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JP2018059727A - System for preventing specimen confusion in pathological diagnosis - Google Patents

System for preventing specimen confusion in pathological diagnosis Download PDF

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JP2018059727A
JP2018059727A JP2016195396A JP2016195396A JP2018059727A JP 2018059727 A JP2018059727 A JP 2018059727A JP 2016195396 A JP2016195396 A JP 2016195396A JP 2016195396 A JP2016195396 A JP 2016195396A JP 2018059727 A JP2018059727 A JP 2018059727A
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specimen
voice
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正大 岸川
Masahiro Kishikawa
正大 岸川
徳眞吉 林
Tomayoshi Hayashi
徳眞吉 林
▲さとし▼ 溝口
Satoshi Mizoguchi
▲さとし▼ 溝口
眞理子 溝口
Mariko Mizoguchi
眞理子 溝口
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Abstract

PROBLEM TO BE SOLVED: To provide a system for preventing specimen confusion and the like by recording sample information of a specimen in a two-dimensional code and converting its fundamental information to voice to notifying a worker of specimen information with the voice.SOLUTION: The system comprises: a sample information input unit which inputs information including a pathological number of a pathological diagnosis center relating to a specimen; a sample information recording unit which records sample information inputted by the sample information input unit, in a two-dimensional code; a sample data output unit which outputs the sample information recorded by the sample information recording unit, as the two-dimensional code being sample data; a sample data read unit which reads the sample data of the two-dimensional code given to the sample, by optical means; a sample information voice output unit which performs voice conversion with synthetic voice on the basis of the sample data to output a voice; a transmission unit which acquires information recognized by the sample data read unit and transmits the information to the outside; and a sample information matching unit which matches the sample voice information and the information recorded by the sample information recording unit with each other. Thus fundamental information can be checked by voice.SELECTED DRAWING: Figure 1

Description

本発明は、人体の臓器等から摘出される病理診断における検体に関し、検体用容器に収容された検体の各種情報を管理するシステムを構築して、検体のテキスト情報および音声情報も出力させて、病理診断における検体取り違え防止システムに関する。   The present invention relates to a specimen in a pathological diagnosis extracted from a human organ or the like, constructing a system for managing various information of a specimen contained in a specimen container, and outputting text information and audio information of the specimen, The present invention relates to a specimen mix prevention system in pathological diagnosis.

特許文献1に示す通り、病理診断における検体に、ICタグを利用する発明が提案
されている。患者識別情報、検体サンプル瓶、カセット等に5ミリ角程度の大きさのICタグを貼り付けて検体の取り違え防止に適用するものである。
As shown in Patent Document 1, an invention using an IC tag for a specimen in pathological diagnosis has been proposed. An IC tag having a size of about 5 mm square is affixed to patient identification information, a sample sample bottle, a cassette, etc., and is applied to prevent sample mix-up.

しかしながら、病院では多岐にわたる検査が行われており、それぞれに検体用容器が準備されている。しかし、このような検体用容器全てに高価なICタグを貼り付けて検体管理する方法は非常に高コストであり、全ての病理診断に適用するには困難と思われる。   However, various examinations are performed in hospitals, and specimen containers are prepared for each. However, the method of managing specimens by attaching an expensive IC tag to all such specimen containers is very expensive and seems to be difficult to apply to all pathological diagnoses.

特開2013−72693号公報JP 2013-72693 A 特開2015−114680号公報JP2015-114680A 特開2015−114559号公報JP2015-114559A

上記のような検体用容器にICタグを貼り付けての導入には、高コストを要する。また、高コストを要して導入を行っても、病院では、外来患者および病棟患者を合わせて1 日に非常に多数の患者の検査を行い、かつ、例えば採血検査では一人の患者について複数の採血管を用いて採血を行うことから、検査に必要な数の検体用容器の全てにICタグを貼り付ける事は経済的にも無理を生じる。   Introducing an IC tag attached to the specimen container as described above requires high costs. In addition, even if it is introduced at a high cost, the hospital performs outpatient and ward patient examinations on a large number of patients a day. Since blood collection is performed using a blood collection tube, it is economically impossible to attach IC tags to all of the sample containers necessary for the examination.

この発明は、上述した従来技術による問題点を解消するため、高コストではなく、検体採取作業の効率向上および取り違い防止を図るとともに検体情報の一元管理を容易に行うことが可能な検体情報管理システムおよび病理診断における検体取り違え防止システムを提供する事を目的とする。     In order to solve the above-described problems caused by the conventional technology, the present invention is not expensive, and it is possible to improve the efficiency of sample collection work and prevent mistakes, and to easily perform unified management of sample information. The object is to provide a system and a system for preventing specimen mix-up in pathological diagnosis.

近年の技術革新、特に光学的なセンサー技術および情報処理のプロセッサー技術が旧来の二次元コードの概念を一掃した。例えば、特許文献2および特許文献3に記載された高密度二次元コード(Code-EX)は高密度に情報を記録できるのみならず、音声情報も記録する事が可能となった。   Recent technological innovations, especially optical sensor technology and information processing processor technology, have wiped out the traditional two-dimensional code concept. For example, the high-density two-dimensional code (Code-EX) described in Patent Document 2 and Patent Document 3 can record not only high-density information but also sound information.

前記高密度二次元コード(Code-EX)はICタグと同程度の大きさで、ICタグと同程度の記録容量が可能となった。2016年度の当該特許出願人のデータによると、18ミリ角の面積で論理計算上約5000バイトの情報が記録可能と報告されている。また、図4に記載されているように、実際に7.1ミリ角の大きさの記号に約200バイトのテキストを記録して、携帯電話のカメラで読取が可能と報告されております。しかも、従来の二次元コードと同様のコストで適用が可能であるので、低価格でICタグと同様な情報管理が可能となる。 The high-density two-dimensional code (Code-EX) is about the same size as an IC tag, and the recording capacity is about the same as an IC tag. According to the data of the patent applicant in FY2016, it is reported that about 5000 bytes of information can be recorded in an area of 18 mm square by logical calculation. In addition, as shown in Fig. 4, it has been reported that about 200 bytes of text is actually recorded on a 7.1 mm square symbol and can be read by a mobile phone camera. In addition, since it can be applied at the same cost as a conventional two-dimensional code, information management similar to an IC tag can be performed at a low price.

かかる構成によれば、請求項2のごとく、前記標本データとして記録された高密度二次元コード(Code-EX)には、病理診断施設の病理番号、患者名の情報及び臓器名がテキスト情報として記録させて、前記テキスト情報は合成音声にて音声変換されてバーコードリーダーより音声出力させて検体の確認作業が可能となる。   According to such a configuration, as in claim 2, the high-density two-dimensional code (Code-EX) recorded as the sample data includes the pathology number of the pathological diagnosis facility, the information on the patient name, and the organ name as text information. The text information is recorded and converted into voice by synthesized voice, and the voice information is output from the barcode reader so that the specimen can be confirmed.

かかる構成でのバーコードリーダーには、合成音声と音声変換ソフトウェアをインストールすることで、外部に送信する事なしにテキスト表示と同時に音声出力を可能にすることで、検体情報を作業者が作業位置で取得する事が可能となる。   In the barcode reader with such a configuration, by installing synthesized speech and speech conversion software, it is possible to output the voice simultaneously with text display without sending it to the outside, so that the operator can move the sample information to the work position. It becomes possible to acquire with.

また、かかる構成でのバーコードリーダーには、bluetooth等通信機能も装備して、検体情報をサーバーに送信する機能も持ち、サーバー上でも検体確認がテキストおよび音声にて確認が可能となるので、病理診断における検体取り違え防止システムが提供可能となる。   In addition, the barcode reader with such a configuration is equipped with a communication function such as bluetooth, and also has a function to send the sample information to the server, and the sample confirmation can be confirmed by text and voice on the server, too. It is possible to provide a specimen mix prevention system in pathological diagnosis.

かかる構成によれば、請求項3のごとく、前記標本データとして記録された高密度二次元コード(Code-EX)のサイズは検体標本及びプレパラートに貼り付けられる6ミリ角以下の紙媒体とし、病理検体の受付日、採取日、病理診断施設名、担当医師及び患者の生年月日も記録可能となるので、ヒューマンエラーを防いで、病理検体および検体情報データベースの高度な管理システム構築にも寄与できる。   According to this configuration, as described in claim 3, the size of the high-density two-dimensional code (Code-EX) recorded as the specimen data is a paper medium of 6 mm square or less that is affixed to the specimen specimen and the preparation. Sample reception date, collection date, pathological diagnosis facility name, doctor in charge and patient's date of birth can be recorded, thus preventing human error and contributing to the construction of an advanced management system for pathological sample and sample information database .

また、請求項4のごとく、標本データとして記録された高密度二次元コード(Code-EX)は、病理診断における取り違え防止システム専用の高密度二次元コード(Code-EX)とし、二次元コードの基本的なヘッダー情報を他の二次元コードのヘッダー情報と異なったものとして、専用バーコードリーダー以外の読み取り装置では読取が出来ない構造とすることで、一定のセキュリティーを保持したシステムとする事が可能となった。   Further, as described in claim 4, the high-density two-dimensional code (Code-EX) recorded as the sample data is a high-density two-dimensional code (Code-EX) dedicated to the mix-up prevention system for pathological diagnosis. By making the basic header information different from the header information of other two-dimensional codes and adopting a structure that cannot be read by a reading device other than a dedicated barcode reader, a system with a certain level of security can be obtained. It has become possible.

本発明にかかる病理診断における検体取り違え防止システムによれば、検体管理の仕組みが高密度二次元コード(Code-EX)により安価にかつ効率的に運用が可能となり、病理診断等に携わる各々の作業者の手を特別煩わせることなく的確に検体照合を行える仕組みを新たに提供できる。   According to the specimen mix-up prevention system in pathological diagnosis according to the present invention, the specimen management mechanism can be operated inexpensively and efficiently by the high-density two-dimensional code (Code-EX), and each work involved in pathological diagnosis etc. A new mechanism can be provided that can accurately perform sample collation without any special trouble.

本発明にかかるシステム構成図System configuration diagram according to the present invention 本発明にかかる病理診断支援システム概要図Overview of pathological diagnosis support system according to the present invention 検体及び標本照合用タブレットの一形態One form of tablet for specimen and specimen verification 高密度二次元コード(Code-EX)の見本Sample of high-density two-dimensional code (Code-EX)

請求項に係わる発明について、その実施の形態を図面1と図2を参照しながら説明する。 Embodiments of the claimed invention will be described with reference to FIGS. 1 and 2.

作業効率の向上、検体や標本の取り違え防止の観点から病理診断業務に特化したシステムを構築し、業務の大幅な改善を行い、病理診断施設経営の効率化を図る。システムは病理における受付業務から報告書作成、請求書発行までの一連の流れをサポートしたシステムとし、検体の取り違いや入力ミスが起こりにくいシステムとする。 From the perspective of improving work efficiency and preventing sample and specimen mix-ups, we will build a system specialized in pathological diagnosis work, make significant improvements to the work, and improve the efficiency of pathological diagnosis facility management. The system is a system that supports a series of processes from reception work in pathology to report creation and invoicing, and is a system that is unlikely to cause sample mistakes or input errors.

まず、受付業務は1の受付業務用パソコンにて、受付日ごとのオーダーの一覧、患者を切り口にした一覧表として、組織診、細胞診の受付登録を行い、カルテ番号も記録して、依頼状のスキャン画像、検体の切り出しマーカー画像の登録を行い、登録情報を高密度二次元コード(Code-EX)に記録して、7のCode-EX用のラベルプリンターより情報が記録された高密度二次元コード(Code-EX)としてラベル出力される。 First of all, the reception work is done by using the 1 reception work personal computer, receiving a list of orders for each reception day, registering the patient's view as a list of histology and cytology, and recording the medical record number. High-density scan image and sample cut-out marker image are registered, and the registration information is recorded in a high-density two-dimensional code (Code-EX), and the information is recorded from the 7 Code-EX label printer The label is output as a two-dimensional code (Code-EX).

前記7のCode-EX用のラベルプリンターより出力された高密度二次元コード(Code-EX)は、関連付けのために依頼状、検体及び標本に貼り付けられる。 The high-density two-dimensional code (Code-EX) output from the 7 Code-EX label printer is affixed to the request form, specimen, and specimen for association.

8の検鏡用パソコン、9の報告書作成・請求書発行用パソコンおよび2の報告書・請求書用プリンターは3のHUBによりネット接続されている。 Eight speculum personal computers, nine report creation / invoicing personal computers, and two report / invoice printers are connected via the 3 hubs.

次に標本作成作業となり、検体写真及び切り出し写真を記録して、そのイメージを1の受付業務用パソコン及び8の検鏡用パソコンに記録して、高密度二次元コード(Code-EX)に関連タグ付けされて記録される。また、5のCode-EX用専用バーコードリーダーにより検体及び標本に貼り付けられた高密度二次元コード(Code-EX)を読み取り、10の検体・標本照合用タブレットにより検体・標本(プレパラート)の照合確認を行う。 Next, sample preparation work is performed, and sample photographs and cut-out photographs are recorded, and the images are recorded on one acceptance-use personal computer and eight spectroscopic personal computers, and related to high-density two-dimensional code (Code-EX). Tagged and recorded. In addition, the high-density two-dimensional code (Code-EX) affixed to the specimen and the specimen is read with 5 Code-EX dedicated barcode readers, and the specimen / specimen (preparation) is read with 10 specimen / specimen matching tablets. Check the verification.

次に顕微鏡で行う検鏡となり、まず依頼状と標本に貼り付けられた高密度二次元コード(Code-EX)を5のCode-EX用専用バーコードリーダーにて依頼状と標本の照合を行い、診断者の検鏡により病名、部位判定、所見の入力を8の検鏡用パソコンに行う。 Next, the microscope will be used as a microscope. First, the request form and the specimen are collated with the barcode reader for Code-EX 5 using the high-density two-dimensional code (Code-EX) affixed to the specimen. The name of the disease, the part determination, and the input of the findings are input to the 8 spectroscopic personal computers by the diagnostician's speculum.

前記検鏡作業が終了した後に、報告書作成及び請求書請求業務であるが、その作業の前に再度依頼状と標本の高密度二次元コード(Code-EX)を5のCode-EX用専用バーコードリーダーにて読み取りを行い、10の検体・標本照合用タブレットにて最終確認をする。 After the above-mentioned microscopic work is completed, it is report preparation and billing work, but before that work, the request form and the sample high-density two-dimensional code (Code-EX) are dedicated for Code-EX 5 Read with a barcode reader, and finally confirm with 10 specimen / sample collation tablets.

上記の全ての確認作業後に、9の報告書作成・請求書発行用パソコンから2の報告書・請求書用プリンターより印刷されて送付される手順である。 After all the above confirmation operations, the report is printed and sent from the report / billing printer 9 from the 9 report creation / billing computer.

この発明によれば、高密度二次元コード(Code-EX)を活用した、検体や標本の取り違え防止の観点から病理業務に特化したシステムを構築し、業務の大幅な改善を行い、病理診断施設経営の効率化を図る。システムは病理における受付業務から報告書作成、請求書発行までの一連の流れをサポートしたシステムとし、検体の取り違いや入力ミスが起こりにくいシステムとして、ICタグ等の高コストなシステムではなくて、安価に効率的な運用が可能なシステムを提供できる。 According to the present invention, a system specialized in pathological work is constructed from the viewpoint of preventing sample and specimen mixup using a high-density two-dimensional code (Code-EX), the work is greatly improved, and pathological diagnosis is performed. Improve facility management efficiency. The system is a system that supports a series of processes from reception work in pathology to report creation and invoicing, and it is not a high-cost system such as an IC tag as a system that makes it difficult for sample mistakes and input errors to occur. A system that can be operated efficiently at low cost can be provided.

1 受付業務用パソコン
2 報告書・請求書用プリンター
3 HUB
4 プリンターより出力された報告書及び請求書
5 高密度二次元コード(Code-EX)用専用バーコードリーダー
6 依頼元より提供された検体
7 高密度二次元コード(Code-EX)用のラベルプリンター
8 検鏡・報告書作成・請求書発行用パソコン用パソコン
9 検体・標本照合用タブレット
10 7の高密度二次元コード(Code-EX)用ラベルプリンターより印刷されたCode-EXのイメージ図
1 Personal computer for business use 2 Printer for report / invoice 3 HUB
4 Report and bill output from printer 5 Dedicated bar code reader for high-density two-dimensional code (Code-EX) 6 Sample provided by requester 7 Label printer for high-density two-dimensional code (Code-EX) 8 PC for speculum, report creation and invoicing 9 Image of Code-EX printed from the label printer for high density 2D code (Code-EX) of tablet 10 for specimen / specimen verification

Claims (4)

標本に関する病理診断施設の病理番号を含む情報を入力する標本情報入力部と、
前記標本情報入力部により入力された標本情報を二次元コードに記録する標本情報記録部と、
前記標本情報記録部により記録された標本情報を標本データとして二次元コードとして出力する標本データ出力部と、
前記標本に付与された二次元コードの標本データを光学的な手段で読み取る標本データ読み取り部と、
前記標本データ読み取り部により読み取られた標本データに基づいて合成音声にて音声変換して音声出力する標本情報音声出力部と、
前記標本データ読み取り部で認識された情報を取得して外部に送信する送信部と、
前記標本音声情報と前記標本情報記録部の情報を照合する標本情報照合部と、
を有することを特徴とする、病理診断における検体取り違え防止システム。
A specimen information input unit for inputting information including a pathological number of a pathological diagnosis facility regarding the specimen;
A sample information recording unit that records the sample information input by the sample information input unit in a two-dimensional code;
A sample data output unit for outputting the sample information recorded by the sample information recording unit as a two-dimensional code as sample data;
A sample data reading unit for reading the sample data of the two-dimensional code given to the sample by optical means;
A sample information voice output unit that converts voice into synthesized voice based on the sample data read by the sample data reading unit and outputs the voice;
A transmitter for acquiring information recognized by the sample data reader and transmitting the information to the outside;
A sample information collating unit for collating the sample voice information with the information of the sample information recording unit;
A specimen mix prevention system in pathological diagnosis, characterized by comprising:
前記標本データとして記録された二次元コードには、病理診断施設の病理番号、患者名の情報及び臓器名がテキスト情報として記録されており、前記テキスト情報は合成音声にて音声変換されて音声出力することを特徴とする請求項1の病理診断における検体取り違え防止システム。 In the two-dimensional code recorded as the specimen data, the pathology number of the pathological diagnosis facility, the patient name information and the organ name are recorded as text information, and the text information is voice-converted with synthesized voice and output as voice The system for preventing sample mix-up in pathological diagnosis according to claim 1. 前記標本データとして記録された二次元コードのサイズは検体標本及びプレパラートに貼り付けられる6ミリ角以下の紙媒体とし、病理検体の受付日、採取日、病理診断施設名、担当医師及び患者の生年月日も記録可能なことを特徴とする請求項1の病理診断における検体取り違え防止システム。 The size of the two-dimensional code recorded as the specimen data is a paper medium of 6 mm square or less to be pasted on the specimen specimen and the preparation, and the pathology specimen reception date, collection date, pathological diagnosis facility name, doctor's and patient's birth year The system for preventing sample mix-up in pathological diagnosis according to claim 1, wherein the month and day can also be recorded. 前記標本データとして記録された二次元コードは、病理診断における取り違え防止システム専用の二次元コードとし、二次元コードの基本的なヘッダー情報を他の二次元コードのヘッダー情報と異なったものとしたことを特徴とする請求項1の病理診断における検体取り違え防止システム。 The two-dimensional code recorded as the specimen data is a two-dimensional code dedicated to a mistake prevention system in pathological diagnosis, and the basic header information of the two-dimensional code is different from the header information of other two-dimensional codes. The system for preventing sample mix-up in pathological diagnosis according to claim 1.
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