WO2001008040A1 - Systeme d'etiquetage et de codage de specimens pathologiques - Google Patents

Systeme d'etiquetage et de codage de specimens pathologiques Download PDF

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Publication number
WO2001008040A1
WO2001008040A1 PCT/US2000/040406 US0040406W WO0108040A1 WO 2001008040 A1 WO2001008040 A1 WO 2001008040A1 US 0040406 W US0040406 W US 0040406W WO 0108040 A1 WO0108040 A1 WO 0108040A1
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WO
WIPO (PCT)
Prior art keywords
specimen
record
unique identifier
label
patient
Prior art date
Application number
PCT/US2000/040406
Other languages
English (en)
Inventor
James Q. Whitaker
Original Assignee
Pathology Institute Of Middle Georgia
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Pathology Institute Of Middle Georgia filed Critical Pathology Institute Of Middle Georgia
Priority to AU69555/00A priority Critical patent/AU6955500A/en
Publication of WO2001008040A1 publication Critical patent/WO2001008040A1/fr

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof

Definitions

  • microfiche appendix containing program source code used in one embodiment of the invention a user's manual for the program code and an example of a simulation produced by the program code, is submitted herewith.
  • the microfiche comprises 14 fiches and 800 frames.
  • the present invention relates to medical systems and, more specifically, to a system for administering pathology specimens.
  • the present invention is a method of managing medical specimens in which a unique identifier is assigned to a specimen.
  • a record of the specimen is created and associated with the unique identifier and with an identification of a patient from whom the specimen was collected.
  • At least one label including a machine scanable encoding of the unique identifier is generated.
  • the label is permanently affiliated with the specimen.
  • the record of the specimen is accessed by scanning the label. Information about the specimen and a diagnostic determination based on the specimen is added to the record of the specimen.
  • the invention is a series of operational steps to be performed on a computational device used to manage medical specimens.
  • the computer generates a unique identifier associated with each specimen and creates a record of each specimen, while associating the record with the unique identifier.
  • the computer causes at least one machine readable label including a bar code encoding the unique identifier to be printed.
  • the computer also receives an input from a bar code scanner, wherein the input is a scan of the machine readable label, decodes the input to determine which unique identifier is encoded on the machine readable label and indicates to an output device which specimen has been scanned, based on the unique identifier.
  • the computer receives from an input device specimen-specific information about the specimen and stores the input in the record of the specimen.
  • the computer also prints a report including the specimen-specific information about the specimen.
  • FIG. 1 is a flow chart showing flow from the main menu to several procedures.
  • FIG. 2 is a flow chart showing the accessioning procedure.
  • FIG. 3 is a flow chart showing the grossing procedure.
  • FIG. 4 is a flow chart showing the microscopic exam procedure.
  • the invention is directed to a system for managing pathology specimens and information relating thereto.
  • the invention applies to both cytology specimens
  • accessioning 22 involves entering information about a new specimen into the system.
  • Completing accessioning 24 is a procedure in which the user adds such information as: demographic information; physician's identifier; insurance numbers; whether previous pathology is available and other administrative information.
  • Grossing 26 involves entering information about the source and appearance of a specimen.
  • Microscopic exam 28 allows for entry of results of a microscopic examination.
  • the user initially inputs an identification of the patient 110 into the system (such an identification could, for example, be the patient's social security number) and the system performs a test 112 to determine if a record of the patient already exists on the system. If the result is "no,” then the system performs a test 124 to determine if the user wishes to create a new record for the patient. If the result of this test is "no,” then execution returns to the input patient ID block 110 (indicating that the previous entry was incorrect). If the user has indicated that a new record is to be created, then the system will create 126 a new patient record.
  • an identification of the patient 110 such an identification could, for example, be the patient's social security number
  • the system will wait 114 for a command to open the new record and then determine 116 the next available specimen number.
  • the system will then create 118 a record of the specimen and associate the specimen record with both the specimen number and the identification of the patient.
  • the user then enters 120 the number of specimens being submitted (if multiple specimens are being submitted, as is typical with a surgical procedure) and the number of labels required (although the system could default to a number of labels based on the specimen type and number, etc.).
  • the system will then issue a command 122 to a label printer to print the required number of labels so that each label includes the specimen number in machine-readable format. Typically, this will take the form of a bar code label.
  • the labels are then affixed to the specimen by the user.
  • the labels are peel-and- stick labels that are applied to the container holding the specimen or to the slide on which the specimen is mounted.
  • the system will search 128 for the patient history and, if found, will print 132 a copy of the patient history and a record of consultation form, if the user so desires. Then the system receives from the user an identification of each specimen 134. For each specimen, the user enters the specimen source code 136 and a code corresponding to the method employed to collect the specimen 138.
  • the specimen source code may be determined from a pull down menu.
  • an alphabetical listing of sources may be accessed by pressing "ALT T” and a listing of sources by category may be accessed by pressing "ALT C.”
  • specimen sources include "skin of finger” or "sole of foot.”
  • the method code would relate to the method employed in collecting the specimen (e.g., through punch biopsy, etc.). Pull down menus are also employed in retrieving method codes. The data for steps 134, 136 and 138 is repeated 139 for each specimen. The user then enters 140 any additional notes of relevance to the specimen and the system generates a grossing template for the specimen 142.
  • the grossing procedure 200 begins by entering the specimen number 210, which could be done by scanning the specimen label with a bar code scanner or entered manually on the keyboard. This causes the system to pull up a grossing template previously generated by the system. The user then enters 212 on the appropriate location of the template how the specimen was received (e.g., frozen, air dried, fresh, etc.) and a gross description 214 of the specimen is entered. Such a description would include the dimensions, shape and color of the specimen and could be entered by (1) selecting defaults (e.g. a specimen collected by needle biopsy is typically cylindrical); (2) clicking on common descriptions from a pull-down menu; or (3) manually entering the description via a keyboard.
  • the information entered on the template is stored 216 in the specimen record and a test 218 is performed to determine whether the user desires to have printed a grossing report, a record of consultation report, or both. If the user so desires, the system issues a printer command 220 indicating that the desired reports are to be printed.
  • the microscopic exam procedure 300 begins by the user entering the specimen number 310, which may be done by scanning the bar code on the specimen label or by manually entering the number on a keyboard.
  • the system displays a menu 312 of specimens (in the case of multiple specimen surgical specimens) and the user selects the specimen being examined by pointing and clicking.
  • a test 322 is performed to determine if a specimen has been chosen. If the result of the test is "yes,” then, the system opens a microscopic exam screen 314 for the specimen onto which the user enters codes 316 corresponding to the results of the microscopic examination. These diagnosis codes could be manually entered or selected from a pulldown menu.
  • the codes could indicate the condition of cells or the type of nuclei, the codes could also indicate a diagnosis at a microscopic level. Multiple codes could be entered for any given specimen, as multiple conditions could be present. The system then expands 318 the codes to full text and the user then enters 320 any necessary modifiers used to describe the specimen. Execution then returns to step 312 while the user continues to select specimens.
  • test 322 When the result of test 322 is "no,” the system queries 324 the user to determine if further editing of the input is desired. If the result of test 324 is "yes,” then the system opens a screen 326 that allows the user to indicate whether a telephone consultation is required and whether the user desires to edit already entered codes. Next, in the thread of execution is a test 328 that determines whether the user wishes to print reports and if the result of test 328 is "no" then the procedure ends. Otherwise, if the answer is "yes,” then the system issues a print command 330 that causes the desired reports to be printed and the procedure ends.
  • the system accesses a look-up table based on the source code and the diagnosis codes for each specimen and automatically generates for each specimen an ICD 9 code, of the type required by most insurance companies, and generates billing information based thereon.
  • Source code for one commercial embodiment of the invention may be found in the microfiche appendix.
  • This code will operate, for example, on an IBM ® -compatible personal computer running FOXPRO ® in either a DOS ® or WINDOWS ® environment.
  • Typically in communication with the computer would be at least one bar code printer and a bar code scanner, of the type typically know to the art.

Abstract

Cette invention se rapporte à un procédé de gestion de spécimens médicaux, dans lequel un identificateur unique est attribué à un spécimen (22), un fichier de ce spécimen est créé et associé à cette identificateur unique et à l'identification du patient sur lequel le spécimen a été prélevé (24). Au moins une étiquette est associée en permanence au spécimen. On accède au fichier du spécimen en balayant électroniquement l'étiquette. Des informations concernant le spécimen et une détermination diagnostique basée sur le spécimen sont ajoutées au fichier du spécimen (26).
PCT/US2000/040406 1999-07-23 2000-07-18 Systeme d'etiquetage et de codage de specimens pathologiques WO2001008040A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU69555/00A AU6955500A (en) 1999-07-23 2000-07-18 System for labeling and encoding pathology specimens

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US36101699A 1999-07-23 1999-07-23
US09/361,016 1999-07-23

Publications (1)

Publication Number Publication Date
WO2001008040A1 true WO2001008040A1 (fr) 2001-02-01

Family

ID=23420305

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/040406 WO2001008040A1 (fr) 1999-07-23 2000-07-18 Systeme d'etiquetage et de codage de specimens pathologiques

Country Status (2)

Country Link
AU (1) AU6955500A (fr)
WO (1) WO2001008040A1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002051265A1 (fr) * 2000-12-22 2002-07-04 Mcmaster Farms Limited Preparation automatique de plats cuits emballes
US20080235055A1 (en) * 2003-07-17 2008-09-25 Scott Mattingly Laboratory instrumentation information management and control network
WO2009123833A2 (fr) * 2008-04-03 2009-10-08 Convergent Medical Solutions, Inc. Biopsie de peau avec suture avant résection
US7860727B2 (en) 2003-07-17 2010-12-28 Ventana Medical Systems, Inc. Laboratory instrumentation information management and control network
US8719053B2 (en) 2003-07-17 2014-05-06 Ventana Medical Systems, Inc. Laboratory instrumentation information management and control network
CN112582062A (zh) * 2020-12-18 2021-03-30 深圳市福瑞康科技有限公司 医疗诊断系统数据处理方法、系统、装置及存储介质

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3619568A (en) * 1969-05-06 1971-11-09 John F Taplin System and method for identifying and labeling blood packs
US3656473A (en) * 1969-08-28 1972-04-18 American Science & Eng Inc Medical data processing
US3831006A (en) * 1973-01-19 1974-08-20 Honeywell Inc Patient-specimen identification system using stored associated numbers
US4164320A (en) * 1974-09-26 1979-08-14 Medical Laboratory Automation, Inc. Patient and specimen identification means and system employing same
US4476381A (en) * 1982-02-24 1984-10-09 Rubin Martin I Patient treatment method
US4678894A (en) * 1985-04-18 1987-07-07 Baxter Travenol Laboratories, Inc. Sample identification system
US4835372A (en) * 1985-07-19 1989-05-30 Clincom Incorporated Patient care system
US4855909A (en) * 1987-11-20 1989-08-08 Hewlett-Packard Company Forensic sample tracking system and print station therefor
US5056059A (en) * 1987-09-10 1991-10-08 Hewlett-Packard Company Medical monitoring system interface
US5381487A (en) * 1989-01-25 1995-01-10 Shamos; Morris H. Patient identification system
US5401110A (en) * 1991-07-15 1995-03-28 Neeley; William E. Custom label printer
US5689229A (en) * 1990-07-27 1997-11-18 Executone Information Systems Inc. Patient care and communication system
US5822544A (en) * 1990-07-27 1998-10-13 Executone Information Systems, Inc. Patient care and communication system
US5974389A (en) * 1996-03-01 1999-10-26 Clark; Melanie Ann Medical record management system and process with improved workflow features

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3619568A (en) * 1969-05-06 1971-11-09 John F Taplin System and method for identifying and labeling blood packs
US3656473A (en) * 1969-08-28 1972-04-18 American Science & Eng Inc Medical data processing
US3831006A (en) * 1973-01-19 1974-08-20 Honeywell Inc Patient-specimen identification system using stored associated numbers
US4164320A (en) * 1974-09-26 1979-08-14 Medical Laboratory Automation, Inc. Patient and specimen identification means and system employing same
US4476381A (en) * 1982-02-24 1984-10-09 Rubin Martin I Patient treatment method
US4678894A (en) * 1985-04-18 1987-07-07 Baxter Travenol Laboratories, Inc. Sample identification system
US4835372A (en) * 1985-07-19 1989-05-30 Clincom Incorporated Patient care system
US5056059A (en) * 1987-09-10 1991-10-08 Hewlett-Packard Company Medical monitoring system interface
US4855909A (en) * 1987-11-20 1989-08-08 Hewlett-Packard Company Forensic sample tracking system and print station therefor
US5381487A (en) * 1989-01-25 1995-01-10 Shamos; Morris H. Patient identification system
US5689229A (en) * 1990-07-27 1997-11-18 Executone Information Systems Inc. Patient care and communication system
US5822544A (en) * 1990-07-27 1998-10-13 Executone Information Systems, Inc. Patient care and communication system
US5401110A (en) * 1991-07-15 1995-03-28 Neeley; William E. Custom label printer
US5974389A (en) * 1996-03-01 1999-10-26 Clark; Melanie Ann Medical record management system and process with improved workflow features

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002051265A1 (fr) * 2000-12-22 2002-07-04 Mcmaster Farms Limited Preparation automatique de plats cuits emballes
US20080235055A1 (en) * 2003-07-17 2008-09-25 Scott Mattingly Laboratory instrumentation information management and control network
US7860727B2 (en) 2003-07-17 2010-12-28 Ventana Medical Systems, Inc. Laboratory instrumentation information management and control network
US8719053B2 (en) 2003-07-17 2014-05-06 Ventana Medical Systems, Inc. Laboratory instrumentation information management and control network
US8812329B2 (en) 2003-07-17 2014-08-19 Ventana Medical Systems, Inc. Laboratory instrumentation information management and control network
WO2009123833A2 (fr) * 2008-04-03 2009-10-08 Convergent Medical Solutions, Inc. Biopsie de peau avec suture avant résection
WO2009123833A3 (fr) * 2008-04-03 2009-12-30 Convergent Medical Solutions, Inc. Biopsie de peau avec suture avant résection
CN112582062A (zh) * 2020-12-18 2021-03-30 深圳市福瑞康科技有限公司 医疗诊断系统数据处理方法、系统、装置及存储介质

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