or urine collection (hereinafter referred to as a specimen) is stored in a specimen container for examination, a label is attached to the specimen container. In addition, patient information (for example, name, gender, department name, ward, etc.), examination information (for example, examination items, etc.) and information on specimen processing (for example, infectious disease marks, emergency classification, etc.) Fill in. Conventionally, these pieces of information are written on a label by handwriting or printing, and each of the labels on which various pieces of information are entered is manually attached to each specimen container. Therefore, such label entry work and sticking work are troublesome and work efficiency is poor.

  For example, various types of examinations are performed in hospitals, and specimen containers are prepared corresponding to these examinations. The sample container has caps of different shapes and different colors corresponding to each of the test items so that it can be identified at a glance that the sample container is the target test item among various test items. When affixing a label to such a sample container, it is necessary for the operator to select the sample container corresponding to the patient information or examination information entered on the label and then affix the label. There is. Therefore, it takes time for the attaching operation, and there is a possibility that the label is attached to the wrong sample container. An erroneous label attachment may lead to a medical error because an inspection different from the original inspection is performed.

  Therefore, as a method to improve the efficiency of label sticking work and prevent false sticking, labels with various information such as patient information and examination information are automatically pasted on the appropriate sample container corresponding to the information. There is a method of using a device (hereinafter referred to as a sample container preparation device) that automatically wears this sample container for each patient (see, for example, Patent Document 1 and Patent Document 2). In such a method, a specimen container is prepared in advance using such a specimen container preparation apparatus.

  FIG. 9 is a schematic diagram showing an example of a conventional label created by the specimen container preparation device. As shown in FIG. 9, the created label includes a patient name 901, an infectious disease mark 902, a specimen container type 903, an emergency classification 904, and a specimen type material name (specifically, blood, plasma, serum) , Dialysate, spinal fluid, etc.) 905, collection amount 906, memo 907, bar code 908, collection date 909, requester 910, patient ID 911 and sample number 912 are entered. Here, the sample number 912 indicates the content of the barcode 908. In recent hospitals, centralized management of the entire hospital is performed by a server, and various information is used in the form of barcodes.

  Such a label 900 is created by the specimen container preparation device, and the created label 900 is attached to the specimen container. Thereby, a specimen container used for specimen collection is prepared in advance before specimen collection. A sample is collected using the sample container, and the obtained sample is appropriately inspected.

  For example, in a hospital, when an outpatient performs a predetermined procedure at reception, a patient ID is given to the patient, and information on the patient, specifically, the patient's name, department name, and examination instruction ( For example, information such as inspection items) and visit dates (examination dates) is input to the server.

  Then, the specimen container preparation device creates the label 900 of FIG. 9 based on the information input to the server, and attaches the label 900 to the specimen container to provide the specimen necessary for the patient. Prepare the container. When collecting a sample of a patient, in the collection room (for example, blood collection room), while confirming the examination information of the patient based on the patient ID information from a terminal connected to the server, the contents of the patient ID information, The contents of the information described in the label 900 of FIG. 9 are confirmed. Then, a sample is collected from the patient, and the collected sample is stored in an appropriate sample container.

  The sample collected in this way is transported to the examination room while being held in the sample container, and various processes are performed. Thereby, a test result is obtained. Such examinations in hospitals are not limited to outpatients, but are also performed on ward patients.

JP-A-5-97133 JP-A-8-198226

  The introduction of the specimen container preparation device as described above requires high costs. Moreover, even if introduction is required at a high cost, in hospitals, an outpatient patient and a ward patient are combined and a very large number of patients are examined per day. Since blood collection is performed using about this number of blood collection tubes, not all of the number of sample containers necessary for the test can be covered by the sample container preparation device, and 80 to 90% of the sample containers used in hospitals. Can only cope with the degree. Therefore, with respect to the remaining specimen containers, labeling by manual work as in the past is required, and a printer or the like for producing labels for manual work is required separately from the specimen container preparation apparatus. In some cases.

  In addition, when the sample container preparation device is used, the sample container is prepared in advance corresponding to the patient. Therefore, the sample container is not prepared in advance or more than the number prepared. Therefore, it is difficult to respond to an emergency because the response to a patient or the like that requires a specimen container is insufficient. For example, if an emergency patient needs to be examined urgently, or because more specimen containers are required than the number of prepared specimen containers due to damage to the specimen containers or addition of examination items, etc. In such a case, the preparation of the sample container using the sample container preparation device is not in time, and therefore, manual labeling as in the past is required.

  In hospitals, the expiration date of the sample is usually set, and the sample collection time is important in determining the expiration date, but in the sample container prepared by the sample container preparation device, Information about the collected time cannot be automatically printed on the label 900. Therefore, if the time information is to be recorded, manual entry is required.

  Furthermore, since the created label contains personal information about the patient, there is a possibility of infringing on the privacy of the patient.

  The present invention provides a sample information management apparatus and a sample information management method capable of improving the efficiency of sample collection work and easily performing unified management of sample information in order to solve the above-described problems caused by the prior art. For the purpose.

  In order to solve the above-described problems and achieve the object, the sample information management apparatus according to the first aspect of the present invention receives the subject identification information given to the subject in advance before sample collection and the examination information of the subject. A database registration means for registering the subject identification information and the examination information in a database, a reading means for the subject identification information, and a container identification information reading means for reading the specimen container identification information previously given to the specimen container. The specimen identification information obtained by the first reading by the container identification information reading means, comprising a linking means for associating the subject identification information, the examination information, and the specimen container identification information Is used for the association by the associating means, and obtained by the second reading by the container identification information reading means. The specimen container identification information, characterized in that used for confirmation of completion of the sample collection.

  According to such a configuration, the container identification information for the sample can be associated with the subject identification information and the examination information registered in advance in the database registration unit by the associating unit. Therefore, it is not necessary to describe subject identification information and test information with a label or the like in advance on a specimen container as in the past, in other words, even if a specimen container dedicated to a subject is not prepared in advance for each subject, By reading the specimen container identification information at the time of specimen collection, it is possible to automatically associate the subject with the specimen container at any time. In addition, since the completion of sample collection is confirmed based on the sample container identification information obtained by the second reading, the necessary sample collection can be appropriately performed without causing any omission of collection based on the examination information registered in the database. Can be performed. Further, for example, in the configuration in which the time at which the second sample container identification information is read is set as the sample collection time, the sample collection time information can be easily acquired by the reading.

  Therefore, in such a configuration, it is only necessary to prepare a sample container to which sample container identification information is given in advance, and therefore it is possible to respond quickly even when there are a large number of subjects, urgent cases, and unexpected situations. Is possible. As a result, it is no longer necessary to attach the label manually, so that the work efficiency of sample collection is improved, and erroneous work due to the subject's mistakes is prevented.

  The specimen information management device according to a second aspect of the invention is the invention according to the first aspect, wherein the examination information is searched from the database based on the inputted subject identification information and the inputted specimen Database search means for searching the subject identification information and the examination information from the database based on the container identification information.

  According to such a configuration, unified management of subject identification information, test information, and specimen container identification information is realized, so that specimen information can be managed accurately and efficiently. In particular, since it is possible to obtain subject identification information and test information from a database search for a specimen container to which only specimen container identification information is given, the personal information of the subject is described as in the past. There is no need to attach the label or the like to the sample container. Therefore, personal information can be protected.

  The specimen information management device according to the invention of claim 3 further comprises display means for displaying the subject identification information, the examination information, and the specimen container identification information in the invention of claim 1 or 2, Sample collection and sample examination are performed based on the examination information displayed on the display means.

  According to such a configuration, it is possible to confirm the contents of processing and the like based on the subject identification information, the examination information, and the specimen container identification information displayed on the display means. Further, it is possible to confirm at a glance the correspondence between the subject identification information, the examination information, and the sample container identification information.

  According to a fourth aspect of the present invention, there is provided a sample information management apparatus according to the second or third aspect, wherein the first terminal disposed in the sample collection receiving unit and the first terminal disposed in the sample collection unit are provided. 2 terminals, a third terminal arranged in the sample processing unit, and a server to which the first, second and third terminals are connected via a network, the server registering the database Means, the linking means, and the database search means, wherein the first terminal comprises input means for inputting the subject identification information and the examination information, and the second terminal comprises the Subject identification information reading means, container identification information reading means, and display means are provided, and the third terminal includes the container identification information reading means and the display means.

  According to such a configuration, it is possible to easily realize unified management of sample information by the server. And it becomes possible to perform the process without an error efficiently under management by such a server.

  According to a fifth aspect of the present invention, there is provided the sample information management apparatus according to any one of the first to fourth aspects, wherein the sample container identification information is displayed as a barcode, and the container identification information reading means is provided. Is a bar code reader.

  According to such a configuration, it is possible to easily and accurately read the specimen container identification information using the barcode reader. Therefore, the work efficiency of sample collection can be further improved.

  According to a sixth aspect of the present invention, the sample information management apparatus according to any one of the first to fifth aspects further comprises a time measuring means, and the database registration means is acquired by the time measuring means. Specimen collection time information is registered in the database.

  According to this configuration, it is possible to automatically register in the database the sample collection time information indicating when the sample was collected. With the sample collection time information acquired in this way, it becomes possible to easily and accurately manage the expiration date of the sample.

  Further, in the sample information management method according to the seventh aspect of the invention, the subject identification information given to the subject in advance before sample collection and the test information of the subject are input, and the subject identification information and the test information are obtained. A database registration step for registering in the database, a container identification information reading step for reading the sample container identification information previously given to the sample container by a reading means, the subject identification information, the test information, and the sample container identification information; The sample identification information acquired by the first reading by the container identification information reading step is used for the association by the association unit, The sample container identification information acquired by the second reading in the container identification information reading step is the sample collection. Characterized in that it is used in the termination confirmation.

  According to such a configuration, it is possible to associate the specimen container identification information with the subject identification information and the examination information registered in advance in the database registration unit by the associating step. Therefore, it is not necessary to describe subject identification information and test information with a label or the like in advance on a specimen container as in the past, in other words, even if a specimen container dedicated to a subject is not prepared in advance for each subject, By reading the specimen container identification information at the time of specimen collection, it is possible to automatically associate the subject with the specimen container at any time. In addition, since the completion of sample collection is confirmed based on the sample container identification information obtained by the second reading, the necessary sample collection can be appropriately performed without causing any omission of collection based on the examination information registered in the database. Can be performed. Further, for example, in the configuration in which the time at which the second sample container identification information is read is set as the sample collection time, the sample collection time information can be easily acquired by the reading.

  Therefore, in such a configuration, it is only necessary to prepare a sample container to which sample container identification information is given in advance, and therefore it is possible to respond quickly even when there are a large number of subjects, urgent cases, and unexpected situations. Is possible. As a result, it is no longer necessary to attach the label manually, so that the work efficiency of sample collection is improved, and erroneous work due to the subject's mistakes is prevented.

  The specimen information management method according to the invention of claim 8 is the invention according to claim 7, wherein the subject identification information is read, and the examination information is read from the database based on the read subject identification information. A step of performing a search, a step of selecting a sample container based on the examination information acquired by the search, reading the sample container identification information, and based on the read sample container identification information And a step of retrieving the subject identification information and the examination information from the database.

  According to such a configuration, unified management of subject identification information, test information, and specimen container identification information is realized, so that specimen information can be managed accurately and efficiently. In particular, since it is possible to obtain subject identification information and test information from a database search for a specimen container to which only specimen container identification information is given, the personal information of the subject is described as in the past. There is no need to attach the label or the like to the sample container. Therefore, personal information can be protected.

  The specimen information management method according to the invention of claim 9 is the invention according to claim 7 or 8, wherein the specimen container identification information is displayed in a barcode, and the specimen container identification information reading step comprises the steps of: The specimen container identification information is read by a barcode reader.

  According to such a configuration, it is possible to read the sample container identification information easily and accurately using the barcode reader. Therefore, the work efficiency of sample collection can be further improved.

  According to the sample information management apparatus and the sample information management method of the present invention, it is possible to improve the efficiency of sample collection work and to easily perform unified management of sample information.

  Exemplary embodiments of a sample information management apparatus and a sample information management method according to the present invention will be described below in detail with reference to the accompanying drawings. Here, blood sampling is illustrated as a sample collection applied to the present invention, and a blood collection tube is illustrated as a sample container. The blood collection test target may be either an outpatient or a ward patient.

(Embodiment)
FIG. 1 is a schematic diagram showing an overall configuration of a sample information management apparatus according to an embodiment of the present invention. As shown in FIG. 1, in the sample information management apparatus, information management of the reception 101, blood collection chamber 102, and examination room 103 is performed by the server 100 via the network 104. Here, the reception 101 corresponds to a hospital outpatient reception or a medical department reception.

  The sample information management apparatus includes a server 100 that manages information of the entire hospital, a terminal 105 disposed in the reception 101, a terminal 107 disposed in the blood collection chamber 102, and a terminal 109 disposed in the examination room 103. And the analyzer 111, the server 100, the terminals 105, 107, 109, and the network (LAN) 104 disposed in the hospital connecting the analyzer 111.

  Here, the case where there is one terminal 105 of the reception 101 connected to the server 100 via the network 104 is illustrated, but a configuration in which a plurality of terminals 105 are connected may be employed. In addition, the blood collection chamber 102 and the examination chamber 103 may have a configuration in which a plurality of terminals 107 and 109 are connected similarly to the reception 101.

  Although details of the hardware configuration of the terminal 105 disposed in the reception 101, the terminal 107 disposed in the blood collection chamber 102, and the terminal 109 disposed in the examination room 103 are omitted in the drawing and detailed description, the terminal 105 includes, for example, a CPU, a memory, a display, a keyboard 106 as an input means, a mouse, and the like. The terminal 107 and the terminal 109 include, for example, a CPU, a memory, a display, barcode readers 108 and 110 serving as input means, a keyboard, and the like. These terminals 105, 107, and 109 may be appropriately connected to peripheral devices such as a printer.

  A plurality of analyzers 111 arranged in the examination room 103 may be arranged corresponding to the type of examination, and a plurality of analyzers 111 that perform the same kind of examination may be arranged. Specifically, the analyzer 111 corresponds to a measuring device or the like.

  FIG. 2 is a block diagram showing a hardware configuration of the server 100 of FIG. As shown in FIG. 2, the server 100 in FIG. 1 includes a CPU 201, a ROM 202, a RAM 203, an HDD (hard disk drive) 204, an HD (hard disk) 205, a display 206, and a network I / F (interface) 207. And a keyboard 208 and a mouse 209.

  Each of the components 201 to 209 is connected by a bus 200. Although not shown here, the server 100 (see FIG. 1) includes an FD drive, a CD / DVD drive, and an FD, CD, and DVD as examples of a removable recording medium as appropriate. In addition, peripheral devices such as scanners and printers may be included as appropriate.

  The CPU 201 governs overall control of the server 100 (see FIG. 1). The ROM 202 stores a boot program and the like. The RAM 203 is used as a work area for the CPU 201. The HDD 204 controls data read / write with respect to the HD 205 according to the control of the CPU 201. The HD 205 stores data written according to the control of the HDD 204. The display 206 displays various information such as documents and images as well as a cursor, a window, an icon, and the like. A network I / F 207 is connected to the network 104 and controls transmission / reception of information between the network 104 and the server 100 (see FIG. 1). A keyboard 208 and a mouse 209 are input means for inputting information into the server 100 (see FIG. 1).

  FIG. 3 is a block diagram showing a functional configuration of the server 100 of FIG. As illustrated in FIG. 3, the server 100 includes a reception unit 301, a transmission unit 302, a control unit 303, a database management unit 304, and a database (hereinafter abbreviated as DB) 308. The database management unit 304 includes a registration unit 305, a search unit 306, and a linking unit 307. The control unit 303 is a functional unit that controls each unit of the reception unit 301, the transmission unit 302, the database management unit 304, and the DB 308, and realizes specimen information management described later.

  The receiving unit 301 receives terminals 105, 107, and 109 (see FIG. 1) of the reception 101 (see FIG. 1), the blood collection chamber 102 (see FIG. 1), and the examination room 103 (see FIG. 1) via the network 104 (see FIG. 1). Information), specifically, received information such as patient ID information D1, examination information D2, blood collection ID information D3, association information D4, blood collection time information D5, etc., which will be described later Receive.

  The database management unit 304 registers each piece of information received by the reception unit 301 with the registration unit 305 and stores each piece of information in the DB 308. Then, in response to a read request from each of the terminals 105, 107, and 109 (see FIG. 1), the search unit 306 of the database management unit 304 appropriately searches and reads information from the DB 308. The information read in this way is appropriately transmitted from the transmission unit 302 to each of the terminals 105, 107, and 109 (see FIG. 1) via the network 104 (see FIG. 1).

  Further, the association unit 307 of the database management unit 304 stores information (for example, corresponding to blood collection tube ID information D3 described later) transmitted from each terminal 105, 107, 109 (see FIG. 1) to the server 100 in the DB 308. In other words, the received information (blood collection ID information D3) is associated with the information (patient ID information D1 and examination) in the DB 308, for example, corresponding to patient ID information D1 and examination information D2 described later. Information D2) is associated and associated.

  Here, information indicating the relationship between the received information (blood collection ID information D3) and information in the DB 308 (patient ID information D1 and examination information D2) is referred to as association information D4. The association information D4 is registered in the registration unit 305 and then stored in the DB 308. Although details will be described later, for example, when the blood collection tube ID information D3 is transmitted from the terminal 109 (see FIG. 1) of the examination room 103 (see FIG. 1) to the server 100, the server 100 receives the received blood collection tube ID information D3. Based on this, the search unit 306 searches the DB 308.

  In this search, it is possible to search and read patient ID information D1 and examination information D2 related to the blood collection tube ID information D3 from the input blood collection tube ID information D3 using the association information D4. . The patient ID information D1 and examination information D2 read in this way are transmitted from the transmission unit 302 to the terminal 109 (see FIG. 1) via the network 104 (see FIG. 1). As a result, the terminal 109 (see FIG. 1) can acquire the patient ID information D1 and the examination information D2 from the blood collection tube ID information D3.

  As described above, in the sample information management apparatus according to the present embodiment, the registration unit 305 and the DB 308 of the server 100 correspond to the database registration unit, and the terminal 107 of the blood collection chamber 102 corresponds to the subject identification information reading unit. The barcode reader 108 and terminal 107 of the blood collection chamber 102 correspond to container identification information reading means, the linking unit 307 of the server 100 corresponds to linking means, the search unit 306 of the server 100 corresponds to database search means, The terminals 101, 107, 109 of the reception 101, blood collection chamber 102 and examination room 103, and the display of the server 100 correspond to display means. Further, a clock built in the terminal 107 of the blood collection chamber 102 corresponds to a time measuring means. Further, here, the subject identification information corresponds to the patient ID information D1, the examination information corresponds to the examination information D2, and the sample container identification information corresponds to the blood collection ID information D3.

  Subsequently, the sample information management method in the present embodiment will be described by describing the sample information management process in the sample information management apparatus having the above-described configuration. Here, sample information management in blood collection of a normal outpatient or ward patient will be described. FIG. 4 is a flowchart showing an outline of sample information management processing in the sample information management apparatus shown in FIG. FIG. 5 is a diagram showing a specific mode of processing between the server 100 and the terminal 107 shown in FIG.

  First, as shown in FIG. 4, when a patient performs a predetermined procedure at the reception 101 (see FIG. 1), a patient ID is given (step S101). Here, the patient ID is, for example, an identification number such as an ID card given to the patient at the reception 101 (see FIG. 1), and the patient ID information D1 described below specifically includes It corresponds to the information of the identification number. The predetermined procedure is, for example, entry of name, sex, department name, ward, etc., and patient information is acquired by this procedure.

  When the patient procedure is completed, the terminal 105 (see FIG. 1) transmits a patient information registration request to the server 100 at the reception 101 (see FIG. 1). When the server 100 receives the request, the server 100 transmits a patient information registration form to the terminal 105. And the terminal 105 (refer FIG. 1) which received the patient information registration form inputs the acquired patient ID information D1 and the test | inspection information D2 which shows the content of the test | inspection to the said patient (step S102). The completed patient information registration form is transmitted from the terminal 105 to the server 100 and received by the server 100 again. Thereby, in the server 100, the patient ID information D1 and the examination information D2 transmitted from the terminal 105 are registered in the registration unit 305 (see FIG. 3) and stored in the DB 308 (see FIG. 3) (step S103).

  FIG. 6 is a schematic diagram showing the configuration of the DB 308 that stores patient ID information D1 and examination information D2. As illustrated in FIG. 6, the DB 308 includes information regarding a patient ID, a patient name, an examination date, and an examination item. In FIG. 6, the ID and blood collection time of the blood collection tubes 1 and 2 in which information is newly stored at the time of blood collection to be described later are blank.

  For example, from this DB 308, information that “Taro Yamada” is given the patient ID information D1 (see FIG. 4) “12345” is obtained. For “Taro Yamada”, blood is collected using “blood collection tube 1” and “blood collection tube 2”, and “blood collection tube 1” is subjected to the examination of “glucose” and “HbA1c”. "Is obtained inspection information D2 (see FIG. 4) for use in inspection of" CRP "and" AST ".

  When “Taro Yamada” goes to the blood collection chamber 102 (see FIG. 1), first, the patient ID is read (step S104). Then, the patient ID information D1 acquired by such reading is transmitted from the terminal 107 of the blood collection chamber 102 (see FIG. 1) to the server 100. In the server 100, the search unit 306 searches the DB 308 based on the received patient ID information D1 (step S105), thereby reading the examination information D2 of the patient. Then, the inspection information D2 acquired in this way is transmitted to the terminal 107.

  The terminal 107 that has received the test information D2 from the server 100 creates information related to the blood sampling instruction based on the test information D2, and displays the blood sampling instruction information on the display of the terminal 107 as shown in FIG. Display) (step S106). As described above in the description of the DB 308 in FIG. 6, the patient includes a blood collection tube 1 for examination of “glucose” and “HbA1c”, and a blood collection tube 2 for examination of “CRP” and “AST”. As shown in FIG. 5, a blood collection tube for a tea cap corresponding to the blood collection tube 1 and a blood collection tube for a blue plug corresponding to the blood collection tube 2 are displayed on the display of the terminal 107. Are used for blood collection one by one.

  Here, the blood collection tube of the tea plug is specifically a blood collection tube for a specimen to be used for the examination of the glucose level and the HbA1c value, that is, the blood collection tube 500a of FIG. Specifically, the blood collection tube is a blood collection tube for a specimen to be used for the examination of the CRP value and the AST value, that is, the blood collection tube 500b in FIG. Normally, blood collection tests use different types of blood collection tubes depending on the contents of the test, and therefore, about 8 types of blood collection tubes are prepared for each type in the blood collection chamber 102 (see FIG. 1). Yes. For this reason, the color of the stopper (cap) is changed according to the type of the blood collection tube from the viewpoint of the workability of the blood collection person and prevention of erroneous selection of the blood collection tube, etc., so that the type of the blood collection tube can be identified at a glance It is said. In this case, a brown plug 501a is attached to the blood collection tube 500a shown in FIG. 5 used for the glucose level and HbA1c values, while the blood collection tube 500b shown in FIG. 5 is used for the CRP value and AST value. Is fitted with a blue plug 501b.

  As shown in FIG. 5, the blood collection person, based on the blood collection instruction display displayed on the display of the terminal 107, the blood collection tube 500a to which the brown stopper 501a is attached and the blood collection tube 500b to which the blue stopper 501b is attached. And select one each. Then, each of the barcodes 502a and 502b of the label 502 attached to each of the selected blood collection tubes 500a and 500b is read by the barcode reader 108 (see FIG. 1) (step S107). Here, this reading is defined as the first reading, in distinction from the reading step S110 described later.

  FIG. 7 is an enlarged view of the label 502 of the blood collection tube 500a of FIG. As shown in FIG. 7, the label 502 includes a barcode 502a, a container type of the blood collection tube 500a (that is, a display indicating which examination is used) 701, a collection amount 702, and the barcode 502a described above. And a blood collection tube ID number 703 that displays the number of contents. The barcode 502a of the label 502 is different for each blood collection tube not only between the blood collection tube 500b used for different types of examination but also between the blood collection tubes 500a used for the same kind of examination. It is inherent to blood vessels. Note that FIG. 7 is an example of the configuration of the label 502, and other configurations may be used. For example, an indication such as an emergency classification or an infectious disease mark may be written on the label 502 as necessary.

  When the barcodes 502a and 502b are read by the barcode reader 108 (see FIG. 1), the collection tube ID information D3 of the collection tubes 500a and 500b represented by the barcodes 502a and 502b is acquired. Specifically, the blood collection tube ID information D3 of the blood collection tube 500a is “228-44658” shown in FIG. 8 described later, and the blood collection tube ID information D3 of the blood collection tube 500b is “002” shown in FIG. 38597 ". The blood collection ID information D3 is transmitted from the terminal 107 to the server 100. In the server 100, the received blood collection tube ID information D3 of the blood collection tubes 500a and 500b is associated with the patient ID information D1 and the examination information D2 by the association unit 307 (see FIG. 3) (step S108). .

  By such linking, the blood collection tube 500a (see FIG. 5) becomes “glucose” (see FIG. 6) and “HbA1c” (see FIG. 6) of “Taro Yamada” (see FIG. 6) of the patient ID “12345” (see FIG. 6). 6) (see FIG. 6), and the blood collection tube 500b (see FIG. 5) is the “CRP” (see FIG. 6) and “AST” (see FIG. 6) of the patient. The information indicating that the blood collection tube 2 is used for the examination of FIG. 6 (see FIG. 6), that is, the association information D4 is registered in the registration unit 305 (see FIG. 3), and then the DB 308 (see FIG. 6). 3) (step S109).

  Here, the blood collection tube 500a (see FIG. 5) corresponds to either the blood collection tube 1 or the blood collection tube 2 in the DB 308 shown in FIG. 6, and the blood collection tube 500b (see FIG. 5) is shown in FIG. Which of the blood collection tubes 1 and 2 in the DB 308 corresponds to the information displayed in each barcode 502a, 502b (see FIG. 5) attached to each of the blood collection tubes 500a, 500b (see FIG. 5). Based on the automatic identification.

  FIG. 8 is a schematic diagram showing the configuration of the DB 308 acquired by such tying. As shown in FIG. 8, the blood collection ID information D3 “228-44658” acquired by reading the barcode 502a (see FIG. 5) of the blood collection tube 500a in FIG. Stored in On the other hand, blood collection ID information D3 “002-38597” acquired by reading the barcode 502b (see FIG. 5) of the blood collection tube 500b in FIG. 5 is stored in the DB 308 as “ID of blood collection tube 2”.

  After associating the patient ID information D1, the examination information D2, and the blood collection tube ID information D3 as described above, as shown in FIG. 5, the blood sampler collects blood from the patient and collects the collected blood. The blood vessels 500a and 500b are accommodated respectively. Then, to confirm the end of blood collection, the barcodes 502a and 502b of the blood collection tubes 500a and 500b are read again by the barcode reader 108 (see FIG. 1) (step S110). The blood collection tube ID information D3 obtained by reading the second barcode 502a, 502b is input to the terminal 107 as a blood collection end signal. Thereby, the display of blood collection is performed on the display of the terminal 107.

  As shown in FIG. 5, here, the display of blood collection is performed using a check symbol. Specifically, when blood collection of the blood collection tube 500a is completed, a check symbol is displayed in a check box next to the tea stopper display, and when blood collection of the blood collection tube 500b is completed, a check symbol is displayed in the check box next to the blue plug display. . In addition, the display after blood collection is not limited to the display using such a check symbol, and may be a display other than this. For example, even when the blood collection ID information D3, which is a blood collection end signal, is input to the terminal 107, the blood collection instruction display disappears, or the display change such as the change in the display color of characters is realized. Good.

  When blood collection of the blood collection tubes 500a and 500b is completed and check marks are displayed in all the check boxes, the blood collection person uses the input means such as a keyboard or a mouse to send a blood collection end signal indicating that the examination is completed to the terminal 107. To enter. Thereby, blood collection is completed. At the end of blood collection, as shown in FIG. 4, the terminal 107 transmits blood collection time information D5 acquired from a built-in clock to the server 100. Then, the server 100 registers the received blood collection time information D5 in the registration unit 305 and stores it in the DB 308 (see FIG. 3) (step S111). Thereby, as shown in FIG. 8, blood collection time information D5 of the blood collection tube 1 and the blood collection tube 2 is added to the DB 308.

  Here, the time at which blood collection of the two blood collection tubes 500a and 500b (see FIG. 5) is completed is the blood collection end time. However, for example, when blood collection is completed for each of the blood collection tubes 500a and 500b (see FIG. 5). The barcodes 502a and 502b (see FIG. 5) may be read, and the blood collection time information D5 may be acquired for each of the blood collection tubes 500a and 500b (see FIG. 5).

  If the blood collection fails, the barcodes 502a and 502b (see FIG. 5) of the failed blood collection tubes 500a and 500b (see FIG. 5) are read, and the blood collection tubes 500a and 500b are read from the DB 308 (see FIG. 8). The blood collection tube ID information D3 (see FIG. 8) of (see FIG. 5) is read, and the blood collection tube ID information D3 (see FIG. 8) is deleted from the DB 308 (see FIG. 8). Thereby, it is possible to return to the stage of the symbol A in FIG. 4 and perform a new operation from the selection of the blood collection tubes 500a and 500b (see FIG. 5).

  As shown in FIG. 5, the blood collection tubes 500 a and 500 b after blood collection are transported to the examination room 103. In the examination room 103, arrival confirmation of the blood collection tubes 500a, 500b is performed (step S201), and the barcode 502a, 502b of the blood collection tubes 500a, 500b is read using the barcode reader 110 (see FIG. 1). Is performed (step S202). By reading the barcodes 502a and 502b, the blood collection tube ID information D3 (see FIG. 8) of the blood collection tubes 500a and 500b displayed on the barcodes 502a and 502b is acquired. The acquired blood collection tube ID information D3 (see FIG. 8) is transmitted from the terminal 109 (see FIG. 1) of the examination room 103 to the server 100 (see FIG. 1).

  In the server 100, the search unit 306 (see FIG. 3) searches the DB 308 (see FIG. 3) based on the received blood collection ID information D3 (see FIG. 8). Thereby, as shown in FIG. 8, patient ID information D1 and examination information D2 are read from the DB 308 (step S203). These pieces of information D1, D2, and D5 obtained in this way are transmitted from the server 100 (see FIG. 3) to the terminal 109 (see FIG. 1) of the examination room 103, and the display of the terminal 109 (see FIG. 1). Is displayed.

  As described above, in the examination room 103, the patient ID information D1 (see FIG. 8) and the examination information D2 (see FIG. 8) are not described at all on the labels 502 (see FIG. 7) of the blood collection tubes 500a and 500b. First, based on the blood collection ID information D3 (see FIG. 8) acquired by reading the barcodes 502a and 502b, the patient ID information can be easily and accurately stored in the DB 308 (see FIG. 8) of the server 100 (see FIG. 3). D1 (see FIG. 8) and inspection information D2 (see FIG. 8) can be read out.

  As shown in FIG. 5, in the examination room 103, for each of the specimens stored in the blood collection tubes 500a and 500b based on the examination information D2 (see FIG. 8) displayed on the display of the terminal 109 (see FIG. 1). Appropriate processing is performed using the analyzer 111 (see FIG. 1), whereby sample analysis is performed (step S204). For example, the specimen stored in the blood collection tube 500a is subjected to analysis processing based on the read examination information D2 (see FIG. 8), thereby measuring the glucose value and the HbA1c value of the specimen. In addition, the specimen stored in the blood collection tube 500b is subjected to analysis processing based on the read examination information D2 (see FIG. 8), thereby measuring the CRP value and AST value of the specimen.

  As shown in FIG. 1, here, the analysis apparatus 111 is connected to the server 100, and the result information of each examination acquired in this way is transmitted to the server 100 through the network 104. In the server 100, the inspection result information is registered in the registration unit 305 (see FIG. 3) and stored in the DB. For example, the inspection result information may be stored in the DB 308 of FIG. 8 or may be stored in a newly created DB. The examination result information stored in the DB can be read from a terminal such as a medical office via the network 104, for example.

  At the time of sample analysis in step S204, a part of the sample (so-called child sample) contained in the blood collection tubes 500a and 500b (so-called parent sample) is dispensed into another newly prepared blood collection tube, You may use this child sample for uses, such as an analysis process different from a parent sample, and preservation | save. In this case, similarly to the blood collection tubes 500a and 500b shown in FIG. 5, barcodes 502a and 502b including the blood collection ID information D3 are described on the label as the blood collection tubes for dispensing the child sample. In this case, the blood collection tube ID information D3 and the patient ID information D1 are linked as in the blood collection described above with reference to FIG.

  As described above, in the sample information management device and the sample information management method using the sample information management device according to the present embodiment, the association (that is, the association) between the blood collection tubes 500a and 500b (see FIG. 5) and the patient is blood collection. Sometimes done automatically under centralized management of the server 100 (see FIG. 1). Therefore, it is not necessary to prepare a blood collection tube corresponding to a patient (in other words, a blood collection tube dedicated to each patient) in advance, and barcodes 502a and 502b including blood collection ID information D3 (see FIG. 4) are not required. It is only necessary to prepare in advance the blood collection tubes 500a and 500b (see FIG. 5) to which (see FIG. 5) is assigned. Such blood collection tubes 500a and 500b (see FIG. 5) are efficiently and low-cost by automatic printing of barcodes 502a and 502b (see FIG. 5) of labels 502 (see FIG. 5) and automatic sticking of the labels. It is possible to prepare in large quantities.

  Therefore, according to the sample information management device and the sample information management method of the present embodiment, it is possible to prepare all the blood collection tubes used in the hospital without introducing the sample container preparation device described in the prior art. It becomes. This eliminates the need for manual labeling, improves blood sampling efficiency and reduces patient waiting time, and causes medical errors such as mislabeling of blood collection tubes and patient misuse due to incorrect labeling. Is prevented.

  Further, since it is not necessary to select a blood collection tube dedicated to the patient according to the patient and perform blood collection, it is possible to prevent the patient from being mistaken due to erroneous selection of the blood collection tube. Furthermore, as shown in FIG. 4, since patient ID information D1, examination information D2, and blood collection tube ID information D3 are centrally managed, efficient and accurate information management can be performed, and The occurrence of erroneous work such as an appropriate blood collection instruction being given based on the information D1 to D3 is prevented.

  In the configuration using the conventional sample container preparation apparatus, it is necessary to prepare the sample container at any time by arranging the apparatus in the hospital. However, in the configuration of the present embodiment, the blood collection tubes 500a and 500b are used. The apparatus for preparing (refer FIG. 5) does not necessarily need to be arrange | positioned in a hospital, For example, introduction | transduction of the blood collection tubes 500a and 500b (refer FIG. 5) by outsourcing is possible. In addition, since there is no correspondence with the patient at the stage of preparing the blood collection tubes 500a and 500b (see FIG. 5), a sufficient number of blood collection tubes 500a and 500b (in advance) regardless of the number of patients undergoing the examination on that day. 5) can be prepared. Furthermore, the blood collection tubes 500a and 500b can be used for any patient. Therefore, the blood collection tubes 500a and 500b that are not used on that day can be used for another patient on the next day, for example.

  Further, since blood collection time information D5 (see FIG. 4) is automatically transmitted to the server 100 and stored in the DB 308 (see FIG. 8) at the end of blood collection, the blood collection end time entry operation is performed in a separate process as in the prior art. There is no need to do it. Therefore, the work efficiency is further improved, and it is possible to grasp the accurate blood collection end time and perform appropriate specimen management.

  In the present embodiment, only the barcodes 502a and 502b and the minimum necessary information need be displayed on the label 502 of the blood collection tubes 500a and 500b (see FIG. 5), and other patient information is displayed. And information relating to the inspection (specifically, items 901, 902, etc. of the conventional label 900 shown in FIG. 9) become unnecessary. Therefore, privacy can be protected and the area of the label 900 can be reduced as compared with the conventional case. Furthermore, in the present embodiment, it is possible to track the history of individual blood collection tubes 500a and 500b under centralized management by the server 100 (see FIG. 1).

  Furthermore, in the above description, the case where the sample information management device of the present invention is applied to blood collection of a normal outpatient or ward patient has been described. However, the sample information management device of the present invention is urgent due to unforeseen circumstances such as an emergency patient. More effective effects can be obtained when blood collection is required. Hereinafter, such a case will be described in detail.

  For example, when urgent blood collection is required for an emergency patient, the sample information management apparatus omits predetermined procedures such as entry of patient information, and a patient ID is given to the patient as shown in FIG. (Step S101). In step S102, the patient information registration form in which only the patient ID and the examination items are input except for the patient name is transmitted from the receiving terminal 105 to the server 100. Thereby, the patient ID information D1 and the examination information D2 are stored in the DB 308 (see FIG. 3) (step S103), but the patient name remains unregistered in the DB 308 (see FIG. 3).

  At the time of blood collection, the processing from step S104 to step S111 is performed using the DB 308 (see FIG. 3) in which the patient name is not registered in the same manner as in the normal case described above. In this case, when the server 100 searches the DB 308 (see FIG. 3) based on the patient ID information D1 transmitted from the terminal 107 of the blood collection chamber 102 (see FIG. 1) (step S105), Although it is possible to obtain the information D2, patient names that are not stored in the DB 308 (see FIG. 3) remain unknown. Therefore, the patient name is not displayed in the blood collection instruction display displayed on the display of the terminal 107 based on the examination information D2.

  However, even if the patient name is unknown at the time of blood collection, the sample information management apparatus does not cause stagnation or deficiencies in processing, and can perform the same processing as in the normal case described above. In addition, the patient name can be appropriately registered in the DB 308 (see FIG. 3) when it is determined during or after blood collection. Therefore, in such an urgent blood collection, there is no difference from the above normal case except for the point relating to the patient name, and the same effect as in the normal case can be obtained.

  On the other hand, if the method using the sample container preparation device is applied in such an emergency, it is impossible to print the label using the sample container preparation device because the patient name is unknown. It is necessary to do in. Even if the patient name is known at the time of reception, if a blood collection tube is prepared by printing or attaching a label after reception, preparation takes time and blood collection cannot be performed promptly after reception. Therefore, also in this case, it is necessary to manually perform label entry and sticking. As described above, in the method using the specimen container preparation device, it is difficult to cope with emergency and unexpected situations.

  As described above, according to the sample information management apparatus and the sample information management method of the present invention, blood is collected quickly by the same process as in a normal case even in an emergency or an unexpected situation, and the same as in a normal case. Sample information management can be performed. Therefore, even in an emergency or unforeseen situation, the same effect as in a normal case is achieved, and it is possible to realize high responsiveness to an emergency or unforeseen situation.

  In the above, emergency response to an unexpected emergency patient has been explained. However, for patients who were scheduled to undergo an examination, in addition to the scheduled examination, additional examinations, blood sampling failures and collection When an unexpected situation such as damage to the blood vessels 500a and 500b (see FIG. 5) occurs, a so-called emergency response is performed. In the configuration using the sample container preparation device, emergency response in these cases is difficult, but according to the sample information management device and the sample information management method of the present invention, high compatibility can be realized. .

  As described above, according to the sample information management apparatus and the sample information management method according to the present invention, it is possible to centrally manage various information related to blood collection tests by the server 100. As a result, it is possible to mix patients and blood collection tubes. Blood collection without errors can be performed efficiently and promptly. Further, in such a specimen information management apparatus and specimen information management method, the same specimen information management is possible in both cases of the normal examination and the emergency examination, and the same effect can be realized in any case. For example, sufficient treatment is possible even when the number of patients requiring blood collection is large and a large number of blood collection tubes are required, or when a blood collection test that was not scheduled is performed.

  The above embodiment is an example of the sample information management apparatus and the sample information management method according to the present invention, and the configurations of the sample information management apparatus and the sample information management method according to the present invention are not limited thereto. . For example, in the above description, as illustrated in FIG. 5, the configuration in which the label 502 is attached to the main body of the blood collection tubes 500a and 500b is illustrated, but the position of the label 502 of the blood collection tubes 500a and 500b is limited to this. It is not a thing.

  As a specific example, when using the blood collection tubes 500a and 500b having a small volume, since the main body surface of the blood collection tubes 500a and 500b is also small, it is difficult to attach the label 502 to the blood collection tubes 500a and 500b. Therefore, in this case, the label 502 may be disposed on the holder of the blood collection tubes 500a and 500b, for example, instead of directly attaching the label 502 to the blood collection tubes 500a and 500b. Further, the barcodes 502a and 502b of the label 502 may be one-dimensional barcodes or two-dimensional barcodes.

  Further, in the above embodiment, the case where the blood collection tube ID information D3 is displayed by the barcodes 502a and 502b is exemplified. However, the configuration may be such that the blood collection tube ID information D3 is displayed by other than the barcodes 502a and 502b. . For example, instead of the label 502 on which the barcodes 502a and 502b are described, an IC tag or a wireless tag including the blood collection ID information D3 may be used. The use of barcodes 502a, 502b and IC tags is preferable because reading blood collection ID information D3 can be performed accurately and promptly.

  In the above embodiment, the sample information management apparatus and the sample information management method according to the present invention are applied to blood collection. However, the present invention can be applied to sample collection other than blood collection.

  As described above, the sample information management apparatus and the sample information management method according to the present invention are capable of realizing sample collection with high work efficiency and prevention of erroneous work, and sample information capable of realizing unified management of sample information. This is useful as a management apparatus and a specimen information management method. In particular, the use of the sample information management apparatus and the sample information management method according to the present invention is effective in hospitals where a large number of patients are examined a day or hospitals that are required to respond to emergencies.

It is a schematic diagram which shows the whole structure of the sample information management apparatus concerning this invention. It is a block diagram which shows the hardware constitutions of the server of FIG. It is a block diagram which shows the functional structure of the server of FIG. 2 is a flowchart showing an outline of processing for sample information management in the sample information management apparatus of FIG. It is a figure which shows the specific aspect of the process between the server shown in FIG. 4, and a terminal. It is a schematic diagram which shows the structure of the database which stored patient ID information and test | inspection information. It is an enlarged view of the label of FIG. It is a schematic diagram which shows the structure of the database which stored patient ID information, test | inspection information, and blood collection tube ID information. It is a figure which shows the example of the conventional label.

Explanation of symbols

DESCRIPTION OF SYMBOLS 100 Server 101 Reception 102 Blood collection room 103 Examination room 104 Network 105,107,109 Terminal 108,110 Bar code reader 111 Analysis apparatus 301 Reception part 302 Transmission part 303 Control part 304 Database management part 305 Registration part 306 Search part 307 Linking part 308 Database 500a, 500b Blood collection tube 502a, 502b Barcode 502 Label

Claims (9)

Database registration means for inputting subject identification information given to the subject in advance before sample collection, and examination information of the subject, and registering the subject identification information and the examination information in a database;
Means for reading the subject identification information;
A container identification information reading means for reading the sample container identification information given in advance to the sample container;
A correlating means for associating the subject identification information, the examination information, and the sample container identification information ;
The sample container identification information acquired by the first reading by the container identification information reading unit is used for the association by the linking unit,
The specimen information management apparatus characterized in that the specimen container identification information acquired by the second reading by the container identification information reading means is used for confirming completion of specimen collection .   Database search for searching the test information from the database based on the inputted subject identification information and searching the subject identification information and the test information from the database based on the inputted container identification information for the sample The sample information management apparatus according to claim 1, further comprising means.   A display means for displaying the subject identification information, the examination information, and the specimen container identification information is further provided, and specimen collection and specimen examination are performed based on the examination information displayed on the display means. Item 3. The sample information management device according to Item 1 or 2. A first terminal disposed in the sample collection receiving unit, a second terminal disposed in the sample collection unit, a third terminal disposed in the sample processing unit, and the first terminal via a network A server to which the second and third terminals are connected,
The server includes at least the database registration unit, the association unit, and the database search unit,
The first terminal includes input means for inputting the subject identification information and the examination information,
The second terminal comprises reading means for the subject identification information, the container identification information reading means, and the display means,
The sample information management apparatus according to claim 2 or 3, wherein the third terminal includes the container identification information reading unit and the display unit.   5. The sample information management apparatus according to claim 1, wherein the sample container identification information is displayed in a barcode, and the container identification information reading unit is a barcode reader. It further includes a timing means,
The sample information management apparatus according to claim 1, wherein the database registration unit registers sample collection time information acquired by the timing unit in the database. A database registration step in which the subject identification information given to the subject in advance before sample collection and the test information of the subject are input, and the subject identification information and the test information are registered in a database;
  A container identification information reading step of reading the sample container identification information previously given to the sample container by the reading means;
  A correlating step of associating the subject identification information, the examination information, and the specimen container identification information with a correlating means,
  The sample container identification information obtained by the first reading by the container identification information reading step is used for the association by the associating means,
  The specimen information management method, wherein the specimen container identification information acquired by the second reading in the container identification information reading step is used for confirming completion of specimen collection. Performing the reading of the subject identification information and searching the examination information from the database based on the read subject identification information;
  Selecting a specimen container based on the examination information acquired by the search;
  The method further comprises: reading the specimen container identification information, and searching the subject identification information and the examination information from the database based on the read specimen container identification information. Item 8. The sample information management method according to Item 7. 9. The specimen container identification information is displayed as a barcode, and the specimen container identification information reading step reads the specimen container identification information with a barcode reader. Sample information management method.

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