JPH0825873A - Patient's case record managing apparatus and holder for managing patient's case record - Google Patents

Abstract

PURPOSE:To simplify the retrieval of patient's case record by a manual operation by forming the partition of an index part corresponding to the vowel of a first syllable of a name on an index part by solidly coating with dense color or adhering a dense color tape. CONSTITUTION:A patient's case record is managed by selecting the holder H of the color allocated to a column corresponding to a first syllable of a patient's name from ten kinds of holders H classified by ten colors corresponding to the ten columns of a table of the Japanese syllabary and holding it. The partition corresponding to the vowel of the first syllable of the patient's name of the five stages of the partitions of the index 6 of the holder H is formed as the index part (b) by solidly coating with dense color or adhering a dense color tape. The holder H is contained in each rack according to the kinds classified by color, and so laterally aligned that the parts (b) formed at the index 6 is aligned at the same height and contained.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an improvement of a medical record management apparatus used for managing a medical record in a hospital and a medical record management holder used for the medical record management apparatus.

[0002]

2. Description of the Related Art The management of medical records in hospitals is performed by maintaining the primary management for the medical records of patients who are in the hospital and the medical records of patients who are no longer required to be hospitalized due to the completion of treatment by the hospital. There is secondary management that manages for a legal period.

The primary management is usually carried out by accommodating in a rack so that retrieval and extraction can be performed immediately each time a patient visits the hospital. This primary management is not limited to manual search and extraction by visual inspection, but the rack is equipped with a selection and extraction mechanism that can automatically select and extract a prescribed chart, thus forming an automatic search machine. By inputting an input signal corresponding to the code number of the medical chart to the controller, it may be possible to automatically perform search and extraction of a predetermined medical chart.

In this automatic retrieval / extracting means, the chart is usually held in a rack by holding it in a holder formed so as to hold it in a paper-sandwiched manner. A large number of engaging claws that can be cut off by bending are installed side by side in multiple rows, and the rack side corresponds to the number of engaging claws provided on the back side of the holder. Then, the automatic bundling machine is configured by providing a selection and extraction mechanism composed of a large number of selection levers arranged in parallel in the vertical direction and a push-out lever for pushing out the holders to the front side of the rack. Then, the holder with the chart inserted therein is housed in the rack in a posture in which the back ridge side provided with the engagement piece thereof faces the rear side of the rack. At this time, as for the engaging claws arranged in parallel on the dorsal side, the engaging claws selected according to the combination corresponding to the code number of the patient of the sandwiched chart are cut off. As a result, by inputting the input signal corresponding to the code number of the chart to be taken out to the controller of the selective extraction mechanism, the predetermined chart is pushed out to the front side of the rack while being held in the holder. belongs to.

[0005] In addition, since it is almost unnecessary to search for a medical record in the secondary management, it is stored in a rack formed in a normal book shelf shape and managed, but in order to support occasional searching, the medical record is stored. A color label is attached to the holder that holds the number, and the last two digits of the code number of the chart that is organized by the four-digit code number are searched by the color label.

This is because there are only 10 types of 4-digit code numbers assigned to the chart that have the same last 2 digits, and 10 types of color labels corresponding to these are prepared. Then, attach it to the holder corresponding to the last two digits of the code number, arrange the same color label in blocks of 10 and store it in the rack. This is because it is sufficient to search for the 4-digit code number from the 10 sheets after performing the first-stage search for the last 2-digits.

[0007]

The conventional means for managing a medical record is a selection extraction mechanism mounted on the rack side, which is usually used for the primary management of the medical record, and an engagement provided on the back ridge side of the holder. The means to use an automatic search machine composed of nails is
There is a problem in that it is expensive to install the rack due to its special configuration. Furthermore, by using the code number attached to the medical record, the engaging claw on the dorsal side of the holder is cut off according to the code number, and the input signal corresponding to the code number is input to the controller. Since a predetermined chart is extracted, it is assumed that the chart has a code number. By the way, in order to add code numbers to medical records, it is necessary to create an index book and add code numbers accordingly, which makes the work for this problem troublesome. is there.

The means for finding the last 2 digits of the 4-digit code number using the 10-color label used for the secondary management also means that the code number is attached to the chart. This is a prerequisite and requires the creation of an index book, which causes the same problems as described above.

The present invention has been made in order to solve the above-mentioned problems that have occurred in the conventional means, and does not use an automatic searcher, which causes a heavy burden of costs, but uses a normal book shelf-like rack for medical records. It provides a new medical record management method that allows you to quickly and easily search for medical records by manually storing them while storing them manually. The purpose is to

[0010]

In the present invention, as means for achieving the above-mentioned object, a holder formed by a synthetic resin material or a paper material in the form of a paper sandwich for holding and holding a medical record, It is formed into 10 kinds, which are classified into 10 colors, and the holders of the respective colors are assigned to the vertical lines of the Japanese syllabary kana syllabary, and the holders for each assigned color are , The edge exposed on the front side of the rack when stored in the rack is
The index part is divided into 5 steps up and down to correspond to the 5 vowels in the Japanese syllabary, and the patient's chart is inserted into a holder of the color corresponding to the first syllable of the name, and the sides of the holder Of the divided part of the edge index part,
The section corresponding to the vowel of the first syllable of the patient's name is colored in dark color or a tape of dark color is attached to form the sign part, and this holder is colored differently in the index part for each type The present invention proposes a medical record management apparatus characterized in that the marker parts colored with are aligned in the same height position and stored in a rack.

[0011]

In the medical record management apparatus according to the present invention having the above-described structure, basically, the patient's medical record is closed in a paper sandwich holder, and the holder is stored in an ordinary book shelf rack. In addition, since the medical chart of a predetermined patient is manually searched and extracted from there, the facility cost does not increase and the facility can be very inexpensive.

In addition, the management of the medical record
The first of the patient's names from the 10 types of holders, which are classified into 10 colors corresponding to the 10 vertical columns of the Japanese syllabary.
Select a holder of the color assigned to the row corresponding to the syllable, sandwich it, and insert the section corresponding to the vowel of the first syllable of the patient's name among the five sections of the index section of that holder. For example, fill in a dark color or attach a dark-colored tape as a marking part, and store this holder in a rack for each type of different color, and at that time, mark the marking part formed on the index part. As shown in FIG. 3, the blocks of the holder are divided into 10 different colors corresponding to the 10 vertical rows of the Japanese syllabary by storing them horizontally so that they are aligned at the same height. In addition, the marker portions are aligned with the height positions changed in five steps.

In the search and extraction of the medical chart, first, a block of a color of a type corresponding to the first syllable of the patient's name is selected, and then the vowel of the first syllable is selected from the blocks. By selecting the marker portion and visually searching the actual name of the patient from the holders in the range where the marker portions are aligned, it becomes possible to easily extract the name. In this search work, the first syllable of the patient's name is supposed to be evenly distributed in each vertical line of the Japanese syllabary, and the vowels of the first syllable are evenly distributed in five steps. If there are 50% of the total medical records,
Since it is necessary to search only the range of one sound classified according to the sounds classified according to the sounds, the operation can be performed with almost no burden.

Further, when the extracted chart is returned to the rack, when the place is wrong, it is easily identified by the difference in color and the difference in height of the marking portion, so that there is no error.

Moreover, since it is not necessary to add a code number, it is not necessary to create a towing book.

[0016]

Embodiments Next, embodiments will be described in detail with reference to the drawings. Figure 1
FIG. 3 is a perspective view of a chart management holder H used in the chart management apparatus of the present invention, in which a thick paper material is cut into a rectangular shape having an area approximately twice or more the area of the medical chart in the longitudinal direction. The front cover 1 and the back cover 2 are formed into a paper sandwich that is continuously polymerized by the dorsal ridge portion 3 by folding and forming from the middle portion into two, and the chart is opened. Insert it between the front cover 1 and the back cover 2 and bind them with the fasteners 4 that are attached to the front cover 1 or the back cover 2 and close the front cover 1 and the back cover 2 between them. The chart is sandwiched between the two.

The holder H is stored in a rack 5 with a medical record sandwiched between the holders H. As shown in FIG. 2, the rack H is formed into an ordinary book shelf shape. It is stored by inserting it into the shelf 50 ... through the opening on the front side.

At this time, each holder H is housed in such a posture that its back ridge portion 3 is in sliding contact with the shelf surface of the shelf 50. That is, as shown in FIG. 1 described above, the back ridge portion 3 is stored in a posture in which it is the lower edge.

As shown in FIG. 1, the holder H is located at the edge of the rack 5 exposed to the front side of the rack 5 when it is stored in the rack 50 of the rack 5 in the above-described state. A front side edge of one of the front cover 1 and the back cover 2 is cut out, and a protruding edge a protruding in a tongue shape is formed at the other front side edge. When the holder H is formed of a paper material, the protruding edge a is colored together with the entire holder H by using a colored material for the holder H, or the protruding edge a is colored. It is formed in a colored state by sticking it around the strip or applying paint.

The color used for this coloring is 1 in correspondence with 10 lines, which is the number of vertical lines in the Japanese syllabary of Japanese kana characters.
It is divided into 0 colors, so that 10 types of holders H with different colors are formed. Then, they are assigned to the vertical lines of the Japanese syllabary for each color. That is, for example, 10 colors of 10 colors of red, orange, yellow, green, dark blue, blue, purple, brown, pink, and gray are selected and divided into 10 colors.
If holders H ... of different types are made, each holder H ... for each color, for example, a red holder H ...
Assign the holders H ... of orange color to the "A row" of the sound chart, the holders H ... of yellow color to the "Sa row", and the holders H ... of different colors to each row. Try to keep going. At this time, as shown in FIG. 1, each type of holders H of different colors is attached with a check sheet 10 at a position where the front cover 1 can be easily seen, for example, "a row holder". Therefore, there may be a case where the allocated vertical rows are used as the exclusive holders H ... without confusion.

And again, these ten types of holders H
In the projecting edge a, an index portion 6 in which five sections 60 are arranged in parallel vertically is formed corresponding to the vowels in five syllables of the Japanese syllabary.

The index portion 6 is provided symmetrically on both the inner surface side and the outer surface side of the holder H, and in each of the sections 60 ..., a character for displaying a vowel, for example, "A" is displayed.
Like [I], [U], [E], and [O], vowels according to the Japanese syllabary are listed in order from the top.

Reference numeral b is a marking portion formed by applying a dark paint such as dark ink or attaching a dark tape such as dark ink to the section of the index portion 6, and the name of the patient is, for example, "Arai In the case of “positive”, the uppermost section 60 is painted in dark color or a dark tape is attached to the section 60, and when the patient's name is “Inoue Hajime” Eye compartment 60
Are filled with a dark color or a dark color tape is attached, and a section 60 corresponding to the vowel of the first syllable of the name of each patient is obtained.
Are formed on the marking portion b.

At this time, when the predetermined sections 60 ... Are painted in a dark color with paint or a felt-tip pen, the index section 6 is used.
Color it so that it covers both the inner side and the outer side.
Also, the same applies when applying a dark-colored tape such as dark ink,
The index portion 6 is attached so as to be wound from the inner surface side to the outer surface side.

Next, FIG. 4 shows another embodiment. In this embodiment, the holder H is formed by using a transparent plastic material such as polypropylene. Also in this embodiment, regarding forming the front cover 1 and the back cover 2 into a continuous paper sandwich shape by the back ridge portion 3,
There is no difference from the above-mentioned embodiment. In addition, when the color is divided into 10 colors and formed into 10 types, the colorant may be added to the material to form the holders H ... into 10 types, which is the same as the above-described embodiment.

However, in this embodiment, the holder H itself is formed by a normal transparent or semi-transparent synthetic resin sheet without coloring, and one of the front cover 1 and the back cover 2 of the holder H is molded. On the front side edge, a protruding edge a that protrudes like a tongue on the front side is formed continuously, and
This protruding edge a is double molded to form a transparent sheath shape having an insertion opening 70 at the upper side, and strips or strips 8 of 10 different colors are inserted and inserted into the transparent sheath. When the colors of the respective strips or strips 8 are seen through, the protruding edges a of the edges are colored in a predetermined hue, and 10 types of holders H having different colors are constructed. Is done.

Further, the protruding edge a has five sections 60.
Print the index part 6 where ... are aligned vertically,
In each of the sections 60, the letters “A”, “I”, “U”, “E”, and “O” for displaying five vowels of the Japanese syllabary are sequentially written from the top. That is, there is no difference from the above-mentioned embodiment.

Each of the 10 types of holders H, which are classified into 10 colors, are assigned to the 10 vertical lines of the Japanese syllabary, and the patient's chart is held accordingly, and the name of the patient is assigned. Of the index portion 6 corresponding to the vowel of the first syllable of the above is filled in with a dark color or a dark tape is attached to the partition 60 ... It is stored in the racks 50 of the rack 5 in alignment with the height position of the sign portion b, and when searching / extracting, it is arranged visually according to the Japanese syllabary so that it can be found visually and manually. The use is the same as in the previous embodiment.

Next, FIG. 5 shows another embodiment of the holder according to the present invention. This embodiment is a modification of the case where the holder H is molded using a transparent plastic material such as polypropylene.

In this embodiment, the front cover 1 of the holder H is used.
A strip of paper, which is transparent and made entirely of a transparent plastic material, including the back skin 2 and the sheath-shaped protruding edge a formed on one of the front side edges thereof, and is inserted into the sheath-shaped protruding edge a. Alternatively, by separating the strips 8 into 10 different colors, the color of the strip or the strip 8 to be inserted can be seen through to the outside so that the holders H ... can be made in 10 different colors. It is no different from the implementation form.

However, the holder H before inserting the strip or the strip 8 into the sheath-shaped protruding edge a has a confirmation slip 10 ... for indicating that it corresponds to each vertical line of the Japanese syllabary. Without wearing, all are formed in the same type with the same shape. Then, on each strip or strip 8 of 10 different colors to be inserted into the sheath-shaped protruding edge a, a confirmation slip 10 ... Displaying that it corresponds to each vertical line of the Japanese syllabary is attached or printed. Well,
By inserting the strips or strips 8 ..., the holders H of 10 different colors are formed.

The holder H before inserting the strips or strips 8 ... shows the chart inserted between the front cover 1 and the back cover 2 through the outside, so that the name of the patient can be seen. The description column 11 of is also omitted from printing.
The printing of the index portion 6 of the protruding edge a is also omitted.

Then, the index portion 6 provided on the protruding edge a is printed on the front edge side of the strip or strip 8 which is made into 10 kinds by changing the color as shown in FIG. 5, and the strip or strip 8 is projected. By inserting into the edge a, the sheet is made visible through the sheet of transparent or translucent plastic material forming the protruding edge a as shown in FIG.

Also, when the colored or dark tape 9 is attached to the sections 60 of the index portion 6 to be printed on the strip or strip 8 ..., the strip or strip 8 is attached to the protruding edge a.
Before being inserted thereinto, the section 60 corresponding to the vowel of the first syllable of the patient's name is selected and colored or affixed thereto to form the marker portion b.

Further, at the front edge portion of the protruding edge a of the holder H, at the portions corresponding to the sections 60 of the index portion 6 provided on the strip or the strip 8 to be inserted, the sections 60 ...
Are formed in the strip or the strip 8 inserted into the projecting edge a, and the window holes 71 ... Through which the projecting edge a is seen are formed so as to extend from the front surface side to the back surface side of the projecting edge a. Index part 6
The marking portion b formed by coloring or adhering the tape 9 to the compartment 60 is clearly visible through the window hole 71.

[0036]

As described above, according to the medical record management means of the present invention, the paper sandwiched holder for sandwiching the medical record is made to correspond to the number of vertical lines of the Japanese syllabary of the Japanese syllabary. Formed into 10 kinds of 10 colors and assigned each color to the vertical row of the Japanese syllabary, and the side of the holder exposed on the front of the rack when stored in the rack shelf. When the patient's chart is managed, the first syllable of the patient's name is formed when the patient's chart is managed by forming an index part in which the compartments are arranged in the upper and lower parts in five steps corresponding to the five vowels in the Japanese syllabary. Insert the vertical row of the corresponding Japanese syllabary into a holder of the color that is assigned, and fill the section of the index part corresponding to the vowel of the first syllable of that name with a dark color or attach a dark color tape. By forming it on the sign part, the color of the holder and this sign part By aligning the height positions and storing them in rack racks, they will be automatically sorted and stored in the Japanese syllabary. When searching for and extracting a chart, the name of the patient of that chart will be stored. Of the holders of the color corresponding to the row in which the first syllable is located in the Japanese syllabary, it suffices to find it from the range where the marker parts at the height positions corresponding to the vowels of the first syllable are aligned. So, search
It will be easy and accurate to perform extraction by visual and manual extraction.

Since the code number does not have to be used, the towing book is unnecessary and the cost burden for the equipment can be significantly reduced.

[Brief description of drawings]

FIG. 1 is a perspective view of a chart management holder used for carrying out the present invention.

FIG. 2 is a perspective view of a medical record management rack used for implementing the present invention.

FIG. 3 is a front view of the essential parts of the medical chart management apparatus according to the present invention in a state where the medical chart management holder holds the medical chart and stores it in a rack.

FIG. 4 is a perspective view of another embodiment of a medical record management holder used for implementing the present invention.

FIG. 5 is a perspective view of a chart management holder used for carrying out the present invention in a state before the strip of another embodiment is inserted.

FIG. 6 is a perspective view showing a state in which the strip plate of the above embodiment is inserted.

[Explanation of symbols]

H ... Holder, a ... Protruding edge, b ... Marking part, 1 ... Front cover, 10 ... Confirmation slip, 11 ... Writing column, 2 ... Back cover, 3 ...
Dorsal section, 4 ... Fastener, 5 ... Rack, 50 ... Shelf, 6
... Index part, 60 ... Compartment, 70 ... Insertion port, 71 ...
Window hole, 8 ... Strip plate, 9 ... Tape.

─────────────────────────────────────────────────── ─── Continuation of the front page (51) Int.Cl. ⁶ Identification code Internal reference number FI Technical display location B42F 21/06 F // B42D 15/00 331 C

Claims (4)

[Claims] 1. A holder formed by a synthetic resin material or a paper material in the form of a paper sandwich for sandwiching and holding a chart.
It is formed into 10 kinds of different colors, and each kind of holder is divided into 5 kinds of kana characters that represent Japanese syllables.
Assigned to the vertical rows of the 0-syllable chart, and the edges of the assigned holders for each color exposed on the front side of the rack when stored in the rack should correspond to the 5 vowels of the 50-syllable chart. By installing the index part that is divided into 5 stages on the top and bottom,
The patient's chart is sandwiched between holders of a color corresponding to the first syllable of the name, and the section corresponding to the vowel of the first syllable of the patient's name is divided into dark parts at the divided parts of the index part on the edge of the holder. Color the color or attach a dark tape to the sign to form the holders, and align the holders by the different colors of the index parts according to the different colors so that the markers are aligned at the same height. A chart management device characterized by being stored in a rack. 2. A paper-sandwich-shaped holder for sandwiching and holding a medical record with a synthetic resin material or paper material, and a colored strip is attached to the edge exposed on the front side when stored in a rack of the holder. By coloring the edge part, it is formed into 10 kinds, which are classified into 10 colors, and the holders of each kind are arranged in the vertical lines of the Japanese syllabary kana syllabary. Allocating the assigned holders for each color, part of the edge exposed on the front side of the rack is formed with an index part that is divided into upper and lower five stages corresponding to the five vowels in the Japanese syllabary. Then, insert the patient's chart into a holder of the color corresponding to the first syllable of the name,
Of the five sections of the index part on the edge of the holder, the section corresponding to the vowel of the first syllable of the patient's name,
A chart management device characterized by coloring in dark colors or attaching a dark tape, aligning the dark coloring parts of the index part according to the type of this holder and storing them in a rack . 3. A holder sandwiching a medical record with a synthetic resin material or a paper material, which is formed into ten kinds of papers, is formed in ten different colors, and each holder is stored in a rack of a rack. A holder for managing a medical record characterized in that an index portion divided into five steps is installed on the edge exposed on the front side of the rack so as to correspond to the five vowels in the Japanese syllabary. 4. A paper-sandwich-shaped holder for sandwiching a medical record with a sheet of transparent or translucent synthetic resin material,
The holder is provided with a projecting edge projecting to the front side at a side edge exposed on the front surface of the rack when stored in a rack shelf, and is formed in a sheath shape, and inside thereof, 10
Insert 10 kinds of color-separated strips, one for each color-separated type, to form a holder that is color-separated into 10 types according to the color of the strip. A holder for managing a medical record, which is provided with an index portion divided into 5 stages corresponding to vowels in stages.