FR3067827A1 - PATIENT MANAGEMENT DEVICE - Google Patents

Abstract

The invention relates to a device comprising a graphic tool equipped with a screen and capable of interacting with a server, the server comprising a storage memory hosting a patient database comprising patient identifiers, each patient identifier being associated with data of the patient. patient having patient parameters consisting of patient-specific information; a local application installed in the graphical tool, for displaying on the screen at least part of the patient data for a selected patient whose identifier has been entered by an executing operator, while allowing this operator to modify and / or supplementing said patient data of the selected patient; and a pilot application cooperating with the local application to record each change of patient data of the selected patient in association with the corresponding patient identifier on said database. The storage memory hosts a selection table and an instruction database. The selection table has critical parameters corresponding to one or more of the patient parameters. Each critical parameter is selectable by a manager operator so that a desired patient profile can be set. The instruction database includes medicalization instructions consisting of one or more biological samples that can be executed by the operator. Each medicalization instruction instruction is associated with at least one of the critical parameters. The pilot application is arranged to call the patient database and the selection table. The pilot application is further arranged to drive a screening function capable of traversing the patient parameters of the selected patient and the critical parameters so as to perform a comparative operation to identify one or more matches between the patient and critical parameters. The pilot application communicates with the instruction database to perform a visual feedback on the graphical tool when one or more matches are identified to warn the operator that the selected patient substantially matches the desired patient profile. . The visual feedback includes one or more medicalization instructions selected on the basis of instruction data.

Description

PATIENT MANAGEMENT DEVICE

BIOKORTEX l.FRD

The present invention relates to a personalized patient management device.

Medical biology laboratories are establishments in which biological samples are taken from patients. These samples are taken by medical personnel.

The laboratories are equipped with files (or customer files) in which information relating to patients is displayed. Generally, laboratories open a follow-up file for each new patient. In these files data are usually collected such as the name of the patients, their birth name, their first name, their gender, their date of birth, their address, their identification with the reimbursement funds and possibly the medical history for each patient. If possible, the record is updated after each patient visit to the laboratory.

Today, the files are preferably digitized in a computer system. This notably facilitates the updating of files. The information collected in a confidentiality space is entered on handwritten tracking sheets and is sometimes transcribed into the laboratory's computer system to ensure that the information is properly updated.

In either case, the records are an integral part of the medical biology laboratories. The quality of the files is therefore dependent on how well these files are kept. This requires a certain care, discipline and meticulousness of the personnel working in the laboratories.

There is currently no standard or means for centralizing the patient data collected (or medical data). Consequently, there is no use of patient data beyond simple record keeping.

Patient data can, however, be of great interest for medical research. Thus, for certain studies of biological, pharmaceutical, pharmacological or pharmacovigilance orders carried out by research laboratories or by the pharmaceutical industry regularly need subjects meeting certain biological and / or medical criteria. For example, studies conducted to find a cure for the HIV virus (implicated in AIDS) require people with the HIV virus; and studies in the field of oncology for the treatment of certain cancers require people with cancer. In pharmacovigilance studies, data linked to the tolerance of a treatment are of great interest. Likewise, in studies carried out by health surveillance organizations, monitoring a particular pathology on a population can be of great interest.

The specific search for patient profiles of interest is difficult and random. In practice, only research laboratories or industries with a professional link (via a clinical research organization) or personnel with a medical biology laboratory can hope to find a patient profile of interest for a given study. This considerably slows down the progress of medical research.

The present invention improves the situation.

To this end, the invention provides a device comprising:

a graphical tool equipped with a screen and capable of dialoguing with a server, the server comprising a storage memory hosting a patient database comprising patient identifiers, each patient identifier being associated with patient data comprising patient parameters consisting of '' patient specific information;

a local application installed in the graphics tool, to display on the screen at least part of the patient data for a selected patient whose identifier has been entered by an operating operator, while allowing this operator to modify and / or supplement said patient data of the selected patient; and a pilot application cooperating with the local application to record each modification of patient data of the patient selected in association with the corresponding patient identifier on said database.

According to the invention, the storage memory hosts a selection table and an instruction database. The selection table includes critical parameters corresponding to one or more of the patient parameters. Each critical parameter is selectable by a manager operator so that a desired patient profile can be set. The instruction database includes medicalization instructions consisting of one or more biological samples that can be performed by the performing operator. Each medicalization instruction is associated with at least one of the critical parameters. According to the invention, the pilot application is arranged to call the patient database and the selection table. The pilot application is further arranged to control a screening function capable of browsing the patient parameters of the chosen patient and the critical parameters so as to execute a comparative operation to identify one or more correspondences between the patient and critical parameters. The pilot application communicates with the instruction database so as to execute a visual feedback on the graphic tool when one or more correspondences are identified to warn the operating operator that the chosen patient corresponds substantially to the desired patient profile . The visual feedback includes one or more medicalization instructions selected from the instruction database.

The device makes it possible in particular to select a patient for whom additional biological samples can be taken. Furthermore, the device of the invention makes it possible to integrate clinical information into the file of a patient with a view to subsequent use. Patient follow-up is drastically improved. In addition, the device of the invention makes it possible to reliably automate the search for patient profiles for medical research.

According to one embodiment, the device further comprises a computer setting a threshold value as a function of the critical parameters selected by the managing operator. In this embodiment, the pilot application is arranged to generate a correspondence value during the comparative operation and to execute said visual feedback when the correspondence value is greater than or equal to the threshold value.

The device thus enables targeted research of patients who meet certain conditions. A very specific patient profile can be identified. The calculator thus makes it possible to personalize or refine the search according to the criteria sought. The comparison between the threshold value and the correspondence value also makes it possible to incorporate a certain flexibility. So the search can be extended. In practice, the threshold value can be fixed so as to find profiles close to that actually sought.

According to one embodiment, the patient parameters and the critical parameters include data chosen from sex, age, age group, pathology, symptom, treatment, diagnosis, biological profile, medication. , one or more medical histories, a medical procedure including a surgical procedure, a geographical area, a patient profile (for example if the patient is a smoker or if the patient is Caucasian), and one or more biological parameters.

This allows you to define or select the search criteria for a desired patient profile. For example, the criteria chosen may be of medical interest for a biological study carried out by a pharmaceutical laboratory. The definition (or selection) of the criteria refines the search and thus allows filtering to find profiles of patients of interest.

According to one embodiment, the instructions for medicalization are chosen from the group consisting of an instruction for blood sampling, microbiological, and a selection of tube matrix (anticoagulant / dry / gel) linked to a volume.

This allows the operator to be guided in the proper conduct of the biological sample or samples to be taken. The executing operator is notably informed about the conditions to be respected during the direct debit, for example he / she is informed about the type of direct debit to be carried out, the methodology, good practices of direct debit and / or the conservation of the samples taken (sample to be frozen, for example).

According to another embodiment, the device further comprises a transcription module for laboratory information systems (SIL) ensuring the compatibility of said systems.

This allows in particular the exchange between different structures of medical biology laboratories. In fact, the laboratories use laboratory information systems (SIL). Some analysis laboratories use, for example, HEXALIS software (registered trademark) from the company Agfa Healthcare, others use KaliSil software (registered trademark) from the company NETIKA. For the exchange of data, each SIL generally uses a standard specific to the country (for example the HPRIM standard in France). The transcription module in the device of the invention allows good data exchange by transcribing the data into the desired standard.

According to one embodiment, the device comprises a security module comprising an authentication portal for access to said device.

This secures access to the device. In particular by giving access to the operation of the device only to qualified personnel such as the operating operator. This embodiment also ensures the protection of patient data.

According to one embodiment, the device comprises a connection module connected to an encrypted network such as a virtual private network (VPN).

This ensures the secure transfer of data between medical biology laboratories and their technical platform. Indeed, different analysis laboratories often belong to the same legal entity (“parent company”). This entity can be qualified as an analytical laboratory company (or so-called “multi-site” laboratory). Thus, the same analysis laboratory company can hold one to several dozen analysis laboratories. These analysis laboratories are connected by an internal network to each other and / or to the analysis laboratory company hosting a technical platform on which biological analyzes are carried out. In order to ensure a secure data transfer (for example encrypted) over the network, the device of the invention can provide a VPN module. Note that the patient data of the multi-site laboratory are hosted on a dedicated server of the HDS (health host) type.

According to one embodiment, the device comprises a geolocation tool capable of calculating the geographic coordinates of the graphic tool.

This allows the managing operator to quickly have a return to the physical location of the patient of interest and, where appropriate, samples taken relevant to a biological, pharmaceutical or pharmacological study.

According to one embodiment, the selection table can be configured remotely by the managing operator.

This allows the managing operator (who, for example, would be asked by a researcher in the diagnostic industry or by a health monitoring organization) to define and / or select critical parameters remotely. In practice, this allows the managing operator to access a portal on which he makes his request to search for biological samples (for example a blood sample to be taken from a specific tube: minimum volume on a specific anticoagulant) for a patient meeting certain criteria (for example patient profile: pregnant woman 1 ^st trimester). When the patient information is entered by an operator performing in a medical biology laboratory and this information responds to the request of the managing operator, then the operating operator is notified by a signal on the graphic tool.

According to one embodiment, the pilot application is installed on an element chosen from the graphical tool, the server and a computer

This offers flexibility in the conception or design of the device. In particular, this makes it possible to host the pilot application in the most efficient element in terms of computing power. It follows faster operation of the device.

Other advantages and characteristics of the invention will appear on reading the detailed description below and in the accompanying drawings in which:

- Figure 1 shows a block diagram of the general operation of the invention; and

- Figure 2 shows a personalized patient management device according to the invention.

The drawings and the description below essentially contain elements of a certain nature. They form an integral part of the description, and can therefore not only serve to better understand the present invention, but also contribute to its definition, if necessary.

In the present description, the terms “medical biology laboratory” and “analysis laboratory” each designate a place from which biological fluids or biological samples of human or animal origin (such as in particular blood) are taken and / or analyzed. , urine, stool, integuments and / or secretions) under the responsibility of duly authorized medical biologists, doctors and pharmacists.

The term “performing operator” is used in the present description to designate a person authorized to undertake the taking of biological samples. In particular, this person can be chosen from the group made up of a laboratory technician, a nurse, a doctor, a pharmacist, a midwife and a clinical team. However, when the act of medicalization does not require any particular expertise, the performing operator can also be chosen from a secretary, a qualitician or an operational director. Generally, these are people working in an analysis laboratory equipped with a device according to the invention. These people can receive specific instructions by means of said device.

The term "managing operator" is used in the present description to designate a multidisciplinary person or team empowered to make requests to analysis laboratories. In particular, they may be managers or personnel working in research and development in research laboratories or in the pharmaceutical, biological, pharmacological and medical industry. In general, these are people who formulate a request for the search for a particular patient profile which will be transmitted to the analysis laboratories equipped with a device according to the invention. It can also be a dedicated person who would have been contacted by a researcher in the diagnostic industry or by a health watch organization

The invention provides a solution for identifying persons of interest for biological, clinical, pharmaceutical, pharmacological, pharmacovigilance, epidemiology and more generally medical studies. Thus, the invention particularly interests industry and pharmaceutical laboratories, but also institutions such as regional health agencies or health watch institutes.

In general, the device of the invention allows research laboratories to formulate one or more requests to search for patient profiles, and to identify these profiles in a collection of patient profiles collected by analysis laboratories. The device performs a screening (or more generally a filtering) to compare each patient profile collected by the analysis laboratories with the profile or profiles sought by research laboratories and industry. The conditions and practices of medical confidentiality are respected in the implementation of the invention and when using the device according to the invention.

Figure 1 shows a block diagram of the general operation of the invention.

Operation A designates a patient's visit to an analysis laboratory. Laboratory staff, including at least one operating operator, take charge of the patient. In an operation B, the patient's identity is associated with a patient file. Each patient presents a unique identifier. The unique identifier can for example be associated with all of the patient's last name, first name (s), date of birth and address. In practice, laboratory staff (at this stage it may be a secretary) enters patient data in a computer file; in the example above it would be the last name, first name (s), address and date of birth of the patient. This file is then transmitted to the device of the invention.

The device includes a database in which the patients in the analysis laboratory are referenced. Here, this database is called the patient database. The device can provide either positive visual feedback when the patient is identified in the database, or negative visual feedback when the patient is not referenced in the database. This latter case arises in particular when it is a new patient. In this case, a new identifier and a new patient file are created in the database.

Operation C includes the creation of a patient profile in the device of the invention. In practice, the patient file is generated, completed or modified if necessary. In particular, it involves collecting relevant medical data relating to the patient, such as a pathology, a symptom, a treatment, a diagnosis, a biological profile, one or more medical histories, a medical act including a surgical act. It can also be allergies, intolerances or even information related to the patient's lifestyle (smoker or not, sportsman or not, regular consumption of alcohol or not, food imbalance, etc.). Operation C is performed in the presence of an "executing operator". This operation collects patient data.

Operation D comprises the entry by an operator-manager of a request to search for a patient profile in the device according to the invention. This operation D can be carried out remotely from the analysis laboratory, for example via an intranet or internet portal provided for this purpose. The managing operator can have access to this portal directly in his establishment (research laboratory or industry). These are the critical parameters sought.

A managing operator can for example formulate a request aiming to identify a male patient from 40 to 50 years old, suffering from prostate cancer treated by chemotherapy whose PSA level (prostate specific antigen) is between 20 and 50 ng / ml and which is of Caucasian origin. A separate request can be made for the biological profile such as a woman pregnant in the first trimester of her pregnancy who is followed for chronic hepatitis B. Yet another request can be made to identify a patient with pulmonary tuberculosis. In particular, a given antibody can be a desired biological parameter. For a study targeting people with an infectious disease, a bacterium or virus can be a biological parameter.

Note that the managing operator does not have access to patient information which is confidential. It is however conceivable that the managing operator has access to the data or part of this data if he holds the necessary rights and / or has received the patient's agreement.

Operation D may in particular include the entry of data generally entered in the patient file. In the embodiment of FIG. 1, these data include age or age group, sex, geographic location, pathology (ies) and treatment with medication followed (medication). It involves formulating a request to find a particular patient profile. To this end, the request contains critical parameters. A critical parameter corresponds for example to a pathology, an age group, sex or a treatment followed.

In the example of figure 1, the request defines the search for a patient: man, aged between 50 and 60 years and domiciled in Europe. The sought patient has hypertension and diabetes, and is undergoing metformin hydrochloride treatment; in particular marketed under the name of Metformine Sandoz (registered trademark) of the company Novartis [or also under the name of Metformine Biogaran (registered trademark) of the company Biogaran],

The device of the invention controls a screen age in a operation E. In general, operation E comprises the comparison between the search request with the set of data from the patient database. More specifically, a comparison is made between the critical parameters and the patient parameters. A comparative function performs a comparison between the patient profile sought by the managing operator and the patient profile of the chosen patient, that is to say the patient who is currently in the analysis laboratory under the supervision of the operator performing.

In the event that a patient profile matches the search entered by the managing operator, visual feedback is provided to the performing operator. In practice, the search query is underlying the creation of the patient profile. In this way, a search request can be entered upstream, then when a patient file is generated, completed or modified, the virtual return is displayed in real time when entering patient data.

In practice, the operating operator is therefore notified when a patient corresponds to the profile sought by a managing operator.

Operation F involves the generation of instruction data and their presentation to the executing operator. This operation F is only carried out if the operation E has provided a positive return of the patient profile, that is to say that the patient profile corresponds to that of the search request. In other words, when the patient parameters correspond to the critical parameters.

In practice, it is a question during this operation F of presenting to the operator executing a set of additional actions to be carried out. These actions may in particular include the taking of additional biological samples (by indicating for example the additional number of blood tubes to be taken with the volume and the anticoagulant required, or by indicating a set of additional clinical questions to ask the patient to complete more patient profile).

Operation G includes the request for consent to the patient to take biological samples for research, in particular clinical, medical, biological, pharmaceutical and / or pharmacological research.

The device will collect the patient's informed consent with a digital signature (or digital signature).

If the patient gives his consent to operation G, then an operation H of taking biological samples is carried out. Operation G can be performed before step F. Operation G can also be performed in conjunction with step F.

The operations A, G and H are independent of the device of the present invention. The device of the present invention implements the operations C, D, E and F. In one embodiment, the operation B can be implemented in the device of the invention.

FIG. 2 shows a personalized patient management device according to an embodiment of the invention.

The device 1 comprises a graphic tool 100 (TAB). The graphic tool can be for example a touch pad, a computer component or even a touch cell phone.

In the example of FIG. 2, the graphic tool 100 is a touch pad. This type of tool has the advantage of being easy to handle by an operating operator, in particular because of its lightness and its reduced size.

The graphic tool 100 includes a screen 102 (INT.UT). The screen 102 is arranged to present a user interface allowing data entry, for example by means of a virtual keyboard displayed on the screen 102. The device 1 is therefore arranged to allow an operating operator to enter data. It can for example be data relating to a password to access an application installed on the graphical tool 100, or alternatively input data relating to patients (names, first names, age, pathology, treatment, etc. .).

The device 1 also comprises a server 200 (SERV). The graphical tool 100 is capable of dialoguing with the server 200.

The server 200 includes a storage memory 202 (MEM.STOK) hosting a patient database 204 (PAT.DB). In this way, the data entry carried out on the screen 102 of the graphical tool 100 makes it possible to create, modify or supplement the patient data of the patient profile and to save this data in the patient database 204 In practice, it can for example be a change of name (change from the maiden name to the marital name), a new pathology of the patient or the cure of a pathology, a new treatment followed or an increase in the dosage of a drug.

Patient database 204 includes patient identifiers (ID1, ID2, ID3, etc.). As explained above, an identifier can for example be associated with all of the patient's last name, first name and date of birth.

Each patient identifier is associated with patient data (PAT.DATA1, PAT.DATA2, PAT.DATA3, etc.). There are as many patient identifiers as there are patients. Patient data includes patient parameters made up of patient-specific information (for PAT.DATA1: PARA.1A, PARA.1B, PARA.1C, etc.; for PAT.DATA2: PARA.2A, PARA.2B, PARA .2C, etc.; for PAT.DATA3: PARA.3A, PARA.3B, PARA.3C, etc.). Patient parameters are the building blocks of different patient profiles. These include a pathology and / or medication being followed.

The graphical tool 100 also comprises a local application 104 (APP.LOCA) installed thereon. The local application 104 makes it possible to display on the screen at least part of the patient data for a chosen patient whose identifier has been entered by an operating operator. Some data are not necessarily relevant and their display may be useless at first. In practice, we usually display at least the patient's name, sex, address and age. Other data such as information whether the patient is a smoker or not or whether the patient regularly consumes alcohol is not necessarily displayed.

The local application 104 is arranged to allow the executing operator to modify and / or complete the patient data displayed by the chosen patient. The graphical tool 100 further comprises a pilot application 106 (APP.PILO) cooperating with the local application 104. The pilot application 106 is arranged to record in the patient database 204 each modification or addition for the patient in question . More specifically, the pilot application 106 is arranged to record each modification of patient data of the patient selected in association with the corresponding patient identifier on said database.

According to the invention, the storage memory 202 of the device 1 hosts a selection table 206 (TAB.SEL) and an instruction database 208 (INST.DB).

The selection table 206 includes critical parameters (A, B, C, AB, AC, BC, ABC, etc.) corresponding to one or more of the patient parameters. In practice, the critical parameters are predefined or defined by the managing operator. In this way the managing operator can formulate a search request in order to identify a patient corresponding to the patient profile sought.

In general, each critical parameter is selectable by a manager operator so as to be able to set a desired patient profile. For example, a manager can look for a person with chronic lymphocytic leukemia, male and aged between 65 and 75 years. The critical parameters selected by the managing operator must then include at least the conditions defining the pathology, gender and the age sought.

The instruction database 208 includes medicalization instructions consisting of one or more biological samples that can be performed by the performing operator. Biological samples can for example be a blood or microbiological sample. In addition, the conditions for biological samples can be defined. In this sense, the instructions may include the condition of using specific tubes or even the use of a tube matrix linked to a certain volume.

Each medicalization instruction is associated with at least one of said critical parameters. Thus, when a patient suffering from the HIV virus is sought, the medicalization instruction generally includes the condition of taking a blood sample for the planned clinical or pharmacological study.

The pilot application 106 is arranged to call both the patient database 204 and the selection table 206. In addition, the pilot application 106 is arranged to control a screening function capable of browsing the patient parameters of the chosen patient and the critical parameters so as to execute a comparative operation to identify one or more correspondence between said patient and critical parameters. In practice, when the patient profile, or more precisely at least a part of the patient data of the chosen patient, corresponds to the critical parameters, a visual feedback indicates to the operating operator that the patient is of particular interest for a research laboratory. or industry (for a clinical study for example).

The pilot application 106 also communicates with the instruction database. The pilot application 106 is therefore arranged to execute a visual feedback on the graphic tool when one or more correspondences are identified. In this way, the executing operator is informed that the patient corresponds to the desired patient profile.

The visual feedback includes one or more medical procedure instructions selected from the instruction database (for example an additional blood sample: 3 tubes in total). These instructions are carried out on the patient as soon as the latter gives his consent. Consent is recorded in the device for reasons of traceability.

The invention therefore makes it possible to provide feedback or signaling to the operating operator when a patient has a profile of interest. More generally, the operating operator is notified when a patient profile corresponds to a profile sought by a research laboratory or by industry. The device also indicates the type of biological samples requested by the research laboratory or the industry as well as all the information relating to the study for which the patient is requested (for example additional blood tubes or a microbiological sample). The general purpose of these additional biological samples is to enable research laboratories or industry to advance research, for example by biological and / or medical analyzes or pharmaceutical, pharmacological or even pharmacovigilance studies. The blood sample could be used, for example, for the development of new assay methods for a specific biological marker. More generally, additional biological samples can be integrated into clinical studies carried out by research laboratories or industry.

In practice, the operating operator requests the patient's consent before proceeding with the additional biological sample (s).

In the embodiment of Figure 2, the device 1 further comprises a computer 300 (CALC). The computer 300 is arranged to fix a threshold value as a function of the critical parameters selected by the manager operator.

In parallel, the pilot application 106 generates a correspondence value during the comparative operation. Thus, when the correspondence value is greater than or equal to the threshold value, the pilot application 106 performs said visual feedback on the screen 102 of the graphic tool 100.

In practice, this makes it possible to extend the search to patients who do not exactly correspond to the request formulated by the managing operator. Visual feedback is displayed on the screen when at least some of the critical parameters correspond to the desired profile (that is to say to patient data of the chosen patient).

For example, if a research laboratory or an industry is looking for a 40 to 50 year old woman with diabetes, the calculator can provide visual feedback if a 38 year old woman with diabetes comes to the analysis laboratory. Although the patient profile does not correspond exactly to that sought, the operator is warned that the patient has a profile close to that sought.

In this embodiment, the patient parameters do not need to correspond 100% to the critical parameters. An 80% or 90% match, for example, is sufficient to provide positive feedback and generate signaling for the performing operator indicating that this is a patient with a profile of interest.

Medical biology laboratories equipped with a device according to the invention are gaining in performance. In particular, the management of the patient flow is improved (for example by identifying the times of low or high attendance in laboratories); patient identity verification is simplified and secure; the collection (or recovery of data) of clinical patient information is managed and the collected data can be integrated into each corresponding patient file. This is a legal obligation made to the medical biologist when he validates a patient file in order to return his result.

In addition, the device of the invention makes it possible to guide medical personnel (here generally called "performing operator"), such as the biological sample taker, by indicating the good quality practice or practices to be observed during the direct debits. Thus the device indicates in particular to the medical staff the good conduct of the sample, the reminder of the conditions of sample (by including in particular the information of the concept of fasting of the patient, or schedules to be respected according to the analyzes) the procedure to be followed, the type of sample (s) to be performed, verification of the analyzes with regard to the prescription, the choice as well as the order of the tubes to be sampled for the proper execution of the analyzes, as well as for the conservation of each sample for dosing in the required conditions.

The device provides a new dimension in patient monitoring and / or analyzes of biological samples.

The device of the invention makes it possible to improve the relevance of the biological samples taken by the performing operator. Biological samples are targeted and / or adapted for a selected patient and the device provides full traceability on the samples taken in the laboratory.

Claims (10)

1. Personalized patient management system comprising: a graphical tool (100) equipped with a screen (102) and capable of dialoguing with a server (200), the server comprising a storage memory (202) hosting a patient database (204) comprising patient identifiers, each patient identifier being associated with patient data comprising patient parameters consisting of patient-specific information; a local application (104) installed in the graphic tool (100), for displaying on the screen (102) at least part of the patient data for a selected patient whose identifier has been entered by an operating operator, all by allowing this operator to modify and / or complete said patient data of the selected patient; a pilot application (106) cooperating with the local application (104) for recording each modification of patient data of the selected patient in association with the corresponding patient identifier on said database (204); characterized in that the storage memory (202) further houses a selection table (206) and an instruction database (208), said selection table (206) having critical parameters corresponding to one or more of said patient parameters, each critical parameter being selectable by a manager operator so as to be able to set a desired patient profile, and said instruction database (208) comprising medicalization instructions consisting of one or more biological samples which can be executed by the executing operator, each medicalization instruction instruction being associated with at least one of said critical parameters; and in that the pilot application (106) is arranged to call the patient database (204) and the selection table (206), and control a screening function capable of browsing the patient parameters of said selected patient and the parameters critical so as to execute a comparative operation to identify one or more correspondence between said patient and critical parameters; the pilot application (106) communicating with the instruction database (208) so as to carry out a visual feedback on the graphic tool (100) when one or more correspondences are identified to warn the executing operator that the patient chosen corresponds substantially to the patient profile sought, the visual feedback comprising one or more medicalization instructions selected from the instruction database (208). 2. Device according to claim 1, further comprising a computer (300) setting a threshold value as a function of the critical parameters selected by the managing operator; and in which the pilot application (106) is arranged to generate a correspondence value during the comparative operation and to execute said visual feedback when the correspondence value is greater than or equal to the threshold value. 3. Device according to one of the preceding claims, in which the patient parameters and the critical parameters comprise medical data chosen from sex, age, age group, pathology, symptom, treatment, diagnosis, biological profile, medication, one or more medical histories, medical procedure including surgical procedure, geographic area, patient profile and one or more biological parameters. 4. Device according to one of the preceding claims, in which the medicalization instructions are chosen from the group consisting of a blood, microbiological sampling instruction and a tube matrix linked to a volume. 5. Device according to one of the preceding claims, further comprising a transcription module for laboratory information systems (SIL) ensuring the compatibility of said systems. 6. Device according to one of the preceding claims, further comprising a security module comprising an authentication portal for access to said device. 7. Device according to one of the preceding claims, further comprising a connection module connected to an encrypted network such as a virtual private network (VPN). 8. Device according to one of the preceding claims, further comprising a geolocation tool capable of calculating the geographical coordinates of the graphic tool. 9. Device according to one of the preceding claims, in which the selection table can be configured remotely by the managing operator. 10. Device according to one of the preceding claims, in which the pilot application (106) is installed on an element chosen from the graphics tool, the server and a computer.