JPH0543063B2 - - Google Patents

Description

[Detailed Description of the Invention] [Industrial Application Field] The present invention relates to a method and apparatus for processing blood information performed in a pre-stage of biochemical analysis or immunological analysis, and particularly relates to a method and apparatus for processing blood information performed in a pre-stage of biochemical analysis or immunological analysis. The present invention relates to a method and apparatus for processing blood information that can significantly save labor in processing blood information and prevent human mix-ups of specimens, transcription errors, etc.

[Prior art]

As is well known, when a patient is examined and treated at a hospital, the procedure shown in FIG. 3 is followed.

When the patient presents his/her consultation card 20 at the departmental reception desk 21 of the hospital, the reception desk 21 takes out the patient chart 22 from the storage, the chart 22 is sent to the doctor, and the patient is examined in the examination room 23. (In this case, medical record 22 includes the patient's date of birth,
Name, gender, patient registration number, insurance type and number, etc. [hereinafter referred to as patient information]. ] is entered. ).

In the examination room 23, the doctor examines the patient and writes test items to be tested in the test instruction sheet 24.
When this is completed, the patient brings the test instruction sheet 24 to the examination room 25 to receive the test, and in the examination room 25, according to the instructions on the test instruction sheet 24, write the same reception number on the blood collection tube 26 and the test instruction sheet 24. Then, blood collected from the patient is injected into the blood collection tube 26. Thereafter, the inspection instruction sheet 24 is sent to the inspection technician 27. In addition, the blood in the blood collection tube 26 is
When performing a whole blood test 28 for checking the number of blood cells, blood sediment, etc., and/or a biochemical test or an immunological test, the blood collection tube 26 is sent to a centrifuge 29. The serum separated by the centrifugal separator 29 is
In the fractionation process 30, the sample is dispensed into required amounts for biochemical analysis 31, serological analysis 32, drug testing 33, etc. At this time, a sequential number is given to each test such as 31 for biochemical analysis, 32 for serology analysis, or 33 for drug test, and this sequential number is transferred to the corresponding test instruction sheet 24 (or worksheet). The serum is then compared with the patient.

The whole blood or serum thus collected by the laboratory technician 27 is subjected to predetermined analyzes 34 corresponding to the test items, that is, whole blood test, manual test, biochemical test, serological test, drug test, etc. Each test is performed, and these analysis results 35 are artificially recorded in a report 36. At this time, the analysis data is displayed and printed out with separate sequential numbers in the case of biochemical tests, immunological tests, or drug tests, so the report 36 includes the patient number and reception number in correspondence with the sequential numbers. The numbers are verified, and the patient number, reception number, and analysis data are written in the report 36.

[Problem that the invention seeks to solve]

However, in the conventional blood information processing method described above, first, at the time of test reception 25, the same reception number must be written on the test instruction sheet 24 and the blood collection tube 26, and second, During the process, the same number as the reception number must be transcribed onto other containers such as sample containers containing serum, and thirdly, the containers with the reception number must be transferred to each test subject (e.g., biochemical analysis, immunotherapy). For the purpose of preventing blindness for each scientific analysis or drug test, the samples must be arranged in sequential order, and this sequential number must be transcribed on the test instruction sheet 24. Until the end of the process, you are forced to check the reception number, sequential number, and patient information, which is a tedious process. This poses a problem in that accidents are likely to occur and are dangerous, and this danger can easily occur due to transcription errors.

[Purpose of the invention]

This invention was devised in view of the current situation, and its purpose is to simplify and paperless the processing of blood information from blood collection to completion of specified item analysis, and to eliminate the artificial It is an object of the present invention to provide a blood test information processing device that can prevent accidents caused by mix-ups, transcription errors, etc., is effective in improving safety, and can also save labor.

[Structure of the invention]

In order to achieve the above object, the present invention includes a means for inputting patient information and a reception number corresponding to the patient information into a computer, and a means for inputting instruction information such as blood test instructions and medication prescriptions based on medical examination to the computer. a means for inputting a sequential number corresponding to the patient information and instruction information into the computer; and a means for inputting the sequential number corresponding to the patient information and instruction information into the computer; and means for inputting into the recording medium of another container into which patient blood contained in the blood collection tube is dispensed, and means for inputting analysis data of the blood contained in the other container into the computer. The above-mentioned computer is configured to collate the analysis data with the above-mentioned patient information, reception number, and sequential number and output it.

〔Example〕

The present invention will be described in detail below based on an embodiment shown in FIGS. 1 and 2.

As shown in FIG. 1, the blood information processing device according to this embodiment is a medical examination card card, which is processed into a plate shape from a synthetic resin material such as vinyl chloride and is provided with a magnetic recording body 51 having a predetermined storage capacity. 50, a card reading device 41 that reads patient information recorded on the magnetic recording body 51 of the card 50, a master computer 40 that inputs digital information from this card reading device 41 and performs arithmetic processing, and a consultation room 23. A reading/input device 42 consists of a reading unit with a CRT for reading patient information from a master computer 40 and an input unit for inputting instructions such as test items, and has the required recording capacity as shown in FIG. A blood collection tube 3 having a magnetic recording medium 1 as a storage medium and a display body 2 on which a symbol is written with a pen or the like are arranged on the surface thereof, and the necessary patient information and date on the magnetic recording medium 1 of this blood collection tube 3. and a writing device 43 for inputting other reception numbers such as test instruction items of the test instruction sheet 24 into a computer 60 installed in the test room 25, and a writing device 43 for inputting other reception numbers such as test instruction items of the test instruction sheet 24 into a computer 60 installed in the test room 25. The serum separated by the centrifuge 29 is then dispensed for each test subject via an automatic dispensing device 30' and stored in the magnetic recording body 1 of the blood collection tube 3 in the magnetic recording body of the sample container or test tube. A transcription device 44 for reading and writing information stored in the patient, another container (not shown) having a magnetic recording section and a display section having a predetermined storage capacity similar to the blood collection tube 3, and a testing technician 27 that stores patient information. A reading/input device 46 reads out the information on a CRT and inputs the sequential number into a computer 60 installed in the examination room, a display device 47 displays all information at the stage of creating the report 36, and a display device 47 as necessary. It is composed of a printer 48 that prints out data and the like in a report. Furthermore, 45 is installed in the examination room 25 and displays information inputted to the computer 60.
This is a display device such as a CRT.

Master computer 40 and computer 6
0 is a well-known input interface for inputting sensor signals and operation command signals, and a ROM for storing programs necessary for arithmetic processing of input signals.
Perform predetermined calculations based on this program
It consists of a CPU, a RAM that temporarily stores calculation results and data, and an output interface that outputs control signals to various control targets based on the calculation results.

The reading/input device 42 allows a doctor in the examination room 23 to read patient information stored in the magnetic recording medium 51 of the consultation card 50 and information such as the patient's medical history stored in the master computer 40 onto a CRT display. Based on this information and the medical examination results, blood test items deemed necessary are input into the master computer 40 via the input device.

The writing device 43 records the test reception number, test reception date, etc. as a patient number (a piece of patient information) when a laboratory staff member collects patient blood in the examination room 25.
The information is entered into the computer 60 and the magnetic recording medium 1 of the blood collection tube 3 while being verified on the CRT display 45. Incidentally, the reception number is written on the display section 2 of the blood collection tube 3 manually or mechanically at this time. This is to eliminate the inconvenience caused by the fact that the patient information, reception number, etc. cannot be visually confirmed by the laboratory staff if they are only stored in the magnetic recording medium 1, and to improve work efficiency.

The transcription device 44 reads various information stored in the magnetic recording medium 1 of the blood collection tube 3 as it is, and stores the information in a magnetic recording medium (not shown) of another container such as a sample container or a test tube. The sequential number for each test is input into the recorder and computer 60. As a result, the patient number, reception number, and sequential number are stored and stored in a state where they can be compared by the computer 60. It is also possible to input any one or more of the above-mentioned patient information, reception number, and sequential number as input information to the magnetic recording medium of another container by this transcription device 44. Of course, in this case, this sequential number is registered in the computer 60 with the information stored in the magnetic recording medium 1 of the blood collection tube 3. As a means for reading information from the magnetic recording body 1 of the blood collection tube 3 and writing information to the magnetic recording body of another container by the transcription device 44, the blood collection tube 3 in which these magnetic recording bodies are formed in a cylindrical shape with a bottom is used. If the blood collection tube 3 and the other container are arranged on the outer surface of another container, the information can be read and written by rotating the blood collection tube 3 and the other container in the circumferential direction as shown by the symbol A in FIG. In addition, if the information is stored along the long axis direction of the container of the magnetic recording medium (the same direction as the direction indicated by the symbol B in Figure 2), the blood collection tube 3 and other By moving the container up and down in the long axis direction indicated by reference numeral B in FIG. 2, it is possible to accurately read and write information. Note that these reading/writing means can be selected depending on the shape of the blood collection tube 3 and other containers, or can be combined to control rotation and elevation.

The reading/input device 46 reads out the patient information and reception number corresponding to the patient's blood for which the laboratory technician 27 has been requested to analyze on the CRT display of the reading device, checks the corresponding sequence number for each test, and inputs the corresponding sequence number. The other container set in the numbered site is set, for example, in the sample container accommodating part of the biochemical automatic analyzer that has the same sequential number. Therefore, in the biochemical analyzer, analysis data is obtained in correspondence with the sequential number, and this data is input into the computer 60.

The display device 47 displays the analysis data for each patient in the report creation stage, and the printer 48 prints out the data as a report 36.As described above, the analysis data is input to the computer 60 in sequential numbers. Therefore, this sequential number is compared with the patient number and reception number, and the necessary patient information and analysis data are displayed or printed out to create a report 36.

Next, the procedure for using the blood information processing apparatus according to the above embodiment will be explained based on FIG.

A patient receives a consultation ticket card 50 at the departmental reception desk 21 of the hospital.
When the department reception desk 21 reads the patient information on the card 50 using the reading device 41, the reception number corresponding to the patient information and new patient information (date of visit, etc.) is input into the master computer 40. At the same time, past medical records are called up as needed.

When this is completed, the consultation card 50 is sent to the examination room, or the patient brings the card to the examination room 2.
3, the doctor performs a medical examination and reads the patient information entered into the master computer 40 at the reception desk by identifying the patient's ticket card 50 with the reading device.
Display on CRT display. While viewing this patient information, the doctor writes the blood test order items and medication prescriptions that the patient deems necessary based on the examination results to the master computer 40 via the writing device.
Enter. At this time, the doctor's registration number is also entered automatically or artificially.

After this, the patient passes the consultation card 50 to the examination room 2.
5, the same card will be given 50 yen in the examination room 25.
patient information and test instructions through a reader.
Based on this, in the examination room 25, the reception number, reception date, etc. are input into the computer 60 via the writing device 43. Blood is input to the magnetic recording medium 1 of the blood collection tube 3 into which the blood has been injected. At this time, the same number as the reception number is written on the display section 2 of the blood collection tube 3.

After this, if the blood in the blood collection tube 3 is to be subjected to a whole blood test 28 such as blood cell count and blood sedimentation, the blood collection tube 3 is sent to the testing technician 27 in a whole blood state; When performing analysis, etc., the blood collection tube 3 is placed in a centrifuge 29, and the serum is dispensed into another container via an automatic dispensing device 30'. 32 or drug test 33 and are dispensed into separate sample containers or the like, arranged in sequential number order for each test, and sent to the test technician 27. At this time, the above patient information
One or more of the reception number and the sequential number is written on the magnetic recording medium of another container via the transcription device.

When the other containers containing the serum of the patient in charge of analysis are collected in the laboratory technician 27's hand in this way, the technician 27 sequentially orders the automatic biochemistry analyzer 34a, immunoanalyzer 34, etc.
b. When set in the drug testing device 34c, each of these devices 34a, 34b, 34c performs a predetermined analysis in the order of the sequential numbers, and the data of the analysis results are automatically input into the computer 60. Of course, test data from the whole blood test device 34d is also automatically input into the computer 60 in the same way. still,
Reference numeral 34e in FIG. 1 indicates manual blood test work, and analytical data 35a obtained by this manual method is input to the computer 60 via the reading/input device 46.

Thereafter, the data corresponding to this sequential number is compared with the patient information and reception number input into the computer 60 and displayed on the display device 47.
The information and data are displayed on a CRT display and printed out on a report 36. still,
In this embodiment, the computer 60 connected to the master computer 40 is installed in the examination room in order to prevent the master computer 40 from deteriorating in function.

〔Effect of the invention〕

Since this invention is configured as described above,
From the time of blood test reception to the completion of the prescribed blood test,
Each worker can display patient information, reception number, and sequential number from the same information source in correspondence on a CRT display and visually check them while working. This effectively prevents differences and improves the reliability of blood tests, especially since information on blood collection tubes can be automatically transferred to other containers.
Human errors in blood processing operations such as blood mix-ups and transcription errors can be reliably prevented.

In addition, in this invention, reading of patient number, test instruction, reception number, sequential number,
Confirmation can be visually confirmed on the CRT display of the reading device installed at each location, and this information can be input simply by operating the keyboard of the input device installed at each location. Since all of the information collected is stored in the computer, blood information processing can be easily performed without mistakes, and a paperless system can be achieved, making it easy to store information and saving labor.

[Brief explanation of the drawing]

FIG. 1 is a block diagram schematically showing a blood information processing step and the configuration of a processing device according to an embodiment of the present invention, and FIG. 2 is a perspective view showing the configuration of a blood collection tube suitable for application to the present invention. 3 are block diagrams showing a conventional blood treatment process. [Explanation of symbols], 1... Magnetic recording medium, 3... Blood collection tube, 21... Reception by department, 23... Consultation room, 24
...Test instructions, 25...Testing room, 27...Test technician, 34...Various blood analysis devices, 36...
Report, 40... Master computer, 41...
...reading device, 42, 46...reading/input device, 4
3...writing device, 44...transcribing device, 47...display device, 60...computer.

Claims (1)

[Claims] 1 A means for inputting patient information and a reception number corresponding to the patient information into the computer, a means for inputting instruction information such as blood test instructions and medication prescriptions based on medical examination into the computer, and a means corresponding to the patient information and instruction information. a means for inputting a sequential number to the computer; a recording medium of a blood collection tube containing patient blood; and means for inputting analysis data of the blood stored in the other containers into the computer, the computer comprising: A blood test information processing device characterized in that it is configured to collate the data with the patient information, reception number, and sequential number and output the data.