JPH08233825A - Data management device - Google Patents

Abstract

(57) [Abstract] [Object] The present invention relates to a data management device which is connected to an analysis device used in a hospital or other medical institution and manages data obtained by the analysis device. Integrated management. [Configuration] Normality / abnormality of measurement results obtained by a plurality of analyzers is associated with each analyzer and displayed on one monitoring screen across the plurality of analyzers. Further, the progress status of the measurement in the plurality of analyzers is displayed on one process control screen across the plurality of analyzers according to the measurement field in association with each analyzer and each sample.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a data management device which is connected to an analyzer used in, for example, a hospital or other medical institution and manages data obtained by the analyzer.

[0002]

2. Description of the Related Art Conventionally, a wide range of analyzers have been used in which, for example, a serum produced by centrifuging blood of a patient is used as a sample, and the sample is tested (measured) to obtain data on various measurement items. Has been adopted. In such an analyzer, in addition to measuring the patient sample as described above and obtaining the measurement data (referred to as "patient data"), the control reagent is measured and the measurement data of the control reagent ("control data") is measured. )) To check whether the control data is at a predetermined value, that is, whether or not the accuracy of the analyzer is properly maintained.

Further, when a plurality of items are measured from one sample, the one sample is dispensed into a plurality of samples depending on the measurement item or the function of each analyzer, and the dispensed sample is dispensed. Measurement data of a plurality of items is obtained by setting each of the plurality of analyzers.

[0004]

The conventional analyzer has the following problems.
Since a data management device such as a computer system is individually connected and data is managed for each analysis device, various problems as described below have occurred. That is, regarding the quality control and data management of the analyzer, (a) management is performed by a different method for each analyzer, and the quality control cannot be unified. (B) Data management is closed for each analyzer, and related data cannot be managed collectively. (C) Management departments are distributed and management efficiency is poor. (D) The method of managing the control data obtained by measuring the management reagent is complicated and the accuracy abnormality of the analyzer cannot be immediately determined. (E) When a new analysis device is introduced, a data management device for the analysis device is also required accordingly. There were various problems.

Further, a step of managing what kind of state the sample set in each analyzer is at present, which becomes a problem particularly when a plurality of analyzers are dispensed and measurement is performed by a plurality of analyzers. Regarding management, (f) it is difficult to manage whether or not there is an inspection omission for the inspection request item. (G) Even if the examination itself is performed without omission, it is difficult to collect measurement data obtained by a plurality of analyzers without omission for each patient. There is a problem.

In view of the above circumstances, it is an object of the present invention to provide a data management device suitable for integrated management of a plurality of analyzers.

[0007]

A first data management device of the present invention that achieves the above object comprises: (1-1) an interface capable of receiving measurement data representing measurement results of a plurality of analyzers. -2) Discrimination means for discriminating normality / abnormality of the measurement result represented by the measurement data input via the interface (1-3) Correlating the discrimination result of normality / abnormality by the discrimination means with each analyzer. In addition, a display means for displaying on one monitoring screen across a plurality of analyzers and sequentially updating the monitoring screen is provided.

In the first data management device of the present invention, the measurement data is composed of control data representing the measurement result of the control reagent in the analyzer and patient data representing the measurement result of the sample in the analyzer. The discriminating means (1-2) discriminates between normal and abnormal for both the control data and the patient data, and the display means (1-3) controls by the discriminating means. It is preferable that normal and abnormal discrimination results for both data and patient data are displayed on one monitoring screen across a plurality of analyzers.

Further, in this case, (1-4) operator means for designating one of a plurality of information displayed on the display screen (1-5) abnormality in the monitor screen by the operator means If the display is specified and the specified abnormal display corresponds to the patient data in response to the specification,
A screen switching means is provided for switching to a screen for displaying the patient data, and if the designated abnormal display corresponds to the control data, switches to a screen for displaying the control chart of the analytical instrument corresponding to the control data. It is preferable.

The second data management device of the present invention is (2-1) sample specifying data for specifying a sample to be measured in a plurality of analyzers, and measurement results of the samples in the plurality of analyzers. (2-2) Based on the sample specifying data and the patient data input via the above-mentioned interface, the progress of the measurement in each analyzer can be monitored by each analyzer and each It is characterized in that it is provided with a display means for displaying the progress status in the process management screen on one process management screen over a plurality of analyzers in association with the sample.

In the second data management device of the present invention, it is preferable that the display means of (2-2) displays a process management screen for each measurement field.
Furthermore, in the second data management apparatus of the present invention, (2-3) operator means for designating one of the plurality of information displayed on the display screen (2-4) sample specifying data and patient data Based on and
Extraction means for extracting the sample alibi information indicating the location of the sample (2-5) In the case where a predetermined display of at least a part of the display of the progress status of the sample in the process control screen is designated by the operator means. It is preferable to include a screen switching unit that receives the designation and switches to a screen displaying the location of the sample corresponding to the designated display.

[0012]

According to the first data management apparatus of the present invention, the above-mentioned (1-
It is connected to a plurality of analyzers by the interface of 1), normal and abnormal are discriminated by the discriminating means of (1-2), and normal and abnormal discrimination results are discriminated by the display means of (1-3). Corresponding to each analyzer, it is displayed on one monitoring screen across multiple analyzers.
With one monitoring screen, the normality and abnormality of the data obtained from multiple analyzers are managed in an integrated manner, improving work efficiency. In addition, it is possible to check with a unified data check standard, and it is possible to provide high quality data. In addition, since the monitoring screen is updated sequentially, if an abnormality occurs in the analyzer or if there is any abnormality in the sample measured by the analyzer, the abnormality can be detected early and the abnormality is detected. It is possible to prevent unnecessary measurement by using the generated analyzer, or to promptly perform a remeasurement immediately when the measurement data of the sample is abnormal.

Further, in the first data management apparatus of the present invention, if the screen switching means of the above (1-5) is provided, when there is an abnormality, the analysis of the cause of the abnormality is made efficient,
Workability is improved also from this point. The second data management apparatus of the present invention associates the progress of measurement in each analyzer with each analyzer and each sample, for example, for each measurement field (for example, biochemistry, blood, serum, etc.). In addition, since the display means for displaying one process management screen over a plurality of analyzers is provided, it is possible to integrally manage the work prediction and the work progress status in each analyzer.

Further, in the second data management apparatus of the present invention, if the operator means, the extraction means, and the screen switching means of the above (2-3) to (2-5) are provided, the sample can be detected by a simple operation. The screen is switched to the location display screen, and it becomes possible to manage the alibi of the sample where the sample is currently. As described above, according to the present invention, it is possible to reduce the total cost of the system for the inspection work and the work.

Further, a plurality of analyzers and a plurality of data management devices are connected to a LAN (Local Area Network).
k) and the like are connected so that any data management device can be used, a system with a high degree of freedom is constructed.

[0016]

Embodiments of the present invention will be described below. FIG. 1 is a diagram schematically showing a monitoring screen in an embodiment of the first data management apparatus of the present invention. Here, for ease of understanding, the monitoring screen will be described prior to the description of the configuration of the data management device.

The data management device is connected to a plurality of analyzers 5a, 5b, ...
From 5b, ..., Control data obtained by measuring the control reagent in each analyzer 5a, 5b, ... And patient data obtained by measuring the sample are input. The data management device processes the input control data and patient data as described below,
The comprehensive monitoring screen 14 shown in FIG. 1 is displayed. On this comprehensive monitoring screen 14, for each of the plurality of analyzers A, B, C, ..., Normal or abnormal control data obtained most recently by each analyzer A, B, C ,. , B, C, ... Display normality and abnormality of the latest patient data, and each analyzer A, B, C, ... Can perform measurement and collect the measurement data. Whether or not it is ready is indicated by whether or not “collecting” is displayed. This screen is updated every time new control data or patient data for a new sample is obtained by any of the analyzers displayed here.

With the comprehensive monitoring screen 14 shown in FIG. 1 displayed, an operator (not shown) such as a mouse is operated to designate "abnormal" corresponding to the control data of the analyzer A. If you open the next screen, for example, X control chart,
A control chart list in which items of various control charts such as an X-R control chart and a CuSUM control chart are listed is displayed, and one of the control chart list, for example, X -R
When the control chart is designated, instead of the X control, the X-R control chart of the analyzer A is displayed on the screen.

Further, when "abnormal" corresponding to the patient data of the analyzer C is designated while the comprehensive monitoring screen 14 shown in FIG. 1 is displayed, details of the patient data are displayed. When the same sample or the same patient is retested, the data obtained by the retest is also displayed on this patient data screen. It is also possible to display the results of the upper and lower limit check of the current value, the ratio check with the previous value, and the difference check with the previous value.

FIG. 2 is an overall configuration diagram of a system including an embodiment of the first data management apparatus of the present invention. The inspection order (measurement item) 1 is input from the screen by the order registration device 2 and stored in the inspection order file 3. The analyzer control units 4a, 4b, ... Are control units that control bidirectional communication with the analyzers 5a, 5b ,. When the inquiry information is output from the analysis devices 5a, 5b, ..., The inspection order file 3 is instructed to the analysis device 5a from the inspection order file 3. Further, when the measurement results (control data and patient data) are output from the analyzers 5a, 5b, ..., They are passed to the verification units 6a, 6b ,.

The verification units 6a, 6b, ... Separate the control data and the patient data as shown in FIG. 3, and the control data is obtained by referring to the control data verification logic table 7a ,. The state of the corresponding analyzer is verified by reproducibility with the known data representing the management standard value of the managed reagent, and the verification result is stored in the control data verification result file 8a. For the patient data, the patient data verification logic table 9a, ... Is referred to, and the patient data verification result file 10a ,. To store.

The control data verification logic table 7a, ... Is a table of known data for verifying the control data, and the patient data verification logic table 9b, ... Is verification for verifying the patient data. It is a table of means and their values. The analyzer control units 4a, 4b, ... And the verification unit 6 described above.
The a, 6b, ... Are present for each of the analyzers 5a, 5b ,.

Further, the control data verification logic table 7a, ..., The control data verification result file 8a, ..., The patient data verification logic table 9a ,.
The patient data verification result file 10a, ...
Holds data for each of a, 5b, .... Next, as shown in FIG. 4, the integrated monitoring unit 11 sets the control data verification result files 8a, ... And the patient data verification result files 10a, ... Stored for each analyzer 5a, 5b ,. The integrated monitoring screen 14 as shown in FIG. 1 is automatically displayed by collectively referring to FIG.

When the control data monitoring unit 12 receives an instruction to display the control chart from the integrated monitoring screen 14 after confirming the analyzer, the control data monitoring section 12 displays the control chart in detail on the control chart display 15. As described above, the control chart is displayed by changing the method according to the instruction. The patient data monitoring unit 13
When an instruction to display patient data is received from the integrated monitoring screen 14, the verification result and the patient data for re-examination confirmation are displayed on the patient data verification result screen 16 in time series.

Conventionally, the verification work has been carried out in a distributed manner in each analyzer control unit, and the status management has been required for each analyzer, which makes the work complicated and costly. In this process, by integrating the verification results of a plurality of analyzers, the verification work can be performed in a wide range, the work is reduced, and the system cost is saved. Further, conventionally, the control chart is displayed individually after selecting the control chart from the work menu. In this process,
Since the control charts are displayed in cooperation with each other on the integrated monitoring screen, simple operations can be realized.

FIG. 5 is a diagram schematically showing a process management screen in an embodiment of the second data management apparatus of the present invention. This process control screen is a process control screen in the field of biochemistry. On this process control screen, the order number and
The name of the patient and which analyzer the patient's specimen is on,
It is displayed in association with whether it is waiting for measurement (not yet), already measured (finished), or waiting for re-examination (re-examination).

When an operator (not shown) is operated to specify “not yet”, which represents a measurement wait, detailed information of the sample waiting for the measurement is displayed, and when “retest” that represents a retest wait is specified, the retest is performed. The detailed information of the required sample is displayed. In the detailed information of the sample corresponding to the “retest”, sample alibi information indicating where the sample is currently is also displayed.

FIG. 6 is an overall configuration diagram of a system including an embodiment of the second data management apparatus of the present invention. The inspection order (measurement item) 1 is input from the screen by the order registration device 2 and stored in the inspection order file 3. Process selection unit 17
As shown in FIG. 7, the measurement items are extracted by referring to the inspection order file 3. The data stored in the examination order file 3 corresponds to the sample specifying data according to the present invention. Next, referring to the process selection logic table 18,
Create a work table for each analyzer based on the measurement items and determine the measurement field. The measurement field units are stored in the field-specific work table files 19a, 19b, ... As shown in FIG.
As the “state” in the work table shown in FIG. 8, “uninspected”,
Either "Inspected" or "Under inspection" is displayed.

The process selection logic table 18 is
It is a table showing the relationship between measurement items and analyzers, and analyzers and their fields. Analytical device control units 4a, 4b, ...
Is a control unit that controls bidirectional communication with the analyzers 5a, 5b, .... When the measurement results (patient data) are output from the analyzers 5a, 5b, ...
Pass it to 0a, 20b, ....

The patient data verification units 20a, 20b, ... Verify the accuracy of the patient data by referring to the patient data verification logic tables 21a, ... And store it in the patient data verification alibi file 22a. Further, the sample alibi information is generated from the patient data and stored in the patient data verification alibi file 22a. The patient data verification logic table 21a, ... Is a table of verification means and values for verifying patient data.

As described above, the analyzer control units 4a, 4b, ... And the patient data 20a, 20b ,. In addition, the patient data verification logic table 21a,
The patient data verification alibi file 22a, ... Holds data for each analyzer. Next, the process control display section 23
As shown in FIG. 9, field-specific work table files 19a, 19b, ... In which work tables are stored, and a patient data verification alibi file 2 in which patient data verification results are stored
2a, 22b, etc. are matched and the progress status is judged based on the measurement result and the verification result (when not measured: uninspected, when verification result is not: reinspection, when verification result is acceptable: edited) To). Further, the process control display section 23 automatically measures the progress of the analyzers belonging to the field designated on the screen at regular intervals, and the process control screen 2 as shown in FIG.
4 is displayed and updated.

Further, according to the instruction from the process control screen 24, the patient data verification alibi files 19a, 19a
The sample alibi information display screen 25 is displayed from b, ....
Conventionally, process control is performed based on inspection orders and measurement results, and only limited work processes such as analyzer units can be managed. Therefore, the management target becomes fine and the processing is complicated. In this process, process control units are grouped in a wide range such as inspection fields, and process information and alibi information are newly provided, so that the grasp of the work process is simplified.

Further, the sample alibi information has clarified the correspondence between the inspection object and the alibi information.

[0034]

As described above, according to the first data management device of the present invention, accuracy management is realized by a unified method for a plurality of analysis devices, and abnormal data is displayed by a multifunctional display function. It enables early detection and multi-dimensional analysis of data, and can provide high-quality inspection data to the medical department.
In addition, the data management, which has been distributed to each measurement line up to now, can be centrally monitored by a plurality of analyzers by the integrated monitoring function, and the work efficiency can be improved.

Further, according to the second data management apparatus of the present invention, the detailed management function of the inspection process realizes the work prediction, the work progress management and the alibi management of the sample, and the management support to the clinical test manager. It will be possible.

[Brief description of drawings]

FIG. 1 is a diagram schematically showing a monitoring screen in an embodiment of a first data management device of the present invention.

FIG. 2 is an overall configuration diagram of a system including an embodiment of a first data management device of the present invention.

FIG. 3 is a diagram showing a processing flow in a verification unit.

FIG. 4 is a diagram showing a processing flow in an integrated monitoring unit.

FIG. 5 is a diagram schematically showing a process management screen in an embodiment of the second data management device of the present invention.

FIG. 6 is an overall configuration diagram of a system including an embodiment of a second data management device of the present invention.

FIG. 7 is a diagram showing a processing flow in a process selection unit.

FIG. 8 is a diagram showing an example of a work table file according to field.

FIG. 9 is a diagram showing a processing flow in a process management display unit.

[Explanation of symbols]

 5a, 5b Analytical apparatus 6a, 6b Verification unit 11 Integrated monitoring unit 14 Integrated monitoring screen 15 Control chart display 16 Patient data verification result display 17 Process selection unit 20a, 20b Patient data verification unit 23 Process management display unit 24 Process management screen 25 Sample Alibi display screen

Claims (6)

[Claims] 1. An interface capable of receiving measurement data representing measurement results of a plurality of analyzers, and a discriminating means for discriminating normality / abnormality of the measurement results represented by the measurement data input via the interface. A display means for displaying the discrimination result of normality and abnormality by the discrimination means on one monitoring screen over a plurality of analyzers in association with each analyzer and updating the monitoring screen one by one. A data management device characterized by. 2. The measurement data is composed of control data representing a measurement result of a control reagent in an analyzer and patient data representing a measurement result of a sample in the analyzer, and the discriminating means comprises the control data and the patient. For distinguishing both normal and abnormal for each of the data, the display means, by the discrimination means, normal and abnormal discrimination results for both the control data and the patient data, a plurality of 2. The display is displayed on one monitor screen across the analyzers.
The described data management device. 3. A manipulator means for designating one of a plurality of pieces of information displayed on a display screen; and when the manipulator means designates an abnormal display in the monitoring screen, the designation is performed. In response, if the designated abnormal display corresponds to the patient data, the screen is switched to a screen for displaying the patient data, and if the designated abnormal display corresponds to the control data, the 3. The data management device according to claim 2, further comprising screen switching means for switching to a screen displaying a control chart of the analytical instrument corresponding to the control data. 4. An interface capable of receiving sample specifying data for specifying a sample to be measured by a plurality of analyzers, and patient data representing the measurement results of the samples by the plurality of analyzers, and via the interface. Based on the sample specifying data and the patient data input as above, the progress of measurement in each analyzer is associated with each analyzer and each sample, and is displayed on one process control screen across a plurality of analyzers. A data management apparatus comprising: a display unit that displays and sequentially updates the display of the progress status in the process management screen. 5. The data management device according to claim 4, wherein the display means displays the process management screen for each measurement field. 6. An operator means for designating one of a plurality of pieces of information displayed on a display screen, and sample alibi information representing the location of the sample based on the sample specifying data and the patient data. When a predetermined display of at least a part of the display of the progress status of the sample in the process control screen is designated by the extracting means and the operating means, the designated display is received. 6. The data management device according to claim 4, further comprising a screen switching unit for switching to a screen displaying the location of the sample corresponding to.