JP5455107B2 - Blood collection support system that does not require connection to a host computer - Google Patents

Description

  The present invention relates to a blood collection preparation device that can be most effective in a blood collection test in which a large number of blood collection tubes of the same type are used, such as in a health checkup. We will not provide a technology that can simplify the structure of the blood collection support system by identifying the blood collection tube without obtaining it and linking the blood collection tube to the patient after discharging the blood collection tube. Is.

In blood testing departments at hospitals, clinics, and other medical institutions, blood collection workers (nurses, etc.) collect blood from patients, store the collected specimens in blood collection tubes, and transfer them to the laboratory. . In blood tests, various types of blood collection tubes are prepared according to the blood test items, and usually, a plurality of types of tests are performed on one patient at the same time. Therefore, a plurality of types of blood collection tubes are prepared for one patient. In the blood collection room, it is natural to handle a large number of patients, and each blood collection tube is attached with a label printed with a barcode such as an order number, and also in a tray for storing these blood collection tubes for each patient. A label printed with a tray number barcode for referring to the stored blood collection tube is attached. Furthermore, a blood collection reception slip on which a barcode such as a reception number is printed is issued to the patient. At the time of blood collection work, the contents of these labels and reception slips are read by an optical device such as a barcode reader so that the patient and blood collection tube are not mistakenly taken. As techniques for automating such blood collection work and supporting the blood collection work, there are techniques shown in Patent Documents 1 and 2.

In the techniques of these Patent Documents 1 and 2, when preparing a blood collection tube, examination information for the patient is acquired from a host computer, and the blood collection tube corresponding to the examination item is selected and taken out, and this is transported to the labeling position. At the label attaching position, the patient ID and examination information obtained from the host computer are printed on the label, the label is attached to the selected blood collection tube, and the patient is discharged to the tray. The discharged tray is then transported to the blood collection work table, where the barcode printed on the patient's receipt slip or examination card and the barcode on the label affixed to the blood collection tube are read by a barcode scanner. The blood is collected after confirming that there is no patient error.
Japanese Patent No. 3933223 JP 2002-351975 A

  As described above, in the techniques disclosed in Patent Documents 1 and 2, it is indispensable to always obtain information related to the examination of a patient from a host computer when performing a blood sampling test. The environment had to be able to communicate with each other.

However, it is relatively large hospitals such as general hospitals and university hospitals that can build an environment that can be communicated via LAN with such a host computer. In privately managed small hospitals where the system cannot be introduced, there is a drawback that the preparation of blood collection tubes cannot be automated by introducing a blood collection tube preparation device.

In blood sampling tests where the type of blood collection tube is limited and many blood collection tubes of the same type are used, such as for health checkups, in order to specify the blood collection tube except for the facility name and date The necessary information is only the patient ID. If the blood collection tube is selected and can be associated with the patient ID after selecting the blood collection tube, the connection between the blood collection tube preparation device and the host computer is not necessary in this case. However, at present, with regard to the technology for associating individual blood collection tubes with each patient, patient information is acquired from a host computer in the blood collection tube preparation device, patient ID is printed on a label, and this label is printed on the blood collection tube. I couldn't find anything other than sticking.

  The present invention is an improvement and removal in view of the above-described conventional problems, and allows blood collection blood vessels and patients to be linked after preparing the blood collection blood vessels, and does not require connection with a host computer. It is intended to provide a system.

Thus, the means of claim 1 adopted by the present invention to solve the above-mentioned problem is that a code for identifying individual blood collection tubes, or a code for identifying the facility and a code are combined or combined. a blood collection tube is described as bar code information, reading the bar code information written in the blood collection tube, bar code information and the patient ID of the blood collection tube is linked to the bar code information printed on the object The linking device includes an information communication unit, an information processing unit, a barcode reading unit, and a blood collection tube mounting unit. There is an opening portion for reading bar code information of the object which the patient ID is printed, and the instrumentation in hole of the blood collection tube on the upper surface side is bored, the bar code reading portion the opening Through patient examination tickets and -Band, by reading the bar code information to at least one printed patient ID of the job tickets, as well as saving the information processing unit, read the bar code information of the blood collection tube was charged into blood collection tube insertion in hole The information processing unit stores the barcode information of the stored patient ID and the barcode information of the blood collection tube, and outputs them through the information communication unit. This is a blood collection support system that does not require connection to a host computer.

According to a second aspect of the present invention, the barcode information read by the barcode reading unit through the opening is a patient ID printed on at least one of a patient examination ticket, a wristband, and a reception slip. The blood-collecting work support that does not require connection with the host computer according to claim 1, which is the barcode information printed on at least one of the staff ID and the drug solution / medicine bag. System.

  According to the third aspect of the present invention, the code for identifying the blood collection tube includes a code for identifying the tube type of the blood collection tube and a code attached to each blood collection tube. A blood collection support system that does not require connection with a host computer according to claim 1.

In the invention of claim 1, an identification code is written in advance on the blood collection tube. As the identification code, there are a case where a code for identifying a blood collection tube is used alone and a case where the identification code and a code for identifying a facility are used together or combined. In the present invention, after the blood collection tube is selected by the blood collection tube preparation device, the blood collection tube and the patient ID are associated with one blood collection tube linking device.
Thereby, in the blood collection tube preparation device, it is not necessary to print the patient ID on the label based on the patient information obtained from the host computer, and to attach this to the blood collection tube. The identification information given to the blood collection tube and the patient ID printed on at least one of the patient's examination ticket, wristband, and reception slip are read by one linking device. Since both are connected, it is possible to omit a host computer that requires the construction of a large-scale system.

In the invention of claim 2, the barcode information of the blood collection tube, the patient ID, and the barcode information of the staff ID or the drug solution / medicine bag can be linked.

In the invention of claim 3, the code for identifying the blood collection tube includes a code for identifying the tube type of the blood collection tube and a code attached to each blood collection tube. Therefore, by associating the patient ID with the identification code of the blood collection tube, it is possible to identify who is the patient who uses the blood collection tube and what kind of examination is to be performed at the same time. This makes it possible to perform confirmation work to prevent medical errors such as patient errors and test item errors.

  The configuration of the present invention will be described below based on the embodiment of the invention shown in the drawings. FIG. 1 is a system configuration diagram showing a blood collection tube preparation device PC 1 and a blood collection tube preparation device 2 according to an embodiment of the present invention, FIG. 2 is a block diagram showing a processing procedure of the information, and FIG. FIG. 4 is a system configuration diagram showing the system PC 3 and the associating device 4, FIG. 5 is a block diagram showing the information processing procedure, and FIG. 6 is an associating method. It is a flowchart figure which shows the procedure in the case of doing. 7 to 9 show the tying device 4, FIG. 7 is a perspective view of the tying device 4, FIG. 8 is a perspective view when the data of the blood collection tube 5 is read by the tying device 4, and FIG. It is a perspective view in the case of reading the receipt slip other than the blood collection tube, the drug solution / medicine bag 6, the staff card 7, the wristband 8 and the like with the associating device 4. FIG. 10 is a perspective view showing another tying device 9, and FIG. 11 is a partial longitudinal sectional view showing the relationship between an existing handy terminal 10, an adapter 11 attached to the handy terminal 10, and these fastening hardware 12. It is.

  As shown in FIG. 1, in the blood collection operation support system of this embodiment, the PC 1 for blood collection preparation device and the blood collection preparation device 2 are communicably connected via a cable such as RS-232C. Processing of data as shown in FIGS. 2 and 3 and work for preparing a blood collection tube proceed. As shown in FIG. 2, in the blood collection tube preparation device PC 1, information requesting issuance of an identification code such as a sequence number for identifying a blood collection tube is input from an instruction input / output unit 13 such as a keyboard. As an identification code, a continuous sequence number for identifying individual blood collection tubes is used alone, or the sequence number and a code for identifying a facility such as a hospital name are used together or combined. . As a code for identifying a facility such as a hospital name, a medical institution number determined for each medical institution by the social insurance secretariat can be used. Further, for example, as shown in the flowchart of FIG. 3, the information requesting the issuance of a blood collection tube can request that the last three digits of the sequence number are 001 to 100 at a time.

  The information input / output unit 14 transmits the input information to the information processing unit 15. The information processing unit 15 obtains issued data stored in the database 16, determines a sequence number subsequent to the issued sequence number, and sends it from the information sending unit 17 to the information receiving unit 18 of the blood collection tube preparation device 2. Send and request the issuance of blood collection tubes. The blood collection tube preparation device 2 receives the information of the identification code including the sequence number and prints it on the label by the label printing unit 19. Subsequently, the label sticking drive unit 20 is driven, and the label printed with the identification code is stuck on the blood collection tube taken out from the built-in stocker. The blood collection tube with the label attached is discharged to a tray or the like. When the issuing process of the blood collection tube with the label with the identification code printed thereon is completed in this way, the information sending unit 21 sends the issued data to the database 16 of the blood collection tube preparation device PC 1 and updates it.

  Next, a procedure for associating the blood collection tube 5 issued with reference to FIGS. 4 and 5 with a patient or the like will be described. FIG. 4 shows two types of the case of the dedicated linking device 4 as the linking device and the case of the linking device 9 using the existing handy terminal 10 at the same time. The dedicated associating device 4 is configured as shown in FIGS. 7 to 9, and is connected to the system PC 3 by RS-232C, TCP / IP method. The linking device 4 includes an external I / F unit 23 such as a serial, parallel, and USB provided for connection to the outside in the case main body 22, an information communication unit 24, an information processing unit 25, A barcode reading unit 26 and a blood collection tube mounting unit 27 are formed. The blood collection tube mounting portion 27 has an opening 28 at the distal end surface of the case body 22, and an insertion hole 30 for the blood collection tube 5 with a label 29 attached to the upper surface side. A reading switch 31 is provided next to the loading hole 30. A reading switch 31 is provided next to the reading switch 31 for confirmation when the barcode scanner can read the barcode of the object by blinking or lighting. An LED 32 is provided.

  On the other hand, the associating device 10 is configured as shown in FIGS. 10 and 11, and is connected to the system PC 3 by RS-232C, a wireless communication method, or the like. Further, this linking device 9 is an adapter 11 that is detachably attached to an existing handy terminal 10 such as a PDA equipped with a bar code scanner by a fastening bracket 12. The adapter 11 has an opening 28 at the front end surface, and a blood collection tube insertion hole 30 is formed on the upper surface side.

  The linking functions of the linking device 4 and the linking device 9 are the same, and the procedure for linking the blood collection tube 5 and the object is described with reference to FIG. 5 and FIG. I will explain. First, as shown in FIG. 6, the process starts with reading of an object. Examples of the object include a drug solution / medicine bag 6, a staff ID card 7, a wristband 8, and a patient examination card or a reception slip. In the case of the wristband 8, the wristband 8 is set facing the front end opening 28 of the associating device 4, and the reading switch 31 is pushed down. Thereby, the laser beam is scanned from the barcode reading unit 33 of the scanner, or the barcode of the patient ID printed on the wristband 8 is read by the CCD method. The read bar code information of the wristband 8 is recognized as a patient ID by the information processing unit 34 and temporarily stored therein.

Subsequently, the barcode information printed on the label 29 of the blood collection tube 5 is read. As shown in FIGS. 4 and 8, the blood collection tube 5 is read by inserting the blood collection tube 5 to which the label 29 with the identification code printed is attached into the blood collection tube insertion hole 30 on the upper surface of the case body, and the read switch 31. Press down. Thereby, the laser beam is scanned from the barcode reading unit 33 of the scanner, or the barcode on the label 29 attached to the blood collection tube 5 is read by the CCD method. The read barcode information of the blood collection tube 5 is recognized as an identification code by the information processing unit 34, and is associated with the barcode information of the object read earlier. The linking may be performed by combining the two as a continuous code and integrating or linking them, and any appropriate method is possible. The associated data is transmitted to the information input / output unit 36 of the system PC 3 through the information transmission unit 35. Then, the identification code of the blood collection tube 5 is stored in the database 39 via the information processing unit 37 and the information sending unit 38 of the PC 3.
Note that the ID of the target object and the ID of the blood collection tube 5 may be linked by the information processing unit 37 of the system PC 3 in addition to the case of using the information processing unit 34 of the linking device. In this case, the associating device 4 has a function of simply reading the barcode information of the object and the blood collection tube 5 and transmitting it to the system PC 3.

When the barcode information of the blood collection tube 5 and the wristband 8 is linked in this way, processing can be performed by the blood collection tube preparation device PC1 and the system PC3, and patient information is obtained from a host computer. Conventional blood collection techniques are not required. Therefore, it is possible to omit a host computer that requires construction of a large-scale system.
In the above embodiment, the blood collection tube preparation device PC1 as a control device for assigning an identification code to the blood collection tube 5 and a control device for associating the blood collection tube 5 with an object such as a patient ID. However, if the tying devices 4 and 9 are connected to the blood collection tube preparation device PC1, the system PC1 can be omitted.

By the way, the information linked as described above is output to and stored in a general hospital where a high-order computer is installed, for example, to a computer that manages a test process after blood collection. The data can be output and displayed in correspondence with the test result data of the patient, and the data can be stored in a host computer. Even when the data linked to the host computer is output and used, the blood collection tube preparation apparatus can link the blood collection tube and the object without obtaining information from the host computer. .
Further, the use of the linked information may be output to a control PC that manages an examination process for examining a specimen after blood collection.

  Further, when the same type of blood collection tube is used for a large number of patients as in a medical examination, the number of blood collection tubes to which the identification code is assigned to the blood collection tube 5 is the same as the number of patients receiving the medical examination on that day. By preparing and reading the received patient ID at the time of accepting blood collection and linking it with the blood collection tube, it is possible to significantly reduce the preparation work of the blood collection tube on the day of the health examination. Therefore, the progress of the health check on the day becomes smooth, and an efficient health check is possible.

In the above embodiment, the identification code assigned to the blood collection tube 5 is printed on the label and this label is attached. However, the identification code is directly printed on the blood collection tube. Also good. In this case, it is also possible for the blood collection tube manufacturer to print the identification code directly on the blood collection tube in advance when the blood collection tube is manufactured.

It is drawing which shows PC for blood-collecting-preparation apparatuses and blood-collecting-preparation apparatus of the blood-collection operation support system which concerns on one embodiment of this invention. It is a block diagram which shows the process sequence of the information in the blood collection business assistance system which concerns on one embodiment of this invention. It is a flowchart figure which shows the procedure until issuing the blood collection tube in the blood collection business support system which concerns on one embodiment of this invention. It is drawing which shows system PC and the linking device in the blood collection work support system according to one embodiment of the present invention. It is a block diagram which shows the process sequence of the information of the blood-collection work support system which concerns on one embodiment of this invention. It is a flowchart figure which shows the procedure in the case of stringing of the blood-collection work support system which concerns on one embodiment of this invention. It is a perspective view which shows the tied | linking apparatus of the blood collection business support system which concerns on one embodiment of this invention. It is a perspective view at the time of reading the data of a blood collection tube with the tied | linking apparatus of the blood collection operation | work assistance system which concerns on one embodiment of this invention. It is a perspective view at the time of reading the information of objects other than a blood collection tube with the tied | linking apparatus of the blood collection business support system which concerns on one embodiment of this invention. It is a perspective view which shows another stringing apparatus of the blood-collection operation support system which concerns on one embodiment of this invention. FIG. 11 is a partial vertical cross-sectional view illustrating a relationship between a handy terminal of the tying device illustrated in FIG. 10, an adapter attached to the handy terminal illustrated in FIG.

1 ... PC for blood collection tube preparation device, 2 ... Blood collection tube preparation device, 3 ... System PC, 4 ... Pegging device, 5 ... Blood collection tube, 6 ... Drug solution / medicine bag, etc. 7 ... Staff ID card, 8 ... Wristband, 9 ... Pegging device, 10 ... Handy terminal, 11 ... Adapter, 29 ... Label

Claims (3)

A blood collection tube code for identifying the code or the codes and facilities for identifying individual blood collection tube is also shown or combination is to have marked as bar code information, the bar code information written in the blood collection tube reading, the bar code information and patient ID of the blood collection tube is made more barcode information and tying device to correspond in association with the printed physical object, and the string pickled device information communication unit, and the information processing unit , and a bar code reading section, has a blood collection tube mounting portion, the blood collecting tube mounting portion is an opening portion for reading bar code information of the object leading end face the patient ID is printed cage, are bored instrumentation in hole of the blood collection tube on the upper side, the bar code reading portion of the patient examination tickets and wristbands through the opening, the patient ID which is printed in at least one of the form for acceptance bar of Read the over de information, as well as saving the information processing unit, and stored to the information processing unit reads the bar code information of the blood collection tube was charged into blood collection tube insertion in hole, wherein the information processing unit is the storage A blood collection work support system that does not require connection to a host computer, wherein the barcode information of a patient ID and the barcode information of a blood collection tube are linked and output through the information communication unit. The barcode information that the barcode reading unit reads through the opening includes the barcode information of the patient ID printed on at least one of the patient's examination ticket, wristband, and reception sheet, and in addition to this, the staff The blood collection work support system that does not require connection with the host computer according to claim 1, wherein the barcode information is printed on at least one of the evidence and the medicine solution / medicine bag.   The code for identifying a blood collection tube includes a code that can identify a tube type of the blood collection tube and a code attached to each blood collection tube. Blood collection support system that does not require connection to a computer.

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