JP7253177B1 - Pathological diagnosis management system - Google Patents

Abstract

Kind Code: A1 Even if a request form, a pathological sample, and electronic data related to them are handed over to a pathologist through a complicated route, the pathological sample and electronic data related to them are not mistaken. A sample code reading means 40 and a sample selection display means 101 are provided in a pathological diagnosis management system in which pathological diagnosis work is managed based on pathological sample information based on a request slip showing diagnostic findings of a requesting doctor. prepared. a specimen code attached to a pathological specimen is read by the specimen code reading means, and pathological specimen information having a specimen number corresponding to the specimen code is selected from a list of a large number of pathological specimen information by the specimen selection display means; The pathological specimen information corresponding to the pathological specimen in the hands of the pathologist and the image data of the related request form can be displayed from among the pathological specimen information received at a timing different from the pathological specimen, and the pathologist can display the pathological specimen information. and its pathological specimen information. [Selection drawing] Fig. 3

Description

The present invention provides information related to a request slip containing a pictorial diagram of an affected area, which is called a schematic diagram, and the diagnostic findings of the requesting doctor, created by a requesting doctor who requests a pathological diagnosis, and a pathological specimen. Even if the actual specimen (hereinafter referred to as a pathological specimen) arrives at a pathologist at different times, it is managed without being mistaken, and the pathological specimen is diagnosed by the pathologist based on the diagnostic findings of the requesting doctor. It relates to a pathological diagnosis management system. Furthermore, the present invention relates to a pathological diagnosis management system in which information related to pathological diagnosis is shared among related parties under high security.

A requesting doctor collects a specimen from a patient, a clinical laboratory technologist prepares a pathological specimen from the specimen, and a pathologist diagnoses the pathological specimen. Pathologists must be experienced and qualified with advanced diagnostic skills. is brought in.

Medical institutions on the side of pathologists generally have clinical laboratory technologists who prepare pathological specimens, and the pathologists diagnose the pathological specimens prepared by the clinical laboratory technologists. In some cases, pathological specimens prepared by external requesting doctors are handed over. In addition, some medical institutions do not have pathologists, and because the number of pathologists is insufficient, an "external institution" takes over the specimens that form the pathological specimens from the requesting doctor and prepares pathological specimens for clinical laboratory technologists. It is necessary to concentrate pathological diagnosis in a pathological diagnosis medical institution to which a plurality of pathologists belong, and to improve the efficiency of medical work.

At the time of pathological diagnosis, first, along with patient information, patient symptom information, and requesting doctor information, the requesting doctor's diagnostic findings, schematic diagram, and request slip describing the diagnostic request to the pathologist, etc. is sent to the requesting party. The medical side hands over to the pathologist side, and an agreement is made to consign the pathological diagnosis. After an agreement is reached, a clinical laboratory technologist prepares a pathological specimen from a sample collected from the affected area of the patient by the requesting doctor using an endoscope or the like. A pathologist diagnoses a pathological specimen in consideration of the diagnostic findings of the requesting doctor, converts the diagnosis results into electronic data, and shares the pathological diagnosis result information with the requesting doctor.

Information related to pathological specimens includes private information such as the patient's name, date of birth, and address, diagnostic findings of the requesting doctor regarding the patient's life, and information on the request slip showing information such as the request for pathological diagnosis ( hereinafter referred to as slip information) is converted into electronic data and managed integrally with the pathological specimen. In addition, the slip information includes information that cannot be leaked to the outside, such as privacy information that can identify the patient and highly confidential information such as the patient's medical history and symptoms.

In addition, the original handwritten medical chart must be retained by the requesting doctor, and the data in the electronic medical chart is managed so that it cannot be taken outside in electronic form. A request slip for the requesting doctor is created. A pathologist makes a pathological diagnosis based on the electronic data of the requested slip based on the copy, the specimen, and the pathological specimen prepared from the specimen.

When entrusting a pathological diagnosis, the requesting doctor will send a request slip to the pathologist in advance so that the diagnosis is made by a pathologist who is suitable for the diagnosis and can correctly evaluate the symptoms of the affected area. The pathological specimen is handed over to the pathologist after a request for pathological diagnosis and agreement on acceptance are made. Since a large number of pathological specimens arrive at the pathologist in an order that is not limited to the order of agreement, via external organizations and the person in charge of the pathologist's side, after the timing of the receipt of the request slip, Differences could occur.

In addition, since the request form includes diagnostic findings handwritten by the requesting doctor and pictorial diagrams such as schematic diagrams, it is difficult to manage the request form as electronic data. Specifically, even if a copy of an electronic medical record input from the keyboard is converted into electronic data using an Optical Character Recognition/Reader (hereinafter referred to as OCR), the character information may differ from the original due to misrecognition by the OCR. . Diagnosis findings, schematic diagrams, etc. by the requesting doctor must be kept in their original state. There is a need to properly manage electronic data with correct electronic data while preserving the original, and to prevent mistaking of pathological specimens.

Electronic data on patients is highly confidential information related to human privacy and life. Therefore, the first database for pathology on the requesting doctor's side and the second database for pathology on the side of the pathologist are closed to the outside.

In order for the requesting doctor and the pathologist to share pathological information, high security is required even if the requesting doctor's first pathological database and the pathologist's second pathological database are closed to the outside. There is a need for a pathological diagnosis management system that allows both the requesting doctor and the pathologist to view electronic data of pathological specimen information based on slip information and electronic data of pathological diagnosis results while maintaining the above.

Pathological specimens stained with specimens are magnified with a microscope or the like, and diagnoses are made based on the differences in tissue shape, hue, and brightness that appear. In that case, it is again agreed to prepare a pathological specimen with additional staining under the guidance of the pathologist, and a new pathological specimen is prepared and handed over to the pathologist. On the other hand, pathological diagnosis may be required urgently. In the case of additional staining or urgent pathological diagnosis, the pathological specimen information and the pathological specimen are handed over in a process different from the general management process, so there is a possibility of misunderstanding in this case as well.

Patent Document 1 discloses a technique of a pathological diagnosis management system that aims to reduce the risk of misunderstanding at the timing of requesting a pathological diagnosis from an external party, the timing of preparing a specimen, and the timing of associating a request form with a specimen. disclosed. According to this technique, the specimen management code recorded on the slide is made up of an identifier generated by the requester's terminal and a code unique to the specimen creator, thereby reducing the risk of mistaking.

Conventionally, patient names and client names were visually confirmed by the person in charge. and the requested data are associated with each other, reducing the risk of mistaking.

However, even if a unique code based on a special algorithm is used as the specimen management code, it is the same as when managing with a unique code based on a serial number. Otherwise, it would not have been possible to eliminate the mix-up of pathological specimens. In particular, if the route for handing over the request form for prior agreement between the requesting doctor and the pathologist is different from the route for handing over the pathological specimen for pathological diagnosis, the pathological specimen is simply referred to as the specimen management code. It was difficult to reduce the risk of mix-ups only by managing by

Patent Literature 2 discloses a technique of a pathological diagnosis processing apparatus that enables the pathologist to make an appropriate diagnosis while allowing the pathologist to quickly proceed with the pathological diagnosis. This pathological diagnosis processing apparatus includes diagnosis reception means, pathologist information storage means, pathologist selection means, and the like. A pathological diagnosis is requested to a pathologist selected from registered pathologists.

Since pathologists are selected in order according to their priority, even if a diagnosis is refused by a pathologist with a higher priority, a pathological diagnosis is made by a pathologist with a lower priority, and an appropriate diagnosis and prompt pathological diagnosis can be made. It is said to be possible. However, this pathological diagnosis processing apparatus is a technology related to an aspect in which a virtual slide is created from a specimen and then electronic data of the virtual slide is communicated to a selected pathologist. could not be applied to the mode of handling request slips indicated by

Patent Literature 3 discloses a technology of a clinical specimen testing system by an external organization. According to this technology, the management servers of the external clinical laboratory and the medical institution are connected to the Internet, mutually necessary electronic data is stored in a database, an effective information transmission method is provided, and mutual information is shared. are considered to be available.

At a medical institution, identifiers of test materials are bar-coded and printed as labels, and the containers containing the test materials to which the labels are attached are boxed and handed over. In an external clinical laboratory, inspection materials can be managed by barcodes on labels affixed to containers containing inspection materials packed by medical institutions. However, even in the case of this technology, it is not assumed that a request slip showing the diagnostic findings of the requesting doctor, such as a medical chart, other than the test materials is assumed. There is a problem that it cannot be applied to a mode that is accepted by

JP 2019-53664 A JP 2011-48438 A JP-A-2005-182507

Even if the request slip containing the diagnostic findings of the requesting doctor, the pathological specimen, and the electronic data related to them are handed over to the pathologist through a complicated route, the information related to the request slip and the pathological specimen can be obtained. To provide a pathological diagnosis management system in which a pathological specimen is diagnosed by a pathologist based on the diagnosis findings of a requesting doctor without causing any misunderstanding. and Furthermore, even if the pathological diagnosis work is carried out in a process different from the general management process, it is unlikely that mistakes will occur. It is an object of the present invention to provide a pathological diagnosis management system capable of sharing pathological specimen information while maintaining

In a first aspect of the present invention, in a pathological diagnosis management system, a request slip indicating diagnostic findings of a requesting doctor is delivered to a pathologist side, and the requesting doctor side and the above-mentioned The pathological specimen is delivered to the pathologist after the pathologist agrees, and the pathological specimen information is managed based on electronic data. means and specimen code reading means, wherein the processing means functions as specimen selection display means, the storage means functions as pathological specimen management means, and is indicated in the request slip. The slip information includes the diagnostic findings and information about the patient, the information about the patient is information related to a pathological diagnosis request including the name of the patient, and the format of the request slip includes at least the diagnostic findings. The optical information acquiring means acquires the image data of the slip information including the diagnostic findings shown at the predetermined position, Electronic data in which the pathological specimen information includes at least electronic data of information about the patient, the image data is added after the image data is obtained, and the electronic data of the pathological specimen preparation information is added after the pathological specimen is prepared. and the same specimen number is given to the electronic data of the patient-related information, the image data, and the electronic data of the pathological specimen preparation information, and the pathological specimen information is linked by the specimen number, and the pathological specimen Information is stored in the pathological specimen management means so as to form a pathological specimen information list, the display means displays the pathological specimen information list stored in the pathological specimen management means, and the pathological specimen is the requested A specimen code corresponding to the specimen number is affixed to the pathological specimen when the pathological specimen is prepared from the patient's specimen pertaining to the slip, and the pathological specimen preparation information is stored in the pathological specimen management means. Even if the pathological specimen information list added to the pathological specimen information forming the list and to which the pathological specimen creation information is added contains the pathological specimen information related to a plurality of the pathological diagnosis requests, the pathologist side In the step of (1), the specimen code reading means reads the specimen code attached to the pathological specimen, and the specimen selection display means reads the pathological specimen linked by the specimen number corresponding to the read specimen code. Information is extracted from the pathological specimen information list stored in the pathological specimen management means and displayed in a selectable manner on the display means, and the pathologist side selects the pathological specimen information. By the selection, the specimen selection display means further displays the image data linked to the specimen number of the selected pathological specimen information from the pathological specimen information stored in the pathological specimen management means. It is characterized in that it is extracted and displayed on the display means.

Before making a request for pathological diagnosis, the requesting doctor diagnoses a patient, extracts a specimen, and requests a pathological diagnosis from a pathologist based on the diagnostic findings. A pathologist can make a more accurate pathological diagnosis by making a pathological diagnosis based not only on the pathological specimen, but also on the diagnostic findings of the requesting doctor, such as follow-up observations and the rate of progress of the disease. The request slip may include a copy of an electronic medical chart in addition to the paper medical chart. Paper charts and electronic charts contain diagnostic findings and schemas drawn by the requesting doctor.

Since the requesting doctor does not allow the original electronic data of the electronic medical chart to be leaked or the original paper medical chart to be taken out, the diagnostic findings are presented to the pathologist by the request slip made by copying them. The request form preferably has a format that indicates at least the diagnostic findings of the requesting doctor at a predetermined position and includes a schema diagram. The image data of the request slip may be created before the agreement is reached, and even after the agreement, it may be created before the pathologist makes a diagnosis. , may be a digital camera. Based on the request form, the requesting doctor and the pathologist agree, and then the pathological specimen is created. Just do it.

A sample number corresponding to the slip information and the pathological specimen information shown in the request slip is attached, and a specimen code corresponding to the specimen number is attached to the pathological specimen. The corresponding specimen number may be distinguished from other slip information and pathological specimen information. Numbers, letters, symbols, etc. are not limited. Also, the sample code may be a two-dimensional code, or a one-dimensional code such as a bar code, without limitation.

The sample code reading means may be a two-dimensional code reader or bar code reader. Since the pathological specimen delivered to the pathologist is attached with a specimen code, the corresponding specimen number can be obtained by reading the specimen code with a reader. The pathological specimen information and the pathological specimen are delivered at different times, such as when the pathological specimen information arrives before the pathological specimen arrives, for example, several days ago, or when the pathological specimen arrives multiple times due to additional staining. It may arrive. Even if a list of pathological specimen information includes pathological specimen information of other patients and includes a plurality of pathological specimen information, the pathological specimen information corresponding to the specimen code read by the specimen selection display means is displayed in a selectable manner. be done.

Displaying in a selectable manner means, for example, that only the pathological specimen information related to the specimen number may be colored and displayed, and other pathological specimen information may be displayed in a non-selectable manner or may be hidden. is not limited. Character data may be included in the image data of the request slip displayed by selecting the pathological specimen information. According to the first invention, it is easy for the pathologist to confirm the image data of the request form corresponding to the pathological specimen that arrives at the hand of the pathologist from among the large number of pathological specimen information that has arrived at a different timing than the pathological specimen. This has the effect of not confusing the patient's pathological specimen with its pathological specimen information.

According to a second aspect of the present invention, in the pathological diagnosis management system of the first aspect, the processing means functions as correction support means, and the image data acquired by the optical information acquisition means is transmitted to the first electronic device. data and second electronic data, wherein the first electronic data is first image data in which the slip information of the entire requested slip is image data, and the second electronic data is the second image data and characters wherein the second image data is the image data of the form information including the diagnostic finding indicated at the predetermined position of the request form, and the character data is information about the patient indicated at a position other than the predetermined position. is character data obtained by optical character recognition, and the same specimen number is given to each of the first image data forming the first electronic data and the second image data forming the second electronic data and the character data, The first electronic data and the second electronic data are stored in the pathological specimen management means, and the person in charge of the pathological diagnosis work selects one of the pathological specimen information lists displayed on the display means. By selecting the pathological specimen information, the correction support means stores the first electronic data and the second electronic data linked to the specimen number of the selected pathological specimen information in the pathological specimen management means. read out from the pathological sample information obtained, and with the first image data and the second image data kept as originals, the first electronic data comprising the first image data, the second image data and the character data. The second electronic data and the second electronic data are displayed side by side on the display means to support correction of the character data erroneously recognized by the optical character recognition.

According to the second invention, the entire request form is acquired as the first image data, for example, as image data in PDF format that cannot be falsified, and the schema and diagnostic findings by the requesting doctor are also acquired as image data, for example, enlarged. It is acquired in JPG format data that makes it easy to check the details, so you can check it in its original state. Character data includes the request slip number, name of the requesting medical institution, specimen number, name of the attending physician, etc. Image data includes the patient's signature, date of birth, diagnostic findings by the requesting doctor, schema of the affected area, etc. be.

On the other hand, the number and character information input in advance in the electronic medical record are less likely to be erroneously recognized by OCR, and character data that is not erroneously recognized can be used as index information for distinguishing each pathological diagnosis. A handwritten signature or the like on the request slip is likely to be misrecognized. If character information on the request slip is input separately, it is possible to obtain character data that does not have discrepancies by collation with them.

According to the second invention, the slip information forming the pathological sample information is managed integrally with the image data of the entire request slip, and the character data read by OCR is also used as index information that can be used as an index of the pathological diagnosis database. You can improve the efficiency of your business. As a result, the original request form can be retained in its original appearance state, and the character information obtained by optical character recognition can be used to perform efficient and highly reliable pathological diagnosis management.

According to a third aspect of the present invention, in the pathological diagnosis management system of the second aspect, the processing means functions as pathological specimen information selection means, and the pathological specimen management means stores the pathological specimen information list. each of the pathological specimen information is stored together with an identification indication indicating that at least the first electronic data has been registered, and the pathological specimen information selecting means selects the pathological specimen information on which the identification indication is displayed. are selected as a matched list, pathological specimen information in which the identification display is not displayed is excluded from the matched list, stored in the pathological sample management means, and the matched list is displayed on the display means. and

According to the third invention, the identification display is displayed on the pathological specimen information registered in the first electronic data forming the image data of the entire slip information of the request slip, sorted into a matching list, and data organized. The state can be discriminated, and erroneous recognition of character data read by OCR can be easily found and corrected. In addition, the pathological specimen information with no identification display can be regarded as incomplete request information, and maintenance can be urged.

In the form of the matched list, the pathological sample information with no identification mark may be displayed with a black line so that the incomplete pathological sample information can be traced, and the incomplete pathological sample information is displayed in the margin of the matched list. may be displayed as an unmatched list. According to the third invention, the maintenance state of the pathological specimen information requested for pathological diagnosis is clarified, and incomplete pathological specimen information can be tracked easily, so that pathological diagnosis can be performed without omission. It has the effect of

According to a fourth aspect of the present invention, in the pathological diagnosis management system of the third aspect, the processing means further functions as an acceptance confirming means and a specimen preparation start confirming means, and the requesting doctor side and the pathologist side When an agreement is made between the pathologist to accept the pathological diagnosis of the completed request form, the acceptance confirming means selects the pathological specimen information from the matching list by the pathologist confirming the agreement with the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the pathological specimen information obtained, storing the pathological specimen information in the pathological specimen management means, and displaying the pathological specimen information on the display means; A confirmation display is displayed on the displayed pathological specimen information, and the pathological specimen preparer selects the agreed upon pathological specimen information on which the confirmation display is displayed, thereby selecting the specimen preparation start confirming means. confirming the start of specimen creation in the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the agreed upon pathological specimen information, and storing the specimen in the pathological specimen management means; The pathological specimen information displayed on the display means is characterized in that an indication that the specimen is being prepared is displayed.

According to the fourth invention, when an agreement is reached with the requesting doctor, the pathologist side only needs to confirm the matching list containing the pathological specimen information with the identification display, and the pathological diagnosis request can be made. Acceptance agreement is easy, and clinical laboratory technologists do not create pathological specimens out of timing.

A fifth invention of the present invention is the pathological diagnosis management system of the third invention, further comprising a server and communication means, wherein the server functions as the processing means and the storage means, and the requester An external organization mediates between the doctor side and the pathologist side, and the external organization takes over samples from the requesting doctor side and is applied to pathological diagnosis work in which the preparation of the pathological specimen is shared, and the server performs The processing means functions as the specimen selection display means, the correction support means, the pathology specimen information selection means, the list notification means, and the pathology specimen information display means, and the storage means formed by the server functions as the Functioning as pathological specimen management means, at least when the pathological specimen information selection means causes the pathological specimen information to be selected into the matching list, the list notification means is configured to display the matching information stored in the pathological specimen management means. A link for displaying a list is sent to at least one of the pathologist side and the external organization by e-mail via the communication means, and the pathologist side or the external organization notified of the link sends the link is selected, the matching list stored in the pathological specimen management means is displayed on the display means, and the pathologist side or the external institution displaying the matching list can select By selecting the pathological specimen information from the pathological specimen information display means, the pathological specimen information display means is linked to the specimen number of the selected pathological specimen information from among the pathological specimen information stored in the pathological specimen management means. The pathological specimen information is displayed on the display means, and the displayed pathological specimen information includes at least first electronic data.

According to the fifth invention, a clinical laboratory technologist of an external institution prepares a pathological specimen from a sample collected by a requesting doctor, and a pathological diagnosis medical institution to which a plurality of pathologists belong to concentrates the pathological specimen, While coping with the shortage of pathologists, the purpose of requesting a diagnosis from a requesting doctor is correctly transmitted to pathologists, and the efficiency of medical practice is improved. The server may be a cloud server, is not limited, and does not have to belong to the pathologist side or an external institution. By the pathologist selecting the link notified by the e-mail, the matched list with the identification display stored in the server is obtained via the communication means and displayed on the display means.

Based on the request slip delivered from the requesting doctor side, the pathologist side or an external institution in charge of upstream paperwork from the pathological diagnosis may store the matching list in the server. For example, the server may notify the pathologist of a link for displaying the matching list stored in the pathological specimen management means of the server by e-mail in accordance with the agreement of the pathological diagnosis and the timing of the pathological diagnosis.

According to the fifth aspect, the pathologist side or the external organization that receives the notification of the link can display and confirm the matching list formed by the slip information stored in the server by selecting the link, and the pathological diagnosis by the pathologist side can be performed. Even if the database related to this is not open to the outside, it is possible to perform an efficient and error-free pathological diagnosis.

According to a sixth aspect of the present invention, in the pathological diagnosis management system according to the fifth aspect, the processing means further functions as acceptance confirming means and specimen preparation start confirming means, and the requesting doctor side and the pathologist side When an agreement is made between the pathologist to accept the pathological diagnosis of the completed request form, the acceptance confirming means selects the pathological specimen information from the matching list by the pathologist confirming the agreement with the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the pathological specimen information obtained, storing the pathological specimen information in the pathological specimen management means, and displaying the pathological specimen information on the display means; A confirmation display is displayed on the displayed pathological specimen information, and the pathological specimen preparer selects the agreed upon pathological specimen information on which the confirmation display is displayed, thereby selecting the specimen preparation start confirming means. confirming the start of specimen creation in the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the agreed upon pathological specimen information, and storing the specimen in the pathological specimen management means; The pathological specimen information displayed on the display means is characterized in that an indication that the specimen is being prepared is displayed.

According to the sixth invention, even if the external institution mediates between the requesting doctor and the pathologist, the link is selected when an agreement is reached with the requesting doctor to create the matching list. Based on the diagnostic findings of the requesting doctor, the pathologist side can accept the pathological diagnosis request, and the external institution can start preparing the specimen. Based on the basic rule that the preparation of pathological specimens should be started only after the pathologist agrees on the pathological diagnosis, the task of having clinical laboratory technologists belonging to external institutions prepare specimens at the appropriate timing can be done without error and efficiently. It has an unprecedented advantageous effect that it can be practically implemented.

According to a seventh aspect of the present invention, in the pathological diagnosis management system of the sixth aspect, the processing means further functions as request job extraction means, and the pathological specimen information stored in the pathological specimen management means Progress information and special display information are stored in the matching list, and the progress information includes at least character data corrected, pathological specimen arrival, pathological diagnosis in progress, and diagnosis completed. The special display information is information for displaying a "special display" indicating special work including at least one of "urgent" or "additional dyeing", and the requested work The extraction means extracts the work corresponding to any of the progress states from the matching list stored in the pathological specimen management means, and the display means displays the matching related to the extracted work. The special display is always displayed together with the list, and the progress of the special work can be managed.

When pathological diagnosis is urgently required due to the patient's symptoms, or when the stained state of the pathological specimen handed over to the pathologist is unclear in the shape, color, and brightness of the tissue, another pathological specimen with additional staining is required. In some cases. In such a case, it is necessary to perform pathological diagnosis separately from the flow of pathological diagnosis in order of request.

According to the seventh invention, for tasks including at least one of "urgent" or "additional dyeing", a special indication is stored to manage the progress, and the request task extracting means detects any progress of the task. When managing, a special display is also displayed. As a result, the pathological diagnosis, which should be managed in a special state of progress, can be effectively performed at an appropriate timing without overlooking it.

According to an eighth aspect of the present invention, in the pathological diagnosis management system of the seventh aspect, the processing means further functions as result notification means, and the result notification means is stored in the pathological specimen management means. , a link for displaying image information of each pathological diagnosis result is notified to the requesting doctor via the communication means, and the image information can be downloaded by the requesting doctor selecting the link. It is characterized by

According to the eighth invention, the pathologist uploads the pathological diagnosis result consisting of the image information to the database of the pathological diagnosis management system without opening the database related to the pathological diagnosis on the side of the pathologist to the outside. As a result, the requesting doctor can download the pathological diagnosis results without mistaking them even in a state of being disconnected from the pathological diagnosis database on the side of the pathologist.

According to the first invention, it is easy to check the image data of the request form corresponding to the pathological specimen that the pathologist receives from among the large number of pathological specimen information that has arrived at a different timing than the pathological specimen. This has the effect of preventing a doctor from confusing a patient's pathological specimen with its pathological specimen information.
・According to the second invention, the original request form can be retained in its original appearance state, and the character information obtained by optical character recognition can also be used for efficient and highly reliable pathological diagnosis management. It has the effect of

According to the third invention, the maintenance state of pathological specimen information for which a pathological diagnosis is requested becomes clear, and incomplete pathological specimen information can be easily traced, so that pathological diagnosis can be performed without omission. It has the effect of being able to
- According to the fourth invention, when an agreement is reached with the requesting doctor, the pathologist side only needs to confirm the matching list in which the pathological specimen information with the identification display is arranged, and the pathological diagnosis is requested. It is easy to reach an acceptance agreement, and clinical laboratory technologists do not prepare pathological specimens out of time.

According to the fifth invention, the pathologist side or the external organization that receives the link notification can display and confirm the matching list formed by the slip information stored in the server by selecting the link, and the pathologist's pathology Even if the database related to the diagnosis is not open to the outside, there is an effect that efficient and error-free pathological diagnosis can be performed.
- According to the sixth invention, a clinical laboratory technologist belonging to an external institution prepares specimens at an appropriate timing based on the basic rule that pathologists agree on a pathological diagnosis before starting to prepare pathological specimens. There is an advantageous effect that has not existed in the past that the work can be performed efficiently without making a mistake.

- According to the seventh invention, the pathological diagnosis to be managed in a special state of progress can be effectively performed at an appropriate timing without overlooking.
According to the eighth invention, even if the requesting doctor is disconnected from the pathological diagnosis database on the side of the pathologist, it is possible to download the pathological diagnosis results without mistaking them.

Explanatory drawing of a business flow (Example 1). Explanatory drawing of a business flow (Example 1). 1 is a block diagram of a pathological diagnosis management system (Example 1); FIG. Example of index information (Example 1). Concrete example of slip capture and identification display (Embodiment 1). An example of correction support (Example 1). An example of a link notification mail addressed to a pathologist (Example 1). Example of Confirmation of Acceptance (Example 1). An example of agreement confirmation (Example 1). An example of specimen preparation initiation (Example 1). An example of pathological specimen information (Example 1). Example of arrival confirmation (Example 1). Example of arrival confirmation (Example 1). An example of a diagnostic list (Example 1). An example of a diagnostic list (Example 1). An example of diagnostic result upload (Example 1). An example of diagnosis result download (Example 1). Explanatory drawing of an additional dyeing work flow (Example 1). Explanatory drawing of a business flow (Example 2). Explanatory drawing of a business flow (Example 2). FIG. 2 is a block diagram of a pathological diagnosis management system (Example 2); Explanatory drawing of a business flow (Example 3). An example of an operation screen on the side of a pathologist (Example 3). An example of a matching list (Example 3).

A pathological diagnosis management system for managing pathological diagnosis work based on pathological specimen information based on a request slip indicating diagnostic findings of a requesting doctor is provided with specimen code reading means and specimen selection display means. a specimen code attached to a pathological specimen is read by the specimen code reading means, and pathological specimen information having a specimen number corresponding to the specimen code is selected from a list of a large number of pathological specimen information by the specimen selection display means; To display the pathological specimen information corresponding to the pathological specimen at hand of the pathologist and the image data of the related request form. As a result, the pathological sample information corresponding to the pathological sample in the hands of the pathologist, including the diagnostic findings of the requesting doctor, can be confirmed from among the pathological sample information based on a large number of request slips that arrive at different times than the pathological sample. and the pathologist will not confuse the pathological specimen with its pathological specimen information.

In addition, the pathological diagnosis management system is provided with optical information acquisition means and correction support means, and image data of the entire request slip in a predetermined format and electronic data consisting of character data or image data of each column of the request slip. are obtained, and displayed on the screen in comparison with each other. As a result, it is possible to accurately record even a request slip written by hand and prone to misrecognition, and to perform a pathological diagnosis based on highly reliable pathological sample information.

In the present invention, when the requesting doctor and the pathologist are intervened by an external organization to which the clinical laboratory technologist belongs and the pathological diagnosis work is performed by "three-party cooperation", the requesting doctor and the pathologist It can be applied to any case where pathological diagnosis work is performed by “two parties working together”.

In the pathological diagnosis management system 1 of the first embodiment, a requesting doctor collects a specimen and prepares a request form, and an external organization prepares a pathological specimen and extracts character data integrated with the pathological specimen information to form a table. Create index information, upload it to the server, and transport the sample, request slip, and pathological specimen. Then, the pathologist side is responsible for acquiring slip information based on the requested slip, confirming matching, pathological diagnosis, and summarizing the pathological diagnosis results. To facilitate understanding, the business flow will be described first with reference to FIGS. 1 and 2. FIG.

In Example 1, a pathological diagnosis management system 1 having a server functioning as information processing means will be described with reference to FIGS. 1 to 17. FIG. 1 and 2 are explanatory diagrams of the work flow, and numerically indicate the order in which each work progresses. The processing on the "client doctor's side" is indicated by enclosing "numbers in circles". "Transportation by external agency" is indicated by enclosing the number in a "square with a thin line", and other processing of "external agency" is indicated by enclosing the number in a "square with a thick line". Processing in the server is indicated by "numbers only". The processing by the pathologist is indicated by enclosing "numbers in hexagons". "Requesting doctor side" refers to an organization including requesting doctors, and "pathologist side" refers to an organization including pathologists, and is distinguished from "requesting doctor" and "pathologist". Each includes a contact person as well as an external agency.

FIG. 3 shows a block diagram of the pathological diagnosis management system 1. As shown in FIG. 4 to 17 show specific examples of screen display corresponding to each business flow, and numbers corresponding to the business flow are shown on the left side of each figure for easy understanding. FIG. 18 shows the additional dyeing work flow when additional dyeing is required. 4, 10, and 11 show the screen displays of the external institution, FIGS. 5 to 6, 8, 9, and 12 to 16 show the screen displays of the pathologist side, and FIG. FIG. 17 shows a screen display for mail sent to the pathologist, and a screen display for downloading diagnosis results.

The pathological diagnosis work managed by the pathological diagnosis management system 1 progresses through each step from the first step to the eighteenth step after the requesting doctor and the pathologist agree on the work in advance ( 1 and 2). “Preliminary business agreement” refers to a business agreement that determines in advance how many pathological diagnosis services to be entrusted or entrusted each year. It refers to the agreement to accept the pathological diagnosis for the requested slip.

In the first step, the requesting doctor collects a specimen from the patient and prepares a request form (see A in FIG. 6) in a predetermined format. The format of the request form is not limited as long as it shows the "diagnostic findings by the requesting doctor" and the "schema diagram" to be acquired as image information at predetermined positions. If the requesting doctor has an electronic medical record system, it is preferable to receive not only a copy of the request slip but also a printed copy of the electronic medical record. For ease of understanding, only the request slip will be described below.

In the second step, the requesting doctor side hands over the specimen and the requested slip to the external institution. In the third step, a specimen number is issued for each request form so that a table containing the specimen number as one of the index information is constructed, and along with the date of receipt of the request, pathological specimen management performed by the storage means of the server is performed. An external organization uploads and stores the data in the means (see FIG. 4). Index information refers to a line of information that includes information to be extracted and searched from among electronic data in tabular format that includes at least specimen number and information ranging from slip information to pathological specimen information. say

The specimen number is set to "H", "22", and "000001" as a set of "sign", "lower two digits of the year", and "yearly serial number", but is not limited. If a plurality of pathological specimens are to be prepared based on one request form, a branch number may be given after the specimen number. The index information is indicated by one line such as "specimen number, date of receipt of request, name of requesting institution", and constitutes an entire table of pathological specimen information including specimen numbers, from request information to pathological diagnosis information. The index information indicates the progress of work, for example, "identification display ○" indicating that an agreement has been reached, "(pathological specimen) not arrived", "(pathological) diagnosis in progress", "urgent", "additional staining", etc. Special displays and the like are added as needed (see FIG. 8).

In the fourth step, the request form is transported from the external institution to the pathologist side and handed over. In the fifth step, the pathologist uses OCR to obtain electronic data that constitutes slip information from the request slip, and as electronic data corresponding to the specimen number, the index information already created by the external institution is followed by the server. upload to. The request information is integrated as electronic data forming the entire table in the storage means functioning as the pathological specimen management means.

Specifically, the first electronic data in PDF format forming the entire image (first image data) of the requested slip, the character data forming the character information of the requested slip, and the requesting doctor's diagnosis at a predetermined position on the requested slip. The second electronic data consisting of the second image data in JPG format formed by the schematic diagram and the second electronic data are stored in the entire table (see FIG. 6) corresponding to the specimen number of the pathological specimen management means.

The character data is recorded as information linked to the specimen number such as "(specimen number ...), patient name, ..." following the specimen number assigned in the third step, which constitutes the index information. I wish I could. The image data should have a file name including the specimen number, such as "first image data_specimen number".

The index information associated with at least the first electronic data (see symbol A in FIG. 6) forming the entire original request slip is given an identification mark "O" indicating that the entire image is stored. , is stored in the pathological specimen management means (see FIG. 5). The pathological specimen information whose identification is attached to the index information is sorted into a matching list in the seventh step.

In the sixth step, on the pathologist's side, the first electronic data and the second electronic data corresponding to the specimen number are processed by the correction support means formed by the processing means of the server as an upstream process work up to the pathologist. There is no discrepancy between the first electronic data (see symbol A in FIG. 6), which is displayed on a display means such as a monitor so as to be able to be compared (see FIG. 6), and which forms the entire original request slip, and the character data which forms the second electronic data. If there is any misrecognition at the stage of optical reading, correct the character data.

In the seventh step, the processing means of the server functions as the pathological specimen information selection means, and only the pathological specimen information having the identification display is matched from the pathological specimen information stored in the storage means of the server as the pathological specimen management means. Let the list sort. At the same time, the pathological specimen information lacking the identification display may be included in the unmatched list (see FIG. 8). At this stage, the progress status of the index information is "undetermined". Then, an e-mail containing a link for displaying the matching list is sent to the pathologist (see FIG. 7).

In the eighth step, the pathologist selects a link for displaying a matching list, selects each link of the matching list that displays an identification indication that the progress status of the index information is "undetermined", and selects each link of the matching list to display slip information. (See FIG. 8), the content of each request for pathological diagnosis is confirmed, and "agreement confirmation" for each pathological diagnosis is made by the acceptance confirming means of the processing means of the server. When the agreement is finalized, the progress status of each piece of index information forming the matching list is set to "finalized" (see FIG. 9).

In the ninth step, an e-mail with a link is sent from the server to the external institution to notify that the agreement has been confirmed, and the confirmed matching list can be confirmed. In the ninth step, although not shown in the figure, similarly to the seventh step, an e-mail containing a link for displaying the matching list whose acceptance has been confirmed may be sent to the external institution. In the tenth step, the processing means of the server functions as specimen preparation start confirming means, and the confirmed and displayed matching list is selected in the external institution to "start preparation". Then, sample preparation is started (see FIG. 10).

In the eleventh step, the clinical laboratory technologist excises and stains the specimen received in the second step within the range of the matching list for which the start of preparation of specimens has been confirmed, and prepares pathological specimens. At the same time, a seal on which a specimen code corresponding to the specimen number constituting index information is printed is attached to the preparation that constitutes the pathological specimen. Since the specimen code needs to be attached to a limited area of the slide, a two-dimensional code, for example, which can record a large amount of information, is preferable, but a barcode, RFID tag, etc. may be used without limitation.

In a twelfth step, the external institution associates specimen preparation information, staining information, and excised specimen image of the prepared pathological specimen with specimen numbers and uploads them to the server (see FIG. 11). Specimen preparation information may be tabular data in which "(specimen number), patient name, requesting institution name, specimen number, organ name, ..." etc. are recorded in one line. ), special staining name (HE staining name, etc.), special staining code, etc. in one line. The cut-out image of the specimen is a "photograph of the specimen and a pictorial diagram showing the cut plane of the specimen showing the cut-out position of the pathological specimen" extracted from the patient. Specimen creation information, staining information, and specimen cut-out image form a part of pathological specimen information together with slip information.

In the thirteenth step, the server integrates the specimen preparation information and the like uploaded in the twelfth step into the index information corresponding to the specimen number. After the integration, based on the index information displayed in the matching list, not only the electronic data related to the slip information but also the electronic data related to the specimen preparation information can be browsed as an integrated whole table.

In the fourteenth step, the pathological specimen with the specimen code attached is transported and handed over from the external institution to the pathologist. In the fifteenth step, the pathologist side reads the specimen code attached to the delivered pathological specimen by a two-dimensional code reader serving as specimen code reading means. Then, the specimen number corresponding to the two-dimensional code is displayed in the specimen number column at the top of the screen where the matching list in the "unarrived" state was displayed (see FIG. 12), and the screen transitions to the next screen.

In the 16th step, the processing means of the server serving as the selection display means displays the two-dimensional code read by the two-dimensional code reader from the match list in the "unarrived" state on the display means of the pathologist. Only the selected pathological specimen information is selected and displayed (see FIG. 13), and the arrival of the pathological specimen is confirmed. Here, the pathologist confirms that the pathological specimen information corresponding to the specimen code is not blank, and confirms that the pathological specimen is not mistaken for electronic data. The selective display means that the details of the pathological specimen information are displayed on one screen in the first embodiment, but it is also possible to highlight only one index information from the list, and the mode is not limited. is a matter of course.

In the seventeenth step, the pathological specimen information corresponding to the specimen number is selected also during the pathological diagnosis, and the pathological diagnosis is performed while referring to the patient information and the diagnosis findings of the requesting doctor. Again, the specimen code attached to the pathological specimen is read by the two-dimensional code reader, and only the index information of the pathological specimen information corresponding to the specimen code is selected from the matched list of pathological specimen information waiting for diagnosis (see FIG. 14). The image data (see FIG. 15) related to the slip information corresponding to the specimen number which is made selectable is displayed. Then, a pathological diagnosis is performed by confirming the image data.

When the pathological diagnosis is completed, the reader reads the specimen code attached to the pathological specimen, and uploads the image information of the pathological diagnosis certificate to the server (FIG. 16). In the eighteenth step, the requesting doctor selects the e-mail link (not shown) notified from the server, goes to the pathological diagnosis result download site, and downloads the pathological diagnosis (FIG. 17).

Next, referring to the block diagram of FIG. 3, the structure of the pathological diagnosis management system 1 will be described. 17 to 17, and will be described in order along the above business flow. The configuration of each screen display is an example, and is of course not limited.

The pathological diagnosis management system 1 includes a server 10, a computer (hereinafter referred to as a PC) used by a requesting doctor, an external institution, and a pathologist, a communication means 20 for communicating between the server and each PC, and an OCR. and an optical information acquiring means 30 and a sample code reading means 40. The processing means 100 and storage means 200 of the server function as processing means and storage means forming information processing means. function as display means for

The optical information acquisition means 30, which is an acquisition means for acquiring slip information, may be a well-known OCR. The optical information acquiring means 30 acquires image data in PDF format, JPG format, or the like from the request slip, converts the character information of the request slip into character data by optical character recognition of OCR, and acquires the character data. to acquire the requested slip as the first electronic data and the second electronic data. When there is a copy of the electronic medical chart, the PC 60 on the side of the pathologist similarly acquires the image data and text data of the electronic medical chart copy.

The specimen code reading means 40 for reading the specimen code 41 attached to the pathological specimen may be a known two-dimensional code reader, bar code reader, RFID reader, or other reader corresponding to the specimen code type. The specimen code reading means 40 obtains the specimen number from the specimen code 41 and causes the server 10 to communicate it via the communication means 20 .

The external institution PC 50, the pathologist's PC 60, and the requesting doctor's PC 70 may all be general-purpose computers equipped with control means, storage means, display means, and input means. (see Figure 3). The control means may be a central processing unit (hereinafter referred to as CPU), and the storage means may be HDD, SSD, RAM, ROM, or the like, and is not limited. The display means may be a monitor or the like, and the input means may be a keyboard, mouse or the like.

In the storage means of the external institution PC 50, the specimen number uploaded to the server in the third step, the index information 51 (see FIG. 4) constituting electronic data, the specimen preparation information 52 uploaded to the server in the twelfth step, Staining information 53 and specimen cutout image information 54 are stored (see FIG. 11). Further, additional dyeing information 55 is also stored for cases in which additional dyeing is performed.

In the storage means of the PC on the side of the pathologist, the first electronic data 61 and the second electronic data 62 (see FIG. 6) uploaded to the server in the fifth step, and the final confirmation of the pathological diagnosis in the seventeenth step are stored. pathological diagnosis result information 63, that is, pathological diagnosis data, and image information in PDF format, JPG format, etc. of the pathological diagnosis certificate to be uploaded to the server are stored (see FIG. 16). The image information of the downloaded pathological diagnosis is stored in the storage means of the requesting doctor's PC.

The server 10 comprises a processing means 100 and a storage means 200, and is user-managed so that only those who have been registered as users in advance can access the server. The processing means 100 formed by the server 10 may be a CPU, and the storage means 200 may be an HDD, SSD, RAM, ROM, or the like, and is not limited. The server 10 may be a cloud server, and the aspect is not limited. Here, the server 10 is information processing means for managing pathological sample information related to pathological diagnosis work, and is preferably different from the externally closed database independently managed by each medical institution.

The processing means 100 of the server are arranged to perform the following characteristic functions. First, as the specimen selection display means 101, the server displays only the pathological specimen information corresponding to the specimen code of the read pathological specimen when the pathologist confirms the pathological specimen and makes a pathological diagnosis, and when uploading the pathological diagnosis result. is selected, and the image data of the requested slip is displayed on the screen of the pathologist for easy confirmation.

The server functions as correction support means 102, and after the slip information is acquired as electronic data, in a sixth step, the first electronic data, the character data constituting the second electronic data, and the second image data are transferred to a pathologist. The display means of the side PC is displayed in comparison to support the correction of misrecognition of character data (see FIG. 6).

In the fifth step, the server, as the pathological specimen information selection means 103, attaches an identification mark to the pathological specimen information in which at least the first electronic data is associated with the index information, and sorts the pathological specimen information into the matching list (see FIG. 5). The server functions as a list notification means 104, and in the seventh step, the pathologist is notified of the link for displaying the matching list by e-mail via the communication means (see FIG. 7), and in the ninth step, the link is sent to the external institution. It is made possible to notify and check the matching list with electronic data.

The server functions as the pathological specimen information display means 105, and displays the pathological specimen information including at least the first electronic data for the pathological specimen information selected from the displayed matching list (see FIG. 6). The server functions as acceptance confirming means 106, confirms agreement on the pathological specimen information selected by the pathologist from the matching list in the eighth step, and displays the confirmation display (see FIG. 9). The server functions as specimen preparation start confirmation means 107, and in step 10, the start of specimen preparation is confirmed by selecting the pathological specimen information displayed as confirmation (see FIG. 10).

The server functions as result notification means 108, and in steps 17 to 18, notifies the requesting doctor of a link for displaying the image information of each pathological diagnosis result, and the requesting doctor selects the link. , the image information can be downloaded (see FIG. 17). The server functions as request work extracting means 109, extracts work according to the progress of extraction, displays a list, displays a special display, and makes it possible to manage the progress of the special work (see FIG. 9).

The server functions as the user authentication means 110, and the information stored in the server and the functions of the server can be used within the scope of work according to the authority of the user information 215 for authentication determination stored in advance in the storage means. For example, requesting doctors and external institutions are restricted from using functions related to pathological diagnosis.

The server functions as the e-mail address registration means 111, and stores the e-mail addresses 216 for acquisition of the pathological diagnosis information on the requesting doctor side, the external institution, and the pathologist side in the storage means. This e-mail address is used when notifying a link for displaying a match list or the like.

The storage means 200 of the server functions as the pathological specimen management means 201 (see FIG. 3) in the third step (see FIG. 2) and later, and stores the pathological specimen information 202 for each specimen number so that it can be used as index information. The electronic data including the first electronic data 203 and the second electronic data 204 are associated with the pathological specimen information list to be displayed in the step and stored. When a specimen is prepared, it is stored as pathological specimen information 205 in which slip information and specimen preparation information are integrated. Furthermore, if the first electronic data is registered in each piece of index information, the identification display 207 is stored together with the index information and stored as a matching list 206 .

The index information of this matching list includes progress information 208 indicating the progress status such as character data corrected, diagnosis completed, etc., and "special display" indicating that it is different from the normal management route such as "urgent" and "additional staining". 209, confirmation display information 210 indicating confirmation of agreement, etc. are integrated and stored according to the progress of business. (See each figure). These character data can be used as index information after being integrated into the matching list. In addition, in the pathological sample preparation information and the like in the twelfth step, the staining information 211 and the sample excised image information 212 are uploaded, integrated, and stored in the index information of the match list (see FIG. 11).

Further, when additional dyeing is performed, the additional dyeing information 213 is integrated with the index information of the matching list and stored. The additional staining information includes an agreement to request additional staining, specimen preparation information, staining information, specimen cut-out image information, etc. for a newly prepared pathological specimen for additional staining. In the seventeenth step, when the pathological diagnosis result information 214 (see FIG. 16) is uploaded, the image information of the pathological diagnosis result is integrated with the index information and stored.

As described above, the index information, which requires the specimen number, is added and integrated with the information corresponding to the work of each step at any time. Pathological specimen information can be confirmed.

A more specific description will be given below by showing specific screen displays when the user accesses the server and performs business (see FIGS. 4 to 16). The top bar of the screen display displays the name of the organization and the name of the person in charge, and the sidebar of the screen display displays a list of functions corresponding to the scope of work of the user. In each figure, selected functions are highlighted with a thick frame to facilitate understanding, and unselected functions are shaded. Related information corresponding to the selected function is displayed in the center of the screen.

For easy understanding, the step number of the business flow corresponding to each screen display is indicated on the left side of the screen display shown in each figure. The screen displays related to each task of sample collection in the first step, transportation in the second, fourth, and fourteenth steps, and pathological sample preparation in the eleventh step are omitted.

In the screen display shown in FIG. 4, in the third step, the electronic data of the specimen number that constitutes the index information created by the external organization is uploaded to the server, and the tabular data that constitutes the pathological specimen information is uploaded to the server as "newly created". "do. The external institution accesses the server from the external institution PC via communication means, performs user authentication, displays a screen display corresponding to the scope of work permitted to itself, and selects "new creation" from the sidebar.

Tabular data created in advance, for example, CSV created separately, consisting of items such as "special display column", "status column", "identification display column", "specimen number column", "request reception date column", "requesting institution name column", etc. Select a file, select "Import information" arranged at the top of the screen, upload it to the server, and select "Confirm" to store it in the storage means. The tabular data is data including a specimen number that constitutes index information for a list ranging from slip information to pathological specimen information (see FIG. 4). It goes without saying that the date of receipt of the request and character data representing the name of the requesting institution of the requesting doctor may be included together with the specimen number. A storage means serving as a server functioning as a pathological specimen management means stores character data shown in one line in series with the specimen number as index information.

In the screen display shown in FIG. 5, in the fifth step, the pathologist side shows the screen display of "slip capture" to cause the server to acquire the first electronic data and the second electronic data. The first electronic data in PDF format, which the pathologist created in advance using OCR and stored in the PC of the pathologist, and the requesting doctor's diagnostic findings in JPG format are retrieved by "Import slip information" located at the top. - Select the corresponding specimen number and upload the second image data or the like consisting of a schematic diagram or the like to the server. When the first electronic data is associated with the index information, an identification display of "o" is displayed in the identification display column of the list.

Here, the pathological specimen information selection means selects only the index information with the identification display into the matching list. Index information that does not have an identification display is, for example, shaded and excluded from the matching list. Further, when "Urgent" is included in the tabular data, "Urgent" is displayed in the special display column so that it can be easily distinguished from other cases (see FIG. 5). When any one of the index information on the list is selected, the display transitions to a screen that assists correction of the electronic data (see FIG. 6).

The "Electronic Data Remediation" screen display shown in FIG. 6 is used in the sixth step of the process before the matching list is sent to the pathologist at the pathologist's site. By selecting one of the index information displayed in the matching list, the two pieces of electronic data are compared and displayed by the 'correction support means', and the electronic data is corrected in a state where correction is facilitated. A sample number is displayed in the upper portion of the screen, and the first electronic data and the second electronic data are displayed in the central portion of the screen so as to be horizontally comparable. The pathologist confirms whether or not there is an erroneous recognition of the character data while comparing the first electronic data in the PDF format of the request slip in the prescribed format with the character data that has undergone optical character recognition.

When an erroneous recognition is found, select "Correction" located at the bottom to put the column of character data into a correctable state and correct it to the correct character data (see FIG. 6). In addition, it checks whether there is any lack of image in the JPG format data of the diagnosis findings of the requesting doctor and the schema diagram that constitute the second image data, and if there is no defect in the electronic data, the "confirmation" placed at the bottom is checked. to select. To return to the list in FIG. 5, select "Return" located at the bottom. When the erroneous recognition of all pathological specimen information has been corrected and "Confirm" is selected, the process proceeds to the seventh step (see FIG. 6).

In the seventh step, the server functioning as the pathological specimen information selection means selects the index information whose character data has been corrected and whose identification display is made into the "matching list". Furthermore, in a seventh step, the pathologist is notified by e-mail of a link to an information site that displays the matching list (see FIG. 7). By selecting this link, the pathologist will be able to display the match list. It goes without saying that correction of the electronic data may be handled by an external institution, not by the pathologist before reaching the pathologist.

In the screen display of "acceptance confirmation" shown in FIG. 8, in the eighth step, the index information displayed as "unconfirmed" selected in the match list is accepted by the pathologist's acceptance confirmation means. In the seventh step, when new pathological specimen information is added to the matching list, a notification mark is displayed at the position of "acceptance confirmed" displayed on the sidebar on the operation screen of the pathologist. When the notification mark is displayed, the matching list should be displayed on the screen.

Select the newly added index information displayed as "unconfirmed" (see Fig. 8) arranged in the matching list one by one and check the contents, and for the index information without defects, the progress is indicated. is changed to "confirmed", and if a defect is found, the status is changed to "unconfirmed". Then, the index information set as "unconfirmed" is excluded from the matched list and sorted to the unmatched list. For the unmatched list, the reason for the incompleteness in the entry column of "Reason for inadequacy" is, for example, there is an error in the "patient name" that forms the index information uploaded in the third step, or the request form has not arrived. etc. is entered.

In the screen display shown in FIG. 9, after setting the index information of the matching list to either confirmed or unsettled, select "Agreement Confirmation" located at the bottom of the confirmed matching list to confirm the agreement. By confirming the agreement, it is possible to confirm that the pathological diagnosis information is ready for each pathological diagnosis request, and to record that the agreement is made to perform the pathological diagnosis work. If "confirmation of agreement" is selected, the process proceeds to step 9, in which the server notifies the external institution of an e-mail indicating a link for displaying a matching list with confirmation of agreement.

In the screen display of "confirmation of start of sample preparation" shown in FIG. 10, the start of preparation of samples is confirmed by the external organization in step 10 after the confirmation of agreement is notified in the ninth step. When there is a newly added agreement, a notification mark is displayed at the position of "Sampling start confirmed" displayed on the sidebar. The external institution displays the screen of "Confirmation of starting preparation of specimens", confirms the "matching list" in which the agreement has been confirmed, selects "start preparation" placed at the bottom of the matching list, and starts preparation of specimens. to confirm.

At the same time, the external organization checks the "unmatched list" where the agreement has not yet been finalized, returns to step 3 to correct any errors in the index information, and confirms the transportation status in the case of non-arrival of slips. Since sample creation is started for the index information selected in the match list, the progress status is updated to "preparing sample". In an eleventh step, a clinical laboratory technologist belonging to an external institution prepares a pathological specimen. Once the pathology specimen is complete, proceed to step 12.

In the screen display of "specimen information upload" shown in FIG. 11, in the twelfth step, the external institution uploads the specimen preparation information etc. to which the specimen number is attached which has been prepared in advance. Here, select "Import Specimen Preparation Information" placed at the top to import tabular data of specimen preparation information, select "Import Staining Information" placed in the center, and select the table of staining information. Import the format data, select "Import Specimen Cutout Image" located at the bottom, and import the specimen cutout image.

When the specimen preparation information is taken in, a list of patient name, requesting institution name of requesting doctor, specimen number, organ name, sex, age, etc. is displayed for each specimen number. When the staining information is imported, a list of special staining names, special staining codes, etc. is displayed for each specimen number. It is preferable that both the specimen preparation information and the staining information can be viewed in their entirety using a slide bar.

When the cut-out image of the specimen is captured, an image list including the specimen number in the file name is displayed. To reload the electronic data, select "Cancel" placed in the screen. If "confirm" is selected here, the process proceeds to step 13, where the electronic data captured by the server are integrated into the index information for each specimen number, and the state of progress is before the pathological specimen is delivered to the pathologist. (See FIG. 12). Then, in a fourteenth step, the pathology specimen is transported.

In the screen display of "arrival confirmation" shown in FIG. 12, the status is "unarrived". Here, when the specimen code attached to the arrived pathological specimen is obtained by the specimen code reading means while the matching list of the pathological specimen information is displayed, the specimen code is transmitted to the server via the communication means. The server extracts the specimen number corresponding to the specimen code, acquires only the pathological specimen information corresponding to the specimen number, displays it in the "specimen number" column, and selects the pathological specimen information corresponding to the pathological specimen in the matching list. It is said that

In the 16th step, when a selectable specimen number is selected, the status of the pathological specimen is changed to "arrived", and the screen display of the selected pathological specimen information shown in FIG. 13 is displayed. On the screen display of "arrival confirmation" shown in FIG. 13, a list of specimen number, organ name, special staining, patient name, sex, age, etc. forming index information of pathological specimen information is displayed, and the original request slip can be confirmed. “Confirmation” will be displayed.

When it is confirmed that the pathological specimen information related to the request slip received in advance corresponds to the arrived pathological specimen, "confirmation" is selected, and when there is a discrepancy, "cancel" is selected. Although illustration is omitted, when the specimen code is read and the corresponding specimen number is not registered in the index information, the pathological specimen information is not displayed and becomes blank when the specimen code cannot be read. . When the arrival confirmation is completed, the progress information forming the index information is updated to "undiagnosed", and the process proceeds to the seventeenth step.

The screen display of the "diagnosis list" shown in FIG. 14 shows the screen of the "diagnosis list" displayed on the display means of the PC on the side of the pathologist in the seventeenth step. In the diagnosis list, the statuses are sequentially updated as "undiagnosed", "diagnosed", and "primary diagnosis completed" according to the progress of diagnosis that the pathologist should pay attention to. Special indications are always displayed in the match list so that pathological specimens that should be managed in an unusual process such as "urgent" or "additional staining" are not overlooked.

When there is an "undiagnosed" state, a notification mark is displayed at the position of the "diagnosis list" displayed on the sidebar. When the pathologist acquires the specimen code of the pathological specimen by the specimen code reading means, the specimen number corresponding to the specimen code is acquired and displayed in the "specimen number" column in the same manner as when confirming the arrival of the specimen, corresponding to the pathological specimen. The pathological specimen information obtained can be selected in the list.

When the pathologist selects selectable pathological specimen information, the screen transitions to FIG. The "diagnosis list" shown in FIG. 15 shows a screen for pathological diagnosis in the seventeenth step. The pathologist makes a pathological diagnosis by referring to slip information and the like on the screen display shown in FIG. 15, and inputs the diagnostic findings. Each pathological specimen information is preferably displayed in an enlarged manner.

In FIG. 15, the specimen number, progress status, list of specimen excised images, list of patient information, etc. are displayed at the top of the screen, and the image data of the request slip, specimen information, and staining information are displayed by switching tabs at the bottom left of the screen. A field for entering diagnostic findings in the primary diagnosis of the pathologist is displayed on the lower right of the screen. At the bottom of the screen, a selection display of "additional staining request" and "primary diagnosis confirmed" for confirming the primary diagnosis are displayed. When the primary diagnosis is confirmed, the diagnostic finding entry column becomes edit-prohibited.

Next, a second pathologist who can confirm the final diagnosis views the pathological specimen information to which the diagnostic findings of the primary diagnosis have been added, and prepares a pathological diagnosis certificate. In the second pathologist's PC, the diagnosis result information is image data in PDF format or the like, and the specimen number is added to the file name. After creating the image data, select "Upload Final Diagnosis Results" from the sidebar to display the pathological certificate upload screen (see FIG. 16).

"Pathological diagnosis result upload" shown in FIG. 16 indicates a screen display for uploading the diagnosis result. Select "Import pathological diagnosis report" located at the top of the screen display and select the image information of the pathological diagnosis result pre-stored in the PC of the pathologist. A final confirmation is made (see FIG. 16).

If "Final Diagnosis Confirmation" is selected here, the image information forming the pathological diagnosis result is integrated corresponding to the specimen number. Here, when the progress information is updated to "Diagnosis completed" and the "Disclosure" button is selected, the requesting doctor or the like can view the pathological certificate, and the process proceeds to step 18.

"Pathological diagnosis result download" shown in FIG. 17 indicates a screen display for the requesting doctor to download the pathological diagnosis result in the 18th step. The requesting doctor is notified by e-mail or the like of a link for displaying the "disclosed" pathological diagnosis certificate, and by selecting the link, a pathological diagnosis result download screen is displayed.

The pathological diagnosis result download screen displays a link for downloading image information of the pathological diagnosis certificate together with index information relating to the pathological diagnosis certificate of one patient. Since only the link to download the pathological certificate of one patient is displayed on the screen, the requesting doctor will not mistakenly download the pathological certificate of another patient, and the pathological diagnosis results will not be downloaded. Mistakes can also be prevented.

FIG. 18 shows an explanatory diagram of an additional work flow when performing additional dyeing. In the seventeenth step, when the pathologist checks the pathological specimen and determines that the specimen is not sufficiently stained for pathological diagnosis, the requesting doctor is requested to perform additional staining (see α in FIG. 18). Next, after obtaining the consent of the requesting doctor, the consent for additional staining is notified to the pathologist (see β in FIG. 18).

When an agreement for additional staining is obtained, an external organization is instructed to prepare additional stained pathological specimens (see γ in FIG. 18). These requests may be made in the form of paper slips, may be made by e-mail, or may be notified via the server 13 . In accordance with the instructions for additional staining, in step 2, the external institution changes the staining conditions from the delivered sample and prepares a new pathological specimen in the same manner as in the eleventh step of the normal work flow.

Pathological specimen information related to additional staining is distinguished by adding a branch number to the original specimen number, and is managed by displaying "additional staining" in the special display (see FIG. 14). From this point onwards, the procedure proceeds in the same way as the normal business flow, so the explanation is omitted.

In the second embodiment, the requesting doctor prepares a request form and a pathological specimen and transports them to the pathologist side, and the pathologist side prepares electronic data based on the request form and performs a pathological diagnosis. , with reference to FIGS. 19 and 20 show the work flow in the pathological diagnosis management system 2, and numerically indicate the order in which each work proceeds. The work performed by the "client doctor" is indicated by enclosing "numbers in circles", and the work performed by pathologists is indicated by enclosing "numbers in hexagons". The processing in the PC on the side of the pathologist, which serves as information processing means, is indicated by "numerals only". The PC on the side of the pathologist may be a commissioned PC to which the work is outsourced.

In the pathological diagnosis management system 2, based on the prior agreement, the request slip and the pathological specimen are delivered to the pathologist at the same time (see FIG. 20). There is no need to perform "notification" and "confirmation of pathological specimen preparation", and the corresponding steps are omitted. The pathologist's PC or the entrusted PC (hereinafter referred to as the pathologist's PC, etc.) may function as information processing means (see FIGS. 19 and 21). Each step will be briefly described below, omitting the portions that overlap with those in the first embodiment.

In the first step, at the medical institution to which the requesting doctor belongs, the requesting doctor prepares a request slip, and the clinical laboratory technologist who belongs to the requesting doctor prepares a pathological specimen based on a prior business agreement ( Figure 20). In the second step, the request slip and the pathological specimen are simultaneously transported from the requesting doctor side to the pathologist side and handed over to the pathologist side. At this time, a copy of specimen preparation information, staining information, etc. is also delivered.

The third to eleventh steps are the responsibility of the pathologist, and are processed by the pathologist's PC or the like. In the third step, the pathologist side assigns a specimen number and inputs the electronic data into the pathologist side PC or the like. In the fourth step, an identification display is given by the pathologist's PC or the like. In the fifth step, the pathologist side compares the first electronic data with the second electronic data and corrects the character data.

In the sixth step, the PC on the side of the pathologist or the like selects the matching list. In the second embodiment, if the matching list is sorted by the PC on the side of the pathologist, the download of the pathological specimen information and the like is not essential, so the list notification may be omitted. In the case where the pathologist side operates the server business on the entrusted PC, the list may be notified. In the seventh step, the pathologist affixes a specimen code to the pathological specimen. In the eighth step, the pathologist side inputs specimen preparation information, staining information, and sample excised image to the pathologist side PC.

In a ninth step, the pathologist's PC integrates the index information with the specimen preparation information. In the tenth and eleventh steps, a list of pathological specimen information is displayed on the screen of the pathologist's PC or the like. to select and display only Here, as in the arrival confirmation work of the first embodiment, it is confirmed whether the pathological specimen information and the pathological specimen correspond.

In a twelfth step, a pathologist makes a pathological diagnosis and prepares a pathological diagnosis certificate. In the thirteenth step, the requesting doctor acquires the pathological diagnosis result. The pathological diagnosis certificate may be acquired as image data via e-mail or the like, but is not limited to this.

Next, the configuration of the pathological diagnosis management system 2 will be described with reference to FIG. Configurations common to those of the first embodiment are denoted by the same reference numerals, and descriptions thereof are omitted. The pathological diagnosis management system 2 includes a PC on the side of a pathologist or a PC 80 of a consignee, an optical information acquisition means 30, a specimen code reading means 40, a display means and an input means as information processing means. If the operation is not entrusted to an external organization, the pathologist's PC may be used alone.

The processing means may function as correction support means, pathological specimen information selection means, specimen selection display means, and requested work notification means. The functions required for intention confirmation and list notification performed in , may be omitted.

In the storage means functioning as the pathological specimen management means, the index information and each electronic data are associated and stored as in the first embodiment.

In the third embodiment, a pathological diagnosis management system capable of concurrently managing a route for pathological specimens to reach a pathologist via an external institution and a route for pathological specimens to reach the pathologist directly from the requesting doctor. 3 will be described with reference to FIGS. 22 to 24. FIG. FIG. 22 shows a business flow in which two routes are managed in parallel. FIG. 23 shows a specific example of the operation screen of the pathological diagnosis medical institution. FIG. 24 shows a matching list sorted by the presence or absence of mediation by an external organization.

FIG. 22 shows, on the left side, the route of "with" intermediation of the external institution explained in the first embodiment, and on the right side, the route of "without" intermediation of the external institution explained in the second embodiment. Since there is no work corresponding to the 4th step, the 8th to 10th steps, and the 14th step on the route with no mediation, the illustration is omitted (see the dashed frame in FIG. 23).

In the pathological diagnosis management system 3, as in the first embodiment, the server functions as processing means and storage means in which the server serves as information processing means. Even if there is no intermediation by an external organization, it is preferable to let the external organization manage the information processing means formed by the server. To enable pathologists to create electronic data, the sidebar of the operation screen of the pathological diagnosis medical institution also has the functions of "new creation", "matching list", and "specimen information upload" (see Fig. 23). ).

In addition, "presence/absence of mediation" is registered in the index information in advance (see thick frame in FIG. 23). When intermediation "yes" is registered, the business proceeds in the order of the intermediation "yes" business flow, and when intermediation "no" is registered in the index information, the business proceeds in the order of the intermediation "no" business flow ( See Figure 22). In the case of mediation "no", the fourth step and the fourteenth step related to transportation are omitted, the operations corresponding to the eighth to tenth steps (see FIGS. 8 to 10) are omitted, and the eleventh step (See FIG. 11).

Specifically, when the index information in which the pathological specimen information is arranged is sorted into the matching list in the seventh step, if the mediation of the external institution is "yes", it is sorted into the matching list of the mediation "yes". (matching list in the upper row of FIG. 24). Here, when "confirm acceptance" near the matching list in the upper row is selected, the operation screen for "confirm acceptance" is displayed (see FIG. 8), and the business flow proceeds in the same manner as in the first embodiment (intermediation in FIG. 22). (See “Yes” route).

In the seventh step, if there is no intermediation by an external institution, it is sorted into the match list of "no intermediation" (the lower match list in FIG. 24). Here, if you select "Specimen information upload" near the matching list in the lower row, you can skip the steps of "Acceptance confirmation" and "Specimen preparation start confirmation" and proceed to the "Specimen information upload" operation screen (Fig. 9). ), the business flow proceeds in the same manner as in the second embodiment (see mediation "no" route in FIG. 22). From the twelfth step onwards for uploading specimen preparation information, etc., a matching list may be created that is integrated without being divided depending on the presence or absence of mediation.

Regardless of which route the pathological specimen is accepted from, in the 15th and 16th steps, the pathological specimen corresponding to the specimen code of the pathological specimen at hand is selected from the corrected pathological specimen information list in the 5th step. The image data of the request slip is displayed according to the information, and the pathological diagnosis is started in the seventeenth step in a state where there is no confusion between the pathological specimen and the pathological specimen information.

Therefore, even if the request slip (fourth step) and the pathological specimen (fourteenth step) are delivered at different timings through the route of “with” intermediation by an external institution, the route of “no” intermediation by an external institution will Even if the specimen code is attached at a different timing (step 11) than when the specimen is created (step 1), the image data of the request form is displayed and confirmed by the pathologist, so the pathological specimen and the pathological specimen can be checked. There is no confusion with specimen information.

(others)
- The business scope of the administrative procedures in which the requesting doctor side, the external institution, and the pathologist side are respectively in charge shown in the first embodiment is merely an example. Which scope of work each organization is responsible for may be changed according to agreement. For example, an external organization may create the first electronic data and the second electronic data to correct misrecognition of character data.
In the second embodiment, the medical institution on the side of the requesting doctor prepares the pathological specimen, but it goes without saying that the pathologist may prepare the pathological specimen and operate the system.
- The embodiments disclosed this time are illustrative in all respects and should be considered not restrictive. The technical scope of the present invention is not limited to the above description, but is indicated by the scope of claims, and is intended to include all modifications within the scope and meaning equivalent to the scope of claims.

1, 2, 3 ... pathological diagnosis management system,
DESCRIPTION OF SYMBOLS 10... Server, 20... Communication means, 30... Optical information acquisition means,
40... Specimen code reading means, 50... External institution PC, 60... Pathologist side PC,
70 ... requesting doctor's PC, 80 ... pathologist's PC or consignee's PC, 41 ... sample code,
51... Index information, 52... Specimen preparation information, 53... Staining information, 54... Specimen excised image information,
55... Additional staining information, 61... First electronic data, 62... Second electronic data,
63 ... pathological diagnosis result information,
100 ... processing means, 200 ... storage means,
101 ... Specimen selection display means, 102 ... Correction support means,
103... pathological specimen information selection means, 104... list notification means,
105... Pathological specimen information display means, 106... Acceptance determination means,
107 ... Specimen preparation start confirmation means, 108 ... Result notification means, 109 ... Requested work extraction means,
110... User authentication means, 111... E-mail address registration means,
201... Pathological specimen management means, 202... Pathological specimen information, 203... First electronic data,
204 second electronic data, 205 pathological specimen information, 206 matching list,
207...Identification display, 208...Progress information, 209..."Special display", 210...Confirmation display information,
211...Staining information, 212...Extracted specimen image information, 213...Additional staining information,
214... Pathological diagnosis result information, 215... User information for authentication determination, 216... E-mail address

Claims (8)

In the pathological diagnosis management system,
A request slip indicating the diagnostic findings of the requesting doctor is delivered to the pathologist side, and after the requesting doctor side and the pathologist side agree on the pathological diagnosis request related to the request slip, the pathological specimen is sent to the pathologist. is delivered, and pathological specimen information is managed based on electronic data.
A pathological diagnosis management system including processing means, storage means, display means, optical information acquisition means, and specimen code reading means,
the processing means functions as specimen selection display means,
the storage means functions as pathological specimen management means,
the slip information indicated in the request slip includes the diagnostic findings and information about the patient;
The information about the patient is information related to a pathological diagnosis request including the name of the patient,
The format of the request form is a format that indicates at least the diagnostic findings in a predetermined position and indicates information about the patient in a position other than the predetermined position,
the optical information acquiring means acquires image data of slip information including the diagnostic findings shown at the predetermined position;
The electronic data in which the pathological specimen information includes at least electronic data of information about the patient, the image data is added after the image data is obtained, and the electronic data of the pathological specimen preparation information is added after the pathological specimen is prepared. data and
The same specimen number is assigned to the electronic data of the patient information, the image data, and the electronic data of the pathological specimen preparation information, and the pathological specimen information is associated with the specimen number,
the pathological specimen information is stored in the pathological specimen management means so as to form a pathological specimen information list;
the display means displays the pathological specimen information list stored in the pathological specimen management means;
When the pathological specimen is prepared from the patient's specimen pertaining to the request form,
A specimen code corresponding to the specimen number is attached to the pathological specimen,
the pathological specimen creation information is added to the pathological specimen information forming the pathological specimen information list stored in the pathological specimen management means;
Even if the pathological specimen information list to which the pathological specimen preparation information has been added includes the pathological specimen information related to a plurality of the pathological diagnosis requests,
In the step of the pathologist side,
the specimen code reading means reads the specimen code attached to the pathological specimen;
The specimen selection display means extracts the pathological specimen information linked by the specimen number corresponding to the read specimen code from the pathological specimen information list stored in the pathological specimen management means. , selectably displayed on the display means,
By the pathologist side selecting the selectable pathological specimen information,
Further, the specimen selection display means extracts the image data linked to the specimen number of the selected pathological specimen information from the pathological specimen information stored in the pathological specimen management means, and displays the image data. display on the means,
A pathological diagnosis management system characterized by: The processing means functions as correction support means,
the image data acquired by the optical information acquisition means is included in the first electronic data and the second electronic data;
wherein the first electronic data is first image data in which the slip information of the entire request slip is image data;
The second electronic data is composed of second image data and text data, the second image data is image data of slip information including the diagnostic finding indicated at the predetermined position of the request slip, and the text data is Character data obtained by optical character recognition of the information about the patient shown outside the predetermined position,
the same specimen number is given to each of the first image data forming the first electronic data, the second image data forming the second electronic data, and the character data;
the first electronic data and the second electronic data are stored in the pathological specimen management means;
When the person in charge of the pathological diagnosis work selects any of the pathological specimen information from the pathological specimen information list displayed on the display means,
The correction support means reads the first electronic data and the second electronic data linked to the specimen number of the selected pathological specimen information from the pathological specimen information stored in the pathological specimen management means. and displaying the first electronic data consisting of the first image data and the second electronic data consisting of the second image data and the character data while keeping the first image data and the second image data as originals. and display them side by side to support correction of the character data misrecognized by optical character recognition,
The pathological diagnosis management system according to claim 1, characterized in that: The processing means functions as pathological specimen information selection means,
The pathological specimen management means stores the pathological specimen information list and also stores an identification indication indicating that at least the first electronic data is registered in each of the pathological specimen information,
The pathological specimen information selecting means selects only the pathological specimen information on which the identification indication is displayed as a matched list, excludes the pathological specimen information on which the identification indication is not displayed from the matched list, and selects the pathological specimen. causing the management means to store and display the matching list on the display means;
The pathological diagnosis management system according to claim 2, characterized in that: Furthermore, the processing means functions as acceptance confirmation means and specimen preparation start confirmation means,
When an agreement is reached between the requesting doctor side and the pathologist side to accept the pathological diagnosis on the completed request slip,
By the pathologist selecting the pathological specimen information from the matching list,
The acceptance confirmation means confirms the agreement on the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the selected pathological specimen information, and sends the pathological specimen information to the pathological specimen management means storing and displaying a confirmation display on the pathological specimen information displayed on the display means;
When the pathological specimen creator selects the agreed pathological specimen information on which the confirmation display is displayed,
The specimen preparation start confirmation means confirms the start of specimen preparation in the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the selected agreed pathological specimen information. storing in the pathological specimen management means and displaying an indication that the specimen is being prepared in the pathological specimen information displayed on the display means;
The pathological diagnosis management system according to claim 3, characterized in that: further comprising a server and communication means;
the server functions as the processing means and the storage means,
Applied to pathological diagnosis work in which an external organization mediates between the requesting doctor and the pathologist, and the external organization takes over samples from the requesting doctor and shares the preparation of the pathological specimen,
The processing means formed by the server functions as the specimen selection display means, the correction support means, the pathology specimen information selection means, the list notification means, and the pathology specimen information display means,
The storage means formed by the server functions as the pathological specimen management means,
At least when the pathological specimen information selection means selects the pathological specimen information into the matching list,
causing the list notification means to notify at least one of the pathologist side and the external institution by e-mail via the communication means of a link for displaying the matching list stored in the pathological specimen management means;
When the pathologist or the external institution notified of the link selects the link, the matching list stored in the pathological specimen management means is displayed on the display means,
When the pathologist side or the external institution displaying the matching list selects the pathological specimen information from the matching list,
The pathological specimen information display means displays on the display means the pathological specimen information associated with the specimen number of the pathological specimen information selected from the pathological specimen information stored in the pathological specimen management means. let
the displayed pathological specimen information includes at least first electronic data;
The pathological diagnosis management system according to claim 3, characterized in that: Furthermore, the processing means functions as acceptance confirmation means and specimen preparation start confirmation means,
When an agreement is reached between the requesting doctor side and the pathologist side to accept the pathological diagnosis on the completed request slip,
By the pathologist selecting the pathological specimen information from the matching list,
The acceptance confirmation means confirms the agreement on the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the selected pathological specimen information, and sends the pathological specimen information to the pathological specimen management means storing and displaying a confirmation display on the pathological specimen information displayed on the display means;
When the pathological specimen creator selects the agreed pathological specimen information on which the confirmation display is displayed,
The specimen preparation start confirmation means confirms the start of specimen preparation in the pathological specimen information stored in the pathological specimen management means linked to the specimen number of the selected agreed pathological specimen information. storing in the pathological specimen management means and displaying an indication that the specimen is being prepared in the pathological specimen information displayed on the display means;
The pathological diagnosis management system according to claim 5, characterized in that: Further, the processing means functions as a request work extraction means,
Progress information and special display information are stored in the matching list formed by the pathological specimen information stored in the pathological specimen management means,
The progress information is information indicating the progress status of work related to each of the pathological specimen information, including at least character data corrected, pathological specimen arrival, pathological diagnosis in progress, and diagnosis completed;
The special display information is information for displaying a "special display" indicating that it is related to special work including at least one of "urgent" or "additional dyeing",
The requested work extraction means extracts the work corresponding to any of the progress states from the matching list stored in the pathological specimen management means, and the display means displays the extracted work The special display is always displayed along with the matching list related to, and the progress of the special work can be managed,
The pathological diagnosis management system according to claim 6, characterized in that: Furthermore, the processing means functions as result notification means,
The result notification means notifies the requesting doctor via the communication means of a link for displaying image information of each pathological diagnosis result stored in the pathological specimen management means, and the requesting doctor The image information can be downloaded by selecting the link.
The pathological diagnosis management system according to claim 7, characterized in that:

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