JPH0427124B2 - - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a file-type medical record management device.

[Conventional technology]

Recently, medical record management devices have become particularly popular, which store file-shaped medical records in storage means having a so-called automatic storage function, and allow specific desired medical records (hereinafter referred to as "predetermined medical records") to be automatically taken in and out from this storage means. Publication No. 55-48616, Japanese Patent Publication No. 61-183780,
Various proposals have been made, such as in Japanese Patent Application Laid-Open No. 139566/1983.

[Problem that the invention seeks to solve]

Conventionally proposed medical record management devices automatically extract predetermined medical records from the medical record storage means and take them out to the medical record delivery unit, and automatically return predetermined medical records that have been used and are returned to their original predetermined storage location. Therefore, it is difficult to deliver the retrieved prescribed medical records to the medical department that needs them, or to return the prescribed medical records that are no longer used by the medical department from the medical department to the storage means. It is increasingly being done manually.

In addition, a separate system of transportation means that is not organically connected to the above-mentioned storage means is sometimes used to transport specified medical records from the storage means to each clinical department, but in either case, the work is done manually. There are many aspects that are not rational. In particular, when requests for the delivery of a large number of predetermined medical records are concentrated at one time, it is not possible to quickly retrieve and distribute these medical records, so there is a problem that it is difficult to respond to the intensive requests for delivery of the predetermined medical records. .

On the other hand, Japanese Patent Laid-Open No. 60-139566 discloses a medical record management method in which multiple file-shaped medical records stored in large numbers on automatic shelves are placed on a single trolley, and this trolley is driven to the destination of each medical record. However, since multiple medical records with different destinations are randomly loaded onto a single trolley, the trolley will travel between destinations until all transferred medical records have been delivered. The drawback is that medical records that are delivered later cannot often be delivered as quickly as possible. In addition, in order to handle cases where the number of requests for medical record retrieval exceeds the loading capacity of the trolley, it is conceivable to have two or more of the above-mentioned trolleys run on one rail, or to provide multiple such rails. Even if this is done, the above-mentioned problem will not be improved at all for one bogie on each line.

Moreover, when multiple carts are run on one rail, the control system inevitably becomes complicated, and due to standby to prevent collisions between the carts, all medical records on the carts are lost. It is possible that it may take extra time for the delivery to be completed.

[Means for solving problems]

In order to solve the above-mentioned problems, the present invention has the following points:
Not only can a plurality of predetermined medical records that have been requested to be delivered be automatically extracted from the storage means and delivered, but also each medical chart can be directly delivered to a specific clinical department in the order in which the delivery request has been made. At the same time as automatic transport, various data related to the number of charts being transported, the destination of each chart, etc. are checked and recorded during and at the end of transport of each chart, and the current status of each chart is recorded one by one. The purpose of this device is to provide a medical record management device that allows data such as the patient's name and the name of the department visited to be read and stored on a magnetic card, IC card, etc. A reception unit supplies data to a central computer device based on the operated keyboard output and causes the central computer to form warehouse request data for the corresponding medical record, and stores the medical records in the order of the request for shipment based on the request data. Extracts predetermined medical records in file form from a group of medical records and takes them out to the transport port, and transports the returned medical records to a predetermined position and stores them, and retrieves the medical records and transfers the returned data to a central computer device. a plurality of medical record storage means configured to supply a plurality of medical records; and a plurality of medical record storage means that are activated in response to a predetermined medical record retrieval operation in each of the above-mentioned medical record storage means, and store the medical records retrieved by each medical record storage means in file units. a plurality of elevator-type transfer means corresponding to the number of said storage storage means, which are held by a belt conveyor and transferred to a conveying means mainly constituted by a belt conveyor in the order of said delivery requests; and a delivery request from each said transfer means. A plurality of predetermined medical records that are sequentially transferred and supplied are sequentially selected from a branching path of a transport path in the transport means that is branched toward a predetermined clinical department by an operation control sequence formed based on the delivery request data. Then, while selectively transporting each medical chart, status data regarding the number of medical charts at the start of transportation, during transportation, and at the end of transportation of each predetermined medical chart arranged and transported in the order of delivery request is supplied to the central computer device. a transport means, a clinical department unit capable of receiving predetermined medical records in file units and outputting data regarding each medical record to a central computer device as arrival data; the reception unit; a medical record storage means; a transfer means; This system is characterized by comprising a central computer device that allows predetermined signals to be sent and received between the transport means and the clinical department unit, and has an operating section for controlling the sending and receiving.

[Effect]

Information regarding the identity of the patient (hereinafter referred to as patient ID) is read out at the reception unit and sent to the central computer device.

The central computer device constructs delivery data based on the patient ID, including the presence or absence of the patient's medical record, the type of medical record, the medical record transport port, the medical record delivery port, the medical record storage address, etc.
This data is supplied as delivery request data to a plurality of medical record storage means.

The plurality of medical record storage means extract and take out the predetermined medical records based on the above-mentioned delivery request data, and transfer them to the plurality of elevator-type transfer means. Each transfer means transfers each medical chart to a conveyance means mainly formed by a belt conveyor at a predetermined conveyance port in the order of delivery requests.

On the way, the conveyance means sends status data related to the conveyance of each predetermined medical record, such as the current position, destination, passing point, passing date and time, of each medical record arranged in the order of request for delivery to the central computer device, and then returns to the destination, which is the destination. (each clinical department) is selected, and each predetermined medical chart, which has been transferred and arranged in the order of delivery requests, is transported to the destination, a predetermined medical department unit.

The central computer device sequentially updates the contents of the medical record management file based on the received data.

At the same time as the prescribed chart arrives, the clinical department unit supplies arrival data consisting of patient ID, destination name, arrival date and time, etc. to the central computer.

The central computer device updates the contents of a medical record management file related to a predetermined medical record based on the received data.

〔Example〕

Next, embodiments of the present invention will be described with reference to the drawings.

FIG. 1 is a block diagram of an example of the medical record management device of the present invention, FIG. 2 is a flowchart of an example of the operating procedure in the device of the present invention, and FIG. 3 is a side view of an example of the transfer device in the device of the present invention. 4 is a front view thereof, FIG. 5 is a side view showing an overview of the branching portion of the conveying means, and FIG. 6 is a plan view of that portion.

Therefore, in Fig. 1, 1 is the card reader 1.
a, a reception unit consisting mainly of a CRT (cathode tube) 1b, a keyboard 1c, a printer 1d, etc.;
It is constructed from a CRT 2a, a keyboard 2b, a printer 2c, a recording medium 2d such as a hard disk, a central processing unit (hereinafter referred to as CPU) 2e, and the reception unit 1 is an interface 2.
1. Note that other components to be described later also have interfaces 22 to 2, respectively.
9 to this computer device.

However, in this central computer device 2,
Based on the patient's medical record request data formed by the patient ID read by the card reader 1a of the reception unit 1, the presence or absence of the patient's medical record is examined, and if there is a medical record, it is determined whether the medical record is in an active state or an inactive state. This discrimination signal is supplied as two types of delivery request data to the medical information center 3 or medical record storage means 4, which will be described later.

If there is no medical record, that is, if the patient is a first-time patient, a new patient ID can be created by operating the keyboard 1c, and exit request data can be created based on this ID.

Further, in the present invention, new patients may not be accepted at this reception unit 1, and a separate reception unit (not shown) exclusively for new patients may be set up.

Reference numeral 3 denotes a medical information center, which comprises a CRT 3a, a keyboard 3b, a printer 3c, etc., and is used when the central computer device 2 determines that the medical record of a given patient read by the card reader 1a of the reception unit 1 is in an inactive state. , In order to receive a signal to that effect, output request data such as the presence or absence of a medical record and patient ID to the printer 3c, and search, extract, and take out the medical record in a storage storage means (not shown) dedicated to inactive medical records. form data.

Furthermore, by operating the keyboard 3b, the medical information center 3 can form retrieval request data when borrowing a desired active medical record from the medical record storage means 4, which will be described later.

For example, in this medical information center 3, a rental processing code, a patient's
By inputting data such as ID, renter, rental date, renter, scheduled return date, etc., the storage request data is supplied to the medical record storage means 4 via the central computer device 2. Based on this request data, the medical record storage means 4 extracts and takes out the corresponding medical record, and transports the medical record to the outlet exclusively for manual rental.

In the present invention, even if the medical record for which a delivery request is made is in an inactive state, this medical record may be extracted, transported, and handled in the same manner as an active medical record.

On the other hand, in the central computer device 2, when it is determined that the medical record requested to be delivered via the reception unit 1 is in an active state, the central computer device 2 sends a signal to that effect as well as, for example, the patient ID,
Output request data is constructed using a medical record exit code, a medical record transport port code (for each clinical department unit), a medical record storage address, etc., and this data is supplied to the medical record storage means 4 for active medical records.

In this embodiment, the medical record storage means 4 has the following configuration, as an example.

This accommodation/storage means 4 includes a plurality of shelf-shaped medical record storage means 4a having a so-called automatic warehouse function in which storage and retrieval of predetermined medical records are automatically performed, and each storage/storage means 4a. A plurality of transfer means 4b corresponding to the number of elevator type (elevating type) storage means 4a, CRTs 4c, keyboards 4d and ,
It consists of a printer 4e, etc., and an example of its operation is as follows. In addition, 4f in the figure is a transport port for an inactive medical chart.

That is, each of the plurality of medical record storage means 4a is
It is activated by the retrieval request data and the order supplied from the central computer device 2 via the reception unit 1, and sequentially extracts and takes out predetermined medical records, and transports these medical records to the retrieval port 41 for automatic transportation. do.

Each of the above-mentioned medical record storage means 4a is of a type that handles active medical records, inactive medical records, and unused medical records for first-time patients in the same way, that is, a type that extracts, takes out, and stores and stores each of these medical records. It may be.

For example, if the retrieval request data is related to an active medical record, a predetermined medical record is extracted and taken out from the storage area dedicated to active medical records, and if the retrieval request data is related to an inactive medical record, it is exclusively used for that medical record. Further, if the delivery request data is for a first-time patient, a predetermined medical record is extracted from the unused medical records from the storage section.

However, for first-time patients, unused medical records prepared in each clinical department may be used.

For new patients (first-time patients), necessary data such as a new patient ID is formed by operating the keyboards of the clinical department units 61 to 64, which will be described later, or by operating the keyboard of the reception unit 1. ,
Write to the file data of the central computer device 2.

Each medical record exit port 41 in each medical chart storage means 4a also serves as a medical chart receiving section in each transfer means 4b. By each transfer means 4b of type),
They are supplied to the conveying means 5 in the order of delivery requests. Note that details of the transfer device 4b will be described later.

The chart conveyance means 5 is mainly formed of a conveyor line mainly consisting of two belt conveyors 5a and 5b having an upper and lower two-stage configuration and a drive control section 5e thereof.

The conveyors 5a and 5b are provided so that their starting ends intersect with the respective transfer means 4b, and check points are provided in the middle of the line to read the passage of each medical chart being conveyed on the conveyor. 51a are provided at a plurality of locations, and a plurality of branch portions 51b are provided.

At each of the above checkpoints 51a, when a plurality of medical records arranged in the order of delivery requests are passed between adjacent checkpoints, the medical records are checked depending on whether the number of passed medical records is the same as the number of medical records requested for delivery. Check the number,
The check result signal and the data of the predetermined medical record for which the delivery request has been made are made to correspond to each other to form status data regarding medical record transport, and are supplied to the central computer device 2. In the computer device 2,
Based on the supplied chart transport status data, the chart management file stored in the recording medium 2d is updated regarding a predetermined chart being transported.

In addition, at the check point 51a, when each of the plurality of required medical charts being conveyed passes through, the check point 51a checks whether or not the respective medical charts are arranged in the order requested for delivery. Delivery request data (patient ID,
medical record destination, etc.) and patients attached to each medical record.
The check may be made by comparing it with a code such as an ID.

On the other hand, in this embodiment, the branching section 51b is formed by a belt being wound around a roller 51c arranged so that the conveyance surfaces of the lines of the conveyors 5a and 5b are separated into front and rear sections at this section. There is.

In this branching portion 51b, there are rollers 51d arranged substantially on the same plane as the conveying surfaces of the conveyors 5a and 5b to form a straight path, and rollers 51d arranged between the rollers 51c to form a branching path. A chain 51e with two claws running in a direction perpendicular to the conveying direction of The chart is blocked by the claw 51g of the claw chain 51e.
It is composed of a stopper 51f for hooking the handle. Note that 51h is a frame to which the constituent members of this branch portion are attached.

In addition, a conveyor line (not shown) that operates in the same direction as the conveyance direction of the chain is formed in front of the claw chain 51e, which serves as a branch path.

Further, the stopper 51f and the claw chain 51e at the branch portion 51b are operated by an appropriate actuator (not shown) such as a motor or cylinder, and the actuation of this actuator is based on the delivery request data supplied from the central computer device 2. Depends on control command.

At the tip of each conveyor 5a, 5b including a branch path, medical department units 61 to 64, to which each medical chart is to be transported, are arranged.

The clinical department units 61 to 64 of each department located at the end of each route in the transport means 5 are CRTs,
It is mainly formed of a keyboard and the like, and here, each unit 61 to 64 forms arrival data regarding a predetermined chart that has been conveyed to each unit, and supplies this data to the central computer device 2. For this reason, the CRTs 61a to 64a and the keyboard 61 constituting each clinical department unit 61 to 64
b to 64b are interfaces 25 to 28, respectively.
It is connected to the central computer device 2 via.

Arrival data related to transported medical records include, for example, patient ID, arrival department name, arrival date and time, and the like. These are, for example, keyboards 61b to 61b.
64b or by reading a patient ID barcode, etc., and sends it to the central computer device 2. When the arrival data is sent, the computer device 2 updates the medical record management file of the predetermined medical record with these received data.

Here, the details of the transfer device 4b are shown in FIG.
This will be explained based on FIG.

In the transfer device 4b shown in FIGS. 3 and 4, the receiving section for the medical chart C is constituted by a medical chart mounting table 41' having a substantially-shaped side cross section and also serving as the medical chart exit port 41 in the medical chart storage means 4a. There is. This medical record table 41' is pivoted 41c so that its lower plate 41a can be opened downward at the rear surface of the lower end of the back plate 41b, and is opened downward when subjected to the action of an opening pin 41d, which will be described later. It's becoming like that.

The writing table 41' is connected to a support pin 41g of an elevating mechanism by a chain 41f at a support bracket 41e attached to the back surface of the back plate 41b, while both sides of the table 41' are It is configured to be guided to a guide rail 41i parallel to the chain 41f via a guide roller 41h. As a result, the platform 41' is raised and lowered along the guide rail 41i like an elevator. Note that 41j is a sprocket around which a chain 41f is wound, and 41k is a motor serving as a driving source.

Thus, the medical records C extracted from the medical record storage means 4a and placed on the medical record outlet 41 connected to the medical record table 41' are lifted by the drive of the chain 41f, so that It is lifted up to the position of the transport port 51c of the transport means 5.

In this embodiment, the conveyor port 51c is configured as follows, as an example, in order to select which of the two conveyors 5a and 5b to supply the ascending medical chart C to.

That is, the transport port 51c is located at the top dead center of the chart mounting table 41 in the transfer device 4b.
When the lower plate 41a is opened downward under the action of the opening pin 41d and the medical chart C placed on the rack falls downward, the falling medical chart C is guided and transferred to the upper conveyor 5a, or , a flap plate 51d which also serves as a transfer guide plate for guiding transfer to the lower conveyor 5b is a lower plate 41 opened downward.
On the extension line of a, its tip side is pivoted 51e
In addition, a lower guide plate 51f having a bottom plate is provided for guiding the medical chart C that falls downward when the flap plate 51d is erected and opened to the conveyor 5b at the lower end. still,
The opening/closing operation of the flap plate 51d is performed by an appropriate drive source such as a motor or a rotary solenoid (not shown), and this drive source is operated by a command based on exit request data from the central computer device 2.

Therefore, the chain 4f in each transfer device 4b
Each medical chart C lifted to its upper end by the operation of
are each flap plate 5 whose opening/closing is controlled according to the delivery request data and the order of the delivery request data of the central computer device 2.
1d and the lower plate 41a of the medical record table 41' opened by the opening pin 41d, the upper stage is opened.
Alternatively, the items will be transferred onto either of the lower conveyors 5a or 5b in the order of delivery requests.

In the embodiment of the apparatus of the present invention, the above-mentioned transfer devices 4b are provided in correspondence with the number of medical chart storage means 4a installed.

In the illustrated example, since four medical chart storage means 4a are installed, four transfer devices 4b are also installed correspondingly.
The machine has been installed.

In this case, if a request for retrieval of a plurality of predetermined medical records is made to a plurality of storage storage means 4a, the predetermined medical records are extracted and taken out from each medical record storage means 4a in accordance with the order of request for retrieval.

A plurality of predetermined charts taken out from each storage/accommodating means 4a are placed at the exit port 41 of each transfer device 4b in accordance with the order of requests for exit. However, in this embodiment, the chart mounting tables 41' serving as the respective exit ports 41 are the respective chart mounting tables 41' of the three transfer devices 4b arranged in front and back in the conveyance direction of the belt conveyors 5a and 5b, and the manual mounting tables 41'. A medical record mounting table 4 in a transfer device 4b' for transferring a predetermined medical record manually supplied to the transport port 4f onto a conveyor.
Since it is a type in which a total of four chart loading tables consisting of one 1"
The following measures have been taken regarding the timing of transferring each predetermined chart from b' to each belt conveyor 5a, 5b. Note that 51c' is a transport port in the transfer device 4b' for manual transport.

For example, a predetermined chart having an earlier request order is placed on the starting end side of the conveyors 5a, 5b, and the conveyor 5a,
When a predetermined chart with a later request order is placed on the front side (conveying direction side) of 5b, a plurality of predetermined charts are arranged so that they are lined up at a predetermined interval on the conveyor line in the order of the request order. The timing of the transfer operation of the transfer device 4b is adjusted. The timing of the above-mentioned transfer operation in each transfer device 4b is as follows:
The control is performed by the CPU (built-in in the keyboard 5d) which controls the section b, but the control may be performed by the central computer device 2.

The medical record management device of the present invention extracts a medical record of a returning patient from the medical record storage device 4, regardless of whether it is an active medical record or an inactive medical record, based on the patient ID etc. supplied from the reception unit 1. It is also possible to automatically transport the patient to a predetermined clinical department.

Further, when a request for manual rental is received from the medical information center 3, the storage means 4 extracts and takes out a predetermined medical record, and transports it to an exit (not shown) exclusively for manual rental. You can also.

On the other hand, prescribed medical records automatically transported to each clinical department,
Regarding the predetermined medical records that were manually dispatched, the contents of the management file in the central computer device 2 were transferred for each predetermined medical record based on the arrival data and dispatch data of the automatically transported predetermined medical records. Or, the content has been updated to the effect that the rental has been issued. Based on this content update, the central computer device 2 is in a state where storage request data is supplied from the medical record storage means 4 for the predetermined medical records that have been transported and rented.

Next, in the illustrated embodiment, the medical records rented by automatic transportation or manual operation are manually conveyed to the medical record storage device 4 after being used. It is also possible to automatically transport the product from the department counter to the storage means 4 by automatic transport means (not shown) such as a conveyor line. It is optional what automatic return conveyance means is used.

Then, each predetermined medical record that has been transported to the receiving section (not shown) of the medical record storage means 4 is operated with the keyboard 4d to form storage instruction data for each of these medical records. It is automatically stored in a predetermined position according to the following.

When the storage of a given chart is completed, storage completion data such as patient ID, chart storage address, storage date and time, etc. is formed based on this data and is supplied to the central computer device 2, where the contents of the chart management file are updated to that effect. It is updated and enters a waiting state for the next extraction or rental.

〔Effect of the invention〕

As explained above, according to the device of the present invention, a desired medical record is not only automatically extracted from a plurality of medical record storing devices storing the desired medical record in the order of request for retrieval, but also extracted for each medical record individually. Because they are transferred to the transport means in the order of request and automatically transported to a predetermined location, requests for medical records to be delivered may be repeated,
Even in the case of concentrated medical records, each medical record can be automatically sent to a predetermined location in accordance with the order of requests for dispatch, which is extremely efficient and rational compared to conventional medical record management.

In addition, for each medical record that is being automatically transported or has been transported, it is important to know where the medical record is located within the hospital at all times, that is, whether it is in the medical record storage means.
Whether the patient is being transported or is in each clinical department is recorded in the central computer, so
When searching for a medical record in a medical record storage means, necessary data such as presence, absence, name of the place of rental, etc. are presented in a form that can be understood at a glance, thereby forming extremely useful information in managing medical records. I can do it.

Since the present invention is as described above, it is extremely useful as a medical record management device.

[Brief explanation of drawings]

FIG. 1 is a block diagram of an example of the medical record management device of the present invention, FIG. 2 is a flowchart of an example of the operating procedure in the device of the present invention, and FIG. 3 is a side view of an example of the transfer device in the device of the present invention. 4 is a front view thereof, FIG. 5 is a side view showing an overview of the branching portion of the conveying means, and FIG. 6 is a plan view of that portion. 1...Reception unit, 2...Central computer, 3
... Medical information center, 4... Medical record storage storage means, 5
...Transportation means, 61-64...Clinical department unit.

Claims (1)

[Claims] 1. Provides consultation data such as the patient's name and department name to the central computer device based on the reading of the magnetic card, IC card, etc. in which the data is stored, or the input from the operated keyboard, and sends out request data for the corresponding medical record. A reception unit formed in the central computer, extracts predetermined medical records in file form from a group of medical records stored in the order of delivery requests based on the delivery request data, and takes them out to the transport port. , a plurality of medical record storage means configured to transport and store the returned medical records to a predetermined position, and to supply the medical record retrieval and return data to a central computer device; It is activated in response to the operation of taking out a predetermined medical record in the storage means, and holds the medical records taken out by each medical record storage means in file units and transfers them to the conveying means mainly constituted by a belt conveyor in the order of the delivery request. A plurality of elevator-type transfer means corresponding to the number of the respective storage storage means, and a plurality of predetermined medical charts transferred and supplied from each of the transfer means in the order of the delivery request, are formed based on the delivery request data. A control sequence sequentially selects a branch path of the transport path in the transport means that is branched toward a predetermined clinical department, and selectively transports each medical chart. A transport means that supplies status data regarding the number of medical records at the start of transportation, during transportation, and at the end of transportation of a predetermined medical chart to a central computer device; A clinical department unit that can output data to a central computer device as
A central computer device having an operation section for transmitting and receiving predetermined signals between the reception unit, medical record storage means, transfer means, transport means, and clinical department unit, and for controlling the transmission and reception. Characteristic medical record management device.