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WO1993008735A1 - Dispositif pour l'appariement sans ambiguites de documents issus de l'imagerie diagnostique pour un patient donne - Google Patents

Dispositif pour l'appariement sans ambiguites de documents issus de l'imagerie diagnostique pour un patient donne Download PDF

Info

Publication number
WO1993008735A1
WO1993008735A1 PCT/EP1992/002424 EP9202424W WO9308735A1 WO 1993008735 A1 WO1993008735 A1 WO 1993008735A1 EP 9202424 W EP9202424 W EP 9202424W WO 9308735 A1 WO9308735 A1 WO 9308735A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
code
machine
investigation
identification
Prior art date
Application number
PCT/EP1992/002424
Other languages
English (en)
Inventor
Gianandrea Pedrazzini
Original Assignee
Healtech S.A.
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 Healtech S.A. filed Critical Healtech S.A.
Publication of WO1993008735A1 publication Critical patent/WO1993008735A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/117Identification of persons
    • GPHYSICS
    • G03PHOTOGRAPHY; CINEMATOGRAPHY; ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ELECTROGRAPHY; HOLOGRAPHY
    • G03BAPPARATUS OR ARRANGEMENTS FOR TAKING PHOTOGRAPHS OR FOR PROJECTING OR VIEWING THEM; APPARATUS OR ARRANGEMENTS EMPLOYING ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ACCESSORIES THEREFOR
    • G03B42/00Obtaining records using waves other than optical waves; Visualisation of such records by using optical means
    • G03B42/02Obtaining records using waves other than optical waves; Visualisation of such records by using optical means using X-rays
    • G03B42/04Holders for X-ray films
    • G03B42/047Holders for X-ray films provided with marking means

Definitions

  • the present invention relates to a process and to a machine for the univocal pairing of radiographic, ecographic, 0 tomographic, angiographic, of nuclear magnetic resonance documents and, in general, of all those documents that originate from diagnostic procedures that produce medical reports by photographic exposure, with a given patient.
  • the need is known of guaranteeing the certainty of the 5 attribution of a document of instrumental investigation to the patient who has generated it.
  • the object of the present invention is to accomplish a process and a machine that allow the prevention of any possible error in the attribution of a document and the completely automatic management of the same process.
  • such objects are attained through a process for the univocal pairing of documents corresponding to a given instrumental investigation to a given patient. characterized in that it provides for the identification of the patient, the prescription to said patient of an instrumental diagnostic investigation, the assignment of an identification code of the patient containing at least personal identification data of said patient, the permanent association of said identification code to said patient through a support device that may be affixed to the patient himself, the transfer of the patient to a machine for the execution of the prescribed instrumental investigation, the reading of said identification code and its possible completion with data for the identification of said instrumental investigation, the writing of said identification code on a temporary support contained in said instrumental investigation machine, the check of the congruity of the written code with the one that has been read and possibly completed and, lastly, the execution of the instrumental investigation through said machine with the production of a document containing the result of the investigation and the simultaneous transfer of said code from said-temporary support to said document.
  • a machine that comprises essentially means for marking a support device that may be affixed to the patient, say, a bracelet, with an identification code of the patient containing at least personal identification data of said patient, means for reading said identification code of the patient on said support device, means for the possible completion of the identification code of the patient with data for the identification of the prescribed instrumental investigation and writing the code read on a temporary support contained in the machine that executes the instrumental investigation and means for the transfer of said code written on said temporary support to a final document containing the result of the instrumental investigation simultaneously with the execution of the investigation itself.
  • the machine executing the instrumental investigation is of a type capable of producing an information that is already digitalised and thus processed in a computerised form.
  • the identification code should be associated with the corresponding file sector of the machine simultaneously with its production.
  • F - 1 shows the overall operational diagram of a machine for the accomplishment of the process according to the invention
  • Fig. 2 illustrates the principle diagram of a radiographic machine provided with a code application device according to the present invention
  • Fig. 3 shows said radiographic machine in a schematic cross-sectional view taken along the line III-III of Fig. 2;
  • Fig. 4 shows diagrammatically a variant of the code application device associated with the radiographic machine of Fig.s 2 and 3;
  • Fig. 5 shows a further variant of said code application device.
  • FIG. 1 there is shown the overall view of a machine divided into operational areas A and B.
  • the operations take place of patient admittance/identification of the patient as regards both the hospitalization procedure and that related to out-patient treatments.
  • the operations provide for a scanner 1 of patient identification cards and an operating computer 2.
  • the identified and admitted patient is provided with an identification device (say, a bracelet) on which, by means of a marking machine 50, there is marked an identification code (hereinafter called ID) that may be read optically, that comprises several personal identification data of the patient and possible data for the identification of the instrumental investigation that has been prescribed for him; the latter shall certainly be present if he is an out-patient, while they may be absent, to be added subsequently as shall be explained Later, if he is a patient that has already been admitted to a ward.
  • ID identification code
  • the operators proceed with reading the ID code on the bracelet 3 (or any other suitable support device) using for that purpose an appropriate optical reader 4, that transfers the code itself to a device 5 associated with the machine for the execution of the prescribed instrumental investigation, say a radiographic machine, indicated as a whole with 6 in Fig. 1.
  • the device 5 if necessary, completes the ID code with the data reLated to the investigation to be executed, (if, as has already been said, the patient has already been admitted) and then writes it on a suitable temporary support (not shown in Fig. 1) associated with the machine 6. From this, after an appropriate check of the congruity of the written code with the one that has been read on the bracelet 3, said code is then transferred directly on an area 8 of the document produced by the machine 6, say a radiographic plate 7, simultaneously with the execution of the investigation under way.
  • Admittance operations may also take place in the area B through a personal computer 9 dedicated to the supervision of the system and to communications with the outside world. Such an operation could, for example, be executed under emergency conditions or for off-line operations; in such case the personal computer itself shall construct the ID code to be transferred to the machine 6.
  • the filing process proceeds to a scanner 10 - possibly provided with an automatic feeder unit - which digitalises the information and transfers it to the personal computer 9 which, in turn, processes the information toward a high-definition monitor 11 and/or to a laser printer 12 and/or to a mass memory 13 and/or to an operating optical memory 14.
  • a scanner 10 possibly provided with an automatic feeder unit - which digitalises the information and transfers it to the personal computer 9 which, in turn, processes the information toward a high-definition monitor 11 and/or to a laser printer 12 and/or to a mass memory 13 and/or to an operating optical memory 14.
  • Fig. 2 illustrates the principle diagram of a possible radiographic machine 6, where there is indicated with 21 the source of the X-rays, with 22 the patient provided with a bracelet 3 for his identification, lying on a table 23. Under the table 23 there is a grille 24 to avoid interferences of the diffracted radiation and under it there is a carriage 25 free to move along the indicated axis X and perpendicularly to it. Inside the carriage 25 there is an extractable drawer 26 containing the plate 7 to be exposed. Between the grille 24 and the carriage 25 there is a piece of perforated tape 27 that constitutes the temporary support of the identification code of the patient mentioned earlier.
  • the perforated tape 27 is unwound from a reel 28, perforated by a punching machine 29, for example altogether identfcal with those normally used in telex machines for the production of the perforated tape, read immediately downstream by a reader 30 (also altogether identical with those used for telex machines) to check the congruity of the perforated information with that at start (read on the bracelet 3) and then cut and inserted above the drawer 26, in the area normally used for the so-called photo-stamp.
  • the insertion of the tape 27 is by means of kinematic mechanism 31 that, once the plate has been exposed, unload in a container 32 the piece of tape that has just been used, so that a subsequent piece of tape can be introduced for the identification of the next plate.
  • the tape 27 is produced with substances that are opaque to X-rays and that in the perforated area it aLlows the passage of the rays: the code perforated on the tape is thus transferred to the radiographic plate 7.
  • the code contains: the patient's personal identification data; - date and time of the instrumental investigation to be executed; type of investigation; other information pondered to be useful, such as: ward, doctor in charge, object of the test, etc..
  • the code deposited on the plate as described above is a code with intrinsic certainty since it derives automatically from the patient immediately before the execution of the instrumental investigation and can be read optically and as such can allow the automatic processing of the plates, that can be inserted into scanners for their digitalisation without it being further necessary for an operator to pair with each plate the identification information (with possible human errors of registration).
  • the drawer for containing the plate shall be provided in the lower part with a hatch that shall be opened (as already takes place today for the application of the photo-stamp) to allow the passage of the luminous information.
  • the application of the code shall take place within the plate-exposure process.
  • Fig. 5 shows a further alternative to the solution indicated in Fig. 4, where for the transfer of the identification code an electro-optical device 34 is used, capable of making a direct impression on the plate without the interposition of an intermediate tape.
  • a special software instruction shall cause the automatic transfer in a special memory sector of the code of identification of the patient and of the investigation executed.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • General Physics & Mathematics (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

Procédé pour l'appariement sans ambiguités de documents pour un patient donné, conçu pour: a) la demande pour une investigation diagnostique particulière relative à ce patient, et b) l'attribution et l'association permanente d'un code d'identification au patient grâce à un dispositif support (3) fixé sur le patient lui-même. Le procédé concerne également le transfert du patient vers une machine (6) pour effectuer l'examen prescrit; machine dans laquelle un lecteur (4) vérifie le code d'identification sur le dispositif support (3). Le code d'identification du patient ainsi que les données d'identification correspondant aux examens prescrits sont stockés par des dispositifs appropriés (5, 31, 33, 34) sur un support provisoire (27). Enfin, la machine (6) exécute l'examen prescrit et génère un document (7) sur lequel le code et les données inscrites sur le support provisoire (27) ont été transférés, ainsi que le document (7) contenant le résultat de l'examen.
PCT/EP1992/002424 1991-10-30 1992-10-21 Dispositif pour l'appariement sans ambiguites de documents issus de l'imagerie diagnostique pour un patient donne WO1993008735A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMI912889A IT1251748B (it) 1991-10-30 1991-10-30 Procedimento e apparecchiatura per l'abbinamento univoco di documenti radiografici, ecografici, tomografici, angiografici, di risonanza magnetico-nucleare e,in generale di tutti quei documenti che originano da procedimenti diagnostici che producono referti per impressionamento fotografico, ad un determinato paziente
ITMI91A002889 1991-10-30

Publications (1)

Publication Number Publication Date
WO1993008735A1 true WO1993008735A1 (fr) 1993-05-13

Family

ID=11360991

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1992/002424 WO1993008735A1 (fr) 1991-10-30 1992-10-21 Dispositif pour l'appariement sans ambiguites de documents issus de l'imagerie diagnostique pour un patient donne

Country Status (7)

Country Link
CN (1) CN1075623A (fr)
AU (1) AU2791392A (fr)
IT (1) IT1251748B (fr)
MX (1) MX9206270A (fr)
PT (1) PT101021A (fr)
WO (1) WO1993008735A1 (fr)
ZA (1) ZA928267B (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0908762A1 (fr) * 1997-10-08 1999-04-14 Agfa-Gevaert N.V. Identification et prévisualisation combiné pour l'utilisation dans le domaine de la radiographie numérique
EP0921489A1 (fr) * 1997-11-28 1999-06-09 Eastman Kodak Company Méthode automatique d'édition pour unité d'imagerie medicale
DE19844131A1 (de) * 1998-09-25 2000-04-20 Siemens Health Services Gmbh & Personenidentifikationssystem für ein Krankenhaus

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1898776B1 (fr) * 2005-05-24 2012-08-15 Koninklijke Philips Electronics N.V. Identification automatique permettant d'effectuer des releves ponctuels
EP2693215A4 (fr) * 2011-03-31 2014-12-24 Terumo Corp Système de gestion du niveau de glycémie

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2425834A1 (fr) * 1978-05-18 1979-12-14 Optische Ind De Oude Delft Nv Dispositif electro-optique d'enregistrement d'informations concernant un malade, sur un support d'enregistrement tel qu'une pellicule a rayons x
US4857713A (en) * 1986-02-14 1989-08-15 Brown Jack D Hospital error avoidance system
US4983991A (en) * 1989-11-14 1991-01-08 Instrumentarium Corp. Method and apparatus for marking a film in an X-ray apparatus
WO1992014403A1 (fr) * 1991-02-15 1992-09-03 Eastman Kodak Company Radiographie informatisee et systeme d'identification d'un malade

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2425834A1 (fr) * 1978-05-18 1979-12-14 Optische Ind De Oude Delft Nv Dispositif electro-optique d'enregistrement d'informations concernant un malade, sur un support d'enregistrement tel qu'une pellicule a rayons x
US4857713A (en) * 1986-02-14 1989-08-15 Brown Jack D Hospital error avoidance system
US4983991A (en) * 1989-11-14 1991-01-08 Instrumentarium Corp. Method and apparatus for marking a film in an X-ray apparatus
WO1992014403A1 (fr) * 1991-02-15 1992-09-03 Eastman Kodak Company Radiographie informatisee et systeme d'identification d'un malade

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0908762A1 (fr) * 1997-10-08 1999-04-14 Agfa-Gevaert N.V. Identification et prévisualisation combiné pour l'utilisation dans le domaine de la radiographie numérique
EP0921489A1 (fr) * 1997-11-28 1999-06-09 Eastman Kodak Company Méthode automatique d'édition pour unité d'imagerie medicale
DE19844131A1 (de) * 1998-09-25 2000-04-20 Siemens Health Services Gmbh & Personenidentifikationssystem für ein Krankenhaus

Also Published As

Publication number Publication date
ZA928267B (en) 1993-08-19
ITMI912889A1 (it) 1993-04-30
AU2791392A (en) 1993-06-07
PT101021A (pt) 1994-06-30
CN1075623A (zh) 1993-09-01
ITMI912889A0 (it) 1991-10-30
IT1251748B (it) 1995-05-23
MX9206270A (es) 1993-05-01

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