JPH047995B2 - - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION Technical Field The present invention relates to a printing device that prints on recording paper, and more specifically, it is advantageous for recording and printing on so-called medical charts for recording medical progress in hospitals, for example. The present invention relates to an implemented printing device.

BACKGROUND ART Conventional printers are configured to wrap recording paper around a platen and print on the recording paper by a print head that runs in the width direction of the recording paper.

Problems to be Solved by the Invention In such prior art, the recording paper to be printed must be wrapped around the platen, which is time-consuming and requires relatively thick recording paper or It is difficult to record on recording paper that has a wide width.

An object of the present invention is to provide a printing device for printing on thick or large medical charts.

Means for Solving the Problems The present invention is connected to a processing device realized by a large computer or the like,
An input system consisting of a central processing circuit in which drug names and their codes are pre-stored in built-in memory, and a keyboard for inputting department codes, patient identification codes, disease name codes, drug name codes, etc. means, a printer for printing a disease name, a disease name code, a drug name, and a drug name code on a disease name registration form or a prescription; a writing/reading means for storing the disease name code and drug name code on a floppy disk; Disease names for each clinical department stored in the central processing circuit,
Each clinical department must have at least one processing device that has a display device for displaying the disease name code, drug name, and drug name code, and a printing device for recording and printing the disease name, drug name, and these codes on the medical record. The printing device is made of a rigid ferromagnetic material on which the medical chart to be printed and the medical progress record paper to be supplemented to the chart are placed, and is made of a rectangular plate with a flat surface and a ferromagnetic material. A pressing member in which magnetism is imparted to a storage body formed in the shape of a rectangular frame by a coil, and presses and supports a medical chart and a medical progress record paper on the plate by a magnetic force acting on the plate; It is placed on the progress record paper in an area surrounded by a housing of pressing members, and includes a print head that prints in this area, and displays the name of each patient's disease, medical progress, and drug name for its treatment. is inputted using the input means, the printing head is configured to record and print on the medical chart via the central processing circuit, and the plate body has vertical and horizontal dimensions equal to the vertical length of the pressing member. and the width in the lateral direction, and the pressing member is supplied with excitation power from a power source via a flexible lead wire, and the coil wire is wound around the pressing member so as to extend along the plate body. A first storage material portion provided with a coil, a concave fitting portion opening downward, and a convex fitting portion fitting into the concave fitting portion on both sides of the storage groove opening upward. and a storage body in which the provided second storage material portion is assembled vertically and integrally, and a storage space for the coil is formed by the storage groove, and the printing head has a vertical axis larger than the thickness of the pressing member. It is a handy type having a vertical height, is mounted on the medical progress recording area of the medical chart or the medical progress recording area, and receives information inputted by the input means and transmitted via the central processing circuit. , a large number of printing wires distributed over the entire recording area of the carbon paper or carbon ribbon are driven by electromagnetic force, and letters, numbers and other characters are printed by a large number of dots. This is a medical chart printing device characterized by having a configuration in which:

Effect According to the present invention, a doctor who has treated a patient inputs the name of the disease, the course of treatment, and the name of the drug for the treatment into the processing device installed in each clinical department, and the These input items are recorded and printed directly on the medical record. This printing device places the recording paper to be printed on a rigid flat plate.
A pressing member is placed on the recording paper to press the recording paper onto the board. As a result, the recording paper is fixed flat along the plate. In this state, printing can be performed on the recording paper by the print head. The area where printing is performed on the recording paper is an area surrounded by the frame-shaped container of the pressing member.

Embodiment FIG. 1 is an exploded perspective view of an embodiment of the present invention. Recording paper 22, which is a medical record to be printed, is placed on plate 41. This plate 41 is rigid, has a flat surface, and is made of a ferromagnetic material, such as iron.

The pressing member 42 is formed into a square frame shape. Now, as shown in FIG. 1, the plate body 41 is
The vertical and horizontal dimensions of the rectangle are L.
1 and L2, and the vertical and horizontal dimensions of the pressing member 42 are L3 and L4, respectively, these L
1 to L4 have the relationship of the first formula, and the pressing member 4
2 is set to a size such that the frame-shaped storage body does not protrude from the outer periphery of the medical chart and recording paper placed on the plate 41.

L1>L3 L1>L4 L2>L3 L2>L4...(1) As clearly shown in FIG.
Press the outer periphery of the recording paper onto 1.

FIG. 3 shows a cross section of member 42 at right angles to the axis. This pressing member 42 includes a coil 43 and a storage body 44 that stores the coil 43. The storage body 44 includes a first storage material portion 44b provided with a concave fitting portion 44c opening downward, and a storage material portion 44b provided with a convex fitting portion 44d on both sides of a storage groove 45b opening upward. The upper and lower portions 44a are integrally assembled to form a frame shape. The storage groove 45b forms a storage space 45 in which the coil 43 is stored.

FIG. 4 is a perspective view of the coil 43. This coil 43 is made by winding a coil wire many times so as to extend along the plate 41, and is stored in a storage space 45. Since both storage material parts 44b and 44a are assembled in a sealed state by the parts 44c and 44d, the coil 43 does not protrude from the storage space 45 and is stored in an orderly manner. Excitation power is supplied from a power source 47 (see FIG. 1). Although this excitation power may be alternating current or direct current,
From the viewpoint of preventing noise, direct current is preferable.

The housing 44 of the pressing member 42 is made of a ferromagnetic material, such as iron.

By pressing the recording paper 22 against the plate 41 using the pressing member 42, the recording paper 22 can be held flat on the plate 41 without wrinkles or the like. In this state, the printing head 9 can be placed on the area 22a of the recording paper 22 surrounded by the housing 44 of the pressing member 42, and printing can be performed. In this way, it is possible to print at a desired position on the recording paper 22, making it easy to print at a desired recording location such as a medical chart. Therefore, even if the recording paper 22 is thick, large in size, or inflexible, it is possible to easily print on it.

As shown in the first equation, the vertical and horizontal dimensions L1 and L2 of the plate body 41 are set to be larger than the vertical length L3 and the horizontal width L4 of the pressing member 42, so that the pressing member 42 can be used for records such as medical records. Since it is firmly pressed and supported on the paper 22, the recording paper such as a medical chart does not move. Further, the pressing member 42 is stored in a storage space 45 in the storage body 44 with a coil wire wound around the coil so that the coil extends along the plate, and this coil imparts magnetism to the storage body. Therefore, the reliability of the pressing force is further increased. In the storage space 45, the wound coils can be neatly stored in multiple layers, and strong magnetism can be obtained.

Next, a method for inputting and printing information using the printer according to the present invention will be described.

FIG. 5 is an overall system diagram of an embodiment of the present invention. Each medical department, such as internal medicine, surgery, and pediatrics, has at least one processing device A1~
AI is provided. In large-scale hospitals with, for example, 30 or more clinical departments, this processing device A1
A total of, for example, 35 units (i=35) are provided. The processing devices A1 to Ai are connected to a processing device 1 implemented by a relatively large computer or the like. This processing device 1 includes processing devices A1 to Ai.
Based on the information input from , a calculation process for medical fee billing called Receipt 2 is performed.

FIG. 6 is a simplified perspective view of the processing apparatus A1, and FIG. 7 is a block diagram showing its electrical configuration. The processing device A1 includes a central processing circuit 3, an input means 4 such as a keyboard, a printer 5, and a writing/reading means 7 for a floppy disk 6.
, a display device 8 such as a cathode ray tube, and a so-called handy type printing head 9. printer 5
The name of the disease, the name of the drug, and their codes are printed on the disease name registration sheet 10 and the prescription 11. For the disease name registration form 10 and the prescription 11, recording paper of a predefined size is used.

The print head 9 is used to print on the medical chart 12. The printhead 9 is connected to the central processing circuit 3 by a flexible signal line 13, via which the information to be printed is transmitted to the printhead 9. This print head 9
Alternatively, the signal to be printed may be given wirelessly from the processing circuit 3.

The processing device 1 includes a central processing circuit 14, input means 15 such as a keyboard, a printer 16, and a display device 17 such as a cathode ray tube. The information necessary for medical fee billing is recorded and
It will be printed.

FIG. 8 is a perspective view of the medical chart 12 to be recorded and printed by the print head 9, and its specific contents are shown in FIG. A medical progress recording paper 22 for recording medical progress is sandwiched between sheets 20 and 21, which are made by folding a sheet of paper along the fold line 19 of the medical chart 12, and the sheets 20 and 21 are inserted with cellophane tape or the like. 21 and formed into a book shape. The first page of sheet 20 is
It is indicated by reference numeral 23 in FIG. 9, and the patient's name, address, disease name, etc. are written down. sheet 2
The second page of 0 is indicated by reference numeral 24 in FIG. The contents of the third page of the medical record 12 on the sheet 21 connected to the sheet 20 are as indicated by reference numeral 25.
The contents of the fourth page of No. 2 are as indicated by reference numeral 26. The third page 25 is provided with a record printing area 27 for recording the medical progress, and the printing head 9 records and prints in this area 27. This area 27 has a size that allows, for example, to record the medical history of about four sessions in total. When the medical progress is printed in the area 27 and it becomes full, a new recording paper 22 is prepared.
A new recording paper 22 is pasted onto the third page 25 in the form of a book using cellophane tape or the like. The medical progress is similarly recorded and printed in the recording area of the recording paper 22 by the print head 9.

The printing head 9 is mounted on the recording area 27 of the sheet 25 and the recording area of the recording paper 22, and a large number of printing wires distributed over the entire surface of the recording area via carbon paper or carbon ribbon are applied with electromagnetic force. It has a configuration in which letters, numbers, and other characters are printed using a large number of dots driven by a dot. This prevents the recorded contents in the medical record 12 from changing color or fading, making it possible to permanently preserve the medical history and the like.

As shown in FIG. 2, the height h2 of the printing head 9 is larger than the thickness h1 of the pressing member 42, so that the pressing member 42 does not get in the way when operating the printing head 9. There is no.

FIG. 10 is a plan view of the disease name registration note 10 and the prescription 11. The printer 5 prints the disease name, its code, etc. in the recording areas 29, 30 of the disease name registration paper 10, which is written as a disease name notification paper. The drug name and drug name code are printed by the printer 5 in areas 31 and 32 of the prescription 11 where the outpatient prescription/treatment total sheet is written. The disease name registration form 10 is used by the processing device 1 to process a medical fee claim. The prescription 11 is used at a pharmacy for a patient to obtain medicine at the pharmacy.

Referring to FIG. 11, the medical procedure at the hospital will be described. When a patient visits a hospital for the first time from step m1 to step m2, the patient visits step m1.
3, the medical record 12 is prepared, and the patient's name is written on the first page 23 of the medical record 12 (see FIG. 9). In step m4, basic medical treatment is performed, and the department in which the medical treatment should be performed is determined. In step m5, a specific code for identifying the patient is determined, as well as a code for the department where the patient should be treated.These are written on a card, carried by the patient, and recorded in the medical record 12. be done. At step m6, medical record 1
2 passes through the medical record storage room and is transported from step m7 to the department where the patient receives treatment. In step m8, the doctor performs medical treatment on the patient, and as a result, the doctor inputs the name of the disease and the name of the medicine for prescription through the input means 4. The input disease name and drug name are recorded and printed on the chart 12 by the printing head 9 in step m10, and the disease name code and drug name code are also recorded and printed. The content to be printed should also be written/written.
The reading means 7 stores the information on the floppy disk 6, and the printer 5 prints it on the disease name registration form 10 and the prescription 11. These information are transmitted via line 42 to the central processing circuit 14 of the processing device 1 and processed so-called on-line.

At the time of a re-examination, by providing the ID code and department code of the card owned by the patient in step m12, the medical record in the medical record storage room can be searched in step m6.

FIG. 12 shows step m9 in FIG.
This is a flowchart for explaining more specific operations of m10. Moving from step s1 in FIG. 12 to step s2, the input means 4 is used to input the code of the medical department and the specific code for specifying the patient. In step s3, the disease name stored in the memory 33 is displayed by the processing circuit 3.

FIG. 13 shows the display device 8 in step s3.
The screen displayed by is shown below. When the medical department is internal medicine, a display indicating this is displayed in the display area 34. Each of the processing devices A1 to Ai is individually provided for each department. Therefore, for example, in the processing device A1 installed in the internal medicine department, the department name and department code are stored in advance in the memory 33. Thereby, the input operation using the input means 4 such as the name of the family may be omitted.
The display area 35 displays disease names determined by internal medicine. Corresponding to each disease name, a code corresponding to the disease name is displayed in the area 36. The doctor sees the disease name in area 35 as a result of the patient's medical treatment,
The disease name code in the area 36 corresponding to the disease name is read, and this disease name code is input using the input means 4. The disease name code displayed in the area 36 is input by operating the input means 4 in step s4. There are many types of disease names for each department; for example, each department has 200 to
Sometimes it's around 300. The display screen of this display device 8 can be changed in order to display a large number of disease names.

When the operation for inputting the disease name is completed in step s5, the processing circuit 3 causes the display device 8 to display the drug name in step s6. The display state of this drug name display on the display device 8 is as shown in FIG. In the display area 37 of the display device 8, the disease name corresponding to the disease name code input in step s4 is displayed. The name of the drug used to treat the input disease name is displayed in the display area 38. Codes corresponding to each drug name and drug amount are displayed in the display area 39 in individual correspondence with the drug name. In this embodiment, the drug name code displayed in the display area 39 consists of five digits. The doctor selects the necessary drug name by looking at the display area 38, looks at the display area 39, and inputs the drug name code corresponding to the drug name using the input means 4 in step s7.
Enter. The display screen of this display device 8 can be changed in order to display a large number of drug names corresponding to disease names.

When the input of the drug name code is completed in step s8, the medical chart 12 is prepared in step s8. In step s10, the printing head 9 is placed on the recording area 27 of the medical chart 12 (see FIG. 9) or on the recording paper 22 to prepare for printing. When the preparation for printing by the print head 9 is completed, the process moves to step s11, and based on the disease name code and drug name code inputted by the input means 4, printing is performed on the medical chart 12 in step s11. At the same time, the printer 5 prints on the disease name registration sheet 10 and the prescription 11. When the printing on the medical chart 12 is completed in step s12, the process returns to step s2 for treating the next patient. The information from the processing circuit 3 is transmitted via the line 42 to the processing circuit 14 of the processing device 1, thereby performing arithmetic processing for billing insurance medical fees as described above.

In this way, the present invention eliminates the need for the conventional work in which the disease name input staff inputs the disease name code and drug name code while checking the comparison table at step n11 in FIG. It is possible to perform input by a simple operation while looking at the displayed contents, and it is possible to prevent input errors. Moreover, the operator who performs the transcription in step n10 of FIG. 15 and the person who inputs the disease name in step n11 are unnecessary.

In the above embodiment, the processing device A1 and the processing device 1
are connected online, and the arithmetic processing in the processing device 1 can be performed online. However, as another embodiment of the present invention, the processing device A1 and the processing device 1 are connected online. Alternatively, the floppy disk 6 in the processing device A1 may be read by a reading means provided in connection with the processing circuit 14 in the processing device 1, and the processing circuit 14 may thereby perform arithmetic processing. good.

The print head 9, for example, prints one character by moving back and forth in a zigzag pattern over the recording area of the recording paper.
The printer may be configured to print in the recording area where the printer is mounted. This print head has a print wire driven by electromagnetic force and prints through carbon paper or carbon ribbon.
The print head 9 may also be constructed with a heater when the recording paper is so-called thermal paper.

Although in the embodiments described above, the present invention has been described in connection with a medical practice such as a hospital, other embodiments of the present invention can be widely implemented for inputting and printing other information.

Effects As described above, according to the present invention, even if the recording paper is thick, large in size, or wrinkled, it can be pressed onto a rigid flat plate by the pressing member. This makes it possible to print accurately at the desired position.

Further, according to the present invention, when printing on recording paper such as a medical chart, when pressing the recording paper, the plate body changes its vertical and horizontal dimensions to the vertical length and lateral width of the pressing member. The frame-shaped storage body of the pressing member has many coils sealed in a large storage space extending along the plate, so strong magnetism is obtained and the pressing member is The storage body reliably presses and supports the recording paper such as medical records with strong pressing force, the medical records etc. are correctly fixed without moving, and printing on medical records etc. can be performed quickly and accurately. In addition, the storage body consists of a pair of upper and lower storage material parts, and these parts are assembled at their fitting parts to form a sealed storage space, so the coil can be stably placed in this storage space. be done.

Furthermore, since the thickness of the pressing member is significantly lower than the height of the printing head, the printing head can be operated without being obstructed by the pressing member during printing, and recording in medical records is possible. Easy to work with.

Using such a processing device, if a doctor inputs the medical results on the spot, they will be stored on the floppy disk using the writing/reading means, and can also be printed directly on disease name registration sheets and prescriptions. This eliminates the need for a worker to transcribe information on disease name registration forms and prescriptions as in the past, and also prevents errors caused by transcription.

[Brief explanation of drawings]

Fig. 1 is an exploded perspective view of one embodiment of the present invention;
The figure is a cross-sectional view of one embodiment of the present invention, FIG. 3 is a view showing a cross section perpendicular to the axis of the pressing member 42, and FIG.
3, FIG. 5 is a simplified overall block diagram of an embodiment of the present invention, FIG. 6 is a perspective view showing a specific configuration of processing device A1, and FIG. 7 is a perspective view of processing device A1.
1 and a block diagram showing the specific electrical configuration of the processing device 1; FIG. 8 is an exploded perspective view of the medical chart 12;
FIG. 9 is a front view showing the recording area of the medical record 12, FIG. 10 is a front view of the disease name registration 10 and the prescription 11, FIG. 11 is a flowchart showing the medical procedure according to the present invention in a hospital, and FIG. 11 is a flowchart for explaining the detailed operations of steps m9 and m10, FIG. 13 is a diagram showing the display state when the disease name code is input on the display device 8, and FIG. FIG. 15 is a flowchart showing a conventional medical treatment procedure in a hospital. 9... Printing head, 10... Disease name registration, 11... Prescription, 12... Medical record, 22... Recording paper, 41... Plate, 42... Pressing member.

Claims (1)

[Scope of Claims] 1. A central processing circuit that is connected to a processing device such as a large-sized computer, and has medical department names, disease names, drug names, and their codes stored in a built-in memory in advance. and an input means such as a keyboard for inputting the medical department code, patient identification code, disease name code, drug name code, etc., and the disease name, disease name code, drug name, and drug name code on the disease name registration form or prescription. A printer for printing the disease name code and drug name code, a writing/reading means for storing the disease name code and drug name code on the floppy disk, and a disease name for each clinical department stored in the central processing circuit.
Each clinical department must have at least one processing device that has a display device for displaying the disease name code, drug name, and drug name code, and a printing device for recording and printing the disease name, drug name, and these codes on the medical record. The printing device is made of a rigid ferromagnetic material on which the medical chart to be printed and the medical progress record paper to be supplemented to the chart are placed, and is made of a rectangular plate with a flat surface and a ferromagnetic material. A pressing member in which magnetism is imparted to a storage body formed in the shape of a rectangular frame by a coil, and presses and supports a medical chart and a medical progress record paper on the plate by a magnetic force acting on the plate; It is placed on the progress record paper in an area surrounded by a housing of pressing members, and includes a print head that prints in this area, and displays the name of each patient's disease, medical progress, and drug name for its treatment. is inputted using the input means, the printing head is configured to record and print on the medical chart via the central processing circuit, and the plate body has vertical and horizontal dimensions equal to the vertical length of the pressing member. and the width in the lateral direction, and the pressing member is supplied with excitation power from a power source via a flexible lead wire, and the coil wire is wound around the pressing member so as to extend along the plate body. A first storage material portion provided with a coil, a concave fitting portion opening downward, and a convex fitting portion fitting into the concave fitting portion on both sides of the storage groove opening upward. and a storage body in which the provided second storage material portion is assembled vertically and integrally, and a storage space for the coil is formed by the storage groove, and the printing head has a vertical axis larger than the thickness of the pressing member. It is a handy type having a vertical height, is mounted on the medical progress recording area of the medical chart or the medical progress recording area, and receives information inputted by the input means and transmitted via the central processing circuit. , a large number of printing wires distributed over the entire recording area of the carbon paper or carbon ribbon are driven by electromagnetic force, and letters, numbers and other characters are printed by a large number of dots. What is claimed is: 1. A medical record printing device characterized by having a configuration.