US20200217835A1 - Patient-based results display - Google Patents

Abstract

A user interface used with a medical testing machine provides improved recall and display of the outcomes of tests performed by the machine. Test outcomes and other information are stored in mass storage directly accessible by the medical testing machine. In one aspect, outcomes of tests relating to a particular patient may be recalled. The system may be especially useful for tests that may be performed multiple times for a particular patient over a period of time, for example testing for HbA1c hemoglobin levels in diabetes patients. The user interface presents a set of screens that allow the display of data according to various filters, and so as to provide detailed information about tests performed by the machine.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
• This application is a continuation of U.S. application Ser. No. 15/796,655, filed Oct. 27, 2017 and titled “Patient-Based Results Display,” which claims priority to and is a continuation of U.S. patent application Ser. No. 14/048,305, filed Oct. 8, 2013 and titled “Patient-Based Results Display,” now U.S. Pat. No. 9,804,149, which claims the benefit of U.S. Provisional Application No. 61/712,164, filed Oct. 10, 2012 and titled “Patient-Based Results Display,” the entire disclosures of which are herein incorporated by reference for all purposes.
BACKGROUND OF THE INVENTION
• In the diagnosis and monitoring of diseases, medical tests are often performed on blood, tissue, or other media sampled from patients. In a typical scenario, a doctor requests that a particular test be performed, and a sample is taken from the patient. The sample is sent to an on-site or off-site testing lab, and the results of the test are returned to the doctor for review and reporting to the patient. The test results are also typically placed in the patient's file.
• Some conditions require ongoing monitoring. In these cases, tests may be performed multiple times for a particular patient.
BRIEF SUMMARY OF THE INVENTION
• According to one aspect, a medical testing machine comprises an input location, an output location, and a vial handling mechanism that moves vials of media sampled from patients from the input location through the testing machine to the output location. The medical testing further includes an extraction mechanism that extracts the media from each vial in turn for testing, a testing system that performs a medical test on the media sampled from patients, each test instance having an outcome, and a reader. The reader obtains, for each of a plurality of test instances, an identifier of the particular patient from which the media was sampled by reading the identifier from a container that holds the media. The medical testing machine further comprises a processor that receives the output of the sensor and determines the outcome for each respective test and that causes test outcomes to be stored in a mass storage memory in association with their respective patient identifiers, and a computerized retrieval system that enables a user to specify a particular patient identifier and cause the computerized retrieval system to retrieve from the mass storage memory test outcomes associated with the particular patient identifier. In some embodiments, the testing system comprises a high performance liquid chromatography system including a column holding a stationary medium, the high performance liquid chromatography system separating components of the sampled media as the sampled media flows through the column, and the high performance liquid chromatography system including a sensor that senses indications that the separated components are passing the sensor. In some embodiments, the medical testing machine further comprises an electronic display on which the retrieved outcomes are shown. In some embodiments, the electronic display is a touchscreen display and also serves as an input device for receiving inputs from the user. In some embodiments, the medical testing machine further comprises the mass storage memory. In some embodiments, the mass storage memory is remote from the medical testing machine and is accessible via a computer network. In some embodiments, the reader further obtains for each test instance an accession number of the respective sample. In some embodiments, the medical testing machine further comprises a user interface control that causes test outcomes having the same accession number to be shown in a group on the display. In some embodiments, the test outcomes having the same accession number are shown in the group on the electronic display regardless of whether one or more of the grouped test outcomes would otherwise be omitted from being shown on the electronic display by a data filter in place at the time the user interface control is actuated. In some embodiments, the computerized retrieval system enables multiple levels of detail to be shown about each test instance outcome. In some embodiments, the mass storage memory also stores in association with each test instance outcome information about the state of the medical testing machine at the time the particular test instance was run. In some embodiments, the stored state information includes a set of rules used to evaluate test outcomes for validity. In some embodiments, the medical testing machine further comprises a user interface control that causes to be displayed, for a particular test instance, the rules in place at the time the particular test instance was run. In some embodiments, the medical testing machine further comprises an electronic display, wherein during a particular test instance, an animated counter counts down the time remaining until the test is completed. In some embodiments, the electronic display further shows a rack number and position within the rack of a container from which media was extracted for running the particular test instance. In some embodiments, the electronic display further shows levels of consumable materials remaining in the medical testing machine.
• According to another aspect, a medical testing machine comprises an input location, an output location, and a vial handling mechanism that moves vials of media sampled from patients from the input location through the testing machine to the output location. The medical testing machine further comprises an extraction mechanism that extracts the media from each vial in turn for testing, a testing system that performs a medical test on media sampled from patients, each test instance having an outcome, and a reader. The reader obtains, for each of a plurality of test instances, an accession number of the particular media sample by reading the accession number from a container that holds the media. The medical testing machine further includes a processor that receives the output of the sensor and determines the outcome for each respective test and that causes each test outcome to be stored in a mass storage memory in association with its respective accession number, and a computerized retrieval system that enables a user to specify a particular accession number and cause the computerized retrieval system to display as a group all of the stored test outcomes having the same accession number. In some embodiments, the testing system comprises a high performance liquid chromatography system including a column holding a stationary medium, the high performance liquid chromatography system separating components of the sampled media as the sampled media flows through the column, and the high performance liquid chromatography system including a sensor that senses indications that the separated components are passing the sensor. In some embodiments, the test outcomes having the same accession number are displayed as a group regardless of whether one or more of the grouped test outcomes would otherwise be omitted from being displayed by a data filter in place at the time the group display is requested. In some embodiments, the mass storage also stores in association with each test instance outcome information about the state of the medical testing machine at the time the particular test instance was run. In some embodiments, the stored state indication includes a set of rules used to evaluate test outcomes for validity. In some embodiments, the medical testing machine further comprises an electronic display, wherein during a particular test instance, an animated counter counts down the time remaining until the test is completed.
• According to another aspect, a medical testing machine comprises an input location, an output location, and a vial handling mechanism that moves vials of media sampled from patients from the input location through the testing machine to the output location. The medical testing machine further includes an extraction mechanism that extracts the media from each vial in turn for testing, a testing system that performs a medical test on media sampled from patients, each test instance having an outcome, and a processor. The processor receives the output of the sensor and determines the outcome for each respective test and that causes test outcomes to be stored in a mass storage memory in association with their respective patient identifiers. The medical testing machine further comprises a computerized retrieval system that enables a user to specify a particular filter criterion and cause the computerized retrieval system to retrieve from the mass storage memory test outcomes meeting the filter criterion. The mass storage memory also stores in association with each test instance outcome information about the state of the medical testing machine at the time the particular test instance was run. In some embodiments, the testing system comprises a high performance liquid chromatography system including a column holding a stationary medium, the high performance liquid chromatography system separating components of the sampled media as the sampled media flows through the column, and the high performance liquid chromatography system including a sensor that senses indications that the separated components are passing the sensor. In some embodiments, the stored state information includes a set of rules used to evaluate test outcomes for validity. In some embodiments, the medical testing machine further comprises a user interface control that causes to be displayed, for a particular test instance, the rules in place at the time the particular test instance was run.
• According to another aspect, a method comprises receiving vials of media sampled from patients at an input location of a medical testing machine, moving the received vials through the medical testing machine to an output location of the medical testing machine, extracting the media from each vial in turn for testing, and separating components of the sampled media using high performance liquid chromatography, wherein separating the components comprises passing the sampled media through a stationary medium. The method further comprises sensing the passage of the separated components using a sensor, recording an outcome of each respective test in a computerized system, and accessing, using the computerized system, an electronic library of the test outcomes obtained from the performance of the high performance liquid chromatography on the media samples. The method further comprises identifying in the library one or more sets of the test outcomes in which each outcome in a respective set results from testing of the same respective media sample, and displaying as a group the outcomes in at least one set. In some embodiments, identifying one or more sets of the test outcomes in which each outcome in a respective set results from testing of the same respective media sample comprises identifying sets of test outcomes having a same accession number. In some embodiments, the test outcomes in a set are displayed as a group regardless of whether one or more of the grouped test outcomes would otherwise be omitted from being displayed by a data filter in place at the time the group display is requested. In some embodiments, the library of test outcomes is stored in a testing machine used to perform the medical test. In some embodimentse, the library of test outcomes is stored separately from a testing machine used to perform the medical test.
• According to another aspect, a user interface is provided for a medical testing machine. The medical testing machine comprises a testing system that performs a medical test on media sampled from patients, each test instance having an outcome, and the medical testing machine storing the test outcomes in a storage system along with other information about each test instance. The user interface comprises a number of user-selectable tabs at a top of a first displayed user interface screen. The tabs include a first tab that when selected causes to be displayed a second user interface screen with controls for recalling and displaying stored test instance outcomes, and the tabs include a second tab that when selected causes to be displayed a third user interface screen that can present information about the performance of a particular test instance. The controls displayed on the second user interface screen include controls for selecting a number of filters to be applied, alone or in combination, to the stored test instance outcomes before display. The filters include a patient ID filter that limits displayed test instance outcomes to those associated with a particular patient number, an accession number filter that limits the displayed test instance outcomes to those associated with a particular accession number, a result value filter that limits the displayed test instance outcomes to those having a particular result value or a result value falling within a specified range, and a date filter that limits the displayed test instance outcomes to those resulting from tests performed within a specified date range.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 shows a medical testing machine in accordance with example embodiments of the invention.
• FIG. 2 shows a vial as may be used in the medical testing machine ofFIG. 1, in more detail.
• FIG. 3 shows a simplified block diagram of the architecture of the medical testing machine ofFIG. 1, in accordance with embodiments of the invention.
• FIG. 4 shows an example user interface screen that may be presented on a display, enabling a user to specify criteria by which to recall stored test information in accordance with embodiments of the invention.
• FIG. 5 illustrates a second user interface screen, in accordance with embodiments.
• FIG. 6 shows an example embodiment of a more detailed report screen.
• FIG. 7 shows a user interface screen with a listing of test outcomes, in accordance with embodiments of the invention.
• FIG. 8 shows a display of related outcomes, in accordance with embodiments of the invention.
• FIG. 9 shows another user interface screen in accordance with embodiments of the invention.
• FIG. 10 shows another user interface screen in accordance with embodiments of the invention.
• FIG. 11 shows an example user interface window having additional test details, in accordance with embodiments of the invention.
• FIG. 12 shows a display of a rules listing, in accordance with embodiments of the invention.
• FIG. 13 shows a user interface screen that provides status information, in accordance with embodiments of the invention
DETAILED DESCRIPTION OF THE INVENTION
• Embodiments of the invention provide improved access to medical test results and documentation of the conditions under which tests were performed. These techniques may be especially applicable for tests that are performed repeatedly.
• One example of a condition that requires ongoing monitoring and repeated testing is diabetes. Diabetes is a name given to a class of conditions in which a patient exhibits elevated blood sugar levels, either because the patient's body does not produce enough of the metabolism-regulating hormone insulin, or because cells in the patient's body do not respond properly to insulin. Diabetes is increasingly prevalent in the United States and other parts of the world.
• The management of diabetes often involves frequent blood sugar measurements, and many patients use at-home blood sugar testing devices to take frequent instantaneous readings of their blood sugar levels.
• The patient's average blood glucose level over long periods of time, typically several months, is also reflected in the level of HbA1c hemoglobin in the patient's blood. Testing for HbA1c levels is more complex than testing for an instantaneous blood sugar level, and can be done using high performance liquid chromatography (HPLC) in a specialized testing machine. A patient may be tested several times per year and the resulting measured levels of HbA1c used as a check on how well the patient's blood sugar levels are being controlled.
• Because a particular patient may visit the same doctor or clinic many times, the same testing machine may be used to test blood from the patient over the course of many months or years. Previously, this information was reported to the doctor and placed in the patient's medical record. Obtaining a time history of test results from the patient's medical record may be time consuming and error-prone.
• In some cases, it may be desirable to correlate a particular test result with the conditions under which the test was run. For example, it may be desired for a particular test to know how recently the testing machine was calibrated before the test was run, a batch number for consumables used in the test, and other information. Previously, such a correlation would require searching calibration logs and other records maintained by the testing facility, and correlating them with patient records.
• In embodiments of the invention, the testing machine itself stores detailed records of tests, and enables retrieving test results by patient identification number and other parameters. The testing machine may also record maintenance and calibration information, consumable item serial numbers, and other information that enables efficient correlation of test conditions with patient test results.
• FIG. 1 shows amedical testing machine100 in accordance with example embodiments of the invention. Whiletesting machine100 is configured for testing blood samples for the level of HbA1c hemoglobin, it will be understood that the principles of the invention are applicable to testing machines used for other purposes as well.Vials101 containing blood sampled from patients are loaded intoracks102, which are then placed intotesting machine100 atinput location103.Vials101 are examples of containers for patient media, but in other kinds of tests, other kinds of containers may be used. An automated testing system withinmedical testing machine100 extracts a quantity from each vial in sequence, and for each sample performs HPLC to determine the level of HbA1c in the blood. When all of the vials in a rack have been tested, the rack is delivered out of the machine atoutput location104. A “STAT input”105 may be provided for initiating an out-of-sequence test. Placing a vial instat drawer105 causes the vial to be tested immediately, without having to wait for the vials previously placed atinput location103 to be processed.
• Test results and other information are shown on adisplay screen106, as is described in more detail below.Display screen106 may be any suitable type of display, for example a flat panel liquid crystal display (LCD).Display screen106 may also include a touchscreen, and serve as an input device for receiving inputs from the user ofmedical testing machine100.
• HPLC by its nature uses certain consumable materials, for example buffers and washing solution, andpackets107 of consumable materials may be periodically replaced inmedical testing machine100. The stationary media used in HPLC may also be periodically replaced.
• FIG. 2 shows avial101 in more detail. Eachvial101 is labeled with a machine-readable label201 carrying information about the sample. Many different label formats are possible.Example label201 includes apatient identifier202, which may be shown in human-readable form as well as in machine readable form such as inbarcode203.Label201 may also include anaccession number204. For the purposes of this disclosure, an accession number is any numeric, alphabetic, alphanumeric, symbolic, or other identifier unique to a particular media sample.Example accession number204 is an identifier unique to the particular media invial101. In some cases,multiple vials101 may have the same accession number, as is explained in more detail below.Accession number204 is also preferably shown in machine readable form such as inbarcode203. Because a particular patient may visit the facility wheremedical testing machine100 is used multiple times (or multiple samples from the patient may be sent to the facility), over a period of timemultiple vials101 may be labeled with the same patient number, but have unique accession numbers. In some cases, the sample in a particular vial may be tested more than once, as will be explained in more detail below.
• FIG. 3 shows a simplified block diagram of the architecture ofmedical testing machine100, in accordance with embodiments of the invention. Aprocessor301 generally controls the operation ofmedical testing machine100.Processor301 may be any suitable kind of microprocessor, microcontroller, digital signal processor, or other circuitry capable of performing the required functions.Memory302 may include different kinds of memory, alone or in combination, and stores a variety of digital information. For example,memory302 may include random access memory (RAM), read only memory (ROM), re-writable non-volatile memory such as flash memory, other kinds of memory, or any suitable combination thereof. In particular,memory302 includesmass storage303 for non-volatile storage of large quantities of information, for example the results of tests performed bymedical testing machine100.Mass storage303 may include magnetic disk storage, optical disk storage, solid state memory, other kinds of storage, or any suitable combination thereof.
• Memory302 preferably holds instructions that, when executed byprocessor301, causemedical testing machine100 to perform its intended functions.
• Medical testing machine100 includes avial handling mechanism304, for moving vials of patient samples through the system for testing. Avial reader305 reads information fromvials101. For example,vial reader305 may be a barcode reader that reads bar coded information such as patient andaccession numbers202 and204 from a label such aslabel201. In other embodiments, a different mechanism may be provided for obtaining information about a sample, for example a radio frequency identification (RFID) scanner, optical character recognition, or another suitable mechanism. In some embodiments, a user may enter information manually.
• Anextraction mechanism306 automatically, under control ofprocessor301, extracts blood from each vial in turn for testing, and delivers the samples to high performance liquid chromatography (HPLC)system307. In general, liquid chromatography involves introducing a small quantity of the sampled blood into the flow of a liquid medium, and passing the liquid medium through a stationary medium. Different components of the introduced blood will traverse the stationary medium at different speeds, due to their different interactions with the liquid and stationary media. The stationary medium is sometimes referred to as a “column”, although the stationary medium may not be arranged vertically. After a time, different components of the introduced blood sample will become separated within the column, and the separated components will arrive at the end of the column at different times. Asensor308 near the end of the column watches for indications that the different components are passing. The indications may be differences in color, refractive index, spectral absorption characteristics, pH, or other characteristics. A brief overview of chromatography is given in co-pending U.S. Provisional Patent Application No. 61/559,399, the entire disclosure of which is hereby incorporated by reference herein.
• The output ofsensor308 passes toprocessor301, which determines the result of the test. Results may be shown ondisplay screen106. Test results are stored inmass storage303, in association with other information such as the information read from the vial labels. In particular, a particular test result is stored in association with the patient identifier of the patient from which the tested media was sampled. Other kinds of information that are preferably included in the test information include the raw sensor output from the test, the time and result of the most recent calibration ofmedical testing machine100, serial numbers or other identifying information about the consumable items used in the test, and any retest rules that were in place at the time of the test. Other kinds of information may also be stored. For example, as is explained in more detail below, a particular test may not produce a numerical result, because of a problem with the sample or an irregularity in the particular test. In this situation, the outcome of the test may be that there is no numerical result to report. For the purposes of this disclosure, the term “outcome” encompasses test outcomes with or without numerical results.
• Whilemass storage303 is depicted inFIG. 3 as being internal tomedical testing machine100, other arrangements are possible, and it is intended that the appended claims encompass other arrangements. For example,mass storage303 may be external tomedical testing machine100 and connected tomedical testing machine100 by a cable or wireless interface. In some embodiments,mass storage303 may be in a different location thanmedical testing machine100 and connected tomedical testing machine100 through a computer network.
• Over time, aparticular testing machine100 may perform many thousands of individual tests, accumulating the test outcomes inmass storage303. Some patients may undergo multiple tests, so that the accumulated library of data inmass storage303 will include instances where multiple tests have the same patient identifiers. This collection of information enables a user to conveniently and quickly produce reports that have previously been difficult to produce.
• For example,testing machine100 may enable retrieval of test results and other information according to one or more filters.FIG. 4 shows an exampleuser interface screen400 that may be presented ondisplay screen106, enabling a user to specify criteria by which to recall stored test information. Among the criteria that may be used to retrieve stored test data is the patient identifier, as specified inarea401 ofscreen400. In this example, the patient can be identified by a patient ID number such as may be assigned by a particular health care facility, by name, by date of birth, or by other information or combination of information. The retrieval of results and other information is preferably performed under the control ofprocessor301, and is thus performed by a computerized retrieval system.
• In the example ofFIG. 4, a user has entered a patient ID number. Once the user indicates that the information is to be retrieved, for example by touching the “Apply Filter” location onuser interface screen400, a second user interface screen may be shown.
• FIG. 5 illustrates a seconduser interface screen500, in accordance with embodiments.Screen500 shows four test results that have been retrieved relating topatient 33333. In this example,patient 33333 has visited the clinic three times in the span of about six months. On the patient's second visit, the first attempt at testing the patient's blood sample was judged to be possibly erroneous, and the sample was tested a second time. Repeated tests are discussed in more detail below. The report shown inuser interface screen500 has been produced bymedical testing machine100, using data stored by and accessible tomedical testing machine100, and is thus produced quickly and efficiently.
• In some embodiments, additional detail about each test instance is stored, and can be retrieved for more detailed analysis. For example, a user may indicate that a more detailed report is desired for one of the test instances listed inFIG. 5. The indication may be done in any suitable way, such as touching or tapping twice ondisplay screen106 over the displayed record.
• FIG. 6 shows an example of a moredetailed report screen600. The detailed report screen may include such information as achromatogram601 of the output ofsensor308. InFIG. 6, apeak602 identified as representing HbA1c in the patient's blood has been highlighted inchromatogram601.Tabular information603 may also be presented, showing peaks identified in the output ofsensor308, and the corresponding blood components if known. Many other kinds of information could be presented.
• Inexample report screen600, the results presented inuser interface screen500 are also shown, but may be in acondensed format604. In this example, only two tests frominterface screen500 are shown at a time, but the complete listing is accessible using a scrollingbar605 or other suitable control, such as navigation buttons.
• According to another aspect, embodiments of the invention facilitate display and investigation of repeated tests. In this context, a repeated test occurs when the same sampling of patient media is tested more than once. Repeated tests can occur for any of a variety of reasons. For example, at the time a patient's blood is drawn, the phlebotomist may draw more than one vial of blood, in anticipation that more than one vial will be needed to supply all of the tests ordered for the patient. All of the vials will be labeled with the same patient identifier and/or accession number. Even though only one vial may be needed for a particular test, more than one vial may be inadvertently placed intesting machine100, resulting in multiple test results having the same patient identifier and accession number. After the first, any subsequent test results will be marked as repeated results. Preferably, the first result will also be marked as having been repeated, as is illustrated byicon606 shown inFIG. 6. In another example, repeated tests can occur even if only one vial of blood is drawn. One way this can occur is that the first test on the vial is irregular in some way.Testing machine100 may be programmed with a set of rules by which test results are evaluated for validity or other purposes. The rules may reflect expected characteristics of the particular test being evaluated. In one example,testing machine100 may expect that the area under the curve ofpeak602 will fall within a certain range. If the area measured in a particular test falls outside the expected range,testing machine100 may automatically repeat the test, on the assumption that some problem occurred during the test that could be corrected by a retest. For example, ifextraction mechanism306 failed to extract sufficient blood from a particular vial, resulting in a low area forpeak602, a re-test may be successful in extracting a better sample. In other cases, a technicianoperating testing machine100 may cause a vial to be retested.
• The results of repeated test may be of particular interest, in evaluating a patient's testing history, in verifying proper testing machine functioning, and for other purposes. According to embodiments,testing machine100 provides the capability to group sets of repeated tests for display and investigation.
• FIG. 7 shows auser interface screen700 with a listing of test results, in accordance with embodiments of the invention. In this example, the presented list has been filtered to show only results having HbA1c readings within a narrow range, but embodiments of the invention may work with lists filtered in any other way or not filtered at all. Thus, the example list ofFIG. 7 shows results from any different patients and many different vials. Some of the tests shown in the list are repeats of earlier tests, but the related tests may not necessarily show in the list if their results do not meet the current filter criteria. For example,test701 inFIG. 7 is recognizable asrepeat test501 shown inFIG. 5, but thecorresponding test502 does not appear inFIG. 7, becausetest502 did not fit the filter criteria used to generate the list inFIG. 7. Anotherrepeat test702 also shows inFIG. 7.
• A user oftesting machine100 may wish to investigate the circumstances of the repeat tests in more detail. By pressingicon703, the user can cause all of the related tests to be displayed, as shown inuser interface screen800 ofFIG. 8. Other kinds of user interface controls for causing a display of related repeat tests may be used as well.
• InFIG. 8,test result702 and itsrelated tests801 and802 have been snapped to the top of the displayed list and highlighted to emphasize that they are related repeat tests. This view reveals thattest702 was a repeat oftest801, and was again repeated intest802, and that the three tests all have the same accession number. This indicates that three vials from the same blood draw were placed intotesting machine100, likely unnecessarily. The HbA1c readings are very similar for all three, but two of the tests fell below the screening level used to generate the list inFIG. 7.
• Referring again toFIG. 7, should theuser touch icon704, a user interface screen such asscreen900 shown inFIG. 9 would appear, revealing that test701 (501) was a repeat oftest502 necessitated by the fact that a problem was detected withtest502. The user can get additional details in a manner similar to getting additional details from a test inuser interface screen500. For example, by tapping twice ontest501 inscreen900, or using some other user interface control, the user can call up a detail screen such asuser interface screen1000 shown inFIG. 10.Screen1000 reveals thatchromatogram1001 is unusually low in amplitude, such that the integrated area of not only the HbA1c peak but of the entire chromatogram is low. This indicates a possible problem with extraction of the sample, and not merely a low HbA1c reading for the patient.
• As before,medical testing machine100 can provide grouped results and result details because it maintains searchable records of tests it performs. Reports and screens such as those shown inFIGS. 7-10 can be produced quickly and easily, without a laborious search of patient files.
• According to another aspect,medical testing machine100 may provide detail about the state ofmedical testing machine100 at the time of any particular test. This capability provides traceability for test results, and may facilitate documentation of laboratory procedures as required by regulation. The level of detail available may be extensive, including calibration records, rules governing repeat testing, batch numbers of consumable items, and other information.
• In exampleuser interface screen1000, ascreen location1002 labeled “More Details” is provided. The user may touch or tap twice on this simulated button to access configuration data and other details indicating the state of testingmachine100 at the time the currently displayed test outcome was obtained (fromtest502 in this example).
• FIG. 11 shows an exampleuser interface window1100 having additional test details. Other formats and information content may be used. In this example,window1100 is a pop-up window overlaid onuser interface screen1000, but other kinds of user interface techniques may be used.
• User interface window1100 also provides a screen location1101 labeled “View Rules”. The user may touch this simulated button to access a listing of the rules that were in place at the time of the test for deciding when retests are necessary and the like. The rules listing may be presented on a user interface screen such asuser interface screen1200 shown inFIG. 12.
• Exampleuser interface screen1200 is a pop-up window overlaid onuser interface screen1000 andwindow1100, but other kinds of user interface techniques may be used. Because the rules information is stored and accessed bymedical testing machine100, it can be recalled quickly and easily, without the need to consult calibration logs or other paper documentation. Other user interface screens may enable a user to modify the rule set, and after each modification, subsequent tests are automatically associated with the rule set in place at the time of each test. Similarly, calibrations times are automatically noted and associated with subsequent tests.
• According to another aspect, a medical testing machine according to embodiments provides enhanced status information to the user of the machine about the progress of testing. For example, medical testing machine may require as much as 45 to 90 seconds to process each vial. In order to plan his or her activities in the testing lab, a user ofmedical testing machine100 may wish to know when a particular test will complete, whenmedical testing machine100 will be ready to accept more racks of vials for testing, or other information about the testing status.
• FIG. 13 shows auser interface screen1300 that provides status information, in accordance with embodiments of the invention.User interface screen1300 may show ondisplay screen106 while testing is in progress. Inexample screen1300, the current rack number andposition1301 of the vial being processed are displayed, enabling the user to quickly determine how long it may be until more samples will need to be loaded intotesting machine100. Ananimated counter1302 counts down the time remaining in the test currently underway. Anarrow1303 or shaded feature may rotate around counter1302 to indicate that testing is progressing. For example,arrow1303 may rotate about once per second, or at another suitable speed.
• User interface screen1300 also shows at1304 the current levels of consumable materials remaining intesting machine100, for example buffers and wash solution, and also indicates at1305 how much of the expected life of the stationary media has been used.
• While embodiments of the invention have been described above in the context of a machine that tests blood for levels of HbA1c hemoglobin using HPLC, it is to be understood that the claims are not so limited, and that the principles of the invention may be embodied in other kinds of testing machines that perform different tests on other fluids, tissue, or other patient media. It is to be understood that all workable combinations of the features and capabilities described herein are also considered to be disclosed. For example, medical testing machine embodying the invention may include any one, any combination, or all of the features and capabilities described above.
• The invention may also be embodied in a system or method that operates independently of any particular testing machine. For example, a health care facility may store patient records in electronic form, including the outcomes of tests performed by one or more testing machines. This library of test outcomes can include one or more sets of the test outcomes in which each outcome in a respective set results from testing of the same respective media sample. The facility may use a computerized retrieval system separate from any particular testing machine to retrieve the test outcomes. As in a method performed by the example testing machine discussed above, the system can identify such sets and display the outcomes in each set as a group. The sets may be recognized as having a common accession number, or by other techniques. The test outcomes in a set may displayed as a group regardless of whether one or more of the grouped test outcomes would otherwise be omitted from being displayed by a data filter in place at the time the group display is requested. Such a method may be applied to the outcomes of a test that measures the level of HbA1c hemoglobin in blood, or the outcomes of other tests.
• The invention has now been described in detail for the purposes of clarity and understanding. However, it will be appreciated that certain changes and modifications may be practiced within the scope of the appended claims.

Claims (19)

What is claimed is:

1. A user interface for a medical testing machine, the medical testing machine comprising a testing system that performs a medical test on media sampled from patients, each test instance having an outcome, and the medical testing machine storing the test outcomes in a storage system along with other information about each test instance, the user interface comprising:

a number of user-selectable tabs at a top of a first displayed user interface screen, the tabs including a first tab that when selected causes to be displayed a second user interface screen with controls for recalling and displaying stored test instance outcomes, and the tab including a second tab that when selected causes to be displayed a third user interface screen that can present information about the performance of a particular test instance;

wherein the controls displayed on the second user interface screen include controls for selecting a number of filters to be applied, alone or in combination, to the stored test instance outcomes before display, the filters including a patient ID filter that limits displayed test instance outcomes to those associated with a particular patient number, an accession number filter that limits the displayed test instance outcomes to those associated with a particular accession number, a result value filter that limits the displayed test instance outcomes to those having a particular result value or a result value falling within a specified range, and a date filter that limits the displayed test instance outcomes to those resulting from tests performed within a specified date range.

2. The user interface ofclaim 1, wherein the user interface further comprises a fourth user interface screen on which the filtered outcomes are displayed.

3. The user interface ofclaim 2, wherein at least one of the displayed test instance outcomes is the result of a repeated test, and the fourth user interface screen displays a repeated test icon in association with the displayed outcome of each displayed repeated test.

4. The user interface ofclaim 3, wherein the fourth user interface screen also displays an indication of the reason for the repetition of each displayed repeated test.

5. The user interface ofclaim 3, wherein the repeated test icon is selectable by a user of the medical testing machine, and when the repeated test icon is selected, the user interface causes to be displayed a list of all of the test instances related to the test instance for which the repeated test icon is displayed.

6. The user interface ofclaim 5, wherein all related test instances are included in the list regardless of whether any of the related test instances would otherwise be omitted from display by a filter in place at the time of the display.

7. The user interface ofclaim 5, wherein the related test instances are displayed consecutively regardless of whether they would otherwise be displayed consecutively based on the filters in use at the time of the display.

8. The user interface ofclaim 2, wherein each of the displayed test instance outcomes is selectable, and when one of the displayed outcomes is selected, the user interface causes to be displayed additional information about the selected test instance.

9. The user interface ofclaim 8, wherein the medical testing machine is configured to perform high performance liquid chromatography, and the additional information includes a chromatogram resulting from the selected test instance.

10. The user interface ofclaim 9, wherein the medical testing machine is configured to test for the level of HbA1c hemoglobin in a blood sample, and wherein a peak of the chromatogram corresponding to HbA1c is highlighted.

11. The user interface ofclaim 8, wherein the user interface screen displaying the additional information includes a user interface control that when selected causes to be displayed additional details of the selected test instance.

12. The user interface ofclaim 11, wherein the displayed details include an indication of the time and date of the most recent calibration of the medical testing machine.

13. The user interface ofclaim 11, wherein the displayed details include a lot number of a consumable item used in the medical test instance.

14. The user interface ofclaim 11, wherein the additional details are displayed in a pop-up window overlaid on the user interface screen that displays the additional information.

15. The user interface ofclaim 14, wherein the user interface can also display a summary of rules in place at the time of the displayed medical test instance.

16. The user interface ofclaim 15, wherein the rules are displayed in a pop-up window overlaid on the pop-up window that displays the additional details.

17. The user interface ofclaim 1, wherein the third user interface screen displays a timer indicating the amount of time remaining until completion of the particular test instance.

18. The user interface ofclaim 1, wherein the third user interface screen displays an indication of the remaining amount of a consumable item used by the medical testing machine.

19. The user interface ofclaim 1, wherein the tabs include a tab that when selected causes to be displayed a screen that facilitates calibration of the medical testing machine.

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