JP2526174C

JP2526174C -

Info

Publication number: JP2526174C
Authority: JP
Original assignee: Itoki Corp
Current assignee: Itoki Corp
Publication date: 1998-11-25

Description

【発明の詳細な説明】〔産業上の利用分野〕本発明は、特に自動倉庫に収納されている多数のファイル状カルテを、１以上
の診療科などの場所に対し、迅速かつ合理的に仕分け搬送することができるカル
テ管理方法、並びに、そのための装置に関するものである。〔従来の技術〕従来から、自動倉庫状の収納手段に収納された多数のファイル状カルテを、複
数の診療科に向け個々に仕分して搬送するようにしたカルテ管理装置に関しては
、例えば、特公昭55-48616号、特開昭61-287605号、同61-183780号、特公平1-39
374号などの発明が提案されている。これらの装置は、自動倉庫状の収納保管装置に多数収容されている複数種類の
ファイル状カルテの中から出庫要求のあった特定のカルテを抽出し、この抽出さ
れたカルテを所定の送付先に、自動又は手動により搬送するようにした点で共通
した機能が付与されている。〔発明が解決しようとする課題〕上記のようなカルテ管理装置において要請される点は、複数の診療科ごとに多
数の患者について夫々にカルテが作成されているため、このような複数種かつ多
数のカルテの中から、日々に乃至は時々刻々に全く区々のカルテについて、それ
ぞれに出庫要求がなされても、出庫要求が出されたすべてのカルテを出来るだけ
迅速に要求先に届けることである。しかるに、提案されている従来装置は、上記のような要請に対して未だ充分で
はないという問題がある。特に、ファイル状カルテを管理する自動倉庫状の収納保管手段単体としては、
指定された特定のカルテを十分に短かい時間で迅速に抽出できる機能を具備した
装置が実際に提供されており、また、一の発送元から複数の届け先、つまり搬送
先に、書類等の物品を仕分けして搬送する運搬手段単体も、種々の機構，構造の
ものが実際に提供されているが、従来装置の開発者らが腐心しているところは、出庫要求された特定カル
テの抽出機能を有する自動倉庫状のカルテ収納保管手段から抽出される個々のカ
ルテを、いかに合理的に運搬手段に積み込み、個々の搬送先に搬送するかの点で
あり、この点で、従来提案されている装置は未だ十分満足すべき機能を具備した
ものとはいえない。本発明は上記のような従来技術の問題点に鑑み、多数のファイル状カルテが収
納され、その中から指定された特定カルテを自動抽出する機能を具備したカルテ
の自動収納保管手段から抽出される個々のカルテを自動運搬手段に積み込み、各
カルテを複数の搬送先に合理的に仕分け搬送することができるカルテの管理方法
、並びに、そのための装置を開発することを課題としてなされたものである。尚、本発明ではファイル状のカルテを第一の取扱対象として説明するが、本発
明はその名称に拘らずカルテ以外のファイル状をなす書類等の取扱いにも適用で
きること勿論である。従って、本発明において、ファイル状のカルテとは、ファ
イル状の書類や書籍なども含むものとする。〔課題を解決するための手段〕上記課題を解決するためになされた本発明方法の構成は、多数のファイル状カ
ルテを夫々の収容位置を決めて収納する棚状庫体と指令により前記庫体内の特定
カルテを抽出して所定位置まで保持搬送するピッカ−を具備したカルテ収納保管
手段と、前記で抽出された特定のカルテを複数の搬送先の中から選択された特定
搬送先に運搬するため各搬送先まで搬送路を形成した運搬手段とを接続するに当
り、前記カルテ収納保管手段において抽出されたカルテを前記棚状庫体の内部又
は上面に形成したカルテ保持手段を具備するカルテ貯留部に一旦集めるようにする
と共に、前記カルテ貯留部内まで延設された搬送路に走行して来た運搬台車が前
記カルテ貯留部のカルテ保持手段に直接結合されることにより、当該貯留部に集
められる抽出カルテをその貯留部のカルテ保持手段ごと運搬することを特徴とす
るものである。また、上記方法を実施するための装置は、多数のファイル状カルテを夫々の収
納位置を決めて棚状庫体に収納すると共に、出庫指令によリ特定のカルテを前記
棚状庫体からピッカ−によって抽出し、該抽出カルテを前記ピッカ−により所定
位置まで保持搬送するようにしたカルテ収納保管手段における当該所定位置を、
前記棚状庫体の内部又は上面に、カルテ保持手段を具備したカルテ貯留部として
形成する一方、該カルテ貯留部に集められるカルテを複数の搬送先のいずれかに
選択的に運搬する運搬台車の搬送路を、前記カルテ貯留部内まで延長敷設し、前
記貯留部に走行して来た運搬台車に前記カルテ保持手段を直接結合させて当該台
車により前記カルテをそのカルテ保持手段ごと所望搬送先に運搬するようにした
ことを特徴とするものである。〔作用］カルテ収納保管手段における棚状庫体の内部又は上面に、その保管手段におい
て抽出されたカルテを一旦貯留するためのカルテ貯留部を、カルテ保持手段を具
備させて移動可能に形成すると共に、該貯留部までカルテ運搬手段のガイドレ−
ルを延長敷設し、運搬台車に前記貯留部のカルテ保持手段を結合させて前記貯留
部のカルテ保持手段ごとカルテの送付先まで運搬することができるようにしたの
で、従来技術においてカルテ収納保管手段とカルテ運搬手段の間に不可欠であっ
た移載手段が全く不要となる。〔実施例〕次に、本発明の実施例を図に拠り説明する。第１図(a)〜(f)は本発明方法を実施するカルテ管理装置の一例におけるカルテ
抽出から運搬までの作動順序をそれぞれ概念的に示した斜視図、第２図はカルテ
管理装置の応用例の概要を示す平面図、第３図は第２図の装置の正面図、第４図
は第２図，第３図に示す装置の要部の側面図、第５図は同じく第４図に示す装置
の要部の正面図、第６図は同じく第５図に示す装置の平面図、第７図(a)は第２
図〜第６図に示したカルテハンガ−の正面図、第７図(b)は第７図(a)の部分側面
図、第８図は第４図〜第６図に示す装置における要部の斜視図、第９図は本発明
方法を実施するカルテ管理装置の別例の要部の概要を示す斜視図である。第１図(a)〜(f)に示す本発明カルテ管理装置の一例において、ファイル状カル
テ（以下、単にカルテという）の収納保管手段は、第１図(c)に示されるように
、個々のカルテCaを立ち姿勢で吊下支持して収納できるように形成したハンガ−
状ラックによる収容部1aを多数具備する棚状庫体1bの２本が、その収容部1aにお
ける各カルテの出入口側を対向させて一個のカルテ収納部1Aとして形成されてい
る。 2Bは上記カルテ収納部1Aにおいて、対向配置された棚状庫体1b，1bの間に配設
したカルテ抽出，収納用のピッカ−である。このピッカ−2Bは、前記庫体1b，1b
の間の上，下において設置されたガイドレ−ル2a，2bと、このレ−ル2a，2bに支
持案内されて走行するように形成された走行ポ−ル2cと、このポ−ル2cに昇降自
在に架装されたピッカ −本体2dとから形成されている。而して、ピッカ−本体2dは、個々のカルテ収容部1aに平行な向きで配設される
と共に、カルテ収容部1aに対し進退し、かつ、カルテCaを保持したカルテホルダ
−Chに対し開閉することにより、該ホルダ−Chを挟持，開放するように作用する
ハンドル（図に表われず）を具備して形成されている。以上のカルテ収納部1Aとピッカ−2Bとにより、本発明方法の実施に使用するカ
ルテ収納保管手段の一例を形成する。このカルテ収納保管手段は、そのピッカ−2Bにおけるピッカ−本体2dが、外部
の操作制御部３などから出されるカルテ出庫指令を受け指令された特定カルテの
収容部1aに位置付けられ、前記ハンドルがその開閉動作を伴いカルテ収容部1aの
カルテホルダ−Chに対し進退して指令された特定カルテを抽出する。このようにして抽出された特定カルテは、走行ポ−ル2cのガイドレ−ル2a，2b
に沿った走行とピッカ−本体2dのポ−ル2c上での昇降位置決めによって、カルテ
収納部1Aの特定の位置まで移送されるが、本発明ではその特定位置にカルテ貯留
部４を形成する。カルテ貯留部４は、この実施例では、一例として、カルテ収納部1Aにおける棚
状庫体1bの上位部に、内部にカルテ収容部1aと同じ構成のカルテ保持手段を具備
する収容部4aを形成し、かつ、この収容部4aの前面を開閉する蓋4bを設けた箱体
4cにより形成している。上記蓋4bは箱体4cによる収容部4aの前面に対し蝶着され、適宜開閉手段又は機
構によって自動的に開閉されるように取付けられている。この蓋体4bは箱体4cの
姿勢が変化しても、内部のカルテCaが箱体4cから脱落するのを防ぐためのものである。一方、上記貯留部４を形成する箱体4cの脇には、第１図(b)，(d)，(f)に示す
ようにカルテ運搬手段５のレ−ル5aが引込み敷設されている。上記運搬手段５の搬送レ−ル5aは、建物の天井や壁面に沿って各カルテの搬送
先、つまり、各診療科まで、中間適宜の位置にレ−ル分岐部5bを介在させ乍ら敷
設される。敷設された上記レ−ル5aには、上記貯留部４を形成する箱体4cに結合される運
搬台車5cの複数台が走行自在に架装されている。ここで、上記のレ−ル分岐部5bには、台車5cを一のレ−ル5aから隣のレ−ル5a
に乗せ替えるシフタ−5dとシフトされた台車5cが他の台車5cとの衝突などの走行
障害を回避するための待避路5eとが併設されている。而して、運搬台車5cと箱体4cとの結合は、磁力結合，機械的結合などの適宜結
合手段を用い、また、結合された箱体4cによるカルテ貯留部４のカルテ収容部4a
に配置したハンガ−には、ピッカ−本体2dによリカルテ収納部1Aから抽出された
特定のカルテCaが当該ピッカ−本体2dの作動により収容吊下される。ここで、棚状庫体1b内に形成されたカルテ貯留部４たる箱体4cの収容部4aには
、複数枚のカルテCaの収容が可能であるから、１個のカルテ貯留部４、つまり箱
体4cには同じ診療科向けの複数のカルテCaをピッカ−本体2dにより収容するよう
にすることにより、この貯留部４を形成する箱体4cはそのまま当該箱体4cと結合
された台車5cごと特定の診療科へ向けて走行させれば足りる。このことから、本発明では操作制御部３などを経由して、ランダムに要求され
る各診療科向けの多数のカルテの出庫要求を、前記制御部３などにおいて各診療
科ごとにまとめた出庫要求デ−タに編成し直して、各診療科ごとにまとめて出庫
要求されたカルテを抽出し、カルテ貯留部４の箱体4cに収容貯留するようにする
と合理的なカルテ抽出運搬の準備が出来ることとなる。また、上記の合理性をより助長するため、本発明ではカルテ貯留部４の箱体4c
を、各診療科単位で独立して棚状庫体1bに複数個形成すると、ランダムになされ
る出庫要求デ−タを上記制御部３などにおいて並べ直すことなく、ピッカ−2Bに
出庫要求順に各カルテCaを抽出させ、抽出した各カルテCaをそのピッカ−本体2d
により夫々の診療科ごとのカルテ貯留部４の箱体4cに収容させるようにすること
もできる。更には、カルテ収納部1Aとピッカ−2Bとを各診療科ごと独立して設ければ、各
収納部1Aに形成する夫々のカルテ貯留部４は、そのまま各診療科向け専用のカル
テ貯留部となるので、このようにすることにより各診療科ごとのカルテ運搬の制
御ル−チンをより簡易なものにすることができる。上記のようにして各診療科向けにカルテ運搬準備をするとき、その出発タイミ
ングを一例として、次のように制御すると、各診療科ごとのカルテ出庫要求の実
態に合ったカルテ配送を実現することが出来る。而して、夫々のカルテ貯留部４の箱体4cは、原則としてその容量一ぱいにカル
テが収容されることを条件に台車5cが出発させられるように制御されている場合
において、例えば、出庫要求カルテが多い診療科に対しては、台車5cが頻繁に出
発できるが、出庫要求の少ない診療科に対しては、そのカルテ貯留部４がなかなか上記出発条件をみたさないので出
庫要求から長い時間経過しても要求カルテの配送が出来ないという問題が生じる
。そこで本発明は、カルテ貯留部４の箱体4cが満載されることを出発条件とする
ほか、この条件に又はこの条件とは別に、各診療科ごと前回出発した時刻から経
た時間を計時したり、或は、各診療科ごと単位時間内における出発回数を計数す
ることにより、出発タイミングを調整又は補正し、待ち時間の少ないカルテ配送
を実現できるようにするのである。このように本発明では棚状庫体1bとピッカ−2Bから成るカルテ収納保管手段に
よって出庫要求に従い抽出した個々のカルテCaを、前記棚状庫体1b内に形成した
カルテ貯留部4aに一旦留保する一方、この貯留部４に具備させたカルテ保持手段
たる箱体4c自体をそのまま運搬台車5cに結合させてカルテ要求先に運搬するよう
にしたので、従来装置で不可欠であったいわゆる移載装置を省略できるという大
きな利点が得られる。このような利点は、カルテ収納保管手段を形成する棚状庫体1bによるカルテ収
納部1Aとピッカ−2B、カルテ運搬手段５、並びに、前記棚状庫体1bに形成するカ
ルテ貯留部４を第９図に示すように形成することによっても得られるので、本発
明の第２実施例を第９図並びに第７図により説明する。まず、本発明の第２実施例では、第９図に示すように、ピッカ−2Bにおいて、
ガイドレ−ル2aを収納部1Aの最上段より少し高く形成する一方、このピッカ−2B
において、最上位に位置付けられるピッカ−本体2dに対向する棚状庫体1bの天板の上に、第７図(a)，(b)に示すハンガ−状のカ
ルテハンガ−41とそれを支持する箱体41cを、カルテ貯留部４の別例として形成
し配置した。カルテハンガ−41は、このハンガ−41の真上まで延長敷設された運搬手段５の
レ−ル5aに架装されている運搬台車51cに、当該ハンガ−41が直接結合又は箱体4
1cを介して間接に結合可能に、ここでは前記台車51cに懸吊状態で結合されるよ
うに、上面を開放した箱体41c に載架支持されているか、又は、蓋41bを有する
箱体41cの内部に吊下支持されて配置されている。上記ハンガ−41は、第７図(a)，(b)に示すように、複数のカルテCaを懸吊支持
できる構造であるから、前述のピッカ−本体2dによって収納部1Aから抽出された
各カルテCaは前記ハンガ−41に懸吊スタイルで支持替えさせられたあと、第９図
に示すように、該ハンガ−41が、それ自体が直接結合、又は、箱体4cを介して間
接に結合される運搬台車51cによって目的地に向けて運搬されることとなる。ここで、カルテハンガ−41と運搬台車51cの直接又は間接の結合関係の内容に
ついて説明する。前記カルテハンガ−41と台車51cの直接結合とは、第９図に示すように、カル
テ貯留部４として前記庫体1bの上に上面開口箱体41cに支持させて設けるハンガ
−41自体が、複数のカルテを吊下支持して、そのまま、又は、箱体41cとともに
台車51cに結合され、目的地に運搬されることをいい、本発明の第２実施例を具
体化したものである。一方、搬送路であるレール5aが、棚状庫体1bの内部又は上面に形成されるカル
テ貯留部４まで敷設されない場合には、前記ハンガ−41や箱体4cを前記台車51cに結合するため、そのカルテ貯留部４が形成されている位
置から前記ハンガ−41、或は、箱体41cを少し移動させ運搬台車51cに結合させる
必要がある場合がある。この場合、従来は、カルテ収納保管手段1Aと運搬手段５
のレ−ル5aの間に、独立した移載手段を設けていたが、本発明は、独立した移載
手段を必要としない移載態様へ発展可能であり、これが本発明の応用例である。以下に、本発明の上記応用例について第４図〜第６図，第８図を中心に説明す
る。応用例では、第４図に略示したように、カルテハンガ−41に、それが吊下支持
したカルテCaを台車51cの上面側に設けた容器51fに積み変えるように機能するた
めの機構が付与されている。応用例では、カルテ貯留部４が次のように形成されている。ここでは、まず、第４図に示すようにカルテ収納部1Aにおける庫体1bの上部の
棚板を２段程度取外すと共にその上の天板を除去し、残った棚板11bの上面側で
あって、ピッカ−2Bの走行ポ−ル2cにおける上昇位置のピッカ−本体2dに対向す
る位置に、カルテ貯留部４のコラム42を庫体1bの開口面に沿って前後動可能にし
て立設する。そして、該コラム42に対して自動昇降し、かつ、収納部1Aにおける
庫体1bの開口面に平行な水平ア−ム43を前記コラム42に架装し、このア−ム43の
下面側に、当該ア−ム43の長さ方向に沿って自動的に進退可能にしたカルテハン
ガ−41を取付け、前記ハンガ−41がカルテ貯留部４の上で昇降，進退自在の移動
型のカルテ貯留部に形成した。上記構成により、上記コラム42の下方に位置付けられたア−ム43に吊下された
カルテハンガ−41は、先の本発明装置におけるカルテ貯留部４と略同じ位置に位置付けられてピッカ−2Bにより抽出される特定カルテCaを
貯留する。つまり、このハンガ−41に、カルテ収納部1Aから抽出された各カルテ
Caがピッカ−本体2dによって一旦貯留されるようにセットされるのである（第５
図の，参照）。次いで、カルテCaが上記ハンガ−41に貯留量が所定量に達するか、又は、所定
タイミングが計時されると、このハンガ−41を保持したア−ム43が上昇させられ
、台車51cの上に配置された運搬容器51fの上方まで前記ハンガ−41を持上げる（
第４図の参照）。この位置で上記ア−ム43はコラム42から前方へせり出し、カルテハンガ−41を
運搬容器51fの真上に位置付けてから降下し、カルテハンガ−41に吊下されてい
るカルテCaを前記容器51f の内部に入れる（第４図の，参照）。この状態でア−ム43のハンガ−41がそのア−ムの長手方向にスライドすること
により、前記カルテハンガ−41に吊下支持されていた各カルテCaは、このハンガ
−41の挟持部41aから前記スライドにより外れ、上記台車51cと一体の容器51f内
に収容されるのである（第５図の，参照）。このようにして各カルテCaを収容した運搬容器51fと一体の台車51cは、そのま
まこれらカルテCaの送付先、即ち、第２図，第３図に示したレ−ル5a，5a'上を
特定の診療科に向け走行させられることとなる。上記の応用例においても、カルテ収納保管手段1Aにおいてそのピッカ−2Bによ
り抽出される出庫要求にあったカルテは、カルテ貯留部として形成したカルテハ
ンガ−41に一旦保持され、当該ハンガ−41のカルテが走行台車51cの容器51fに収
容されて送付先に向け運搬されるので、カルテ抽出→カルテ貯留部に一旦保持→保持されていたカルテを運搬台車で
運搬する点で先の本発明装置とほぼ同等の搬送形態をとることができる。上記の応用例において、コラム42，このコラム42に架装されたア−ム43を設け
ず、これに代えて搬送レ−ル5aを前記コラム42が設けられたカルテ貯留部まで延
長敷設することにより、カルテハンガ−41を直接台車51cに保持させ、このハン
ガ−41によるカルテ貯留部を運搬台車51cに直結した型式、つまり、先に説明し
た本発明の第２実施例と同様の構成のカルテ管理装置が形成できる。本発明において上記第１，第２実施例のいずれの実施形態を採用するかは、本
発明装置を設置する場所の空間の広狭，形態，カルテ管理規膜などに応じ、任意
に選択することができる。上記のようにして各診療科に配送されたあと、夫々の診療科で用済みとなった
各カルテCaは、各診療科まで運搬されたカルテ保持手段4c又は41に収容又は保持
させて返却することにより、運搬台車によってカルテ収納保管手段のカルテ貯留
部４に返却運搬させることにより、返却も自動的になすことができる。このように、カルテ収納部1Aにおけるカルテ貯留部４にカルテが返却されれば
、当該貯留部のカルテはピッカ−2Bのピッカ−本体2dによって自動的にカルテ収
納部1Aの元の位置に返却収納されそこで保管されることとなる。尚、本発明において各診療科で用済みとなったカルテは、これらを手押運搬台
車により各搬送先からカルテ収納部1Aに返却するようにしてもよいこと勿論であ
る。〔発明の効果〕本発明は以上の通りであって、従来のカルテ管理方法では、出庫要求に従って
カルテを抽出するカルテの収納保管手段と、抽出されたカルテを所定の送付先に
搬送する運搬手段との間に、ロボットやコンベアなどによるいわゆる移載手段を
不可欠としたが、本発明では前記カルテの収納保管手段と運搬手段とを、移載手
段を介在させることなくカルテ収納保管手段における棚状庫体の内部又は上面に
カルテ保持手段を有するカルテ貯留部を形成し、この貯留部のカルテ保持手段を
運搬台車に直結したので、出庫要求されたカルテの抽出と送付先への運搬を移載
手段を経由させることなくきわめて迅速かつ合理的になし得るという利点がある
。DETAILED DESCRIPTION OF THE INVENTION [Industrial Application Field] The present invention is intended to quickly and rationally sort a large number of file-type medical records stored in an automatic warehouse into one or more medical departments. The present invention relates to a chart management method that can be transported, and an apparatus therefor. [Prior art] Conventionally, regarding a chart management apparatus that sorts and transports a large number of file-shaped charts stored in an automatic warehouse-like storage means to a plurality of medical departments, for example, No. 55-48616, JP-A No. 61-287605, No. 61-183780, Japanese Patent Publication No. 1-39
Inventions such as No. 374 have been proposed. These devices extract a specific chart for which a retrieval request has been made from a plurality of types of file-type charts stored in a large number of storage and storage devices in the form of an automatic warehouse, and send the extracted chart to a predetermined destination. A common function is provided in that the transfer is performed automatically or manually. [Problem to be Solved by the Invention] The point required in the above-mentioned chart management apparatus is that since a chart is created for each of a large number of patients for each of a plurality of medical departments, such a plurality of types and a large number of such charts are required. Even if an outgoing request is made for each of the entire medical records from day to time or from time to time, all of the requested medical records are delivered to the request destination as quickly as possible. . However, there is a problem that the proposed conventional device is not yet sufficient for the above-mentioned request. In particular, as an automatic warehouse-like storage and storage unit that manages file medical records,
There is actually provided a device equipped with a function that can quickly extract a specified specific medical record in a sufficiently short time.In addition, an article such as a document can be sent from one sender to a plurality of destinations, that is, destinations. Although various mechanisms and structures are actually provided as a single unit for sorting and transporting products, where the developers of conventional equipment are concerned, the extraction function of the specific chart requested to be delivered is used. It is the point of how to load individual medical records extracted from the automatic warehouse-like medical record storage and storage means into transportation means and transport them to individual destinations. Is not yet fully equipped with satisfactory functions. The present invention has been made in view of the above-described problems of the prior art, and is extracted from a medical chart automatic storage and storage unit in which a large number of file-like medical records are stored and provided with a function of automatically extracting a specified specific medical record from among them. An object of the present invention is to develop a method of managing medical charts, which can load individual medical charts into an automatic transporting means, rationally sort and transport each medical chart to a plurality of destinations, and to develop an apparatus therefor. In the present invention, a file-shaped chart is described as a first object to be handled. However, the present invention can of course be applied to the handling of file-shaped documents other than the chart, regardless of its name. Therefore, in the present invention, the file-shaped chart includes file-like documents and books. Configuration of the present invention a method has been proposed in order to solve the above problems [Means for Solving the Problems], the box body by command and shelf cabinet for housing a large number of files like chart decide housing position of each Medical chart storage and storage means provided with a picker for extracting the specific medical chart and holding and transporting the specific medical chart to a predetermined position, and for transporting the specific medical chart extracted above to a specific transport destination selected from a plurality of transport destinations per to connect the conveying means form a conveying path to each transport destination, the inner portion of the medical records extracted in the medical record storage storage means and said shelf-like box body also
Together with to collect temporarily in medical record storage unit having a medical record holding means formed on the upper surface, the transport carriage came traveling in the transport path that extends to the medical record storage unit before
By being coupled directly to the medical record holding means of the serial chart reservoir, it is characterized in that the transporting each chart holding means of the reservoir extraction chart that is collected in the reservoir. The device for carrying out the method, as well as accommodating the shelf Kuratai many files like chart decide retracted position respectively, the re specific medical record by the issuing command the
The predetermined position is extracted from the shelf-like storage body by a picker, and the predetermined position in the medical chart storage and storage unit configured to hold and convey the extracted medical record to a predetermined position by the picker ,
Inside or on the upper surface of the shelf-shaped storage body, while forming as a medical chart storage unit provided with a medical chart holding means, a cart for selectively transporting the medical chart collected in the medical chart storage unit to any of a plurality of destinations the conveying path, extending laid up in the chart reservoir, the chart by direct coupled to form the carriage to the medical record holding means in the transport carriage came traveling in the reservoir to the medical record holding means each desired transport destination It is characterized by being transported. [Operation] A chart storage section for temporarily storing a chart extracted in the storage means is provided on the inside or on the upper surface of the shelf-shaped storage body in the chart storage and storage means so as to be movable by providing a chart holding means. At the same time, a guide rail
The medical chart holding means of the storage section is connected to the carrier trolley so that the entire medical chart holding means of the storage section can be transported to the destination of the medical chart. There is no need for a transfer means that was indispensable between the means for transporting medical records. Example Next, an example of the present invention will be described with reference to the drawings. 1 (a) to 1 (f) are perspective views conceptually showing the operation sequence from extraction of a medical chart to transportation in an example of a medical chart management apparatus for carrying out the method of the present invention, and FIG. 2 is an application of the medical chart management apparatus. FIG. 3 is a plan view showing an outline of the example, FIG. 3 is a front view of the apparatus shown in FIG. 2, FIG. 4 is a side view of a main part of the apparatus shown in FIGS. 2 and 3, and FIG. 6 is a front view of the main part of the apparatus shown in FIG. 6, FIG. 6 is a plan view of the apparatus also shown in FIG. 5, and FIG.
FIG. 7 (b) is a partial side view of FIG. 7 (a), and FIG. 8 is a partial view of the main part of the apparatus shown in FIGS. 4 to 6. FIG. 9 is a perspective view showing an outline of a main part of another example of the chart management apparatus for implementing the method of the present invention. In the example of the chart management apparatus of the present invention shown in FIGS. 1 (a) to 1 (f), the storing and storing means of a file-shaped chart (hereinafter, simply referred to as a chart) is individually provided as shown in FIG. 1 (c). Hanger that can support and store the medical chart Ca in a standing position
Two shelf-shaped storage bodies 1b each having a large number of storage portions 1a formed by a shape rack are formed as one medical record storage portion 1A with the entrance / exit side of each medical record in the storage portion 1a facing each other. Reference numeral 2B denotes a picker for extracting and storing medical charts disposed between the shelf-like storage bodies 1b, 1b arranged opposite to each other in the medical chart storage section 1A. The picker 2B is provided with the storage bodies 1b, 1b.
Guide rails 2a, 2b installed above and below, a traveling pole 2c formed to travel while being supported and guided by the rails 2a, 2b, and a And a picker body 2d which is mounted so as to be movable up and down. Thus, the picker main body 2d is disposed in a direction parallel to the individual medical chart housing sections 1a, and moves forward and backward with respect to the medical chart housing sections 1a, and opens and closes with respect to the medical chart holder Ch holding the medical chart Ca. By doing so, a handle (not shown in the figure) that acts to pinch and open the holder-Ch is provided. The above-mentioned chart storing section 1A and picker 2B form an example of a chart storing and storing means used for carrying out the method of the present invention. In this chart storing and storing means, the picker body 2d of the picker 2B is positioned in the storing section 1a of the specific chart instructed by receiving a chart leaving command issued from the external operation control section 3 or the like, and With the opening / closing operation, the specific medical chart which is instructed by moving forward and backward with respect to the medical chart holder-Ch of the medical chart storage section 1a is extracted. The specific chart extracted in this manner is provided on the guide rails 2a and 2b of the traveling pole 2c.
Is transported to a specific position of the medical chart storage section 1A by traveling along the path and the vertical position of the picker body 2d on the pole 2c. In the present invention, the medical chart storage section 4 is formed at the specific position. In this embodiment, the chart storage unit 4 is, for example, a shelf in the chart storage unit 1A .
The upper part of the container 1b is equipped with a chart holding means having the same configuration as the chart container 1a inside.
Box having a housing 4a formed therein, and a lid 4b for opening and closing the front surface of the housing 4a.
4c. The lid 4b is hinged to the front surface of the housing 4a formed by the box 4c, and is attached so as to be automatically opened and closed by an opening / closing means or mechanism as appropriate. The lid 4b is provided to prevent the internal medical record Ca from falling off from the box 4c even when the posture of the box 4c changes. On the other hand, beside the box 4c forming the storage section 4, a rail 5a of the chart transporting means 5 is laid as shown in FIGS. 1 (b), (d) and (f). . The transport rail 5a of the transport means 5 is laid along a ceiling or a wall of the building, at a location where the medical chart is transported, that is, at each medical department, at an appropriate intermediate position with a rail branching portion 5b interposed therebetween. Is done. On the laid rail 5a, a plurality of carriages 5c connected to a box 4c forming the storage section 4 are movably mounted. Here, the truck 5c is connected to the rail 5a from one rail 5a to the rail branch 5b.
A shifter 5d for transferring the vehicle to the vehicle and an evacuation route 5e for avoiding a traveling obstacle such as a collision of the shifted vehicle 5c with another vehicle 5c are provided. Thus, the transport vehicle 5c and the box 4c are connected to each other using an appropriate connecting means such as magnetic coupling or mechanical connection, and the chart storage unit 4a of the chart storage unit 4 by the connected box 4c.
The specific medical chart Ca extracted from the re-carte storage unit 1A by the picker body 2d is stored and suspended by the operation of the picker body 2d. Here, since a plurality of charts Ca can be stored in the storage section 4a of the box 4c, which is the chart storage section 4 formed in the shelf-shaped storage body 1b , one chart storage section 4, that is, By storing a plurality of charts Ca for the same medical department in the picker body 2d in the box 4c, the box 4c forming the storage unit 4 is directly connected to the cart 5c connected to the box 4c. It suffices if you drive to each specific medical department. From this, in the present invention, a request for delivery of a large number of medical records for each medical department requested randomly via the operation control unit 3 or the like is compiled by the control unit 3 or the like for each medical department. By reorganizing the data, extracting medical records requested to be taken out collectively for each medical department, and storing and storing them in the box 4c of the medical chart storage unit 4, reasonable medical chart extraction and transport can be prepared. It will be. In order to further promote the above rationality, in the present invention, the box 4c of the chart storage unit 4 is used.
Are formed independently on each shelf unit in the shelf-shaped storage body 1b, without randomly rearranging the retrieval request data in the control unit 3 or the like, each retrieval request data is sent to the picker 2B in the retrieval request order. The medical chart Ca is extracted, and each extracted medical chart Ca is extracted from the picker body 2d.
Thus, the medical records can be stored in the box 4c of the medical chart storage unit 4 for each medical department. Furthermore, if the medical chart storage section 1A and the picker 2B are provided independently for each medical department, each medical chart storage section 4 formed in each storage section 1A can be used as it is as a dedicated medical chart storage section for each medical department. Therefore, by doing so, the control routine for chart transport for each medical department can be simplified. When preparing the chart transportation for each medical department as described above, by controlling the departure timing as an example, as follows, it is possible to realize medical chart delivery that matches the actual situation of the chart retrieval request for each medical department. Can be done. Thus, in the case where the cart 4c of each chart storage unit 4 is controlled so that the cart 5c is departed on condition that the chart is housed in the same capacity as the principle, for example, the delivery request For medical departments with many medical records, the trolley 5c can frequently depart, but for medical departments with few retrieval requests, the medical record storage unit 4 does not readily meet the above departure conditions, so a long time has elapsed since the retrieval request. However, there arises a problem that the requested chart cannot be delivered. Therefore, the present invention sets the starting condition that the box 4c of the medical chart storage unit 4 is fully loaded, and, under this condition or separately from this condition, measures the time elapsed from the last time of departure for each medical department. Alternatively, the departure timing is adjusted or corrected by counting the number of departures in a unit time for each medical department, so that a chart delivery with a short waiting time can be realized. As described above, in the present invention, the individual medical records Ca extracted according to the retrieval request by the medical record storage and storage means including the shelf-like storage body 1b and the picker 2B are formed in the shelf-like storage body 1b. 4a, while the medical chart holding means provided in the storage unit 4
Was Ruhakotai 4c itself as it is bound to transportation trolley 5c since so as to transport the chart request destination, great advantage can be omitted so-called transfer apparatus was essential in the conventional device is obtained. Such an advantage is that the chart storage section 1A and the picker 2B by the shelf-like storage body 1b forming the chart storage and storage means, the chart transporting means 5, and the cartage formed in the shelf-like storage body 1b. Since the storage section 4 can be obtained by forming the storage section 4 as shown in FIG. 9, a second embodiment of the present invention will be described with reference to FIGS. 9 and 7. First, in the second embodiment of the present invention, as shown in FIG.
While the guide rail 2a is formed slightly higher than the top of the storage section 1A, the picker 2B
In FIG. 7, a hanger-shaped chart hanger 41 shown in FIGS. 7 (a) and 7 (b) is supported on a top plate of a shelf-like storage body 1b opposed to a picker body 2d positioned at the highest position. The box 41c is formed and arranged as another example of the chart storage unit 4. The medical chart hanger 41 is directly connected to a transport cart 51c mounted on a rail 5a of the transport means 5 extending and laid directly above the hanger 41, or the cart hanger 41 is connected to the cart hanger 41.
1c, it is mounted on a box 41c having an open upper surface or is supported by a box 41c having a lid 41b so as to be connected to the carriage 51c in a suspended state. Are suspended and supported inside. As shown in FIGS. 7 (a) and 7 (b), the hanger 41 has a structure capable of suspending and supporting a plurality of medical records Ca. Therefore, each of the hangers 41 extracted from the storage section 1A by the above-described picker body 2d. After the medical chart Ca is supported and changed by the hanger 41 in the hanging style, as shown in FIG. 9, the hanger 41 itself is directly bonded or indirectly bonded via the box 4c. The transport truck 51c is transported toward the destination. Here, the contents of the direct or indirect connection relationship between the chart hanger 41 and the transport vehicle 51c will be described. As shown in FIG. 9, the direct connection between the medical chart hanger 41 and the cart 51c means that the hanger 41 itself provided as a medical chart storage section 4 on the housing 1b by being supported by the top opening box 41c is provided in a plurality. This means that the medical chart is suspended and supported, and is coupled to the cart 51c as it is or together with the box 41c, and is conveyed to the destination, embodying the second embodiment of the present invention. On the other hand, when the rail 5a that is the transport path is not laid to the chart storage section 4 formed inside or on the upper surface of the shelf-shaped storage body 1b , the hanger 41 and the box body 4c are attached to the cart. In order to couple to the carrier 51c, it may be necessary to slightly move the hanger 41 or the box 41c from the position where the chart storing section 4 is formed to couple to the carrier 51c. In this case, conventionally, the chart storing / storing means 1A and the transport means 5
Although an independent transfer means is provided between the rails 5a, the present invention can be developed to a transfer mode which does not require an independent transfer means, and this is an application example of the present invention. . Hereinafter, the above-mentioned application example of the present invention will be described with reference to FIGS. 4 to 6 and FIG. In the application example, as schematically shown in FIG. 4, a mechanism is provided to the chart hanger 41 so as to transfer the chart Ca suspended and supported by the chart hanger 41 to the container 51f provided on the upper surface side of the cart 51c. Have been. In the application example, the chart storing section 4 is formed as follows. Here, first, as shown in FIG. 4, about two steps of the shelf above the storage body 1b in the medical chart storage section 1A are removed, and the top plate is removed therefrom. The column 42 of the chart storage unit 4 is vertically erected along the opening surface of the housing 1b at a position facing the picker main body 2d at the raised position on the traveling pole 2c of the picker 2B. . Then, a horizontal arm 43 which is automatically moved up and down with respect to the column 42 and is parallel to the opening surface of the housing 1b in the storage section 1A is mounted on the column 42, and on the lower surface side of the arm 43 A medical chart hanger 41, which is automatically movable along the length direction of the arm 43, is attached to the movable medical chart storage section, which can move up and down and advance and retreat on the medical chart storage section 4. Formed. With the above configuration, the chart hanger 41 suspended from the arm 43 positioned below the column 42 is positioned at substantially the same position as the chart storage section 4 in the apparatus of the present invention and extracted by the picker 2B. Specified medical record Ca to be stored. That is, each of the medical charts extracted from the medical chart storage unit 1A is stored in the hanger 41.
Ca is set so as to be temporarily stored by the picker body 2d (fifth.
(See figure). Next, when the amount of the medical record Ca stored in the hanger 41 reaches a predetermined amount, or when a predetermined timing is timed, the arm 43 holding the hanger 41 is raised and placed on the carriage 51c. Lift the hanger 41 above the placed transport container 51f (
(See FIG. 4). At this position, the arm 43 protrudes forward from the column 42, moves the chart hanger 41 directly above the transport container 51f, and then descends, and removes the chart Ca suspended from the chart hanger 41 into the container 51f. (Refer to FIG. 4). In this state, when the hanger 41 of the arm 43 slides in the longitudinal direction of the arm, each chart Ca suspended and supported by the chart hanger 41 is released from the holding portion 41a of the hanger 41. It is detached by the slide and is accommodated in a container 51f integral with the carriage 51c (see FIG. 5). In this way, the cart 51c integrated with the transport container 51f accommodating each chart Ca specifies the destination of the chart Ca as it is, that is, on the rails 5a and 5a 'shown in FIGS. Will be run toward the medical department. Also in the above-mentioned application example, the chart that was requested to be extracted by the picker 2B in the chart storing and storing means 1A is temporarily held in the chart hanger 41 formed as a chart storing section, and the chart of the hanger 41 is stored. Since it is housed in the container 51f of the traveling cart 51c and transported to the destination, it is almost the same as the previous device of the present invention in that the chart is extracted → temporarily held in the chart storage section → the held chart is transported by the transport cart. Can be taken. In the above-mentioned application example, the column 42 and the arm 43 mounted on the column 42 are not provided, and instead, the transport rail 5a is extended and laid to the chart storing section where the column 42 is provided. Thus, the medical chart hanger 41 is directly held on the cart 51c, and the medical chart storage unit by the hanger 41 is directly connected to the transport cart 51c, that is, the chart management having the same configuration as that of the second embodiment of the present invention described above. The device can be formed. Which of the above-described first and second embodiments is adopted in the present invention can be arbitrarily selected according to the size of the space where the apparatus of the present invention is installed, the form, the chart management film, and the like. it can. After being delivered to each medical department as described above, each medical chart Ca used in each medical department is stored or held in the medical chart holding means 4c or 41 transported to each medical department and returned. Thus, the cart can be returned and transported to the chart storage unit 4 of the chart storing / storing means by the transport trolley, thereby automatically returning the chart. As described above, when the chart is returned to the chart storage section 4 in the chart storage section 1A, the chart in the storage section is automatically returned to the original position of the chart storage section 1A by the picker body 2d of the picker 2B. And stored there. In the present invention, it is a matter of course that the charts that have been used in each medical department may be returned to the chart storage unit 1A from each transport destination by a hand-carrying cart. [Effects of the Invention] The present invention is as described above, and in the conventional chart management method, storage means for storing a chart for extracting a chart in accordance with a delivery request, and transport means for transporting the extracted chart to a predetermined destination In the present invention, a so-called transfer means such as a robot or a conveyor is indispensable. A chart storage unit having a chart holding unit is formed inside or on the top of the storage unit, and the chart holding unit of this storage unit is directly connected to the transport trolley, so the extraction of the requested chart and the transfer to the destination are transferred. It has the advantage that it can be done very quickly and rationally without means.

【図面の簡単な説明】第１図(a)〜(f)は本発明方法を実施するカルテ管理装置の一例におけるカルテ
抽出から運搬までの作動順序をそれぞれ概念的に示した斜視図、第２図はカルテ
管理装置の応用例の概要を示す平面図、第３図は第２図の装置の正面図、第４図
は第２図，第３図に示す装置の要部の側面図、第５図は同じく第４図に示す装置
の要部の正面図、第６図は同じく第５図に示す装置の平面図、第７図(a)は第２
図〜第６図に示したカルテハンガ−の正面図、第７図(b)は第７図(a)の部分側面
図、第８図は第４図〜第６図に示す装置における要部の斜視図、第９図は本発明
方法を実施するカルテ管理装置の別例の要部の概要を示す斜視図である。 1A…カルテ収納部、1a…収容部、1b…棚状庫体、2B…ピッカ−、2a，2b…ガイ
ドレ−ル、2c…走行ポ−ル、2d…ピッカ−本体、Ca…カルテ、 Ch…カルテホルダ−、３…操作制御部、４…カルテ貯留部、4a…収容部、4b…蓋
、4c…箱体、41…カルテハンガ−、５…カルテ運搬手段、5a，5a'…搬送レ−ル
、5b…分岐部、5c…運搬台車、5d…シフタ−BRIEF DESCRIPTION OF THE DRAWINGS FIGS. 1 (a) to 1 (f) are perspective views each conceptually showing an operation sequence from extraction of a medical chart to transport in an example of a medical chart management apparatus for carrying out the method of the present invention. FIG. 3 is a plan view showing an outline of an application example of the chart management apparatus, FIG. 3 is a front view of the apparatus shown in FIG. 2, FIG. 4 is a side view of a main part of the apparatus shown in FIGS. 5 is a front view of the main part of the apparatus shown in FIG. 4, FIG. 6 is a plan view of the apparatus also shown in FIG. 5, and FIG.
FIG. 7 (b) is a partial side view of FIG. 7 (a), and FIG. 8 is a partial view of the main part of the apparatus shown in FIGS. 4 to 6. FIG. 9 is a perspective view showing an outline of a main part of another example of the chart management apparatus for implementing the method of the present invention. 1A: medical chart storage section, 1a: storage section, 1b: shelf-like storage body, 2B: picker, 2a, 2b: guide rail, 2c: running pole, 2d: picker body, Ca: medical chart, Ch ... Medical record holder, 3 operation control unit, 4 medical record storage unit, 4a accommodation unit, 4b lid, 4c box, 41 medical record hanger, 5 medical record transportation means, 5a, 5a '... transport rail , 5b ... branch part, 5c ... transport trolley, 5d ... shifter

Claims

Claims: 1. A shelf-shaped storage body for determining and storing a plurality of file-shaped medical records at respective storage positions, and a picker for extracting a specific medical record in the storage according to a command and holding and transporting the specific medical record to a predetermined position.
And a transporting means having a transport path to each destination for transporting the specific medical chart extracted above to a specific destination selected from a plurality of destinations. the per, while the extracted chart to collect temporarily in medical record storage unit having a medical record holding means formed in the inner portion or the top surface of the shelf-like box body in the medical record storage storage means, to within the chart reservoir Extended transport path
Is transported directly to the chart holding means of the chart storage unit
The medical chart management method, wherein the extracted medical chart collected in the storage section is transported together with the medical chart holding means of the storage section. 2. The medical chart management method according to claim 1, wherein the medical chart holding means of the medical chart storage section directly connected to the cart has a container shape for accommodating and supporting the medical chart or a hanger for suspending and supporting the medical chart. (3) The chart storage unit is located inside the shelf for each destination of the chart requested to be taken out.
3. The medical record management method according to claim 1, wherein the medical record is formed separately on the upper surface . 4 The chart storage unit for each transport destination formed in the chart storage and storage unit determines the number of times the chart has been transported to the destination or the transport departure timing of the chart storage unit for each transport destination based on the previous transport time. 4. The chart management method according to claim 1, wherein the chart is formed. 5 While storing a large number of file-like charts in the shelf-shaped storage cabinet by determining their respective storage positions, a specific chart is extracted from the shelf-based storage cabinet by a picker according to a delivery command, and the extracted chart is extracted by the picker. The predetermined position in the chart storing and storing means which is configured to be held and transported to a predetermined position is formed as a chart storing section provided with a chart storing means inside or on the upper surface of the shelf-shaped storage body , and is collected in the chart storing section. the transport path of the transport carriage selectively delivered to any of a plurality of transport destination the chart to be, extending laid up in the chart reservoir, said medical record holding means in the transport carriage came traveling to the reservoir A medical chart management apparatus, wherein the medical chart is transported to a desired destination together with the medical chart holding means by the carriage by directly connecting the medical chart. 6 chart reservoir, for one medical record storage storage means, and the interior of the shelf-like box body
6. The medical chart management device according to claim 5, wherein two or more medical charts are formed on an upper surface according to two or more destinations of the extracted medical chart. 7. The chart management apparatus according to claim 5, wherein the chart holding means of the chart storage unit is formed of a container capable of storing two or more charts. 8. The medical chart holding means of the medical chart storage unit is a hanger that can suspend two or more medical charts.
The chart management apparatus according to claim 5, wherein the chart management apparatus is formed by: