WO2001037190A2 - Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux - Google Patents

Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux Download PDF

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Publication number
WO2001037190A2
WO2001037190A2 PCT/EP2000/011313 EP0011313W WO0137190A2 WO 2001037190 A2 WO2001037190 A2 WO 2001037190A2 EP 0011313 W EP0011313 W EP 0011313W WO 0137190 A2 WO0137190 A2 WO 0137190A2
Authority
WO
WIPO (PCT)
Prior art keywords
laboratory
examination
communication system
integrative
central database
Prior art date
Application number
PCT/EP2000/011313
Other languages
German (de)
English (en)
Other versions
WO2001037190A3 (fr
Inventor
Robert Lange
Original Assignee
Hospital Dienstleistung- Und Beratung Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hospital Dienstleistung- Und Beratung Gmbh filed Critical Hospital Dienstleistung- Und Beratung Gmbh
Priority to AU25057/01A priority Critical patent/AU2505701A/en
Priority to CA002390879A priority patent/CA2390879A1/fr
Priority to EP00988705A priority patent/EP1232467A2/fr
Publication of WO2001037190A2 publication Critical patent/WO2001037190A2/fr
Publication of WO2001037190A3 publication Critical patent/WO2001037190A3/fr

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the invention relates to a communication system for the interaction of medical laboratories and medical treatment facilities.
  • a medical laboratory is usually operated centrally.
  • a laboratory is often in the form of a laboratory community, while university clinics and hospitals operate a central laboratory with several specialist areas.
  • the invention is therefore based on the object of specifying a communication system for the stated purpose, which allows the optimization and acceleration of order processing and the equalization of the workload.
  • the required patient and examination data are recorded on a recording module of a data input device at the commissioning treatment facility and coordinated via the laboratory central database 1 to the responsible laboratory or laboratory area via data output devices in the commissioned laboratory or laboratory area,
  • the samples to be examined in the treatment facilities are marked and / or coded according to predetermined criteria via the acquisition modules and sent to the responsible laboratory or laboratory area, - the pre-booked test orders are activated when the samples arrive in the laboratory or laboratory area and
  • the examination data after completion of the examinations are stored in the laboratory central database 1 and transmitted to the commissioning treatment facility via data transmission devices 6.
  • FIG. 2 network environment of a local laboratory location.
  • the client requests the determination of parameters from the laboratory.
  • the laboratory In order to be able to determine these parameters, the laboratory must carry out tests on the sample materials sent in. The samples are distributed from the material reception to the respective laboratory location. Here it is checked in as available. The client is then immediately informed of the result of the test by data transfer.
  • an integrative laboratory central database 1 This database can be located on a single database server 3. However, it can also be advantageous that the laboratory central database is present in several identical copies 2 on different servers 3, all of which are connected to a data transmission network 6. These copies 2 each provide full functionality. All information about changes that are made to a copy 2 are transmitted to all other copies via the data transmission network 6, so that it is ensured that all copies 2 have the same information and data. For this reason, only one virtual laboratory central database 1 is mentioned in the case of copies distributed over several servers.
  • the workflow is, for example, as follows:
  • Each client 5, ie each client station or client doctor's office has a recording module that is networked with the laboratory central database 1 in the laboratory.
  • the necessary patient and order data are entered on the acquisition module.
  • the data is transferred from the acquisition module to the laboratory.
  • direct ISDN connections, WAN connections via ISDN, internet connection or e-mail can be considered.
  • the labels required for the samples are printed out.
  • Pre-analysis is the treatment of the samples before the examination. That can affect the refer to the pure storage of the samples or to their preparation for the following tests.
  • the requirements module After entering suspected diagnoses or diagnoses according to the classification ICD 9 and ICD 10 (International Criteria of disease) or DRG (Diagnosis Related Groups), the requirements module recognizes stored laboratory diagnostic guidelines and suggests a standardized request behavior of laboratory tests arranged according to main and secondary diagnoses. This leads to a verifiable process with a set quality standard in the prevention, detection and treatment of diseases. Analyzes that are not indicated for the selected disease are avoided. Necessary analyzes for prevention, diagnosis and therapy are not forgotten. The patient identification system also takes over the function of checking laboratory results that have not changed in a defined interval. The requester is informed of results that have already been determined, even if he was not the initiator of the analyzes. Findings on co-treatment are therefore available "online" to every participating medical institution.
  • the acquisition module expediently runs on an IBM-compatible PC. Documents accompanying the order can, for example, be scanned.
  • the order can be confirmed or put on hold immediately. Deferred orders are collected in an order queue and can be confirmed at a later time. If necessary, another laboratory can be selected that can take over the job. Expediently label printing only follows after the order confirmation, so that all laboratory data can be taken into account.
  • the workplaces can be concentrated at one laboratory location; however, it can also be advantageous for them to be located in distributed laboratory locations.
  • the system is suitable for supplying health regions (hospital, medical network, rehabilitation clinic, nursing home, private doctor's office) with laboratory analyzes.
  • the most important feature is that the database 1 assigns all the findings to the patient.
  • This electronic patient record can be viewed by any healthcare partner who is part of the healthcare network and when the patient's consent is available. Duplicate examinations are avoided and the course of treatment or diagnosis is accelerated and qualitatively optimized.
  • the laboratory central database described above, which is distributed over several servers, is advantageously used in such complex systems. In this case, the special advantage of the invention comes into effect because the integrative laboratory central database 1 optimizes the processes in this complex system.
  • the laboratories when placing the order, are selected according to their technical suitability for the required examinations and according to the respective temporary workload, transport routes and travel routes are optimized in terms of economy and time. Appropriate laboratories are selected and new orders integrated into inexpensive delivery routes. For special or emergencies, the optimal facilities are automatically created determined because the institutions involved are listed in a hierarchical structure.
  • the laboratory activates the pre-booked order when the material arrives.
  • Samples e.g. B. intended for a clinical or hematological laboratory can be directed directly to the appropriate laboratory location.
  • a sample In order to be checked in in the laboratory, a sample only needs to be held with the label in front of a barcode reader, after which the data associated with the sample are displayed on a monitor.
  • the transferred patient data are transferred to a patient identification module.
  • This module can return several results:
  • the patient data contained in the order are checked for completeness. If the data is sufficient, a new patient record is created and the order is processed immediately. If the data is insufficient, a message is issued so that an individual data acquisition in the laboratory, e.g. B. after telephone demand, must be made.
  • the results are transmitted to the communication system and subjected to a delta check.
  • the delta check compares the measured value with the patient's previous value, the normal value range and / or a fixed technical limit. If errors occur, they are dealt with immediately in special workplaces. Under um- a follow-up examination can be scheduled automatically during the delta check. All results that are in a release area are released. Some results also require medical validation by a specialist.
  • the laboratory doctor has access to the patient's medical file via the communication system, since the patient's medical history provides important information about the possible diagnosis and the treatment strategy. At least data on diagnoses, medication and chronic diseases of the patient should be accessible.
  • the examination result expediently contains an editable part, into which the laboratory doctor can insert comments.
  • the result of an investigation is used to decide whether and which others Investigations are necessary, which can then be carried out automatically if necessary.
  • Some diseases are reportable by law. If such a disease of a patient is found in the laboratory, a report is made to the health department and the treating doctor. The same applies to highly infectious germs. If this is proven, a report is sent to the ward or the doctor so that preventive measures can be initiated immediately.
  • the data transfer from the laboratory central database 1 takes place via e-mail, network printer, fax or LDT.
  • the transmission via LDT should be possible as an attachment to an e-mail or directly via ISDN.
  • Several transmission paths can also be provided in parallel.
  • An individual report layout can be defined for each ward or doctor's office. B. a certain sequence and arrangement of the diagnostic parameters is selected.
  • a user (doctor in the hospital or in the practice) triggers a laboratory order.
  • the database books the order and prints out appropriate material labels at the client. If the client has the If the patient's diagnosis is entered according to the International Diagnostic Code ICD or DRG, the client will be given a corresponding proposal for the analyzes to be commissioned. The client will also be informed of possible acceptance and transport conditions.
  • the order is activated in the system and the database plans according to a predetermined hierarchy at which workstation (laboratory A, B, C ...) the examinations are to be carried out.
  • the condition of the device plays a decisive role here. This special order scheduling significantly optimizes the laboratory process and the result is returned to the customer faster than usual.
  • the advantage of the communication system is that both the requestor and the laboratory always have an up-to-date overview of the status of upcoming, activated and finished examination orders and can react accordingly in good time. If there are material problems, you can act close to the patient.
  • the database reacts automatically to critical test results after appropriate technical approval, reports immediately to the laboratory requester and, if necessary, initiates further tests. Together with the clinically active colleague, a complex finding can be worked out across locations on the screen, possibly directly on the patient's bed.
  • the system also helps to minimize the flood of information and the costs associated with managing it. All data is stored centrally and is available for follow-up examinations and to display the medical history, possibly also for those other than the original client.
  • a warehouse management module is integrated into the system, which "deducts" consumables and reagents for each examination cycle and manages the delivery to the workplace by managing minimum inventory levels based on the workplace. Order volume and order height discounts can be managed optimally across the network laboratory.
  • the module also organizes the supply of laboratory requisites with blood collection systems and other aids.
  • the station is delivered by checking in the materials per sender. In this way, transaction data can be generated automatically and the inventory at the customer can be determined.
  • the equipment of a local laboratory location advantageously also includes laboratory workstations 9, which are connected via device drivers 12 to other devices, such as, for. B. card readers 18 or online devices 19 are connected.
  • a communication server 7 controls the data exchange between fax machine 14, printer 15, station workstations 17 and others Devices for file transfer 16.
  • the basic equipment advantageously includes a diagnosis server 11 and mini-computers connected to the laboratory database 1 via a special server 10.
  • the invention is not restricted to the exemplary embodiments shown here. Rather, it is possible to implement and implement further embodiment variants by combining and modifying the means and features mentioned, without leaving the scope of the invention.
  • Station workstation 18. Card reader

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)

Abstract

L'invention concerne un système de communication destiné à l'interaction de laboratoires médicaux et de centres de traitement médicaux. Des laboratoires centraux se servent déjà de la transmission de données pour transmettre des données d'examen, l'acceptation et la réalisation des demandes se faisant toutefois de manière habituelle. Selon l'invention, tous les laboratoires concernés et leurs domaines de laboratoires spécifiques d'une part, et tous les centres de traitement médicaux d'autre part, sont mis en réseau par l'intermédiaire de dispositifs de transmission de données, au moyen d'une base de données centrale de laboratoire intégrative comportant un ordinateur de serveur ; les données de patients et d'examen nécessaires sont enregistrées sur un module d'enregistrement d'un dispositif de saisie de données, au niveau du centre de traitement concerné, ces données sont ensuite cordonnées par la base de données centrale de laboratoire et indiquées au laboratoire ou au domaine de laboratoire concernés par l'intermédiaire de dispositifs de sortie de données dans le laboratoire ou le domaine de laboratoire ; les échantillons à analyser sont caractérisés et/ou codés selon des critères prédéterminés dans les centres de traitement par l'intermédiaire des modules d'enregistrement, et attribués au laboratoire ou au domaine de laboratoire concernés ; les demandes d'analyse réservées sont activées au moment de l'arrivée des échantillons dans le laboratoire ; et les données d'analyse sont enregistrées dans la base de données centrale de laboratoire à la fin des analyses, et transmises aux centres de traitement concernés par l'intermédiaire de dispositifs de transmission de données.
PCT/EP2000/011313 1999-11-15 2000-11-15 Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux WO2001037190A2 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU25057/01A AU2505701A (en) 1999-11-15 2000-11-15 Communication system for the interaction between medical laboratories and medical treatment centers
CA002390879A CA2390879A1 (fr) 1999-11-15 2000-11-15 Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux
EP00988705A EP1232467A2 (fr) 1999-11-15 2000-11-15 Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19955729A DE19955729A1 (de) 1999-11-15 1999-11-15 Kommunikationssystem für das Zusammenwirken von medizinischen Laboratorien und ärztlichen Behandlungseinrichtungen
DE19955729.2 1999-11-15

Publications (2)

Publication Number Publication Date
WO2001037190A2 true WO2001037190A2 (fr) 2001-05-25
WO2001037190A3 WO2001037190A3 (fr) 2002-06-06

Family

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Application Number Title Priority Date Filing Date
PCT/EP2000/011313 WO2001037190A2 (fr) 1999-11-15 2000-11-15 Systeme de communication destine a l'interaction de laboratoires medicaux et de centres de traitement medicaux

Country Status (5)

Country Link
EP (1) EP1232467A2 (fr)
AU (1) AU2505701A (fr)
CA (1) CA2390879A1 (fr)
DE (1) DE19955729A1 (fr)
WO (1) WO2001037190A2 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003021525A2 (fr) * 2001-09-05 2003-03-13 Ams - Engineering Sticht Gesellschaft M.B.H. Procede de prelevement d'un echantillon dans un systeme
EP1564648A2 (fr) * 2004-02-14 2005-08-17 Universitätsklinikum Düsseldorf Anstalt des öffentlichen Rechts Procédé de surveillance d'échantillons de laboratoire
EP1978110A1 (fr) * 2000-09-06 2008-10-08 Transnetyx, Inc. Système, procédé et appareil pour criblage de mutagenèse ciblé et transgénique

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT413791B (de) * 2001-09-05 2006-06-15 Ams Engineering Sticht Ges M B Verfahren zur erstellung eines auftragsdatensatzes für eine zu analysierende probe
DE102008018489A1 (de) * 2008-04-11 2009-10-22 Kisielinski, Kajetan Stefan, Dr. med. Vollautomatisches Laborwert-Warnsystem

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0599022A2 (fr) * 1992-11-23 1994-06-01 EMTEK HEALTH CARE, Inc. Méthode de visualisation des résultats de tests microbiologiques
US5631844A (en) * 1991-07-30 1997-05-20 University Of Virginia Interactive remote sample analysis system
WO1998029790A2 (fr) * 1996-12-30 1998-07-09 Imd Soft Ltd. Systeme d'information medicale
US5841975A (en) * 1996-12-10 1998-11-24 The Regents Of The University Of California Method and apparatus for globally-accessible automated testing
US5920871A (en) * 1989-06-02 1999-07-06 Macri; Vincent J. Method of operating a general purpose digital computer for use in controlling the procedures and managing the data and information used in the operation of clinical (medical) testing and screening laboratories

Family Cites Families (2)

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US4893270A (en) * 1986-05-12 1990-01-09 American Telephone And Telegraph Company, At&T Bell Laboratories Medical information system
DE19736470C2 (de) * 1997-08-21 2001-02-22 Ulrich Schenck Datenverarbeitungsfähiger Mikroskopie-Probenträger und Verfahren zur Analyse von mikroskopierbaren Proben

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5920871A (en) * 1989-06-02 1999-07-06 Macri; Vincent J. Method of operating a general purpose digital computer for use in controlling the procedures and managing the data and information used in the operation of clinical (medical) testing and screening laboratories
US5631844A (en) * 1991-07-30 1997-05-20 University Of Virginia Interactive remote sample analysis system
EP0599022A2 (fr) * 1992-11-23 1994-06-01 EMTEK HEALTH CARE, Inc. Méthode de visualisation des résultats de tests microbiologiques
US5841975A (en) * 1996-12-10 1998-11-24 The Regents Of The University Of California Method and apparatus for globally-accessible automated testing
WO1998029790A2 (fr) * 1996-12-30 1998-07-09 Imd Soft Ltd. Systeme d'information medicale

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1978110A1 (fr) * 2000-09-06 2008-10-08 Transnetyx, Inc. Système, procédé et appareil pour criblage de mutagenèse ciblé et transgénique
WO2003021525A2 (fr) * 2001-09-05 2003-03-13 Ams - Engineering Sticht Gesellschaft M.B.H. Procede de prelevement d'un echantillon dans un systeme
WO2003021525A3 (fr) * 2001-09-05 2004-03-18 Ams Engineering Sticht Ges M B Procede de prelevement d'un echantillon dans un systeme
GB2397417A (en) * 2001-09-05 2004-07-21 Ams Engineering Sticht Ges M B Method for taking a sample from a system
EP1564648A2 (fr) * 2004-02-14 2005-08-17 Universitätsklinikum Düsseldorf Anstalt des öffentlichen Rechts Procédé de surveillance d'échantillons de laboratoire
EP1564648A3 (fr) * 2004-02-14 2006-05-24 Universitätsklinikum Düsseldorf Anstalt des öffentlichen Rechts Procédé de surveillance d'échantillons de laboratoire

Also Published As

Publication number Publication date
CA2390879A1 (fr) 2001-05-25
AU2505701A (en) 2001-05-30
EP1232467A2 (fr) 2002-08-21
WO2001037190A3 (fr) 2002-06-06
DE19955729A1 (de) 2001-05-23

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