Method of ensuring safety of transfusing components of preserved donated blood

FIELD: medicine.

SUBSTANCE: invention relates to transfusiology and is intended for application in medical institutions in planning and transfusion to patient of preserved donated blood components. Method is realised with application of bar-coding technology, with formation of unified information and technological system, where databank of patients who have transfusions of donated blood components in anamnesis is maintained; transfusion plan, with respect to which available components of donated blood are estimated, is composed in accordance with operation plan, and request is sent to blood centre for missing volume of donated blood components, data about obtained blood components are automatically included into medical information system.

EFFECT: ensuring safety of transfusion of donated blood components.

7 cl, 18 dwg

 

The invention relates to medicine, namely to transfusion medicine, and is intended for use in medical institutions in the planning and transfusion to the patient (recipient) canned components of donor blood.

It is known that one of the problems of clinical Transfusiology are different kinds of mistakes of medical staff in the planning and transfusion of donor blood components. In some cases, a transfusion of donor blood components is an emergency lifesaving procedure, when the patient is unable to identify himself or herself. As a result of the so-called "human factor" even a properly selected for one patient component of donor blood can be transfused to another patient with the development of severe health consequences including death.

The current instructions for use of blood and blood components [order of the Ministry of health of the Russian Federation from January 9, 1998 No. 2 "On approval of instructions immunoserology", the order of the Ministry of health of the Russian Federation of 25 November 2002 No. 363 "On approval of instruction on the use of blood components"] does not give an accurate description of the mechanism of identification of the blood sample of the patient, containers (packages) of donor blood components sobstvenno patient in the hospital.

This problem is in some degree settled in the way of quality assurance of blood components with the use of bar codes [RF Patent №2129882, AM 1/38, publ. 10.05.1999 G.], in which the donor in the establishment of blood storage is selected stamps with the number of donations. The set of stamps is prepared in advance for a specified period of time. After separation of blood in a centrifuge each container obtained in the separation of blood component is marked with its own brand.

However, this method is suitable and can be used only for procurement and fabrication of donor blood components, the selection of suitable goods and does not solve problems of clinical transfusion medicine to ensure the safety of the transfusion the patient of donor blood components that are not compatible blood group ABO system, the RH supplies and antigens of the RH.

The closest technical solution to the claimed is a publication on the application of information technology in blood transfusion services and clinical Transfusiology [Zingerman B. V. Information technology in blood transfusion services. In the book: Essays on production and clinical Transfusiology. M: "yudiamed; 2006: 28-39], which describes a way of ensuring transfusion safety canned components of blood, including the procedure of assigning unicollegerepublicans number (UIN) when registering the patient on the medical record and the individual bracelet in digital form and in the form of a barcode, a blood sample of a patient into a test tube (tube), which is marked with adhesive labels corresponding to the bar code of the patient, further defines the components of a patient's blood and the results are entered into the database of the medical information system (MIS), the component parameters of blood are applied to the label by assigning a bar code and also stored in the database, the selection of donor blood sample of the patient, in the case of compatibility of components, printed labels with bar code and all the information about the patient and the blood, barcode individual wrist bracelet of the patient and labels compatibility component of blood used directly at the patient's bedside or in the operating room for control of the conformity of the package component of donor blood and the patient.

The disadvantages of this method lie in the fact that not maintained database of patients with a history of transfusion of donor blood components, the selection of blood components is not accounted for transfusion and obstetric history of the patient, not specified definition of alloantigen in the serum of the patient (recipient) that prevent timely refer the patient to a dangerous recipients and taken into account when conducting tests for compatibility, also not described selection of blood for newborns and children, there is no possibility of combining one con�of anera (package) on several patients and finding it in the blood Bank of a medical institution, not secured by way of planning when the need for transfusion in routine, especially an emergency operation, no stocks of donor blood components and system operational inventory management, there is no ordering system of transfusion, the data about the components of blood are entered manually into the information system, and a lot of similar monochrome barcode package mislead medical personnel when conducting a blood transfusion.

The technical result of the claimed invention is to ensure the safety of transfusion of donor blood components by preventing the transfusion of donor blood components to the patient, not a compatible blood group ABO system, the RH supplies and antigens of the RH blood, removing the possibility of committing medical errors, reducing the complexity, optimization and maintenance of reliability of work of medical personnel in the planning and transfusion of donor blood components.

The technical result is achieved in that in the method of ensuring transfusion safety canned components of blood, including the use of technology barcoding for the identification of containers (packages) with the components of blood and patients through a comparison of the bar code labels compatible�STI component of blood and the barcode individual bracelet to the patient during the transfusion, with the formation of a unified information technology system, what is new is that keep a database of patients with a history of transfusion of donor blood components, according to the operational plan are automatically transfusion plan against which to assess components of donor blood and send a request to the blood center for missing volume of donor blood components, data components obtained blood falls automatically into the medical information system, and in the blood transfusion Department store a reserve of donor blood components for emergency situations, when planning and/or need for transfusion to the patient donor blood component, doctor Transfusiology using the bar code scanner reads the bar code from the label of the container with a component of donor blood, medical information system according to the number contained in the barcode, finds the data of the selected container and displays them on the monitor, in line with the information found on donor blood component includes the word-hyperlink, when clicked, displays a window containing information about patients of a medical institution corresponding to the given container (component of blood), select the patient, who plan to this component transfused donor blood the system automatically re-compares data SEL�x component of donor blood and the patient, if there is a mismatch of at least one of the data displays a warning sign, and if the automatic comparison data match, then display a confirmation label and printed label compatibility component of blood, one container can be combined on multiple patients and be in a blood Bank needs to, after each transfusion of donor blood components the doctor fills in the medical information system Protocol transfusion of blood components previously supplied to the reserve on the patient components of donor blood substitute in the list of suggested values of the row selection on passport data of the container with transfusion environment, the doctor chooses is already used for transfusion package and information about it is automatically added to the Protocol, advanced Protocol enter information about the patient's condition before, during and after the transfusion of blood and its components at the time of preservation Protocol component of blood automatically write off the expense of the patient and mark it in blood Bank of the medical information system as transfused for each patient automatically form the sheet registration transfusion transfusion environments, after transfusion of donor blood components doctor automatically generates a log of transfusions of donor blood components and from�em bought and spent on patient components of donor blood, thus before subsequent transfusion produce additional blood sample from the patient and identification of components.

And additionally maintain records and tracking of the blood Bank in the hospital with the help of the software.

And also the fact that the label component compatibility of blood and the main label of the container component of donor blood have a different color.

And also the fact that the transfusion plan specify patient data, blood group, rhesus factor, antigens of the RH, the presence of antibodies, the type of operation, and rooms operating room and prioritization of the patient, data on the preoperative level of hemoglobin, hematocrit and platelets.

And that information obtained about the components of donor blood for any period of time is discharged in the format of logbooks about the records of receipt and issue of donor blood components.

And also the fact that the label component compatibility of blood after transfusion is not removed from the container, and the container transfused transfusion environment with small balances transfusion environment stored in the refrigerator up to 48 hours.

And also the fact that in the registration page of transfusion of transfusion media display data about the components of the donor blood volume, the code of the donor, name of the doctor who performed a blood transfusion.

These �of Tricia allow to make a conclusion about conformity of the proposed technical solution the criterion of "novelty". The features distinguishing the claimed method from the prototype, not identified in other technical solutions in the study of this and related areas of medicine and, therefore, provide the claimed solution to the criterion "inventive level".

The invention is illustrated by drawings. Fig.1 shows the working window IIAs "CORDIS", Fig.2 - workplace nurses treatment room, Fig.3 - mode "Operating day", Fig.4 - transfusion plan, Fig.5 - request for blood components sent to the blood Center, Fig.6 - upload the file with the information obtained about the components of donated blood in IIAs "CORDIS", Fig.7 - working window with information about the components available in the blood Bank Centre, Fig.8 - mode "Reports", which shows the formation of the books of account of the income of donor blood components" for a selected period of time, Fig.9 - read by the bar code scanner of the package of Fig.10 - a window with the list of patients of a hospital, Fig.11 is a window with a warning about the incompatibility of the parameters of the package and the patient, Fig.12 - a window with information about the compatibility of the parameters of the package and the patient, Fig.13 - the icon labels in the line with information about the combined package of Fig.14 - label compatibility on the package with a component of blood, Fig.15 - minutes of the transfusion of blood components, Fig.16 - sheet registration overflow�of transfusion environments Fig.17 - example of log sheet transfusion transfusion environments, Fig.18 - example of map clinical-economic accounting.

The claimed method is as follows.

Each patient (potential recipient) on admission to hospital during the course of the registration procedure is assigned a unique identification number (UIN), which is printed on the front side of the patient's medical card and at the individual patient bracelet in digital form and in the form of a barcode. If necessary component transfusion of donor blood from the patient to determine the blood group systems ABO, RH affiliation, the antigens of the RH, allintitle in the serum. The tube (tube) blood specimen of the patient mark the barcode, similar to ween the patient. The results of the determination are entered into the database of the medical information system (MIS) treatment facilities.

The parameters of donor blood components (name, blood group ABO, RH affiliation, the antigens of the RH, if donor blood component assumes their availability, cost, and a unique identification bar code according to GOST R 52938-2008 "Blood donor and its components. Containers of blood or its components. Marking") are applied at the label of the container in an institution maintained by a�future of the workpiece, processing, storage and safety of donor blood (blood Center), and stored in its database. These data in electronic form can be received through the communication channels or on removable storage media (flash card) together with the components of blood and recorded in the MIS database hospital. In the future, the barcode label of the container of a component of blood used to identify and search for information about the blood donor database medical institutions.

When planning and/or need for transfusion to the patient donor blood component using the bar code scanner reads the bar code from the label of the container with a component of donor blood. MIS decoded by a bar code finds the data of the selected container and displays them on the monitor. In line with the information found on donor blood component includes the word-hyperlink "Combine". When you click on it with the mouse pointer on the monitor screen a window appears, containing in alphabetical order of surname, names, patronymics, dates of birth, and medical records of patients of medical institutions, corresponding to the given container (component of blood) blood group systems ABO, RH and antigens of the RH. Patient selection, which you plan to transfer this to�ponent of blood, click the mouse pointer on its name. At this point, MIS re automatically compares the data of the selected component of donor blood and the patient, namely the blood group systems ABO, RH supplies, the antigens of the RH blood. If any one of these component data of donor blood and the patient does not match, then on the screen appears a warning written in red "This component of blood is not suitable for the selected patient!". Thus any further action with this package donor blood component relative to the selected patient becomes impossible.

If the result of the comparison component of donor blood and the patient is successful, on the screen appears green "interoperability testing was successful! Continue? YES. NO. When you click on "YES" next to the information about the previously selected component of blood there is an icon that, when clicked, the printer prints the label compatibility component of blood that contains the name and initials of the patient for whom it is intended the selected component of donor blood, medical card room, the blood group systems ABO, RH affiliation, the antigens of the RH of the patient, the date and time of the training component of blood, surname and initial�Aly employee prepared component of blood for clinical use, and one container can be picked up on a few patients and is in the hospital blood Bank medical institutions to the needs of one or another patient. The label has excellent compatibility from the main label package color, printed on paper with adhesive backing and is attached to the container component of donor blood. As a result, each participant, providing hemotransfusion therapy, knows who is a particular container.

Verifying the bar code on the label component compatibility of donor blood and the barcode of the individual patient bracelet is a mandatory element of compliance of the component's container of donated blood to the patient. The use of specific mobile terminals with built-in bar-code scanners to verify their identity.

Example 1. Information support of the process of transfusion therapy in the medical information system "CORDIS"

When you log in to the IIA "CORDIS" Federal center for cardiovascular surgery of Ministry of health of Russia (Krasnoyarsk) (hereinafter - the Center) physician enters his username and password by which the system identifies specialist. Each employee of the Center include individual rights� access in accordance with his responsibilities and position. They are displayed in the left part of the workspace (Fig.1), which also has pointers-hyperlinks to news Center, shared documents and information about system updates.

At the time of admission to the Center cardiologist at the reception in the clinic discovers transfusion and obstetric history of the patient, fills in MIS formalized Protocol of examination and determination of blood group and RH affiliation.

The blood sample is procedural nurse. Patient identification is a bar code printed on the medical card and/or individual patient bracelet. Blood samples (tube/tube) are marked with adhesive labels corresponding to the bar code of the patient (Fig.2).

Next, the doctor determines the blood group of the patient ABO, RH affiliation, the antigens of the RH, the presence of alloantigen in the serum. The results are logged in the electronic medical history of the patient IIAs "CORDIS".

When planning the use of blood components in the course of performing routine surgery attending physician of the patient in the IIA regime "CORDIS" "Operating day" (Fig.3) indicates the type and the required amount of donor blood components, based on the severity of the patient's condition, the amount of the forthcoming operation and planning�creating post-operative management of the patient.

On the basis of an operational plan for employees of the Department of blood transfusion (MIC) is formed by "Transfusion plan" (Fig.4), with indication of the patient, blood group, RH supplies, antigens of the RH, the presence of antibodies, the type of operation, and rooms operating room and prioritization of the patient. It also presents data on the preoperative level of hemoglobin, hematocrit and platelet count on the basis of which we can assume the probability of the use of blood components for a particular patient. On the basis of transfusion plan physician DIC evaluates existing number of blood components in blood Bank of the MIC.

With a lack of desired blood components doctor DIC is a request (Fig.5) in the Center of the blood to replenish the blood Bank Center. The application is made on paper (invoice) and sent electronically to the email address blood Center.

Obtaining and transportation of donor blood components is carried out only by medical personnel of the defence industry. In addition to the paper version of the invoice nurse gets on a flash-card electronic version of the invoice with all the data obtained about the components of donated blood, which was incorporated in the automatic mode to the subsystem "Accounting for blood" MIS "CORDIS" (Fig.6). Thus, the elimination of free�tsya manual input of the information of the containers (packages) of donor blood components in the log and blood components immediately after transport placed in the recommended temperature conditions for storage or directly prepared for clinical use. At the same time updated information about the components available in the blood Bank Center (Fig.7).

Information obtained about the components of donor blood for any period of time can be uploaded in the format of a log Book of records of receipt and issue of donor blood components" (Fig.8).

When planning and/or need for transfusion to the patient component of donor blood doctor Transfusiology of the MIC using the bar code scanner reads the bar code from the label of the package with a component of the blood (Fig.9). MIS the number contained in the barcode, finds the data of the selected container and displays them on the monitor. In line with the information found on donor blood component includes the word-hyperlink "Combine" (Fig.7). When you click on it with the mouse pointer on the monitor screen a window appears, containing in alphabetical order of surname, names, patronymics, dates of birth, and medical records of patients of medical institutions, corresponding to the given container (component of blood) blood group systems ABO, RH and antigens of the RH (Fig.10). Patient selection, which is scheduled Perel�this component you donated blood click the mouse pointer on its name. At this point, the medical information system running automatically compares the data of the selected component of donor blood and the patient, namely the blood group systems ABO, RH supplies, the antigens of the RH blood. If any one of these component data of donor blood and the patient does not match, the screen of the monitor window appears with the warning "This component of blood is not suitable for the selected patient!" (Fig.11). Thus, any further action with this package donor blood component relative to the selected patient becomes impossible.

If automatic comparison data match, then on the screen appears green "interoperability testing was successful! Continue? YES. NO" (Fig.12).

When you click on "YES" next to the information about the previously selected component preserved donor blood icon labels (Fig.13), when clicked, the printer prints a label component compatibility of donor blood.

Label compatibility (Fig.14) contains the name and initials of the patient for which the selected component is preserved donor blood, medical card room, the blood group systems ABO, RH and�ness, the antigens of the RH of the patient, the date and time of the training component of the blood, the name and initials of the physician-Transfusiology, which produced a component of blood for clinical use, and the bar code of the patient's Center.

Label compatibility component of the blood is different than the main label of the package component donor blood color, printed on paper with adhesive backing and is attached to the container (package) component of donor blood. As a result, each participant, providing hemotransfusion therapy, knows who is meant one or the other container component of donor blood. Different color information display and label compatibility designed to attract the attention of staff in the planning and transfusion of blood components.

The bar code of the individual patient bracelet and labels compatibility component of blood used directly at the patient's bedside or in the operating room for control of the conformity of the package component of donor blood and the patient.

Label compatibility component of blood after transfusion is not removed from the container. Container transfused transfusion environment with small balances transfusion environment stored in the refrigerator up to 48 hours, in case of patients with long-term side reactions check�ti investigation and control date of transfusion environment. As a result of the presence of the label compatibility is ensured traceability of the use of donor blood component and patient identification.

After each transfusion of donor blood components doctor Transfusiology fills in IIAs "CORDIS record of transfusion of blood components (Fig.15). Previously delivered to the reserve on the patient components of donated blood is added to the list of suggested values of the row select "Passport data of the container with the transfusion." Doctor Transfusiology choosing already used for transfusion bag, and information about it is automatically added to the Protocol without handwriting data. Additionally, the logged information about the patient's condition before, during and after the transfusion of blood and its components.

At the time of preservation Protocol component donor blood is automatically debited to the expense to the patient and marked in blood Bank "blood" of IIAs as transfused. This provides a personalized account of the use of donor blood components traceability from donor to patient.

Each patient is automatically generated "Sheet registration transfusion transfusion environments" (Fig.16), which shows data about the components of the donor blood volume, the code of the donor, name of the doctor-Transfusiology, performed the blood transfusion

The information provided helps with repeated blood transfusions, as well as to specialists in other hospitals during hospitalization to refer a patient for transplant recipients and to exercise caution in subsequent transfusions.

After transfusion of blood components the doctor fills the Log transfusions of donor blood components". In MIS "CORDIS" it is generated automatically. To do this, in the mode of "Reports" (Fig.8) the physician chooses the report Log transfusions transfusion environments" and generates a report for the required period of time. The generated report is unloaded in Microsoft Excel (Fig.17).

Also automatically generate a Map report clinical and economic accounting" on purchased and spent on patient components of blood (Fig 18).

Example 2. Transfusion of donor blood components in adult patients.

If necessary transfusion of donor blood component nurse Department conducts a blood sample of a patient into a test tube (tube). The tube (tube) is labeled with a label with a bar code and is delivered to the defence industry. Doctor Transfusiology DIC identifies the patient by barcode of the tube, watching the transfusion history of the patient, the presence of antibodies using MIS medical institutions.

Doctor Transfusiology MIC � depending on the indications for transfusion selects from the blood Bank required component of blood and using the bar code scanner reads the bar code from the label of the container with a component of donor blood. MIS the number contained in the barcode, finds the data of the selected container and displays them on the monitor screen. In line with the information found on donor blood component includes the word-hyperlink "Combine". Click on the mouse and on the screen a window appears, containing in alphabetical order of surname, names, patronymics, dates of birth, and medical records of patients of medical institutions, corresponding to the given container (component of blood) blood group systems ABO, RH and antigens of the RH. Patient selection, which will be used for this component transfused donor blood, produced by clicking of your mouse on his name. At this point, MIS re automatically compares the data of the selected component of donor blood and the patient (recipient) blood group ABO system, the RH supplies, the antigens of the RH blood person.

If automatic comparison data match, then on the screen appears green "interoperability testing was successful! Continue? YES. NO. Click on "YES" next to the information about the previously selected component of blood, icon label, when clicked, the printer prints the label compatibility component of blood.

Under�otaplivaet component of blood for clinical use.

At the bedside of the patient carried out a comparison of the barcodes of the individual patient bracelet and label component compatibility of donor blood. Spend transfusion.

Fill the Protocol transfusion blood component in the electronic health record of the patient IIA, registering data of the patient's condition before, during and at the end of the transfusion. In the list of suggested values, string selection "Passport data of the container with transfusion environment" choose component transfused donor blood. Save the Protocol.

In the mode of "Reports" IIA choose "Log transfusions of donor blood components and produces a report for the required period of time. Print out the report, sighting his signature.

Example 3. Transfusion of donor blood components for children.

If necessary transfusion of donor blood component children nurse Department conducts a blood sample of a patient into a test tube (tube). A blood sample is labeled with a label with a bar code. The tube is delivered to the blood transfusion Department (OPK). Doctor Transfusiology DIC identifies the patient by barcode of the tube, watching the transfusion history of the patient, the presence of antibodies using a medical information system (MIS) treatment facilities.

Doctor Transfusiology MIC picks from the Bank CRO�and required component of blood, depending on the indications for transfusion. Using the IIA conducts sorting components by the expiry date, selects the most recent component and using the bar code scanner reads the bar code from the label of the container. MIS the number contained in the barcode, finds the selected data packet and outputs them to the monitor. In line with the information found on donor blood component includes the word-hyperlink "Combine". Click on it with your mouse pointer and the screen of the monitor window appears, containing in alphabetical order of surname, names, patronymics, dates of birth, and medical records of patients of medical institutions, corresponding to the given container (component of blood) blood group systems ABO, RH and antigens of the RH. Patient selection, which will be used for this component transfused donor blood, produced by clicking of your mouse on his name. At this point, the medical information system running automatically compares the data of the selected component of donor blood and the patient, namely the blood group systems ABO, RH supplies, the antigens of the RH blood person.

If automatic comparison data match, then on the screen appears green "interoperability testing was successful! Continue? YES. NO. Press "YES" opposite John�ormatie of the previously selected component canned donated blood icon of the label, when clicked, the printer prints the label compatibility component of blood.

Prepare component of blood for clinical use.

At the bedside of the patient carried out a comparison of the barcodes of the individual patient bracelet and labels compatibility component of blood. Spend transfusion.

Fill the Protocol transfusion blood component in the electronic health record of the patient IIA, registering data of the patient's condition before, during and at the end of the transfusion. In the list of suggested values, string selection "Passport data of the container with transfusion environment" choose component transfused donor blood. Save the Protocol.

In the mode of "Reports" IIA choose "Log transfusions of donor blood components and produces a report for the required period of time. Print out the report, sighting his signature.

The proposed method of using the technology of bar coding to identify the containers with the components of blood and patients (recipients) through a comparison of the bar code of the container with gamecomponents and barcode individual bracelet to the patient during blood transfusion forms a single information technology process, ensuring the safety hemotransfusion t�therapy].

Software control and warning employees about the possibility or the inadmissibility of the transfusion of donor blood components to the patient reduces medical errors, reduces labor costs and increases the speed of rendering hemotransfusion therapy while maintaining its quality. The result of the proposed solutions is to increase the efficiency hemotransfusion therapy and reduce the incidence of complications and lethal outcomes in transfusion of donor blood components that are not compatible blood group ABO system, the RH supplies and antigens of the RH blood person.

1. The way to ensure transfusion safety canned components of blood, including the use of technology bar-coding to identify the containers with the components of blood and patients through a comparison of barcode labels compatibility component of blood and the barcode individual bracelet to the patient during blood transfusions with the formation of a unified information technology system, characterized in that keep a database of patients with a history of transfusion of donor blood components, according to the operational plan are automatically transfusion plan against which to evaluate available components donors�Oh the blood and sends a request to the blood center for missing volume of donor blood components, data obtained blood components are automatically in a medical information system, and in the blood transfusion Department store a reserve of donor blood components for emergency situations, when planning and/or need for transfusion to the patient component of donor blood, medical doctor, Transfusiology using the bar code scanner reads the bar code from the label of the container with a component of donor blood, medical information system according to the number contained in the barcode, finds the data of the selected container and displays them on the monitor, in line with the information found on donor blood component includes the word-hyperlink, when clicked, a window appears that contains information about patients of a medical institution corresponding to the given container (component of blood), select the patient, who plan to this component transfused donor blood, the system again automatically compares the data of the selected component of donor blood and patient mismatch, at least one of the data displays a warning sign, and if the automatic comparison data match, then display a confirmation label and printed label compatibility component of blood, one container can be combined on multiple patients and be in the blood Bank needs to, after each transfusion of donor blood components the doctor fills in the medical information system Protocol transfusion of blood components previously supplied to the reserve on the patient components of donor blood substitute in the list of suggested values of the row selection on passport data of the container with transfusion environment, the doctor chooses is already used for transfusion bag, and information about it is automatically added to the Protocol, advanced Protocol enter information about the patient's condition before, during and after the transfusion of blood and its components, at the time of preservation Protocol component of blood automatically write off the expense of the patient and mark it in blood Bank of the medical information system as transfused for each patient automatically form the sheet registration transfusion transfusion environments, after transfusion of donor blood components doctor automatically generates a log of transfusions of donor blood components and report on acquired and spent on patient components of donor blood, before subsequent transfusion produce additional blood sample from the patient and identification of components.

2. A method according to claim 1, characterized in that it further keep a record and track blood Bank in the hospital with programmng� components.

3. A method according to claim 1, characterized in that the label compatibility component of blood and the main label of the container component of donor blood have a different color.

4. A method according to claim 1, characterized in that the transfusion the plan specify patient data, blood group, rhesus factor, antigens of the RH, the presence of antibodies, the type of operation, and rooms operating room and prioritization of the patient, data on the preoperative level of hemoglobin, hematocrit and platelets.

5. A method according to claim 1, characterized in that the information obtained about the components of donor blood for any period of time is discharged in the format of logbooks about the records of receipt and issue of donor blood components.

6. A method according to claim 1, characterized in that the label compatibility component of blood after transfusion is not removed from the container, and the container transfused transfusion environment with small balances transfusion environment stored in the refrigerator up to 48 hours.

7. A method according to claim 1, wherein the sheet registration transfusion of transfusion media display data about the components of the donor blood volume, the code of the donor, name of the doctor who performed a blood transfusion.



 

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24 cl, 17 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to technology of automatic selection of extra data, for example, ad, guide data, extra data, data on operating performances. Thus, processing, storage and/or transmission resources can be saved. This device for automatic selection of extra data to be included in content comprises classifier connected with user profile and selection means connected with extra data base. Extra data of definite category is placed in appropriate or contrasting context depending on used interest in thus goods category. Profiles of user are automatically classified as profiles with either pronounces or weak interest in this category.

EFFECT: adapted selection of extra data to be included in the content for twofold decrease in total volume of extra data.

11 cl, 2 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention describes a system, an apparatus and a method of processing payment transactions performed using a mobile device having a contactless component, such as a microchip. The method is carried out using a wireless (cellular) network as a channel for transmitting data by an issuer to a mobile device, which is particularly advantageous in cases when the contactless component has no communication with a reading device or a point of sale terminal in which a near-field wireless communication means is used. Data transmitted between the mobile device and the issuer may be encrypted or decrypted to provide additional security and protection of data from access by other users or applications. If encryption keys are used for encryption or decryption, the keys may be allocated by a key allocation server or another suitable object through a mobile gateway which participates in data encryption and decryption operations.

EFFECT: invention enables to update, correct or synchronise data on operations, which are supported by an issuer, with data stored in the device.

27 cl, 6 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to prompting message update for a network client device user. The method includes: determining, by a client device, the number of update prompting symbols according to the number of updated messages provided by a server; generating the update prompting symbols according to the determined number of prompting symbols; adjusting state parameters of the generated update prompting symbols; displaying the update prompting symbols according to the adjusted state parameters on the display of the client device; determining if at least one updated message has been viewed, and if it is determined that neither of said updated messages is viewed, updating, by the client device, adjusted state parameters, otherwise changing the number of updated messages according to the determined number of viewed messages.

EFFECT: high efficiency of prompting message update to a network client device user.

13 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical monitoring. Method contains stages, at which: with application of medical device (10) in time interval obtained are patient's data which contain patient's data (50) before the interval, followed in time by time interval (52), during which patient's data are not obtained, and following in time patient's data (54) after said interval; received are one or more recordings (56, 58) of patient's ID with time labels, associated with obtained patient's data; information of first patient's ID is associated with patient's data before interval; and information of second patient's ID is associated with patient's data after interval; operations of association are based on time positions of one or more recordings (56, 58) of patient's ID with time labels, associated with patient's data, relative to time interval, with operations of association being performed by digital processor.

EFFECT: reduction of patient's data loss, as well as of medical mistakes, conditioned by ambiguity of patient's identifier (ID).

12 cl, 5 dwg

FIELD: personal use articles.

SUBSTANCE: method of virtual selection of clothes is performed based on at least two photos of the body of the subject dressed in a elastic template with the reference marking. When computer processing of photos, a mathematical three-dimensional model of the subject's body is obtained, which is entered into a database under its identification number, available to the buyer, the seller and the manufacturer of clothing. The method is suitable for the selection of clothes to both humans and animals. The individual graphic elements of a certain shape are applied on the elastic template with the reference marking, based on the measured ratio between which the three-dimensional model of the subject's body is formed. The models of clothes are selected from the databases of clothes, which match the parameters of the three-dimensional model of the subject. The consumer gets the three-dimensional images of its body in selected models of clothes on the computer screen.

EFFECT: creation of a virtual three-dimensional dummy with the individual proportions of the subject, selection of clothing suitable in size and type of figure from the databases from different manufacturers.

7 cl, 9 dwg

FIELD: electricity.

SUBSTANCE: proposed device comprises: universal time source, memory unit, a group of digital sensors for voltage parameter, the first group of filters averaging against number of digital sensors in the group, a group of subtracting units, a group of threshold units, a unit identifying a digital sensor for voltage parameter in the group corresponding to maximum parameter increment, OR element, single-trip multivibrator, timer and memory register, a unit calculating average distance, differentiating unit, zero detector and a group of square-wave generators, the second group of averaging filters, a group of units calculating square root and a group of multipliers by a constant.

EFFECT: potential identification of an average distance between disturbed facilities and its change in time.

1 dwg

FIELD: information technology.

SUBSTANCE: device for evaluating a random variable distribution function and its tolerance boundaries on small samples comprises groups of input registers, input registers, delay elements, a multiplier unit, groups of delay elements, groups of subtractor units, a group of squaring devices, accumulating adders, divider units, square-rooting units, adders, shift registers, an exponentiation unit, groups of multiplier units, groups of adders, groups of comparator units, groups of NOT elements, groups of divider units, groups of registers, groups of coincidence circuits, groups of storage devices, a group of accumulating adders, groups of output registers, groups of display units, a unit for eliminating the fractional part of a number, a subtractor unit, a maximum value determining unit, a comparator unit, a group of modulo subtraction units, a display unit, a clock-pulse generator and a pulse distributor.

EFFECT: higher accuracy and broader functional capabilities owing to evaluation of tolerance boundaries of a random variable distribution function.

9 dwg

FIELD: physics, computation hardware.

SUBSTANCE: invention relates to data support for agricultural works. Proposed method consists in activation by the user of process flow planning procedure stored in computer. Note here that said procedure defines the harvesting process and includes the application subsystem. Note here that said application subsystem comes out a software module and comprises algorithm to define demand in selected planning procedure. Said application subsystem activated, it checks what data is necessary and automatically generates the data that describes the revealed demand. Application subsystem proceeds from revealed demand in data to generate independently the questions to be fed to the system to get the required data. Application subsystem exploits the data acquisition system selects the service providers that can reply to definite requests. Service providers generate replies to definite requests to send said replies as target data to application subsystem. Planning procedure generates harvesting process flow from said target data.

EFFECT: higher efficiency of data exchange.

14 cl, 3 dwg

FIELD: physics.

SUBSTANCE: safest version of design solutions is selected and an integrated safety model which will accompany the facility at the next life-cycle phases is approved. Based on analysis of safety and risk factor calculations, the safety status of the facility is evaluated, the "weakest" points in the safety system are established and recommendations are generated for events aimed at reducing the probability of accidents and the extent of consequences thereof. The generated recommendations are input into the integrated model. Safety and risk factors are calculated and effectiveness of any events aimed at safe operation of the facility is evaluated based thereon.

EFFECT: evaluating the safety status of a facility based on analysis of safety and risk factor calculations, establishing the weakest points in the safety system and generating recommendations for events aimed at reducing the probability of accidents and the extent of consequences thereof.

4 cl, 2 dwg

FIELD: physics, computer engineering.

SUBSTANCE: group of inventions relates to processing transactions in a computing environment. Disclosed is processing of a forced transaction, which can be initiated by executing a Begin Transaction instruction in a forced manner. The forced transaction has a range of restrictions associated with it. In the absence of violations of the restrictions, said forced transaction is terminated. Upon detecting a reset situation, said transaction is re-executed beginning from the Begin Transaction instruction. Violation of the restrictions can lead to termination.

EFFECT: faster processing owing to a correcting action based on determining a situation.

17 cl, 27 dwg

FIELD: information technology.

SUBSTANCE: in the method, information corresponding to the competitive position of a first user as applied to a real-time event is received from a first user computing device associated with the first user; information identifying the real-time event is transmitted to a second user computing device associated with a second user; from the second user computing device, corresponding to the competitive position of the second user, real-time event information is received, and information relating to the result of the real-time event is transmitted to the first user computing device and the second user computing device, corresponding to the competitive position of the first user and the competitive position of the second user.

EFFECT: high reliability of real-time competitions between users of computing devices.

28 cl, 13 dwg

FIELD: radio engineering, communication.

SUBSTANCE: device for predicting discrete communication channel state consists of an error detection unit, an error counter, an OR element, a time interval former, N prediction units, N memory units, N prediction evaluation units, a decoder, a decision unit and a display unit. The novelty of the device for predicting discrete communication channel state lies in the delay element, the structure of the prediction evaluation unit, the structure of the controlled nonlinear element and a plurality of new links.

EFFECT: high accuracy of adapting an error prediction algorithm in a communication channel and shorter prediction time.

3 cl, 3 dwg

FIELD: measurement equipment.

SUBSTANCE: invention relates to facilities for support of flight tests of systems and complexes of on-board equipment of aircrafts (AC), in particular as applicable in systems of provision of flight tests of flight and navigation equipment of the AC. The multi-functional complex of on-board trajectory measurements (ONTMC) includes the on-board unit of the ONTMC, which comprises the following components: a multi-frequency SNS receiver; a unit of synchronisation of parameters of on-board systems with parameters of trajectory motion of AC and generation of current values according to Greenwich time; a unit of express analysis of current information of on-board equipment systems; an expert system of automated analysis of errors and determination of characteristics of on-board equipment, arranged within a logical output machine, with joined data bases of flight programs, electronic area maps, data bases on trajectory and weather limitations, a data base of processor working memory, an explanation unit, a knowledge acquisition unit, outputs of the last two units are connected to an information display system (IDS), the system of post-flight processing includes a unit of complex information processing (CIP).

EFFECT: increased efficiency of flight tests.

4 dwg

FIELD: radio engineering, communication.

SUBSTANCE: result is achieved due to a combination generator, which contains a unit of m binary n-bit counters, m positional decoders, a unit of m OR elements, AND element units, delay line units, a delay line, a unit of m combination representation units, RS type triggers and a count pulse generator.

EFFECT: provision of a capability to generate each combination element in the n-bit binary counter, whose value control is performed by a positional decoder.

1 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to computer engineering. A computer-implemented method of classifying an image on a parallel processing system having a bit width corresponding to the number of bits which the processor of the parallel processing system can process simultaneously, wherein the parallel processing system divides the image into two groups, each group comprising a number of bits of the image equal to the bit width; for each group, through the parallel processing system, performing a hash comprising: setting a new value of a start value equal to a second random number plus the sum of a value, which is a binary expression of a group, and the current value of the start value, multiplied by a first random number; setting a new value of a first key equal to the current value of the first key, modified by the start value, and setting a new value of a second key equal to the current value of the second key, modified by the start value; and after hashing, through the parallel processing system, storing a large key comprising the first key and the second key, in computer memory.

EFFECT: accelerating hashing.

20 cl, 3 dwg

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine. Described is a negative pressure wound therapy device comprising a material for air-tight coating of the wound area, optionally a negative pressure source connector and a wound dressing containing open-pore polyurethane foam with the latter having tensile strength of 80 kPa to 300 kPa according to DIN 53571 after three-day storage in bovine serum. Described is using open-pore polyurethane foam as the wound dressing in the negative pressure wound therapy.

EFFECT: method prevents foam particle deposition in the wounds.

13 cl, 6 dwg, 3 ex

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