U.S. patent number 3,848,112 [Application Number 05/287,925] was granted by the patent office on 1974-11-12 for identification system.
This patent grant is currently assigned to Sherwood Medical Industries Inc.. Invention is credited to Theodore E. Weichselbaum, Jack L. Wilhelmson.
United States Patent |
3,848,112 |
Weichselbaum , et
al. |
November 12, 1974 |
IDENTIFICATION SYSTEM
Abstract
An identification bracelet attached to the arm of each patient
entering a hospital dispenses a plurality of magnetically coded
tags having an adhesive backing for attachment to samples,
prescriptions and the like to uniquely identify the source
individual. Tag readers located throughout the hospital decode the
magnetic tags in order to correlate an analysis with the proper
patient. In the patient's room, a portable battery operated
cross-check reader compares a magnetically coded treatment tag with
an identification tag from the patient's bracelet to prevent a
treatment from being given to the wrong patient.
Inventors: |
Weichselbaum; Theodore E. (St.
Louis, MO), Wilhelmson; Jack L. (Fenton, MO) |
Assignee: |
Sherwood Medical Industries
Inc. (St. Louis, MO)
|
Family
ID: |
26788897 |
Appl.
No.: |
05/287,925 |
Filed: |
September 11, 1972 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
|
94452 |
Dec 2, 1970 |
|
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Current U.S.
Class: |
235/375; 283/70;
283/74; 283/900 |
Current CPC
Class: |
G07C
9/21 (20200101); G06K 7/08 (20130101); G09F
3/005 (20130101); A61B 90/90 (20160201); B01L
3/5453 (20130101); G06K 19/00 (20130101); Y10S
283/90 (20130101) |
Current International
Class: |
A61B
19/00 (20060101); A61B 5/117 (20060101); G06K
19/00 (20060101); B01L 3/14 (20060101); G06K
7/08 (20060101); G07C 9/00 (20060101); G09F
3/00 (20060101); G06k 005/00 (); G06k 007/08 () |
Field of
Search: |
;235/61.11D,61.12M,61.7B,61.7R,61.11A,61.11C ;340/149A |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Kuntzleman et al., Automated Blood Typing, IBM Technical Bulletin,
Vol. 10, No. 10, Mar. 1968, pp. 1,450-1,451..
|
Primary Examiner: Cook; Daryl W.
Attorney, Agent or Firm: Garber; Stanley N. O'Meara; William
R.
Parent Case Text
This is a division, of application Ser. No. 94,452, filed Dec. 2,
1970.
Claims
We claim:
1. In an identification system for relating items with patients,
cross-check means for insuring that an identifying item corresponds
to an identified patient, comprising:
first identification tag means adapted to be dispensed from
bracelet means attached to a single patient;
said first identification tag means carrying thereon magnetic means
having a plurality of magnetic fields arranged to form a unique
magnetic code for identifying a single patient;
second identification tag means adapted to be dispensed from the
bracelet means and carrying thereon magnetic means having a
plurality of magentic fields corresponding to the plurality of
magnetic fields carried by said first identification tag means to
form the unique magnetic code thereon;
means for removably attaching said second identification tag means
to an item which is to be associated with said single patient;
and reader means for comparing the unique codes of said first and
second identification tag means comprising plate means mounted for
movement along a predetermined path between first and second
positions, first and second input receptacles for respectively
receiving said first and second identification tag means, said
receptacles being disposed on said plate means for simultaneous
movement therewith, first and second magnetic read heads disposed
adjacent said path for respective association with said first and
second input receptacles, energy storage means coupled to said
plate means for storing energy in response to movement of said
plate means from said first position to said second position, said
plate means being movable from said second position to said first
position by the energy stored in said storage means for moving said
first and second identification tag means relative to said first
and second read heads to produce a first series of signals
corresponding to the unique magnetic code of said first
identification tag means and a second series of signals
corresponding to the unique magnetic code of said second
identification tag means, circuitry means responsive to said first
and second series of signals for producing a signal comparison, and
means responsieve to said signal comparison to provide a match
indication when the magnetic codes of said first and second
identification tag means are identical.
2. The identification system of claim 1 wherein said energy storage
means includes spring means for normally urging said plate means
toward said first position, damper means for controlling the speed
of movement of said plate means from said second position to said
first position, and said attaching means includes an adhesive layer
on said second identification tag means.
Description
This invention relates to an improved identification system
particularly adapted for preventing errors in identification of
individual patients in medical centers treating a large number of
patients.
In most hospitals and clinical laboratories, a bracelet containing
a patient identification number is permanently affixed around the
arm of an incoming patient in order to identify the patient during
his entire stay. Upon discharge, the bracelet is removed by
severing flexible straps which affix the bracelet to the patient's
arm. Despite this numerous situations arise which result in errors
in patient identification. When a sample is taken from a patient,
the sample must be identified by the the identification (ID) number
on the patient's bracelet. In transferring the patient's ID number,
a nurse or a technician may miscopy the number, or may relay on
memory or a different data source rather than actually reading the
patient's bracelet. In an attempt to overcome this problem, it has
been proposed to attach a notched token to the patient's arm, which
can be read by an electromechanical reader in order to control a
punch which reproduces the notched identification scheme in a card
attached to a sample. Such a system is extremely costly, and not
readily adapted for use in many practical situations which occur in
a medical center.
An even more serious problem previously unresolved, occurs when an
individual patient is to receive a treatment. Many prescription
drugs and injections are identified merely by slips of paper on
which the pateint's name and ID number has been handwritten by a
nurse or technician who is to administer the treatment. For a
variety of reasons, such as the transfer of patients to different
beds, and errors in marking the slip of paper, the wrong patient
may be given a treatment. While apparatus has been proposed for
correlating the results of a sample analysis with the source sample
such as a blood supply container, it has not previously been
suggested that such a correlation could be applied to a patient
about to receive a treatment. Furthermore, the equipment used in
correlating a sample analysis with a container is not readily
adapted nor practical for the latter purpose.
In accordance with the present invention, an improved and unique
identification system is disclosed which both initially identifies
the patient, and subsequently provides a crosscheck that a
particular patient is to receive a particular treatment. A patient
identification bracelet of simple design is disclosed which can
dispense a plurality of magnetically coded tags for attachment to
samples, prescriptions and the like, to properly identify the
source individual. When a patient is to receive a treatment, one
tag from his bracelet is placed in a portable cross-check reader
which also receives a similar tag identifying the treatment and the
patient to whom the treatment is to be administered. Only when the
tags are identical is a nurse or technician authorized to
administer the treatment.
One object of the invention is the provision of a patient
identification system in which an ID bracelet attached to a patient
dispenses a plurality of magnetically coded tages which identify
the patient.
Another object of this invention is the provision of a patient
identification system in which a cross-check reader compares
treatment identification data with patient identification data
taken from the patient immediately before administration of a
treatment in order to authorize the administration of the
treatment.
Further advantages and features of the invention will be apparent
from the following description, and from the drawings, in
which:
FIG. 1 is a block diagram illustrating the identification system
used in a medical center such as a hospital;
FIG. 2 is a perspective view of one embodiment of an identification
braclet for dispensing a plurality of magnetically coded
identificaion tags;
FIG. 3 is a cross-section of the identification bracelet, taken
along lines 3--3 of FIG. 2;
FIG. 4 is a plan view illustrating the magnetic orientation of a
tag produced by the identification bracelet, and taken along lines
4--4 of FIG. 2;
FIG. 5 is a perspective view of another embodiment of an
identification bracelet for dispensing a plurality of magnetically
coded identification tags;
FIG. 6 is a perspective view, partly in section, of one tag from
the bracelet of FIG. 5;
FIG. 7 is a cross-section of the identification bracelet, taken
along lines 7--7 of FIG. 5;
FIG. 8 is a diagrammatic illustration of the cross-check reader
illustrated in perspective view in FIG. 1;
FIG. 9 is a schematic diagram of the derived clock circuit used in
both the cross-check reader of FIG. 8 and the tag reader of FIG.
11;
FIG. 10 is a schematic diagram of the indicator driver used in the
cross-check reader of FIG. 8; and
FIG. 11 is a diagrammatic illustration of the tag reader
illustrated in perspective view in FIG. 1.
While illustrative embodiments of the invention are shown in the
drawings and will be described in detail herein, the invention is
susceptible of embodiment in many different forms and it should be
understood that the present disclosure is to be considered as an
exemplification of the principles of the invention and is not
intended to limit the invention to the embodiments illustrated.
Throughout the specification, values and type designations will be
given for certain of the components in order to disclose a
complete, operative embodiment of the invention. However, it should
be understood that such values and type designations are merely
representative and are not critical unless specifically so
stated.
Turning to FIG. 1, an identification system is illustrated for use
in a hospital or other medical treatment center. A patient is first
admitted in a business and admission office 20, where he or she
receives an identification bracelet 22 constructed in accordance
with the present invention. The bracelet 22 has a conventional
strap 23 which is affixed around the arm 25 of the patient in order
to retain the bracelet during the patient's entire stay in the
hospital. The patient, wearing the attached bracelet, is then
transferred to one of a large number of patient rooms 27 for
diagnosis and/or treatment.
In accordance with the present invention, any media concerning the
patient, including prescriptions, samples of the patient's fluids,
and the like are identified by magnetically coded carriers or tags
30 which are dispensed by the bracelet 22. For example, one
magnetically coded tag 30 is attached to a prescription before it
is transmitted via a nurse's station 32 to a pharmacy 34 where the
prescription is to be filled. The tag 30 accompanying the
prescription is placed in a receptacle in a tray 36 of a tag reader
37, and the tray 36 is manually closed. A lever is then moved which
actuates circuitry, to be described, which decodes the magnetic
information on the tag 30 and produces decoded output indications,
including a print-out on a paper strip or web 39.
After the prescription is filled, a tag similar to tag 30 is
attached to the prescription drug bottle or container before being
transmitted to the nurse's station 32. The tag accompanying the
treatment includes markings or handwriting which is read by a nurse
in order to provide an initial determination of the patient who is
to receive the treatment. The prescription drug is taken by the
nurse to the patient's room 27 containing the patient who is to
receive the treatment. The tag accompanying the prescription drug
is then placed in a receptacle 42 in a sliding tray 44 of a
cross-check reader 46. At this time, a new tag 30 is dispensed from
the bracelet 22 and placed in another receptacle 48 in the tray 44.
The tray is then manually closed and a lever is moved to activate
the cross-check reader 46. If the magnetically coded tag
accompanying the drug matches the magnetically coded tag from the
pateint's bracelet 22, a GO indicator 50 is energized. This
authorizes the nurse to apply the treatment to the patient. If a NO
GO indicator 51 should be energized, an error is indicated, and the
nurse is not authorized to administer the treatment. The cause of
the error can then be traced and corrected.
In a clinical laboratory 54 which analyzes samples from patients,
another tag reader 37 is located in order to decode coded tags 30
accompanying samples. After analysis, the test results, blood type,
or the like, are identified by a tag similar to that provided by
the pharmacy 34. Certain data may be transmitted to the patient's
room 27, and in such instances, the identification tag accompanying
the analysis is compared with a tag 30 taken from the bracelet 22
before posting or otherwise entering the data on a patient's
record. If desired, the nurse's station 32, or other stations in
the hospital, can also be provided with tag readers 37.
The information from the magnetically coded tags 30 is also used to
supplement information which is transmitted to a central data
processing station 60 which provides accounting information for the
business office 20. Each tag reader 37 includes keys for manually
entering data concerning the operation being performed, as
analysis, drug perscription and the like, which information is
automatically printed on paper strips 39 along with the patient's
number from a tag being decoded. At the same time, the decoded ID
number and the manually entered information produces computer coded
data which is transmitted to the center data processing station 60
in order to update the patient's personal record and his billing
record.
In FIGS. 2-4, one embodiment of the patient bracelet 22 is
illustrated in detail. Bracelet 22 consists of a bottom plate 64 of
flexible material such as low density polyethylene, which carries a
plurality of magnetized areas 65 arranged to form a unique binary
code for identifying one patient. By way of example, each
magnetized area 65 may be formed by an embedded permanent magnet
formed of a ferrous material, such as alnico blanks 0.030 inches in
diameter, which are magnetized during manufacture with a
north-south orientation transverse to the direction of movement of
the tags 30 through the bracelet 22, see FIG. 4.
Bracelet 22 includes an upper section 70 spaced from plate 64 to
form a channel or slot for passage of tags 30 therethrough. The
upper section 70, formed of a flexible material such as low density
polyethylene, similar to the material used for the lower plate 64
is permanently attached at its ends to the lower plate 64 by a pair
of rivets 72. Section 70 includes a plurality of downwardly
extending fingers 74, each finger 74 being located closely adjacent
a different one of the permanent magnets 65, so that as the tags 30
are drawn between the fingers 74 and the plate 64, the fingers 74
insure good contact between the tags and the permanent magnets
65.
In order to provide an initial determination of patient identity,
the patient's name may be entered by any suitable means on a name
card 80, and the card slid between current channel members in
section 70 and over a locking tab 82, see FIG. 3, for retention
within a channel. The upper, central section of the channel is
open, as seen in FIG. 2, to expose the name on the name card 80.
For permanent identification, the digital equivalent of the binary
coding of the permanent magnets 65 may be prestamped in a lower
surface 86 of the channel for the name tag.
A plurality of separable tags 30 are dispensed at one time by
placing a magnetizable card or form 90 into the slit opening
between the teeth 74 and the lower plate 64, and manually pushing
and then pulling the form 90 through the bracelet, as seen in FIG.
2. Form 90 is composed of a layer 92 of magnetizable material, as a
ferrite coating, uniformly applied over one side of a flexible
carrier layer 94. The opposite side of layer 94 is coated with an
adhesive backing 96 for attaching individual tags, i.e., sections
of the form 90, to prescriptions, sample bottles, and the like. A
thin layer of paper 98 covers the adhesive backing 96, and can be
peeled away to expose the adhesive backing when an individual tag
30 is to be attached to an item.
For convenience, the form 90 contains perforations 100 between each
separable section, so that an individual tag 30 may be separated
from the form 90. Desirably, an orientation key 102 is notched in
the center of each tag 30 to provide a reference for orienting the
tag in the cross-check reader and the tag reader to be described.
At the end of form 90, a space 104 is provided for noting the
patient's name and number, but such identification is for purposes
of convenience only, and is not used for actual identification
purposes since it is subject to the same types of errors as
presently occur in identification systems. Space 104 may also
contain instructions for passing the form 90 through a bracelet 22,
and may include other means for insuring that all forms are passes
through the bracelets in the same manner, as for example, by color
coding the area around the orientation notches 102 and similarly
color coding one end of the bracelet 22. In addition, an edge 106
of form 90 is scalloped to prevent wrong end insertion of the
form.
As the form 90 is drawn through the bracelet, the ferrite coating
92 becomes magnetized in longitudinal strips extending the length
of the form. These strips have a magnetic orientation corresponding
to the north-south orientation of the permanent magnets 65 embedded
in the plate 64. By way of illustration, the tag 30 illustrated in
FIG. 4 has been magnetized in binary coded decimal (BCD) to form
the 24 bit word 0001 0010 0000 0100 0000 1000, corresponding to the
digital ID number 120408.
In FIGS. 5-7, another embodiment of the bracelet 22 is illustrated
in detail. This bracelet is more economical and of simpler
construction than the bracelet of FIGS. 2-4, but requires manual
refilling at periodic intervals. The bracelet serves as a storage
unit and dispenser of individual, precoded tags 30 which are
magnetized before loading into the bracelet. Except for being
precoded, each tag 30, FIG. 6, is similar to the tag 30 in FIG. 2.
A flexible layer 110 has deposited thereon a ferrite coating,
permanently magnetized during manufacture of the tag to create 24
magnetically oriented tracks. The magnetic tracks are similar to
the magnetic tracks illustrated for the tag 30 in FIG. 4, and thus
the tags 30 dispensed from the bracelet in FIGS. 5-7 are
magnetically compatible with tags 30 produced by the bracelet of
FIGS. 2-4.
The tags are also mechanically and physically compatible, so that
both type of bracelets could be used in the same hospital
identification system. Similar to tag 30 in FIG. 2, the tag 30 of
FIG. 6 has an adhesive layer 112 placed over the magnetized layer
110. Finally, a thin paper backing 114 is placed over the adhesive
layer 112 so that the layer 114 can be peeled away and removed in
order to attach the tag 30 to an item which is to be identified.
The paper backing 114 may contain a decimal number corresponding to
the binary coding of the magnetically oriented tracks in layer
110.
As seen in FIG. 7, bracelet 22 consists of a flexible bottom plate
116, formed of low density polyethylene, and an upper plate 120,
formed of similar material, and joined at its right hand end in the
drawing to plate 116 by a rivet 72. The space between the plates
120 and 116 defines a storage area which holds a plurality of
stacked, premagnetized tags 30. A layer of foam rubber 122 serves
to urge the tags 30 upward against the plate 120. A locking tab
126, attached to plate 116 by a rivet 72, serves to retain the tags
within the storage compartment.
In order to dispense tags, plate 120 has a central opening 130
which exposes the topmost tag 30. By placing a finger or thumb
through the opening 130, a person can urge the topmost tag aginst
and over the locking tab 126, thereby dispensing a single tab from
the end of the braclet 22. After movement of the finger or thumb
urges a single tag part way out of the bracelet, the tag can be
entirely removed by grasping it between the fingers and
pulling.
The bracelet 22 of FIGS. 5-7 is intended to hold a number of tags
sufficient for identification purposes during a single stay of a
typical patient. The bracelet is refillable by inserting tags
through the same opening which is used to dispense tags. If
desired, the plate 120 can be pivotally mounted to plate 116 so as
to snap open for a refill operation. Although a refill operation
increases the possibility of error, the procedure for refilling
bracelets would desirably include several cross-checks to prevent
mistake. Furthermore, it is contemplated that bracelets of
different heights to hold different numbers of stacked tags may be
provided, with bracelets of greater storage capacity being attached
to patients expected to have a longer stay in the hospital.
In FIG. 8, the cross-check reader 46 is diagrammatically
illustrated. Since the cross-check reader is both portable and
self-contained, a dual power system is provided to insure long
life. The system consists of a mechanical energy source which
stores operator supplied energy, and an electrical energy source
consisting of a pair of batteries 150, providing for example 4.5
volts DC. The batteries 150, as will appear, are switched to power
the circuitry only when necessary. This switching system, in
conjunction with the mechanical storage system, produces a reader
of low electrical energy consumption and hence long battery
life.
The mechanical storage system consists of a coil spring 152
captured between a frame or base 154, which mounts the mechanical
and electrical devices within the housing for the reader, and a
plate 156 attached to a platen 158. Platen 158 includes a locking
notch 160 into which a latch 162 is driven when the platen 158 is
depressed during a reset operation by manual operator motion.
Platen 158 forms a part of the sliding tray 44 which has the tag
receptacles 42 and 48 located thereon. After individual tags 30 are
placed within the receptacles 42 and 48, the sliding drawer 44 is
closed, moving the platen 158 downwardly to the position
illustrated by dashed lines, at which position the latch 162 is
driven into the notch 160. Latch 162 includes a coiled spring 166
trapped between a shoulder 164 and a post 168 affixed to the frame
154. In order to activate the reader 46, a trigger 170 extending
through the housing for the reader is manually rotated clockwise
about a pivot point 172. This laterally moves a connecting link 174
which attaches through an opening in post 168 with latch 162,
causing spring 166 to be compressed while the latch 162 moves out
of engagement with the notch 160. Platen 158 is then driven upward
by action of the compressed spring 152.
The speed of movement of platen 158 is controlled by a pneumatic
damper 180 which comprises a cylinder 182 enclosing a piston
connected through a piston shaft 184 with plate 156. A pair of air
vents 186 and 194 allows air trapped within the cylinder 182 to be
vented to the atmosphere as the spring 152 drives the plate 156 and
attached piston shaft 154 upward. The size of the openings 186 and
194 are chosen to produce the desired speed of movement of the
platen 158 for the period of time that the tag receptacles 42 and
48 are being driven passed magnetic read heads 190. After passing
the read heads, the piston is so located as to block the opening
186, allowing air to vent through the remaining smaller opening
194. This causes the speed of movement of the platen 158 to be
substantially reduced, controlling the time that the indicator 50
or 51 is energized.
The movement of the platen 158 during the operate or read mode
causes the sliding tray 44 to be driven out of the housing to its
intial open position, allowing the operator to remove the tags 30
in preparation for a subsequent cross-check operation. When a new
reading is to be taken, another pair of tags 30 are placed in the
receptacles 42 and 48, and the unit is reset by the operator
closing the sliding drawer and thus moving the platen 158 downward
until latch 162 is driven by spring 166 into the notch 160. Any
energization of the indicators is disregarded during a reset
operation.
In order to read the pair of magnetically coded tags, a pair of
channels 213 and 214 are provided for the receptacles 42 and 48,
respectively. Each channel contains similar circuits, as follows. A
magnetic read head 190 has a gap located adjacent the tag 30 being
read thereby. Receptacles 42 and 48 orient the tags 30 so that the
magnetized tracks are located transverse to the direction of
movement of the platen 158. The first track in each tag 30 is
located at the uppermost position in FIG. 8, such that when the
trigger 170 is actuated, each of the 24 tracks is in turn driven
passed its read head at the same time that the corresponding track
on the opposite tag 30 is driven passed the other read head.
Each head 190 is connected to a read amplifier 200 of conventional
construction, producing amplified pulses which are coupled to a
derived clock circuit 292, illustrated in detail in FIG. 10. The
output from the derived clock circuit 202 consists of data pulses,
on a line 204, and clock pulses, on a line 205. The clock pulse
cause the data to be entered into a 24 bit shift register 207 of
conventional construction. Shift register 207 has 24 output lines
210, individually labeled 1 through 24 to correspond with the bits
being stored in the corresponding shift register storage unit.
The output lines 210 of the shift registers 207 in both channels
213 and 214 are coupled to a pair of inputs of a comparator 212.
When all bits on the lines 210 from both channels match, a logic 1
bit output is provided on an output line 216 of comparator 212.
This logic bit is coupled to an indicator driver 220, shown in
detail in FIG. 11, to energize one of the indicators 50 and 51. If
a 1 output indicating a match is present, GO indicator 50 is
energized; and correspondingly, if a 0 output indicating no match
is present, NO GO indicator 51 is energized.
Energization of the circuit of FIG. 8 is controlled by a power cam
222 and an indicator cam 224, both affixed to platen 158. The
battery 150 is connected between a source of reference potential or
gound 226, and a positive line which leads to a pair of switches
230 and 232, each of the single-pole, single-throw type. Switch 230
has a movable contact 234 which closes when a link 236 abuts or
engages the power cam 222. Similarly, the switch 232 has a movable
contact 240 which closes when a link 242 engages the indicator cam
224.
When switch 230 closes, power is supplied via a positive potential
line 245 to the read amplifiers 200, the derive clock circuits 202,
the shift registers 207, and the comparator 212. Power cam 222 has
a width approximately equal to the width of the receptacles 42 and
48, and is located so link 236 engages power cam 222 during the
same period of time that the gaps in the read heads 190 are
positioned adjacent the tags 30. Power is supplied to line 245 just
prior to the time the first track on the tags 30 is driven past the
read heads 190. Power is disconnected from line 245 shortly after
the last track on the tags 30 has passed the corresponding read
heads.
Indicator cam 224 is located so that it engages link 242 after the
last rack on the tags 30 has been read, but before the
disconnection of power on line 245. When switch 240 closes, a
potential line 250 energizes the indicator driver 220. Depending on
the signal on line 216, one of the indicators 50 or 51 is
energized, and remains energized until the indicator cam 224 is
driven beyond the link 242. During the time cam 224 is abutting
link 242 and hence actuating switch 240, the piston speed is
controlled by the singal air vent 194, causing the platen 158 to
move slowly and hence energize the driver 220 for several seconds,
sufficient to allow the operator time to read th indicators. When
the piston rises further and blocks the air vent 194, further
movement of the platen 158 is terminated, and the sliding tray 44
is located at its fully open position. In this position, both links
236 and 242 are located off of their corresponding cams 222 and
224, thus denergizing the circuit.
In FIG. 9, the derived clock circuit 202 is illustrated in detail.
The signal from the magnetic read amplifier 200 is coupled through
a 10 kilohm resistor 260 to an operational amplifier 262 connected
to function as a DC coupled inverter. The output of the inverter is
coupled through a 150 ohm resistor 264 to a trigger input 266 of a
one shot multivibrator 268, such as a type SN74121, manufactured by
Texas Instruments. A diode 270 shunts input 266 to ground 226 in
order to clamp the input to a maximum negative potential of minus
0.6 volts.
The signal from the magnetic read amplifier 200 is also coupled
through a 150 ohm resistor 274 to a trigger input 276 of a one shot
multivibrator 278 of similar type to multivibrator 268. A diode 280
shunts the trigger input to ground 226 in order to clamp the input
to a maxiumu netative potential of minus 0.6 volts. Each
multivibrator has a 2 millisecond one shot period, determined by an
RC network consisting of a 15 kilohm resistor 282 and a 0.47
microfarad capacitor 284, connected to multivibrator 268, and a 15
kilohm resistor 286 and a 0.47 microfarad capacitor 288 connected
in multivibrator 278. The output of each multivibrator, on a line
labled Q, is coupled through respective 0.1 microfarad capacitors
290 and 292 to a NAND gate 294 having an output coupled to a second
NAND gate 296 to produce an output on line 205 corresponding to the
clock or timing pulses. The capacitors 290 and 292 are chosen to
have values which couple rather than differentiate the outputs of
the one shot multivibrators.
NAND gate 294 is normally held at a logic 1 level or high by a pair
of 10 kilohm resistors 300 and 301, connected between the inputs of
the NAND gate 294 and the positive potential line 245. The pair of
multivibrators are cross coupled by connecting the Q output of
multivibrator 268 to an inhibit input 304 of multivibrator 278, and
by coupling the Q inhibit of multivibrator 278 to an ingibit input
306 of multivibrator 268. The Q output of multivibrator 278
corresponds to line 204 and produces the data output pulses.
Both one shot multivibrators 268 and 278 are of the type that are
only susceptable to triggering when the inhibiting input is held
low (0 volts or negative). The multivibrators trigger when the
trigger input thereafter goes high (positive potential), producing
a high or positive going pulse on the Q output and a low or
negative going pulse on the complementary Q output.
The spring 152 and the pneumatic damper 180 of FIG. 8 are selected
to have values which cause each channel of data on each tag 30 to
be driven past the magnetic read heads once each 200 milliseconds,
when the RC networks have the previously disclosed values which
produce a 2 millisecond one shot period. The operation of the FIG.
9 circuit is as follows. When a 1 bit is detected, a positive going
pulse from amplifier 200 occurs at the time the leading edge of a
magnetic track passes a magnetic head 190. This pulse is coupled to
both resistors 260 and 274. The positive pulse will have no initial
effect on trigger input 266, but the pulse will trigger input 276.
Initially, it will be assumed that the output Q is high from both
milivibrators, so the Q output is low to both inhibit inputs. When
the positive input pulse triggers multivibrator 278 a positive
pulse is put out on data line 204. The Q output goes low causing
NAND gate 294 to output to go high and NAND gate 296 to go low.
This gives a negative going simultaneous clock pulse of 2
milliseconds duration on clock output line 205, thereby indicating
that a one bit had been read.
A negative going pulse is produced on line 200 when the trailing
edge of a magentic track representing a 1 bit passes the magnetic
head 190. This negative going pulse must be completely ignored by
the circuit for proper decoding. When a zero bit is detected a
negative pulse appears on line 200 followed by a positive pulse.
Likewise, this positive pulse must be ignored for proper
decoding.
The cross connection of multibrators 268 and 278, via the Q
outputs, inhibits the opposite multivibrator during a 2 millisecond
period following the first triggering of one of the multivibrators.
This time period blanks out the circuit during the time that the
magnetic read heads produce a signal on detecting the trailing edge
of the magnetic track. Thus, the cross connection prevents false
triggering by insuring that only one multivibrator is energized for
each detection of a magnetic track.
If the initial input from the read amplifier 200 had been a
negative going pulse, the multivibrator 268 would have been
actuated. This would cause the Q output thereof to go low, and the
Q output to go high. The low Q output is coupled through capacitor
290 and produces a high output from gate 294. This is inverted by
gate 296 to produce a low going pulse on clock line 205. The
absence of a simultaneous appearance of a positive pulse on line
204 now indicates a zero had been read.
In FIG. 10, the indicator driver 220 is illustrated in detail. Line
216 from the comparator is coupled through a NAND gate 310 and a
resistor 312 to the gate input 314 of a three terminal switching
device such as an SCH 316. The gate input 314 is shunted to ground
226 through a resistor 318. The SCR 316 controls the NO GO
indicator 51. The positive potential line 250 from switch 240 is
coupled through a resistor 322 and a light emitting diode (LED) 324
to the anode of SCR 316. The cathode of the SCR is directly coupled
to ground 226.
To control the GO indicator 50, resistor 322 is also coupled
through a second light emitting diode (LED) 330 to the anode of an
SCR 332 having its cathode directly coupled to ground 226. The gate
input 334 for SCR 332 is coupled to ground 226 through a resistor
340, and is coupled through a resistor 342 to the output of a NOT
gate 344. The input of NOT gate 344 is coupled to the output of NOT
gate 310.
In operation, line 216 goes positive when a match is indicated by
the comparator. This produces a negative signal to gate 314 and a
positive signal to gate 334. When switch 240 is closed to indicate
that valid information is present on line 216, SCR 332 is triggered
into conduction, thereby completing a current path to ground
through the LED 330. This produces a visual GO indication,
authorizing a nurse or technicain to apply a treatment to a
patient. Alternatively, if line 216 had a zero output when switch
240 was closed, SCR 316 would be energized, causing LED 324 to be
illuminated to provide a NO GO indication. The energized LED
continues to produce a visual output until the circuit is broken by
the opening of switch 240.
In FIG. 11, the tag reader 37 is diagrammatically illustrated.
Parts serving corresponding functions to parts in the cross-check
reader 46 of FIG. 8 have been identified by the same reference
numeral, and will only be briefly described in this section. The
sliding tray 36 has a platen driver and a latch mechanism identical
with that previously described for the sliding tray 44 of FIG. 8.
The individual tag 30 to be read is located in a receptacle 350,
only one receptacle being provided since a pair of tags are not to
be compared. Platen 158 includes a print cam 352 which actuates a
linkage 354 after the tag 30 has been driven completely passed read
head 190, thereby closing a switch 356 in order to ground an input
and initiate a print cycle, as will appear. Since the tag reader 37
is not intended to be portable, it can be located near an external
source of AC power, and hence battery operation is not provided.
The reader 37 may be powered by a conventional power supply (not
illustrated), connected to a conventional source of AC line
voltage. Thus, the only timing provided by the platen 158 is for
automatically intitating a print cycle.
As the magnetically coded tag 30 is driven passed the magnetic read
head 190, by the platen driver mechanism previously described, a
series of pulses are amplified in read amplifier 200 and coupled to
the derived clock circuit 202, illustrated in detail in FIG. 9, in
order to produce data pulses on line 204 and clock pulses on line
205. A 24 bit shift register 207 steps the data through storage
units in response to the clock pulses. When all bits have been
stored, the 24 output lines, collectively labeled 210, have valid
information. These lines are coupled to a printer electronics
control unit 360, of known design, which controls a conventional
printer mechanism 362 in order to print the data being inputted to
the control 360 on the paper strip or web 39. Desirably, the
printer electronics control unit 360 includes a BCD to decimal
converter, so that the data output includes the decimal equivalent
of the patient ID number. The printer selected for this purpose is
of the type which can simultaneously or serially print 21 spaces or
characters of information across the web 39. By way of example, the
spaces may be allocated for data information of the type
illustratively shown in the drawing. Control unit 360 has a number
of sets of inputs corresponding to the number of items to be
printed. Any conventional control for printing plural data can be
used as unit 360, and the data can be sampled, or entered as serial
or parallel words, as desired.
A number of different types of data may be inputted to the control
unit 360 for printing at the same time that the patient ID number
is recorded. A service code generator 370 includes six thumbwheel
selectable switches 372, each switch having a wheel with 10 decimal
digits 0 through 9. The switches 372 are of the known type which
have a direct output in BCD, four lines for each switch, thus
producing on a calbe 376 a 24 bit parallel word corresponding to
the selected six digit service code. In operation, each station in
the hospital is assigned a service code or a block of service
codes. Referring to FIG. 1, the clinical laboratory 54 could be
assigned decimal numbers from 100,000 to 199,999, for example.
Individual numbers within this range would be assigned to services
and tests performed in the labroatory. Number 100,001 could stand
for a glucose test, number 100,002 for a CPK test, and so on. A
similar procedure would apply for the pharmacy 34, which could be
assigned numbers in the range 200,000 to 299,999. Commonly
prescribed drugs would be assigned a range of individual numbers
with individual numbers within the range indicating the dosage of
the drug.
A date set unit 380 includes a plurality of switches 382 which
provide a 20 bit paralle word on a cable 384, which word indicates
the date.
An electronic clock 386 can be provided, of the type which
maintains the correct time after being initially set to the correct
time when the unit is first turned on. This known clock 386 has a
plurality of time set buttons 390 for resetting time after the unit
has been turned off. Associated with clock 386 is a digital clock
converter 392 which produces a 16 bit parallel word on a cable 394,
which word corresponds to the present time.
The data input cables 210, 376, 384 and 394, all input to the
control 360, which operates to actuate the printer mechanism 362
only when a print signal is received from a NAND gate 400. One
input of gate 400 is coupled to the terminal of switch 356 which is
closed by engagement of linkage 354 with the print cam 352. The
other input of gate 400 is coupled to a 24 bit clock test
electronics unit 402 whose input is coupled to the clock line 205.
Unit 402 may be a 24 bit counter for producing an output after
counting 24 clock pulses. Only when unit 402 has an output and the
switch 356 closes is a print signal generated. Thus, unit 402
prevents a print operation should less than 24 bits be read from
tag 30, or should more than 24 bits be read, due to a
malfunction.
Desirably, printer 360 has a serial digital data output line 404
which may be coupled to a conventional ASC II code converter 406
having an output directly coupled to the central data processing
60, FIG. 1. Alternatively, the converter 406 can operate a known
type of card punch, in order to produce an IBM card or the like
which contains data corresponding to the data printed on paper web
39. Other data providing units or different combinations of units
may also be utilized in the tag reader 37.
* * * * *