TWM627507U - Medical inspection data verification system - Google Patents
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Abstract
一種醫檢數據驗證系統,包含:一檢測儀器,用以對數名受檢人員量測,以分別產生數個檢驗數據;及一數據分析儀器,設定不小於一正常範圍之下限值減去一誤差值的一第一臨界範圍,若超過一百分比的受檢人員,於前後二次的檢驗數據分別落在該第一臨界範圍與一第一誤判範圍,該第一誤判範圍與該下限值相差一誤判值,通知該後一次的檢驗數據落在該第一臨界範圍的受檢人員重驗,以各自產生一重測檢驗報告,若各該重測檢驗報告與相對應的該後一次的檢驗數據皆落在相同的該第一誤判範圍時,將該誤差值設定成該誤判值。A medical inspection data verification system, comprising: a detection instrument for measuring several inspected persons to generate several inspection data respectively; and a data analysis instrument, which is set not less than a lower limit value of a normal range minus a A first critical range of the error value, if it exceeds a percentage of the inspected personnel, the test data before and after the second time fall within the first critical range and a first misjudgment range, the first misjudgment range and the lower limit value respectively If there is a difference of a misjudgment value, notify the inspected personnel whose inspection data of the last inspection falls within the first critical range to re-inspect, so as to generate a re-inspection inspection report. When the data all fall within the same first misjudgment range, the error value is set as the misjudgment value.
Description
本創作主要為一種醫檢數據驗證系統,特別是有關於一種用以調校醫檢設備精準度的醫檢數據驗證系統。This creation is mainly about a medical inspection data verification system, especially a medical inspection data verification system for adjusting the accuracy of medical inspection equipment.
在醫療院所中,普遍使用醫療相關電子設備輔助醫療人員監測病患之生理數據,並透過判斷該生理數據異常與否,以評估該病患的身體健康情況。其中,針對不同的檢驗項目,通常會給定一正常範圍,並且根據該生理數據是否落在該正常範圍內,以決定該病患相對於該檢驗項目的檢驗結果為檢驗正常或檢驗異常。此外,在實務上會在該正常範圍的基準下進一步給定一誤差值,意即,縱使該病患的生理數據超出該正常範圍,若該生理數據未超出該正常範圍加減該誤差值的範圍內,仍可以將該病患認定為檢驗正常。In medical institutions, medical-related electronic equipment is commonly used to assist medical personnel in monitoring the patient's physiological data, and by judging whether the physiological data is abnormal or not, to evaluate the patient's physical health. Wherein, for different test items, a normal range is usually given, and according to whether the physiological data falls within the normal range, the test result of the patient relative to the test item is determined as normal test or abnormal test. In addition, in practice, an error value is further given based on the normal range, that is, even if the patient's physiological data exceeds the normal range, if the physiological data does not exceed the normal range plus or minus the range of the error value The patient can still be considered to have a normal test.
同一種醫療電子設備之間,其在檢驗分析上的精準度可能互有些許差距,而造成的結果可能來自製造過程中所產生的問題。然而,該些醫療電子設備之間的精準度差距,容易造成原先落在較接近該正常範圍之上限值或下限值的生理數據,最終反而超出該正常範圍加減該誤差值的範圍內,或是,落入該正常範圍加減該誤差值的範圍內,使最終的檢驗結果可能由檢驗正常轉變為檢驗異常,或是由檢驗異常轉變為檢驗正常,具有檢驗結果可靠性低的問題,進而降低整體醫療品質與病患安全。There may be a slight difference in the accuracy of inspection and analysis between the same medical electronic equipment, and the results may be caused by problems in the manufacturing process. However, the accuracy gap between these medical electronic devices is likely to cause the physiological data that originally falls closer to the upper limit or lower limit of the normal range, but eventually exceeds the normal range plus or minus the error value. Or, it falls within the range of the normal range plus or minus the error value, so that the final inspection result may change from normal inspection to abnormal inspection, or from abnormal inspection to normal inspection, which has the problem of low reliability of inspection results, and then Reduce overall healthcare quality and patient safety.
有鑑於此,有必要提供一種醫檢數據驗證系統,以解決上述之問題。In view of this, it is necessary to provide a medical examination data verification system to solve the above problems.
本創作的目的在於提供一種醫檢數據驗證系統,係可以用以調校醫檢設備精準度。The purpose of this creation is to provide a medical inspection data verification system, which can be used to adjust the accuracy of medical inspection equipment.
本創作全文所記載之「檢體」,係指與人體分離之細胞、組織、器官、體液或其衍生物質(含遺傳物質)。The "specimen" described in the full text of this work refers to cells, tissues, organs, body fluids or their derived substances (including genetic material) separated from the human body.
為達成上述目的,本創作提供一種醫檢數據驗證系統,包含:一檢測儀器,用以指定一檢驗項目,並在數個不同時期分別對數名受檢人員根據該檢驗項目進行量測,以產生各該受檢人員的一檢驗報告,該檢驗報告具有一識別代號及各該時期的一檢驗數據;及一數據分析儀器,電性連接該檢測儀器,並具有一處理單元,該處理單元用以設定該檢驗項目的一第一臨界範圍及一第二臨界範圍,該第一臨界範圍小於該檢驗項目的一正常範圍之下限值,且不小於該下限值減去一誤差值,該第二臨界範圍大於該正常範圍之上限值,且不大於該上限值加上該誤差值,該處理單元檢查各該受檢人員於前後連續二次的檢驗報告,若一連續時間內具有超過一百分比的受檢人員於前一次的檢驗數據落在該第一臨界範圍,且於後一次的檢驗數據落在一第一誤判範圍,該第一誤判範圍小於該第一臨界範圍且與該下限值相差一誤判值,該處理單元將該連續時間中,於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以根據該數名受檢人員的識別代號產生一圈選名單,該處理單元通知該圈選名單中的數名受檢人員分別以該檢測儀器重新進行檢驗,以各自產生一重測檢驗報告,該處理單元比對各該重測檢驗報告與相對應的該後一次的檢驗數據是否皆落在相同的該第一誤判範圍或該第二誤判範圍,若比對結果為是,該處理單元將該誤差值設定成該誤判值。In order to achieve the above purpose, this creation provides a medical inspection data verification system, including: a detection instrument for specifying an inspection item, and measuring several subjects according to the inspection item in several different periods to generate An inspection report of each of the inspected personnel, the inspection report has an identification code and an inspection data of each period; and a data analysis instrument, electrically connected to the inspection instrument, and has a processing unit, the processing unit is used for Set a first critical range and a second critical range of the inspection item, the first critical range is less than a lower limit value of a normal range of the inspection item, and is not less than the lower limit value minus an error value, the first critical range is The second critical range is greater than the upper limit of the normal range, and not greater than the upper limit plus the error value, the processing unit checks the inspection reports of the inspected persons two consecutive times before and after. A percentage of the inspected personnel's previous inspection data falls within the first critical range, and the subsequent inspection data falls within a first false positive range, the first false positive range is smaller than the first critical range and is the same as the lower critical range The limit differs by a misjudgment value, and the processing unit marks the number of inspected persons whose inspection data falls within the first critical range and the second critical range in the subsequent time in the continuous time, so as to determine according to the number of inspected persons. The identification code of the inspected person generates a circle selection list, and the processing unit notifies several inspected personnel in the circle selection list to re-inspect the inspection equipment respectively, so as to generate a re-examination inspection report. Whether the test-retest report and the corresponding test data of the next time both fall within the same first misjudgment range or the second misjudgment range, if the comparison result is yes, the processing unit sets the error value as the false positive value.
在一些實施例中,該處理單元檢查各該受檢人員於前後連續二次的檢驗報告,若該連續時間內具有超過該百分比的受檢人員於該前一次的檢驗數據落在該第二臨界範圍,且於該後一次的檢驗數據落在一第二誤判範圍,該第二誤判範圍大於該第二臨界範圍且與該上限值相差該誤判值,該處理單元亦將該連續時間中,於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以根據該數名受檢人員的識別代號產生該圈選名單。In some embodiments, the processing unit checks the inspection reports of each of the inspected persons two consecutive times before and after, if more than the percentage of inspected personnel in the previous inspection data falls within the second threshold during the continuous time range, and when the last inspection data falls within a second misjudgment range, the second misjudgment range is greater than the second critical range and differs from the upper limit by the misjudgment value, and the processing unit also in the continuous time, A number of inspected persons whose inspection data of the latter time falls within the first critical range and the second critical range are marked, so as to generate the circled list according to the identification codes of the several inspected persons.
在一些實施例中,該數據分析儀器具有一資料庫單元電性連接該處理單元,該資料庫單元用以儲存該數個檢驗報告以及相對應的檢驗結果。In some embodiments, the data analysis instrument has a database unit electrically connected to the processing unit, and the database unit is used for storing the plurality of inspection reports and corresponding inspection results.
在一些實施例中,該數據分析儀器具有一輸出單元電性連接該處理單元,該處理單元控制該輸出單元顯示記錄於該資料庫單元中各該受檢人員的檢驗結果。In some embodiments, the data analysis instrument has an output unit electrically connected to the processing unit, and the processing unit controls the output unit to display the inspection results of the inspected persons recorded in the database unit.
本創作的醫檢數據驗證系統具有下列特點:係可以相對於該檢驗項目之正常範圍設定該誤差值及該誤判值,以畫分出該第一臨界範圍、該第二臨界範圍、該第一誤判範圍及該第二誤判範圍,並透過檢查各該受檢人員於前後二次的檢驗數據,是否分別落在該第一鄰界範圍/該第二臨界範圍,與落在該第一誤判範圍/該第二誤判範圍,以通知後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的受檢人員重新進行檢驗,以各自產生該重測檢驗報告;若各該重測檢驗報告與相對應的該後一次的檢驗數據皆落在相同的該第一誤判範圍/該第二誤判範圍時,將該誤差值設定成該誤判值。如此,係可以根據該檢測儀器自身的精準度調整相對於該正常範圍的誤差值,具有提高檢驗結果可靠性的功效。The medical inspection data verification system of this creation has the following characteristics: it can set the error value and the misjudgment value relative to the normal range of the inspection item, so as to draw the first critical range, the second critical range, the first critical range and the first critical range. The misjudgment range and the second misjudgment range, and by checking whether the inspection data of the inspected person before and after the two fall within the first adjacent range/the second critical range, and the first misjudgment range, respectively / In the second false positive range, to notify the inspected personnel that the next inspection data falls within the first critical range and the second critical range to re-inspect, so as to generate the re-test inspection report; When the report and the corresponding later inspection data both fall within the same first misjudgment range/the second misjudgment range, the error value is set as the misjudgment value. In this way, the error value relative to the normal range can be adjusted according to the accuracy of the detection instrument itself, which has the effect of improving the reliability of the inspection result.
茲配合圖式將本創作實施例詳細說明如下,其所附圖式主要為簡化之示意圖,僅以示意方式說明本創作之基本結構,因此在該等圖式中僅標示與本創作有關之元件,且所顯示之元件並非以實施時之數目、形狀、尺寸比例等加以繪製,其實際實施時之規格尺寸實為一種選擇性之設計,且其元件佈局形態有可能更為複雜。The embodiments of the present creation are described in detail as follows in conjunction with the drawings. The accompanying drawings are mainly simplified schematic diagrams, and only illustrate the basic structure of the present creation in a schematic way. Therefore, only the elements related to the present creation are indicated in these drawings. , and the displayed components are not drawn according to the number, shape, size ratio, etc. of the actual implementation. The size of the actual implementation is actually a selective design, and the layout of the components may be more complicated.
以下各實施例的說明是參考附加的圖式,用以例示本創作可據以實施的特定實施例。本創作說明書中,除非明確地描述為相反的,否則詞語“包含”將被理解為意指包含所述元件,但是不排除任何其它元件。The following descriptions of the various embodiments refer to the accompanying drawings to illustrate specific embodiments in which the invention may be implemented. In this creative specification, unless expressly described to the contrary, the word "comprising" will be understood to mean the inclusion of stated elements, but not the exclusion of any other elements.
請參照圖1所示,其係本創作醫檢數據驗證系統的一較佳實施例,係包含:一檢測儀器1及一數據分析儀器2,該檢測儀器1電性連接該數據分析儀器2。Please refer to FIG. 1 , which is a preferred embodiment of the medical inspection data verification system of the present creation, which includes: a
該檢測儀器1用以指定一檢驗項目,並在數個不同時期分別對數名受檢人員根據該檢驗項目進行量測,以產生各該受檢人員的一檢驗報告,該檢驗報告具有一識別代號及各該時期的一檢驗數據。其中,該數個不同時期可以為不同年份,該識別代號可以為一流水號,但不以此為限。The
該檢驗項目以心臟檢查為例,該檢測儀器1可以為心電圖檢測儀,該檢驗數據可以為將該檢測儀器1所量測到的心電訊號轉換成QRS複合波,並以一高通濾波器進行雜訊的濾除後所輸出之數值。The test item takes heart inspection as an example, the
在另一實施例中,該檢測儀器1可以對該數名受檢人員在數個不同時期的檢體分別進行檢測,以產生各該受檢人員的檢驗報告,該檢驗報告具有該識別代號及該數個檢體各自的檢驗數據。其中,該數個檢體可以各自存放於一試管中。In another embodiment, the
舉例而言,該檢驗項目可以檢查血液中的各種血球數量檢測,則該檢測儀器1可以為全自動血球分析儀,且該檢驗數據可以為白血球數量。此外,在其他實施例中,根據不同的檢驗項目,該檢測儀器1還可以為全自動生化儀、全自動化血液凝固分析儀、自動生化免疫分析儀、全自動尿液分析儀、滲透壓分析儀或全自動糞便潛血分析儀,且分別取得相對應的檢驗數據,為本發明相關領域中具有通常知識者可以理解。For example, the test item can detect various blood cell counts in the blood, then the
該數據分析儀器2電性連接該檢測儀器1,並具有一資料庫單元21及一處理單元22,其中,該資料庫單元21用以儲存該數個檢驗報告,該處理單元22電性連接該資料庫單元21,並用以設定該檢驗項目的一第一臨界範圍及一第二臨界範圍,該第一臨界範圍小於該檢驗項目的一正常範圍之下限值,且不小於該下限值減去一誤差值,該第二臨界範圍大於該正常範圍之上限值,且不大於該上限值加上該誤差值。舉例而言,該數據分析儀器2可以為電腦主機,但不以此為限。The
該處理單元22檢查各該受檢人員於前後連續二次的檢驗報告,若一連續時間內具有超過一百分比的受檢人員於前一次的檢驗數據落在該第一臨界範圍,且於後一次的檢驗數據落在一第一誤判範圍,該第一誤判範圍小於該第一臨界範圍且與該下限值相差一誤判值,該處理單元22將該連續時間中,於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以根據該數名受檢人員的識別代號產生一圈選名單。The
另一方面,該處理單元22檢查各該受檢人員於前後連續二次的檢驗報告,若該連續時間內具有超過該百分比的受檢人員於該前一次的檢驗數據落在該第二臨界範圍,且於該後一次的檢驗數據落在一第二誤判範圍,該第二誤判範圍大於該第二臨界範圍且與該上限值相差該誤判值,該處理單元22亦可以將該連續時間中,於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以根據該數名受檢人員的識別代號產生該圈選名單。On the other hand, the
此外,該處理單元22可以將該檢驗數據落在該第一臨界範圍與該第二臨界範圍之間的受檢人員認定為檢驗正常,以及將該檢驗數據落在該第一誤判範圍或該第二誤判範圍的受檢人員認定為檢驗異常,並將各該受檢人員的檢驗結果與相對應的該檢驗報告儲存記錄於該資料庫單元21中。In addition, the
較佳地,該處理單元22可以增加圈選天數,以圈選更多的受檢人員,在本實施例中,可以將該連續時間以及其前後各至少一天中,於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以產生該圈選名單。在本實施例中,可以將該連續時間以及其前後各至少一天中(例如:5天),於該後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的數名受檢人員進行標註,以產生該圈選名單。Preferably, the
在本實施例中,該處理單元22可以將該連續時間設定成3天,以及將該百分比設定成30%,但不以此為限。另一方面,該誤差值與該誤判值會根據該檢驗項目的種類而有所不同,以該檢驗項目為血液中所含白血球數量為例,該白血球的正常範圍落在4500~10000(cu.mm),該誤差值可以為10,此時,該第一臨界範圍落在4490~4500之間,該第一臨界範圍為包含4490但不包含4500,該第二鄰界範圍落在10000~10010之間,該第二鄰界範圍為包含10010但不包含10000;而該誤判值可以為該誤差值的1~3倍,在本實施例中,該誤判值可以設定為30,此時,該第一誤判範圍落在4470~4490之間,該第一誤判範圍為包含4470但不包含4490,該第二誤判範圍落在10010~10030之間,該第二誤判範圍為包含10030但不包含10010。In this embodiment, the
該資料庫單元21另儲存該數名受檢人員各自的聯絡方式,該處理單元22透過該聯絡方式通知該圈選名單中的數名受檢人員分別以該檢測儀器1重新進行檢驗,以各自產生一重測檢驗報告。在本實施例中,可以透過社群軟體、簡訊或電話等方式進行通知,但不以此為限。The
詳言之,當該檢測儀器1為對該受檢人員在數個不同時期的檢體進行檢測時,該處理單元22通知該圈選名單中的該數名受檢人員分別以該檢測儀器1重新進行檢驗,意即,採集各該受檢人員相對於該另一檢驗項目的新檢體,以對各該受檢人員的新檢體進行檢驗;或是以該檢測儀器1重新檢驗該數名受檢人員各自於後一次的檢體,意即,對各該受檢人員之前所採集保存的檢體重新進行檢驗,以各自產生該重測檢驗報告。To be more specific, when the
該處理單元22比對各該重測檢驗報告與相對應的該後一次的檢驗數據,是否皆落在相同該第一誤判範圍或該第二誤判範圍,若比對結果為是,該處理單元22將該誤差值設定成該誤判值,以將該檢測儀器1的該第一臨界範圍之下限值擴大至該第一誤判範圍之下限值,以及將該第二臨界範圍之上限值擴大至該第二誤判範圍之上限值,並將該後一次的檢驗數據落在調整後的該第一誤判範圍或該第二誤判範圍內的受檢人員重新認定為檢驗正常,並對應調整儲存於該資料庫單元21中的紀錄;若比對結果為否,則該處理單元22可以不需執行額外的作動。The
本發明的醫檢數據驗證系統之數據分析儀器2,還可以具有一輸出單元23電性連接該處理單元22,該處理單元22控制該輸出單元23顯示記錄於該資料庫單元21中各該受檢人員的檢驗結果。舉例而言,該輸出單元23可以為顯示螢幕。The
承上所述,本發明的醫檢數據驗證系統,係可以相對於該檢驗項目之正常範圍設定該誤差值及該誤判值,以畫分出該第一臨界範圍、該第二臨界範圍、該第一誤判範圍及該第二誤判範圍,並透過檢查各該受檢人員於前後二次的檢驗數據,是否分別落在該第一鄰界範圍/該第二臨界範圍,與落在該第一誤判範圍/該第二誤判範圍,以通知後一次的檢驗數據落在該第一臨界範圍與該第二臨界範圍的受檢人員重新進行檢驗,以各自產生該重測檢驗報告;若各該重測檢驗報告與相對應的該後一次的檢驗數據皆落在相同的該第一誤判範圍/該第二誤判範圍時,將該誤差值設定成該誤判值。如此,係可以根據該檢測儀器自身的精準度調整相對於該正常範圍的誤差值,具有提高檢驗結果可靠性的功效。Based on the above, the medical inspection data verification system of the present invention can set the error value and the misjudgment value relative to the normal range of the inspection item, so as to draw and separate the first critical range, the second critical range, the The first range of misjudgment and the range of second misjudgment, and by checking whether the inspection data of the inspected person before and after two times fall within the first adjacent range/the second critical range respectively, and whether it falls within the first range The range of misjudgment/the second range of misjudgment is to notify the inspected personnel that the next inspection data falls within the first critical range and the second critical range to perform the inspection again, so as to generate the retest inspection report respectively; When both the test report and the corresponding test data of the next time fall within the same first misjudgment range/the second misjudgment range, the error value is set as the misjudgment value. In this way, the error value relative to the normal range can be adjusted according to the accuracy of the detection instrument itself, which has the effect of improving the reliability of the inspection result.
上述揭示的實施形態僅例示性說明本創作之原理、特點及其功效,並非用以限制本創作之可實施範疇,任何熟習此項技藝之人士均可在不違背本創作之精神及範疇下,對上述實施形態進行修飾與改變。任何運用本創作所揭示內容而完成之等效改變及修飾,均仍應為下述之申請專利範圍所涵蓋。The embodiments disclosed above are only illustrative of the principles, features and effects of the present creation, and are not intended to limit the scope of implementation of the present creation. Modifications and changes are made to the above-described embodiments. Any equivalent changes and modifications made by using the contents disclosed in this work shall still be covered by the following patent application scope.
﹝本創作﹞ 1:檢測儀器 2:數據分析儀器 21:資料庫單元 22:處理單元 23:輸出單元 ﹝This creation﹞ 1: Testing instruments 2: Data Analysis Instruments 21: Database Unit 22: Processing unit 23: Output unit
[圖1]為本創作之醫檢數據驗證系統的系統方塊圖。[Fig. 1] The system block diagram of the medical examination data verification system created by this author.
1:檢測儀器 1: Testing instruments
2:數據分析儀器 2: Data Analysis Instruments
21:資料庫單元 21: Database Unit
22:處理單元 22: Processing unit
23:輸出單元 23: Output unit
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