Sample inspection management system

Abstract

To provide a sample inspection management system which can uniquely specify sample inspection between a plurality of inspection institutes and a plurality of clients, can correctly grasp the sample inspection, and can be also applied to pathological diagnosis management.SOLUTION: A sample inspection management system reads out unique information uniquely specifying a main body stored in storage means, wherein first sample number issuing means combines a client management number of a client and unique information of the client by SQL and issues a first sample management number, sample number issuing means combines an inspector management number of an inspector and unique information on the inspector by SQL and issues a sample management number, management number issuing means associates the first sample management number with the sample management number by SQL on a one-to-one basis, issues a management number while being uniquely associated with the numbers, and a management code issuing means issues a two-dimensional code associated with the management number, and makes the two-dimensional code stuck to a sample container, and code read-out means reads out the two-dimensional code and uniquely specifies sample inspection.SELECTED DRAWING: Figure 3

Description

[Technical field]

[0001] The present invention relates to a specimen testing management system that can correctly grasp specimen testing and prevent mix-ups even when any of a plurality of testers tests any of a plurality of samples from a plurality of clients. The specimen is not limited to blood, urine, saliva, feces, mucous membrane, etc., and may be a pathological specimen formed of a slide on which a thinly sliced ​​and stained specimen is fixed.

[0002] In biochemical testing, even if there are a huge number of specimens, the specimen testing management system allows the requester and the examiner to uniquely identify the specimen testing, preventing erroneous statistical surveys. In pathological diagnosis, where a medical institution requesting a pathological diagnosis (hereinafter referred to as the requesting physician) delivers a pathological specimen and a request slip to a medical institution performing the pathological diagnosis (hereinafter referred to as the pathologist), the specimen testing management system correctly identifies the pathological specimens, etc., preventing mix-ups.

[0003] In detail, when a sample is received, the requester's control number and the examiner's control number are each linked to unique information, and a control number is issued by relating them one-to-one. A two-dimensional code linked to the control number is then issued, and the two-dimensional code is read to perform the sample testing, thereby uniquely identifying the sample testing.

[0004] Here, the unique information may be, for example, a procedure subject number such as My Number or corporate number that identifies an individual or corporation in administrative procedures, a telephone number, etc., and may be any information that uniquely identifies an entity. For example, it may be a MAC address of a communication network router, a medical institution code, latitude and longitude information, etc., and may of course include characters other than numbers. If it is a telephone number and a country code is added, it can also be applied to specimen testing from overseas.

[0005] If samples are managed only by the control numbers issued by the requester or tester, there is a possibility that the control numbers will be duplicated when there are multiple entities, and sample tests may be mixed up. Therefore, we decided to use Structured Query Language (hereafter referred to as SQL) in the database that manages the sample testing management system to combine unique information that uniquely identifies the entity with the control number issued by the entity, and to manage samples using a control number that does not overlap on the requester's side, the tester's side, or between them. By uniquely identifying sample tests, duplications and omissions will not occur in statistical surveys, and mix-ups will not occur in pathological diagnoses that affect people's lives. [Background technology]

[0006] Due to the spread of the new coronavirus, many PCR tests were conducted in a short period of time, and the statistical results were published. However, the statistical results were sometimes revised because the specimen tests could not be properly understood. In addition, in the field of pathological diagnosis, there is a shortage of pathologists, so it is necessary to concentrate pathological specimens on the pathology side where multiple pathologists are affiliated, in order to streamline medical work.

[0007] Pathologists must be qualified with experience and advanced diagnostic skills, and in addition to the limited number of pathologists, pathological specimens are delivered to pathologists at various times from many requesting physicians. Because pathological diagnosis is an important task related to determining the treatment policy for human diseases, there was a need for technology that would prevent mix-ups of specimens, request slips, pathological specimens, etc., even when pathological diagnoses are accepted from multiple requesting physicians.

[0008] The applicant has disclosed in Patent Document 1 a technology that prevents misunderstandings in pathological diagnoses at the pathologist side even when pathological diagnoses are concentrated at the pathologist side from multiple requesting physicians in order to efficiently carry out pathological diagnoses. According to the technology described in Patent Document 1, the pathological diagnosis is ascertained by reading the specimen code affixed to the pathological specimen.

[0009] Specifically, the specimen number linked to the specimen code is shown not only on the pathology specimen, but also on the request information such as the diagnostic findings and schematic diagrams of the requesting physician. When diagnosing the pathology specimen, the image data and text data of the request information are also displayed on the display means for comparison. By making it possible to check the diagnostic findings and schematic diagrams at the time of pathology diagnosis, the pathology diagnosis can be correctly understood and mistakes can be prevented.

[0010] According to the technology described in Patent Document 1, when pathology specimens are prepared by either a pathologist with his or her own electronic medical record system (hereinafter referred to as the electronic system) or an external institution, an agreement can be made between the pathologist and the external institution to ensure that there are no overlaps in the request numbers and issuance numbers for the pathology specimens.

[0011] However, sometimes the requesting physician prepares the pathological specimen and then outsources only the pathological diagnosis. Even in such cases, the requesting physician often issues pathological specimen numbers using its own electronic system, and if a pathologist accepts pathological diagnoses from multiple requesting physicians, there is a possibility that the same pathological specimen numbers will be issued between multiple requesting physicians, or between a pathologist and a requesting physician.

[0012] It would be possible to modify the requesting doctor's electronic system so that pathology specimen numbers would not be duplicated, but because electronic systems are highly sophisticated and complexly configured to suit the diagnostic circumstances of each hospital, it would be difficult to modify the electronic system simply to request an external pathology diagnosis.

[0013] Even when the pathology specimens are prepared by the requesting physician, there is an urgent need to provide technology that not only prevents multiple requesting physicians and pathologists from confusing each other's pathology specimen requests, but also makes it difficult to confuse request forms related to pathology diagnosis requests with pathology specimens, without having to change the electronic systems already in place at each medical institution.

[0014] Patent Document 2 discloses a technology for a clinical specimen testing system in which a medical institution requests clinical specimen testing from an external institution. According to the technology described in Patent Document 2, a medical management server in a medical institution, in which a database of electronic medical records is registered, creates a general request form to be sent to an external testing institution, and a barcode is attached to the container containing the test material.

[0015] The external testing institution acquires the barcode attached to the container by a reading means, and receives the general request slip linked to the barcode from the medical management server via the network, which is said to facilitate effective information transfer between the medical institution and the external clinical testing institution. In addition, when multiple external clinical testing institutions are involved, it is recommended that the barcode linked to the general request slip includes the external clinical testing institution code.

[0016] If the medical institution includes the code of each external clinical testing institution in the barcode, the medical institution can distinguish which external clinical testing institution has been requested. However, the external clinical testing institution cannot distinguish between pathology diagnosis requests from multiple medical institutions that use the same numbering rule. There is a possibility that the external clinical testing institution will mix up the pathology diagnosis requests and the pathology diagnosis results.

[0017] Patent Document 3 discloses technology for a test management device and a test management system for managing test instructions and test data in a medical institution that requests clinical tests from an external institution. Specifically, the data management system in the requesting medical institution issues a transport identification number, affixes a barcode label with the transport identification number to the specimen container, and stores the transport identification number together with the test instruction information in a data server.

[0018] The external institution obtains test instruction information from the data server based on the transport identification number linked to the barcode label of the specimen container and performs the test. The external institution stores the test results together with the transport identification number in the data server. The medical institution data management system then obtains the test results linked to the transport identification number from the data server.

[0019] In the technology described in Patent Document 3, like the technology described in Patent Document 2, the requesting physician issues an identifier for identifying the pathological specimen. Therefore, if multiple requesting physicians issue the same identifier, which is a transportation identification number, based on the same numbering rules, there is a problem that mix-ups occur on the external institution side. [Prior art documents] [Patent documents]

[0020] [Patent Document 1] Patent No. 7253177 [Patent Document 2] JP 2005-182507 A [Patent Document 3] International Publication No. 2002-052468 Summary of the Invention [Problem to be solved by the invention]

[0021] Therefore, the objective of the present invention is to provide a sample testing management system that can uniquely identify sample tests among multiple testers and prevent erroneous statistical surveys from occurring, even in cases where a huge number of samples are brought to testers by multiple clients in a short period of time, such as during the COVID-19 pandemic.

[0022] The objective of the present invention is to provide a specimen testing management system that can be applied to pathological diagnoses without modifying the electronic systems that have traditionally been used by multiple requesting physicians, and that can uniquely identify a pathological diagnosis even if the specimen number for the pathological diagnosis on the pathologist's side as the examiner and the requesting physician's side as the requester is the same, thereby preventing mistakes in pathological diagnoses. [Means for solving the problem]

[0023] A first aspect of the present invention is a sample testing management system for managing sample testing upon request, the system including a processing means, a storage means, and a code reading means, the processing means functioning as a first sample number issuing means, a sample number issuing means, a control number issuing means, and a control code issuing means, the storage means storing in advance unique information of attributes for uniquely identifying a requester and an examiner, respectively, the processing means reading out the unique information stored in the storage means, and the first sample number issuing means combining the request control number indicated by the requester with the unique information that uniquely identifies the requester by SQL, The method is characterized in that a first specimen management number is issued, the specimen number issuing means issues a specimen management number by combining the testing management number determined by the tester and the unique information that uniquely identifies the tester using SQL, the control number issuing means associates the first specimen management number with the specimen management number on a one-to-one basis and issues a control number uniquely associated with the first specimen management number and the specimen management number using SQL, the management code issuing means issues a two-dimensional code linked to the control number, the two-dimensional code is affixed to a specimen container, and the code reading means reads the two-dimensional code to uniquely identify the specimen test.

[0024] The specimen testing management system can be applied when there are multiple requesters and testers, but it can also be applied when there are multiple requesters, and the specimens are not limited to saliva, blood, urine, mucous membrane, etc., and this system can be applied to pathological specimens as specimen testing subjects. Even if there are multiple subjects, the specimen testing can be uniquely identified by reading the two-dimensional code with the code reading means, and there will be no mix-up between multiple specimen testing.

[0025] The unique information stored in the storage means may be, but is not limited to, a telephone number that is issued to avoid duplication for communication purposes, or a procedure subject number that is issued to avoid duplication for administrative procedures. Furthermore, the unique information is not limited to information of one attribute, and in the case where the unique information is unique information of a different attribute between the requester and the inspector, type information that identifies the type of attribute and the unique information may be combined to create unique information that uniquely identifies the requester and the inspector.

[0026] The request control number indicated by the requester may be the control number of the request slip distributed by the inspector, or may be the control number of the request slip issued by the requester, and is not limited to this. The inspection control number determined by the inspector may be a control number determined and issued by the inspector's own electronic system, and in the case of multiple inspectors, may be a control number issued by each inspector's own electronic system.

[0027] A unique first sample control number for the requester and a unique sample control number for the tester are issued, and the unique first sample control number and the sample control number are each associated with one sample test on a one-to-one basis by SQL, and a control number is issued in association with the first sample control number and the sample control number. Either the first sample control number or the sample control number may be selected as the control number, or a different control number uniquely associated with them may be used.

[0028] In the case where an auto number has been used by an examiner to manage specimen testing in the past, the control number may be an auto number that takes over from that, and the attributes are not limited. A specimen test is uniquely identified among multiple entities by the control number, and a two-dimensional code is issued linked to the control number. In other words, the two-dimensional code is linked to the request management number of the requester and the test management number of the examiner via the control number.

[0029] The specimen container may be a container suitable for the specimen, and if the specimen is a pathological specimen, it may be a slide with a thin film of the specimen attached, and the attachment is not limited to the attachment of a two-dimensional sheet, and the two-dimensional code may be printed. The code reading means may be a well-known barcode reader, and if the two-dimensional code is a QR code (registered trademark), it may be a well-known QR code (registered trademark) reader.

[0030] According to the first invention, even when test requests are concentrated in a short period of time, such as during an infectious disease pandemic, and the test requests are distributed to multiple testers by an external organization, sample tests can be uniquely and correctly identified. This provides an unprecedented advantageous effect of preventing errors in statistical data even when multiple sample tests are managed collectively and a statistical survey is performed.

[0031] The second invention of the present invention is a specimen testing management system of the first invention, characterized in that the attribute is any one of a procedure subject number, a telephone number, a medical institution code, latitude and longitude information, a MAC address of an electronic system, and an email address.

[0032] Facilities designated as health insurance medical institutions are officially assigned a unique 10-digit medical institution code. In addition, if a medical institution is of a significant size, the latitude and longitude information of the medical institution can be uniquely identified so that there are no duplicates. In addition, the 12-digit MAC address that identifies the server equipment that operates the medical institution's network and email address can both be treated as unique information.

[0033] If latitude and longitude information is used, it is easy to confirm the distribution of locations of clients who have requested specimen testing. If MAC addresses are used, the client cannot be identified by that alone, but even if the client is an organization other than a medical institution, such as an educational institution, a government agency, or a foreign organization, the tester can perform specimen testing without changing the electronic system. If telephone numbers and country codes are used, the request can be accepted even by foreign doctors. It goes without saying that specimen testing may be applied to pathological diagnosis.

[0034] According to the second invention, when applying sample testing, unique information can be selected that is suitable for the type of sample testing that is being targeted, such as sample testing targeted at small to medium-sized medical institutions, sample testing targeted at large medical institutions, or sample testing in regions across borders.

[0035] The third aspect of the present invention is characterized in that in the sample testing management system of the first or second aspect, the attribute of the client's unique information and the attribute of the examiner's unique information are the same attribute. According to the third aspect of the present invention, since the attributes of the client's and the examiner's unique information are the same attribute, the configuration of the sample testing management system is simplified, and the system is easily applied.

[0036] A fourth invention of the present invention is the sample testing management system of the first or second invention, characterized in that the processing means functions as an attribute information combining means, and when the attributes of the client's unique information and the attributes of the examiner's unique information are different attributes, the attribute information combining means replaces the client's unique information with information obtained by combining the client's unique information and the client's attribute type information using SQL, and replaces the examiner's unique information with information obtained by combining the examiner's unique information and the examiner's attribute type information using SQL, and then issues the management number.

[0037] The attribute type information may be determined in advance so that the attribute type can be identified. For example, if the attribute is a telephone number, the character "DEN" may be used as the type information, and if the attribute is a corporate number, the character "HO" may be used as the type information. Each attribute type information may be combined with the original unique information by SQL, and replaced with unique information such as "DEN0311112222".

[0038] For example, if both the client and the examiner perform sample testing using the "corporate number" as an attribute of the unique information, and the business is expanded to include individuals, the telephone number can be used as the original unique information for individuals, and the type information "phone" can be combined and replaced as the unique information, while for clients and examiners who are corporations, the corporate number can be combined with the type information "legal", thereby making it possible to accommodate the expansion of the target of sample testing.

[0039] According to the fourth aspect of the present invention, there is an effect that the present invention can be applied even when the attribute of the unique information of the client and the attribute of the unique information of the examiner are different.

[0040] A fifth invention of the present invention is a specimen testing management system of the third invention, characterized in that the specimen testing is applied to a pathological diagnosis requested by a request form and a pathological specimen, the specimen container is the pathological specimen, the requester is the requesting physician, the examiner is the pathologist, the two-dimensional code is indicated on the request form and the pathological specimen by the pathologist, and the code reading means reads the two-dimensional code to uniquely identify the request form and the pathological specimen.

[0041] A sixth invention of the present invention is a specimen testing management system of the fourth invention, characterized in that the specimen testing is applied to a pathological diagnosis requested by a request form and a pathological specimen, the specimen container is the pathological specimen, the requester is the requesting physician, the examiner is the pathologist, the two-dimensional code is indicated on the request form and the pathological specimen by the pathologist, and the code reading means reads the two-dimensional code to uniquely identify the request form and the pathological specimen.

[0042] According to the fifth or sixth invention, regardless of whether the attributes of the unique information are the same between the requester and the examiner, the specimen testing management system is applied to a pathology diagnosis requested using a request form and a pathology specimen, and the pathologist, who is the examiner, indicates a two-dimensional code on the request form and the pathology specimen that uniquely identifies the pathology diagnosis, and the pathology diagnosis is performed.

[0043] The pathologist uses a code reading means to read the two-dimensional codes shown on the request form and the pathology specimen, and then performs a pathological diagnosis on the pathology specimen based on the pathology specimen and request form that are uniquely identified by linking the two-dimensional codes, while checking the diagnostic findings and schematic diagrams provided by the requesting physician, thereby preventing any mistakes in the pathological diagnosis.

[0044] The seventh invention of the present invention is a specimen testing management system of the third invention, characterized in that the specimen testing is applied to a pathology diagnosis requested by a request form and a pathology specimen, the specimen container is the pathology specimen, the requester is the requesting physician, the examiner is the pathologist, the two-dimensional code is indicated on the result report of the pathology diagnosis and a virtual slide image forming the basis of the pathology diagnosis, and the code reading means reads the two-dimensional code to uniquely identify the result report and the virtual slide image.

[0045] The eighth invention of the present invention is a specimen testing management system of the fourth invention, characterized in that the specimen testing is applied to a pathology diagnosis requested by a request form and a pathology specimen, the specimen container is the pathology specimen, the requester is the requesting physician, the examiner is the pathologist, the two-dimensional code is indicated on the result report of the pathology diagnosis and a virtual slide image forming the basis of the pathology diagnosis, and the code reading means reads the two-dimensional code to uniquely identify the result report and the virtual slide image.

[0046] According to the seventh or eighth invention, regardless of whether the attributes of the unique information are the same between the client and the examiner, a specimen testing management system is applied to pathology diagnosis management, a two-dimensional code is displayed on the pathology diagnosis result report and virtual slide image, and the result report and virtual slide image are uniquely identified by linking the two-dimensional code, thereby preventing mistakes in pathology diagnoses.

[0047] When the pathologist and the requesting physician display the diagnostic report to confirm the diagnosis results, they can read the two-dimensional code shown on the diagnostic report with a two-dimensional code reader and display the virtual slide image that forms the basis of the pathological diagnosis linked to the two-dimensional code, thereby enabling them to confirm whether the subject on which the pathological diagnosis was made was correctly understood. Effect of the Invention

[0048] According to the first invention, since sample tests can be uniquely and correctly identified, even when multiple sample tests are managed together and statistical surveys are performed, there is an unprecedented advantageous effect that statistical data is free of errors. According to the second invention, when applying specimen testing, appropriate unique information can be selected according to the client, the scale of the tester, and the range of test subjects. According to the third aspect of the present invention, the attributes of the unique information of the client and the examiner are the same, which has the effect of simplifying the configuration of the sample testing management system and making it easy to apply. According to the fourth aspect of the present invention, there is an effect that the present invention can be applied even when the attributes of the unique information of the client and the attributes of the unique information of the examiner are different. According to the fifth or sixth aspect of the present invention, the pathologist can perform a pathological diagnosis of the pathological specimen while checking the diagnostic findings and schematic diagrams of the requesting doctor, which has the effect of preventing misunderstandings in the pathological diagnosis. According to the seventh or eighth aspect of the present invention, it is possible to confirm whether the subject for which a pathological diagnosis has been made has been correctly understood. [Brief description of the drawings]

[0049] [Figure 1] FIG. 1 is a block diagram of a specimen testing management system (Example 1). [Diagram 2] Business flow diagram (Example 1). [Diagram 3] FIG. 2 is an explanatory diagram of the configuration of task management data (first embodiment); [Figure 4] 1 shows an example of the configuration of a specimen test chart (Example 1). [Diagram 5] FIG. 1 is an explanatory diagram of business development (Example 1). [Figure 6] FIG. 13 is an explanatory diagram of attribute information combination accompanying business development (Example 1). [Figure 7] FIG. 1 is a block diagram of a specimen test management system applied to pathological diagnosis (Example 2). DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0050] When accepting a specimen test from a client, the client's unique information is linked to the request management number using SQL, and the tester's unique information is linked to the test management number using SQL, and these are related one-to-one to issue a management number that is uniquely related to them.The two-dimensional code is then affixed to the specimen container, and the two-dimensional code is read, resulting in a specimen testing management system that can uniquely identify the specimen test, regardless of the rules for issuing management numbers for the client and tester. EXAMPLES

[0051] In the first embodiment, a specimen testing management system 1 in which both the client and the tester are corporations and a corporation number is used as an attribute of unique information will be described with reference to Fig. 1 to Fig. 5. Fig. 1 shows a block diagram of the specimen testing management system 1. Fig. 2 is an explanatory diagram of the specimen testing business flow, Fig. 3 is an explanatory diagram of the configuration of specimen testing management data, and Fig. 4 is a diagram explaining the configuration of a specimen testing table in the specimen testing management data.

[0052] The sample testing management system 1 includes an examiner's PC 100 that serves as a processing means and a storage means, and a code reading means 200. The central processing means of the examiner's PC may function as the processing means, and the HDD, SSD, or the like of the examiner's PC may function as the storage means, but when multiple examiner's PCs are connected to a server (not shown) via a communication means 300, the processing means, storage means, and the like of the server may function.

[0053] The processing means functions as first specimen number issuing means 10, specimen number issuing means 20, management number issuing means 30, and management code issuing means 40. It also functions as attribute information combining means 50, user authentication means 60, and other processing means 70. The storage means stores, as requester information, request information shown on a request slip 80, a request management number 81, a first specimen management number 11, and other request information 82. It stores, as tester information, specimen test result information 90, test management number 91, specimen management number 21, and other test information 92 shown on a test result report.

[0054] Furthermore, the storage means stores a management number 31 that uniquely identifies the specimen test, and original unique information 110. Type information 111 that distinguishes the type of unique information is also stored in case unique information of multiple attributes is mixed and used as the original unique information. When unique information of multiple attributes is mixed, "new unique information" 112 that replaces "original unique information" 110 may also be stored as unique information. Additionally, a two-dimensional code 41 linked to the unique information and an entire specimen test form 93 are stored. Also stored are user information 120 for login determination and other information 130. Display means and input means for operating the testing PC are also configured.

[0055] Here, the workflow from when an examiner accepts a specimen test from a client to when the specimen test is actually performed will be explained with reference to Figures 2 to 4. Figure 2 shows a workflow diagram, Figure 3 shows an explanatory diagram of the configuration of the combination of unique information for uniquely identifying a specimen test, and Figure 4 shows a specific example of a specimen test table in which a specimen test is uniquely determined.

[0056] First, in the first step 100, the requester places the collected specimen in a specimen container and hands it over to an examiner together with a request slip 80 showing a request management number 81 (see FIG. 3) to request specimen testing (S100). The request management number 81 may be a request management number issued based on the rules of the electronic system of the requester, which is a corporation, or may be a request management number shown on a request slip previously received from an examiner, and the form of the request management number 81 is not limited.

[0057] In the next step 200, after receiving the specimen from the client, the tester determines the test management number 91 as the tester's management number (S200). The test management number 91 may be issued based on the tester's own company rules using the tester's electronic system, but is not limited to this and may be a number following the auto number that has been assigned to the specimen test up to that point.

[0058] In step 300, the sample testing management system 1 reads out the corporate number as the unique information 110 of the requester and the tester, which is stored in advance in the storage means (S300). In step 400, the first sample number issuing means 10 implemented by the processing means combines the request management number 81 of the requester with the corporate number that constitutes the unique information 110 using SQL (S400). The order of the request management number and the corporate number is not limited.

[0059] For ease of understanding, the SQL binding of the first sample management number 11 using the request management number 81 and unique information 110 will be specifically described with reference to Fig. 3. The SQL binding of the database may be done according to the SQL corresponding to the database language, for example, "Requester's [unique information] & [request management number] AS [first sample management number]" (see Fig. 3(A)). More specifically, if the requester's corporate number is "0111122223333" and the request management number is "reiwa 2305-XXXXXX", the first sample management number may be issued as "0111122223333 reiwa 2305-XXXXXX" (see Fig. 3(B)).

[0060] Next, in step 500, the specimen number issuing means 20 implemented by the processing means uses SQL to combine the tester's test management number 91 with the corporation number forming the unique information 110 (S500). The combination using SQL can be performed in the same manner as in the case of the requester. For example, the specimen's corporation number "0444455556666" and test management number "R123456789" can be converted into specimen management number "0444455556666R123456789" using SQL (see Figures 3(A) and 3(B)).

[0061] Next, in step 600, the control number issuing means 30 implemented by the processing means associates the first specimen control number 11 and the specimen control number 21 one-to-one with each other using SQL (S600). The one-to-one association uniquely determines the specimen test. Specifically, as shown in the specimen test table 93 shown in FIG. 4, the requester's first specimen control number "0111122223333-rei2305-XXXXXX" and the tester's specimen control number "0444455556666R123456789" are associated as one line of data in the specimen test management ID managed by the auto number.

[0062] Furthermore, the control number issuing means 30 issues a control number 31 in a unique association with the first specimen control number 11 and the specimen control number 21. The control number 31 may be selected from either the first specimen control number 11 or the specimen control number 21, and the attribute is not limited, and it may be an auto number linked to either one, as long as it is a unique number that does not overlap.

[0063] In step 700, the management code issuing means 30 implemented by the processing means issues a two-dimensional code 41 linked to the management number 31 (S700). The issued two-dimensional code 41 is stored in the storage means together with the management number 31 as data for the row of the specimen test on the specimen test table 93 (see Figs. 1 and 4).

[0064] In step 800, a two-dimensional code is affixed to a sample container (S800). The two-dimensional code 41 printed on a sheet may be adhered to the sample container, or may be printed directly on the sample container by a printer. In step 900, when a sample test is performed, the two-dimensional code 41 is read by the code reading means 200 (see FIG. 1) constituting the sample testing management system 1 (S900).

[0065] When the two-dimensional code 41 affixed to the specimen container is read, the specimen management number 21, first specimen management number 11, and management number 31 in the specimen testing management ID row associated with the two-dimensional code 41 on the specimen testing table 93 (see Figures 1 and 4) stored in the memory means are identified, and the specimen test linked to the two-dimensional code 41 is uniquely identified.

[0066] Here, an example of change in the unique information when sample testing is performed using only one tester's numbering rule, and client and tester join in succession, expanding the scope of application of sample testing work, will be described with reference to Figures 5 and 6. Figure 5 shows a diagram explaining the expansion of the scope of application of client and tester. Figure 6 shows a diagram explaining the manner in which the unique information by the attribute information combining means changes in response to the expansion of the scope of application.

[0067] First, sample testing was carried out solely based on the testing corporation's numbering rules (see Figure 5(A)), then client corporations that make requests based on their own company's numbering rules are involved (see Figure 5(B)), and then individual client corporations are involved (see Figure 5(C)), and then testing corporation inspectors who perform testing based on their own company's numbering rules are involved (see Figure 5(D)). With intermediary agencies acting as intermediaries, sample testing is now requested by multiple client corporations and individual client corporations to multiple testing corporation.

[0068] Traditionally, specimen testing has been conducted by medical institutions and hygiene testing laboratories on behalf of medical institutions. In addition, "simple tests" have been conducted in which blood collected by individual users is sent to private businesses, where biochemical tests for blood glucose levels, neutral fat levels, etc. are conducted and the test results are notified to the users, and the types of specimen testing are becoming more diverse.

[0069] First, the contracted work of specimen testing has been carried out between medical institutions where both the client and the tester are corporations. The tester corporation (A) accepts specimen testing from the client corporation (B), issues a test management number 91 (see Figure 1) that can uniquely identify the specimen test based on the electronic system of the tester corporation (A), performs the specimen testing, and notifies the client corporation (B) of the results (see Figure 5 (A)). At that time, the specimen testing was managed by the electronic system of the tester corporation (A) only, and the client corporation (B) entrusted the management to the specimen testing management system of the tester corporation (A).

[0070] However, in a situation where electronic systems have become widespread in many medical institutions and have become more sophisticated according to the unique characteristics of each medical institution, there are also client corporations (C) that need to manage specimen testing, including pathological diagnosis, with their own electronic systems (see Figure 5 (B)). In the background of the fact that electronic systems cannot be easily modified, the testing corporation (A) / client corporation (B) and client corporation (C) each need to manage specimen testing with their own electronic systems to ensure that there is no duplication of specimen testing that has been conducted in the past.

[0071] Furthermore, during times such as pandemics, specimens collected by individuals (a) at pharmacies, such as saliva specimens, may be handed over to medical institutions for "simple testing" (see Figure 5(C)). It is necessary to ensure that specimen tests, including such tests, can be uniquely identified.

[0072] Furthermore, when a public health center or other such intermediary institution (b) is used and specimen testing is conducted not only by the testing corporation (A) but also by other testing corporation (D), in order to utilize the results of the specimen testing statistically, it is necessary for the specimen testing to be uniquely identified even between the testing corporation (A) and the testing corporation (D), which each have different electronic systems (see Figure 5 (D)).

[0073] Therefore, in the specimen testing management system 1, when the number of subjects increases and the nature of the specimen testing changes, the "original unique information" that uniquely identifies the subject and the "type information" attribute of the original unique information are combined using SQL to create "new unique information" that does not result in duplication, and the "original unique information" is replaced with the "new unique information" to uniquely identify the specimen testing.

[0074] For example, if multiple different types of unique information were mixed as the original unique information before being combined, for example, if a fixed-line telephone number and a medical institution code, each consisting of only 10 digits, were mixed, there was a possibility of duplication occurring with the original unique information alone. However, if the fixed-line telephone number is replaced with new unique information that combines type information "Telephone" and the medical institution code with type information "Medical", duplication will not occur.

[0075] With reference to Figure 6, we will explain the changes in unique information according to changes in the state of specimen testing shown in Figure 5 above. In Figures 5 and 6, figures with the same sub-numbers correspond to each other. First, between the client corporation (B) and the tester corporation (A), the test management number issued by the electronic system of the tester corporation (A) is used as the request management number of the client corporation (B) (see dashed line in Figure 6(A)). In this case, no duplication of specimen testing will occur even if the request management number and test management number are not combined with unique information (see Figure 6(A)).

[0076] When a testing corporation (A) accepts a new sample testing order from a client corporation (C) (see solid line in Figure 6(B)), there is a possibility that the request management number issued by the client corporation (C) using its own electronic system will overlap with the testing management number issued by the testing corporation (A) using its own electronic system.

[0077] Therefore, since both the inspector corporation (A) and the client corporation (C) are corporations, the corporate number can be combined with the request management number and the inspection management number as unique information that uniquely identifies the corporation. If the client corporation (B) continues to use the numbers issued by A as before, it can simply combine B's corporate number with the inspection management number issued by A's electronic system (Figure 6 (B)).

[0078] Furthermore, if the scope of specimen testing is expanded to include specimens collected by individuals and "simple tests" via pharmacies, etc. (see dashed line in Figure 6(C)), the landline telephone number or My Number can be used as unique information for individual requesters (a). To avoid duplication in the unique information of individual requesters (a), requesting corporations (A and B), and requesting corporation (C), the attribute type information of the unique information can be combined with the unique information using SQL, for example, "Telephone 0300001111" and "Legal 0111122223333".

[0079] Furthermore, when an examiner corporation (D) participates in the sample testing and the sample testing is allocated to the examiner corporation (A) and the examiner corporation (D) by the intermediary agency (b), since the sample testing has already been accepted from the client individual (a), for each client corporation and each examiner corporation, the request management number or testing management number issued by its own electronic system can be combined with the corporate number and type information "Law" as "original unique information" 110 as "new unique information" 112 (see Figure 1) by SQL to create the first sample management number 11 or sample management number 21.

[0080] By using data from past specimen testing, and combining the "unique information" (or "new unique information" combined with type information if the unique information has multiple attributes) with the request management number or test management number using SQL, specimen testing will not be duplicated, and accurate statistical surveys can be conducted, regardless of the previous specimen testing numbering rules. EXAMPLES

[0081] In the second embodiment, a specimen testing management system 2 applied to pathological diagnosis management will be described with reference to Fig. 7. Fig. 7 shows a block diagram of the specimen testing management system 2. The configuration of the specimen testing management system 2 that is similar to that of the specimen testing management system 1 is given the same reference numerals in the drawing and description thereof will be omitted.

[0082] In the specimen testing management system 2, a request management code 220 issued by a request management code issuing means 211 of a client's PC is affixed to a pathological specimen 221 and a request slip 222 in advance to request a pathological diagnosis, and then a two-dimensional code 41 issued by a management code issuing means 40 of the server is affixed to the pathological specimen 221 and the request slip 222 to perform the pathological diagnosis. An example in which the two-dimensional code 41 is also shown in a pathological diagnosis result report 224 and a virtual slide image 225 that is the basis of the pathological diagnosis and a pathological diagnosis report is made will be described with reference to Fig. 7.

[0083] The specimen testing management system 2 includes a server 1000, a communication means 300, a requesting doctor's PC 400, a pathologist's PC 500, and a code reading means 200. An external organization PC 600 may substitute for some of the functions of the pathologist's PC 500. In the requesting doctor's PC, a processing means functions as a request management number issuing means 210 and a request management code issuing means 211, and a storage means stores slip information 223 including image data such as a schematic diagram, a request management number 81, a request management code 220, etc.

[0084] The processing means of the pathologist's PC 500 functions as an examination management number issuing means 231 and an examination management code issuing means 230, and the storage means stores diagnostic result information 190 including virtual slide images and result reports, an examination management number 91, an examination management code 240 linked to the examination management number, etc. The pathologist's PC 500 is connected to a code reading means 200. The code reading means 200 reads a two-dimensional code 41 affixed by the pathologist to a pathological specimen or the like corresponding to a specimen container, and identifies a pathological diagnosis.

[0085] The processing means of the server functions as first specimen number issuing means 10, specimen number issuing means 20, management number issuing means 30, management code issuing means 40, attribute information combining means 50, diagnosis result processing means 180, etc. The storage means stores slip information 223, request management number 81, diagnosis result information 190, examination management number 91, etc. stored in the storage means of the requesting doctor's PC 400 and the pathologist's PC 500, as well as first specimen management number 11, specimen management number 21, management number 31, etc. that uniquely identify a pathological diagnosis.

[0086] The storage means of the server also stores unique information 110 of the requesting physician and pathologist entities, and unique information type information 111. Details of the unique information are the same as those of the specimen testing management system 1, and when information of multiple attributes is used in the unique information 110, the attribute type information 111 is combined with the "original unique information" 110 by SQL to create new unique information that replaces the original unique information, and the "new unique information" 112 is also stored in the storage means, and the two-dimensional code 41 issued by the management code issuing means 40 in association with the management number is also stored.

[0087] In a pathological diagnosis, a pathological specimen is prepared by the requesting doctor who requests the pathological diagnosis, and a request management number 81 is issued by a request management number issuing means 210 implemented by a unique electronic system, and a request slip 222 is prepared. A request management code 220 is attached to the pathological specimen 221 and the request slip 222 for management by the requesting doctor. The request slip shows the requesting doctor's schematic diagram and image data of diagnostic findings, and the request management code attached to the pathological specimen is read by a two-dimensional code reader, allowing the requesting doctor to confirm the schematic diagram and image data of diagnostic findings on the request slip, so that the requesting doctor can correctly grasp and perform the pathological diagnosis.

[0088] In this specimen testing management system 2, the pathologist who is the specimen tester communicates with the server, and a management number 31 that uniquely identifies the specimen test is issued by a management number issuing means 30 performed by the server's processing means in the same manner as in the specimen testing management system 1, and a two-dimensional code 41 linked to the management number 31 is issued by a management code issuing means 40.

[0089] The first specimen number issuing means 10 implemented by the processing means of the server reads out the requesting doctor's unique information 110 stored in the storage means, and combines the request management number 81 and the requesting doctor's unique information 110 using SQL to obtain the first specimen management number 11. Similarly, the specimen number issuing means 20 combines the examination management number 91 and the pathologist's unique information 110 using SQL to obtain the specimen management number 21. The first specimen management number 11 and the specimen management number 21 are associated one-to-one using SQL.

[0090] The control number issuing means 30 issues the control number 31, which is either the first specimen control number 11 or the specimen control number 21, or the control number 31 associated one-to-one with the first specimen control number 11 or the specimen control number 21, by SQL, and the control code issuing means 40 issues a two-dimensional code 41 linked to the control number 31. The two-dimensional code 41 is then used in place of the request management code 220 affixed by the requesting doctor, and the pathologist manages the specimen testing, in other words, the specimen testing management system 2 manages pathological diagnoses.

[0091] The two-dimensional code 41 is affixed to the pathological specimen 221 and the request slip 222, and is used in the pathologist's pathological diagnosis work to confirm that the pathological specimen 221 and the request slip 222 relate to the same pathological diagnosis. In addition, the diagnosis result processing means 180 (see FIG. 7) implemented by the processing means of the server functions to display the two-dimensional code 41 on the pathological diagnosis result report 224 and the virtual slide image 225, and the two-dimensional code 41 is also displayed on the result report 224 and virtual slide image 225 created by the pathologist.

[0092] The requesting doctor who receives the pathological diagnosis result reads the two-dimensional code 41 shown on the result report 224 and the virtual slide image 225 with a two-dimensional code reader, thereby confirming that the result report 224 is a correct pathological diagnosis based on the pathological specimen 221 displayed as the virtual slide image 225. It goes without saying that the pathologist can also confirm that the result report 224 and the virtual slide image 225 are consistent by reading the two-dimensional code 41 with a two-dimensional code reader. (others)

[0093] In the first embodiment, for ease of understanding, the unique information is described as a corporation number, but it goes without saying that a medical institution code or the like may also be used. For ease of understanding, in the second embodiment, the explanation of the examination management code 240 that is affixed to the pathological specimen in the pathological diagnosis conventionally performed by the pathologist is omitted. For the pathological diagnosis in which the requesting physician prepares the pathological specimen, the examination management code 240 that has been conventionally issued may be replaced with the two-dimensional code 41.

[0094] Although not mentioned in the above explanation, it goes without saying that login authentication is required to log in to the sample testing management system to ensure security, and it is also preferable to use a virtual private network for communication between the server and PCs. In case of changes or loss of an individual's phone number, a medical business such as a pharmacy may request the pharmacy's main phone number as unique information on behalf of the individual. The present invention can be applied to various types of specimen testing. The embodiments disclosed herein are illustrative in all respects and should not be considered as limiting. The technical scope of the present invention is not limited to the above description but is indicated by the claims, and is intended to include all modifications within the meaning and scope of the claims. [Explanation of symbols]

[0095] 1,2...Sample testing management system, 100: inspector's PC, 200: code reading means, 300: communication means, 1000…server, 400: requesting physician's PC, 500: pathologist's PC, 10...first specimen number issuing means, 20...specimen number issuing means, 30...management number issuing means, 11...First sample control number, 21...Sample control number, 31: Management number, 41: 2D code, 40: management code issuing means, 50: attribute information combining means, 60...user authentication means, 70...other processing means, 80...Request slip (request information), 81...Request management number, 82...Other request information, 90: Sample test result information, 91: Test management number, 92: Other test information, 93... Sample test list, 110...Original unique information, 111...Type information, 112...New unique information, 120...User information for login judgment, 130...Other information, 180...diagnosis result processing means, 190...diagnosis result information, 210: request management number issuing means, 211: request management code issuing means, 220...Request management code, 221...Pathological specimen, 222...Request slip, 223...Slip information, 224...Result report, 225...Virtual slide image, 230... inspection management code issuing means, 231... inspection management number issuing means, 240...Inspection management code

Claims

1. In a specimen testing management system that manages specimen testing upon request, A specimen testing management system including a processing means, a storage means, and a code reading means, the processing means functioning as a first specimen number issuing means, a specimen number issuing means, a management number issuing means, and a management code issuing means, the storage means storing in advance unique information of attributes that uniquely identify a requester and an examiner, respectively, The processing means reads out the unique information stored in the storage means, the first specimen number issuing means issues a first specimen management number by combining a request management number provided by a requester with the unique information that uniquely identifies the requester using SQL; the specimen number issuing means issues a specimen management number by combining the inspection management number determined by the inspector with the unique information that uniquely identifies the inspector using SQL; the control number issuing means associates the first specimen control number with the specimen control number on a one-to-one basis, and issues a control number uniquely associated with the first specimen control number and the specimen control number by SQL; The management code issuing means issues a two-dimensional code linked to the management number, The two-dimensional code is attached to a specimen container, and the code reading means reads the two-dimensional code to uniquely identify the specimen test. A specimen testing management system comprising:

2. The attribute is any one of a procedure subject number, a telephone number, a medical institution code, latitude and longitude information, a MAC address of an electronic system, and an email address. The specimen inspection management system according to claim 1 .

3. The attribute of the client's unique information and the attribute of the inspector's unique information are the same attribute.

3. The specimen inspection management system according to claim 1 or 2.

4. The processing means functions as an attribute information combining means, When the attribute of the requester's unique information and the attribute of the inspector's unique information are different attributes, the attribute information combining means replaces the requester's unique information with information obtained by combining the requester's unique information and the type information of the requester's attribute by SQL, replaces the inspector's unique information with information obtained by combining the inspector's unique information and the type information of the inspector's attribute by SQL, and then issues the management number.

3. The specimen inspection management system according to claim 1 or 2.

5. The specimen test is applied to a pathology diagnosis requested by a request slip and a pathology specimen, The specimen container is a pathological specimen, the requester is a requesting physician, and the examiner is a pathologist, The two-dimensional code is indicated on the request slip and the pathological specimen by the pathologist, the code reading means reads the two-dimensional code to uniquely identify the request slip and the pathological specimen; The specimen inspection management system according to claim 3 .

6. The specimen test is applied to a pathology diagnosis requested by a request slip and a pathology specimen, The specimen container is a pathological specimen, the requester is a requesting physician, and the examiner is a pathologist, The two-dimensional code is indicated on the request slip and the pathological specimen by the pathologist, the code reading means reads the two-dimensional code to uniquely identify the request slip and the pathological specimen; The specimen inspection management system according to claim 4 .

7. The specimen test is applied to a pathology diagnosis requested by a request slip and a pathology specimen, The specimen container is a pathological specimen, the requester is a requesting physician, and the examiner is a pathologist, The two-dimensional code is displayed on a result report of the pathological diagnosis and a virtual slide image forming the basis of the pathological diagnosis, The code reading means reads the two-dimensional code to uniquely identify the result report and the virtual slide image. The specimen inspection management system according to claim 3 .

8. The specimen test is applied to a pathology diagnosis requested by a request slip and a pathology specimen, The specimen container is a pathological specimen, the requester is a requesting physician, and the examiner is a pathologist, The two-dimensional code is displayed on a result report of the pathological diagnosis and a virtual slide image forming the basis of the pathological diagnosis, The code reading means reads the two-dimensional code to uniquely identify the result report and the virtual slide image. The specimen inspection management system according to claim 4 .

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