JPS6239457B2 - - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION The present invention relates to an automatic processing system for medical examination data.

In large-scale medical institutions such as general hospitals, various automatic processing systems are used to mechanize medical operations and save labor, one of which is an automatic processing system for medical examination data. This system generally consists of test terminals for blood, blood pressure, phonocardiogram, etc. installed in the test rooms of each section, and a central processing unit connected to each test terminal individually or via a common transmission line. Testing terminals are medical devices that test and analyze specimens collected from patients or signals from patients, as well as test results (test data).
It functions as a computer input/output device that inputs data, etc. to the central processing unit, and outputs commands, data, etc. from the processing unit. On the other hand, the central processing unit is equipped with a large capacity file memory. Input test data from each test terminal is sorted by subject and stored sequentially in the file memory by the central processing unit, and thereafter read out as needed and used for diagnosis, etc.

By the way, the accuracy of the analysis of test samples or signals itself has improved significantly, as seen in automatic blood analyzers, electrocardiogram testers, etc., but when the test data is input to the central processing unit, The examiner's name is entered by the operator pressing a key on the test terminal, such as by asking the examinee directly or on a label attached to the sample container. Therefore, if there is a mistake in inputting the test subject's name by the operator or a mistake in writing the test subject's name on the sample container label itself, no matter how accurate the test data itself is, the data will be transferred to another file in the file memory. The test result is stored in the subject area, and as a result, the test result of the test subject, which should originally be an abnormal value, is output as a result that seems to be within the normal value range, or vice versa. Sometimes. Conventionally, when such abnormal results were discovered, the test subject was retested out of caution.
However, in this case, for example, in a blood test, the sample is re-collected and re-analyzed, so it is painful for the test subject to have the sample collected twice, and the payment is also doubled. etc., there are many inconveniences.

An object of the present invention is to provide a medical examination system that is capable of checking whether newly input examination data is data of a subject specified by an operator.

The medical examination system of the present invention stores, as a file memory of the central processing unit, a table (hereinafter referred to as a patient table) in which past examination data for each patient is stored, as well as examination data values for each disease name. It is characterized by the provision of a table (hereinafter referred to as the disease name map table) that shows the range within which the disease should fall.

Hereinafter, the present invention will be explained in detail with reference to an illustrated embodiment.

FIG. 1 shows an overall configuration diagram of an embodiment of a medical examination system according to the present invention. In the figure, 1-A,
1-B,...1-N are testing terminals, respectively for blood and
It is installed in each section for blood pressure, heart sounds, and other examinations. 2 is a central processing unit, which is composed of a general-purpose digital computer. 3 is a subject table, and 4 is a disease name map table. In the following explanation, it is assumed that the subject table 3 and the disease name map table 4 are both constructed from associative memories.

FIG. 2 shows an example of the format of the subject table, and FIG. 3 shows an example of the format of the disease name matching table. In Figure 2, the subject table
Each column of the memory consists of a subject name column, a disease name column, a test data column, and a valid display bit, and the test data column is further divided into a plurality of sections A, B, . . . , N. A, B, ..., N are inspection terminals 1-A in Fig. 1,
1-B, ..., 1-N (that is, each inspection item). The valid display bit is a bit indicating whether or not the subject name has already been registered in the relevant column, and is "1" if it has been registered, and "0" if it has not been registered. Note that the disease name column is a column in which the name of the disease is stored when the name of the disease is determined through medical examination or the like. on the other hand,
Each column of the disease name map table memory consists of a disease name column and an examination data column, as shown in Figure 3, and the examination data column is A, B, ..., similar to the case of the patient table in Figure 2. It is divided into N inspection items. A feature of the disease name map table is that both the disease name and the allowable value of test data for that disease name are stored in the test data column for each test item. For example, if the name of the disease is diabetes, the maximum and minimum blood sugar levels that a diabetic patient should exhibit are stored in the blood sugar level area (for example, area A) of the test data column. The same applies to other areas in the inspection data column.

FIG. 4 is a flowchart for explaining the operation of the medical examination system of the present invention, which will be explained below. When a certain test subject newly undergoes a test in a certain test section, test data is sent from the corresponding test terminal (1-A) to the central processing unit 2 along with the test subject's name. When the central processing unit 2 inputs the patient name and test data from the test terminal side,
The examinee table 3 is searched to check whether the examinee name that arrived from the examination terminal 1-A has already been registered, and if it is not registered, the valid display bit in the examinee table 3 is set to "0". ”, register a new patient name in the patient name column of the column showing ”, store the test data in the A item area of the test data column, and set the valid display bit of the column to “1”. shall be. This ends the process when the patient name is not registered in the patient table 3.

On the other hand, if the name of the examinee who arrived from the examination terminal 1-A is already registered in the examinee table 3, the name of the examinee who arrived from the examination terminal 1-A is already registered in the examinee table 3. Check whether the given patient name is correct. This is a characteristic process of the present invention, but the process is slightly different depending on whether a disease name is stored in the disease name column of the subject table 3 or not.

First, a case where no disease name is stored in the disease name column of the subject table 3 will be described. In this case, the central processing unit 2 first reads past test data stored in the test data column of the relevant column (the column in which the name of the test subject specified from the terminal is registered) in the test subject table 3. Here, it is assumed that areas B, C, and D of the inspection data column store data for each item that was previously inspected. Next, the central processing unit 2 sequentially reads out the contents of the test data column of the disease name map table 4 starting from the first column, and includes the allowable value data of each test item in areas B, C, and D, and table 3
are compared with past inspection data in areas B, C, and D. As a result of the comparison, if a column in which the past test data is within the allowable value range is detected for any of the B, C, and D items, the reading operation of the disease name map table 4 is stopped, and the test in the corresponding column is stopped. It is compared whether the test data arriving from the test terminal 1-A falls within the allowable value range indicated by the contents of the A item area of the data column. If it falls within the range, the central processing unit 2 assumes that there is a correspondence between the test data received from the test terminal 1-A and the test subject's name, and the central processing unit 2 The test data input in the A item area in the column where the patient's name is registered is stored. Therefore, from now on, if this patient is newly examined in a certain examination section (for example, the section corresponding to examination terminal 1-N), the examination data field in the corresponding column in the examinee table 3 will be changed. The contents of areas A, B, C, and D are used as past data. On the other hand, the above inspection terminal 1-
If the test data arriving from A is not within the allowable range, the central processing unit 2 notifies the test terminal 1-A that there is an error in the test subject's name. This allows the operator of the testing terminal 1-A to immediately take necessary steps, such as respecifying the patient's name.

In short, if the patient's disease name has not been determined,
The disease name is estimated based on several types of past test data for the subject, and in the case of that disease, the test results for the target item should be within the range, and the allowable values are calculated using the disease name map. If the newly input test data falls within the allowable value from the table, the test subject name is considered to be true, and if it does not, the test subject name is considered to be false. If the patient's disease name cannot be estimated because there are few past test data items, etc., either store the test data as is, or take precautions and instruct the test terminal operator to redo the test. You can take the following steps.

Next, a case where a disease name is stored in the disease name column of the subject table 3 will be explained. Inspection terminal 1-A
If the name of the patient who has arrived has already been registered in the patient table 3, the central processing unit 2 checks whether the disease name is stored in the disease name field of the relevant column in the patient table 3, and determines whether the disease name is stored in the disease name column of the corresponding column in the patient table 3. If so, the disease name data will be read out. Then, based on the disease name data, the disease name map table 4 is searched to find a column in which the corresponding disease name is registered, and the allowable value data of the A item area in the test data column in that column is directly read out. The subsequent processing is the same as when the disease name is not registered, and if the test data from test terminal 1-A is within the allowable value, the test data is transferred to the corresponding column of the patient table 3. If the value deviates from the allowable value, the operator of the test terminal 1-A is instructed to re-specify the patient's name.

Figure 1 shows inspection terminals 1-A, 1-B,..., 1-N.
Although this is an example of a configuration in which the test terminals are individually connected to the central processing unit 2, these testing terminals may be connected to the central processing unit through a common line. In this case, in order to identify each testing terminal, each test terminal The terminal address uniquely assigned to the terminal can be sent together with the patient's name and test data.

In addition, although the subject table 3 and the disease name map table 4 are assumed to be in the associative memory format, they do not necessarily need to be in the associative memory format, and furthermore, these tables may be configured with one memory. good.

As is clear from the above description, according to the present invention, it is checked whether the patient name input from the examination terminal is correct, and if it is deemed to be incorrect, instructions to re-enter it etc. are immediately issued in real time. Since it can be issued to the operator of the test terminal, it is useful for the test subject.
Most of the inconveniences such as having to collect a sample again at a later date or having to pay twice are eliminated.

[Brief explanation of the drawing]

FIG. 1 is an overall configuration diagram of an embodiment of a medical examination system according to the present invention, FIG. 2 is a diagram showing an example of the format of a patient table, FIG. 3 is a diagram showing an example of the format of a disease name map table, and FIG. Figure 4 is the first
It is a flowchart for explaining the operation of the figure. 1-A to 1-N... Examination terminal, 2... Central processing unit, 3... Subject table, 4... Disease name map table.

Claims (1)

[Claims] 1. Consisting of a plurality of test terminals installed in each test section, a central processing unit connected to each test terminal individually or via a common transmission line, and a plurality of memory blocks, each memory The block consists of a patient table memory (hereinafter referred to as the "subject table") consisting of at least a patient name field and a test data field corresponding to each test item, as well as multiple memory blocks. The central processing unit is equipped with a disease name map table memory (hereinafter referred to as a disease name map table) in which a disease name and an allowable value of test data for each test item in the disease state are stored in advance, and the central processing unit When new test data is entered along with the patient's name from the terminal, the patient table is searched, and if the patient's name is not registered, it is entered in the patient's name column of the unused memory block. Store the test subject name and the test data entered in the corresponding test item area of the test data column.
Also, if the patient name has already been registered, the past test data is read from the test data column of the memory block, and the past test data and the allowable value of the test data in the disease name map table are matched. The name of the patient's disease is estimated by comparing each test item, and it is compared whether the input test data is within the allowable value for that disease name, and if it is within the allowable value, the test data is stored in the patient table. A medical examination system characterized in that the test data is stored in the test data column of the corresponding memory block, and if the inputted patient name is not within a tolerance value, a message indicating that the input patient name is incorrect is output to the corresponding test terminal. 2. Each memory block of the subject table further has a disease name column, and the central processing unit searches the subject table and determines if a disease name is already registered in the disease name column along with the subject name. 2. The medical examination system according to claim 1, wherein the allowable value of the examination data of the comparison target item is directly obtained from the disease name map table based on the disease name.