JP6496202B2 - External information receiving / delivering device, external information receiving / delivering method, external information receiving / delivering program ensuring security in / outside hospital - Google Patents

Description

  The present invention relates to a technique for ensuring security when a predetermined network is connected to the Internet.

  For patients who receive outpatient treatment at a hospital, the time required to wait for a medical examination is a heavy burden. If the number of patients can be reduced, this burden will be reduced, but in reality it is difficult, so in recent years, effective use of patient waiting time by visualizing waiting time and notifying patients of waiting information for medical treatment For the purpose of alleviating stress related to waiting time, a guidance display system has been introduced that notifies medical waiting information to a display device installed in the hospital or a mobile terminal owned by a patient. In addition, as the introduction of the system proceeds, in order to further improve the accuracy of guidance display, there is always a need for an improved method for appropriately guiding the order of examination for examination guidance to outpatients in a hospital.

  In hospital outpatient practice, the types of patients are largely divided into reserved patients and non-reserved patients. Non-reserved patients are patients who visit the hospital on the day they wish to see, and non-reserved patients are examined in the same way as reserved patients in the form of reservations on the same day.

  In recent years, outpatient treatment has been promoted to improve the accuracy of the order of examination by improving the reservation rate of patients. However, in actual operation, there are patients who have made a reservation but do not come to the hospital, or patients who have made a reservation but the visit is delayed due to circumstances. It has become.

  In order to improve such problems, it is conceivable to use a system constructed by connecting a network installed in a hospital and the Internet. However, conventionally, as shown in FIG. 1 of Patent Document 1 below, security is often ensured by constructing a logically isolated system. Therefore, a dedicated server machine is prepared, an OS and a dedicated program are installed for communication, an Internet line and a communication terminal are prepared, connected to the server machine and set, and the network and the Internet installed in the hospital are connected. It was necessary to build a system to connect.

Japanese Patent Laying-Open No. 2015-60563

  However, constructing a system only for communication while ensuring security requires time and labor for hardware procurement and installation, and a separate global IP address must be set, which requires large costs for system construction. There was a problem.

  In view of the above-described problems, the present invention provides an external information receiving and distributing apparatus that can save time and labor for hardware procurement, facilitate acquisition and setting of global IP addresses, and reduce system construction costs while maintaining security. The purpose is to provide.

To achieve the above object, an external information receiving and distributing apparatus for connecting a predetermined network and the Internet, and mobile unit for performing processing relating to provision of predetermined services to connectable terminal to the Internet, pre-assigned And relaying communication between the mobile unit and the outside that provides the predetermined service to the terminal, based on the processing of the mobile unit, using the global IP address The global IP address is a global IP address set in the external information receiving / delivering device when the external information receiving / delivering device is connected to the predetermined network, and Global IP address to be shared, the mobile unit and the outside Communication between the distribution unit is a serial communication with dedicated protocol, the communication between the external distribution unit and the outside, characterized in that it is performed via the Internet using the global IP address . Here, the predetermined network corresponds to an in-hospital network, which will be described later, and processing relating to provision of the predetermined service corresponds to, for example, creation of a mail request message for a reservation confirmation guidance mail, which will be described later, and transmission processing.

In the external information receiving and distributing apparatus according to the present invention, the predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, and the predetermined service is mail distribution to the mobile terminal. It is a preferred mode that it is a service and the outside is a cloud installed outside the hospital .

  In the external information receiving and distributing apparatus of the present invention, it is a preferable aspect that when the terminal is plural, the global IP address is shared by the plural terminals.

The external information receiving and distributing method of the present invention is an external information receiving and distributing method by an external information receiving and distributing apparatus that connects a predetermined network and the Internet, and the mobile unit of the external information receiving and distributing apparatus is connected to the Internet. A process for providing a predetermined service to a connectable terminal is performed, and an external distribution unit of the external information receiving and distributing apparatus performs the provision of the mobile unit and the predetermined service based on the process of the mobile unit. Communication with the outside to the terminal is relayed using a pre-assigned global IP address, and the global IP address is received when the external information receiving / distributing device is connected to the predetermined network. A global IP address set in the distribution device and shared by the terminal The communication between the mobile unit and the external distribution unit is serial communication using a dedicated protocol, and the communication between the external distribution unit and the external unit is performed using the global IP address. It is characterized by being performed via .

In the external information receiving / delivery method of the present invention, the predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, and the predetermined service is mail distribution to the mobile terminal. It is a preferred aspect of the present invention that it is a service and the outside is a cloud installed outside the hospital .

  Further, in the external information receiving and distributing method of the present invention, it is a preferable aspect that when there are a plurality of terminals, the global IP address is shared by the plurality of terminals.

The external information receiving and distributing program according to the present invention is an external information receiving and distributing program to be executed by the external information receiving and distributing apparatus for connecting a predetermined network and the Internet,
Based on the process of the mobile unit, the external distribution unit of the external information receiving / distributing device causes the mobile unit of the external information receiving / distributing device to perform processing related to provision of a predetermined service to the terminal connectable to the Internet. Relaying the communication between the mobile unit and the outside which provides the predetermined service to the terminal using a global IP address assigned in advance , and the global IP address is the external information receiving and delivering A global IP address set in the external information receiving / delivering device when the device is connected to the predetermined network, the global IP address shared by the terminal, and between the mobile unit and the external distribution unit The communication between them is a serial communication by a dedicated protocol, and between the external delivery unit and the outside Shin, characterized by being performed via the Internet using the global IP address.

In the external information receiving and delivering program of the present invention, the predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, and the predetermined service is mail delivery to the mobile terminal. It is a preferred mode that it is a service and the outside is a cloud installed outside the hospital .

  Moreover, in the external information receiving / distributing program of the present invention, it is a preferable aspect that the plurality of terminals share the global IP address when there are a plurality of terminals.

  According to the present invention, while maintaining security, it is possible to save time and labor for hardware procurement, to easily obtain and set a global IP address, and to reduce the cost of system construction.

It is a figure which shows the whole structure of a medical examination guidance service system. It is a software block diagram which shows the example of the software configuration of an external information receiving / delivery apparatus. It is a figure explaining the patient's first mail address registration and the portable mail call after registration. It is a figure explaining a mode that reservation is decided by reservation confirmation guidance mail. It is a figure explaining the example of the day guidance mail delivered suitably to a patient by a mobile server. It is a figure explaining the example of the day guidance mail delivered suitably to a patient by a mobile server. It is a figure which shows the flow which notifies that day guidance mail from a mobile server to a terminal. It is a figure which shows the flow in which a mobile server detects the response in the terminal with respect to that day guidance mail, and reflects it in reservation reception information. It is a table | surface which shows the content of patient DB. It is a table | surface which shows the example of the content of the database provided in a cloud. It is a table | surface which shows the structural example of a message | telegram and an email.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing an overall configuration of a consultation service system 1 that provides diagnosis information to a patient. The system 1 according to the present embodiment includes an in-hospital system 100, a cloud 200 that performs an email distribution service and an Internet service (also referred to as a predetermined service), a patient terminal (hereinafter also referred to as a mobile terminal) 300, and the in-hospital system 100 and the cloud. The network 400 connects the patient 200 and the patient terminal 300. Note that the number of terminals 300 is not limited to one, and a plurality of terminals 300 are generally present.

  The hospital connected to the examination guidance service system 1 is not limited to a single in-hospital system, but also a plurality of in-hospital systems 100 (hospital system 100 in hospital A, in-hospital system 100b in hospital B, and in hospital C An in-hospital system 100c ...) is also possible. The in-hospital system 100b of hospital B and the in-hospital system 100c of hospital C have a system equivalent to the in-hospital system 100 of hospital A, and can operate a diagnosis guidance service equivalent to hospital A. Hereinafter, the in-hospital system 100 of hospital A will be described as a representative.

  The in-hospital system 100 includes an electronic medical record system 120 and an external information receiving / distributing device 130, which are interconnected by a hospital network (such as WLAN). Although not shown here, the in-hospital system 100 may have a patient guidance display system for guiding a patient by displaying a patient reception number on a display board installed in the hospital.

  The electronic medical record system 120 is a system in which a doctor or the like fills and manages a patient's medical record (medical record). The electronic medical record system 120 also has a function of updating the order of calling the patient by a doctor or the like when the patient has been examined. The electronic medical record system 120 includes an electronic medical record server 122 and an electronic medical record client 124.

  The electronic medical record server 122 is a server that manages the electronic medical record system 120. The electronic medical record client 124 is a client terminal operated by a medical worker installed in the examination room. The electronic medical record client 124 is a terminal in which a doctor or the like fills in a patient's examination record (medical chart) and the doctor or the like updates the order of calling the patient when the patient's examination is completed.

  The external information receiving / distributing device 130 is a device that connects a hospital network (predetermined network) and the network 400 (Internet), and has functions of a conventional display server (mobile server) and an external distribution server, and further Wi-Fi. It has a (registered trademark) function and enables connection to the Internet.

  Here, the software configuration of the external information receiving and distributing apparatus 130 will be described with reference to FIG. As shown in FIG. 2, the external information receiving / distributing device 130 includes a mobile unit 20 and an external distribution unit 21, and the mobile unit 20 and the external distribution unit 21 cooperate with each other to perform predetermined processing (for example, reservation confirmation described later). Distribution of guidance emails, etc.). Communication between the mobile unit 20 and the external distribution unit 21 is serial communication using a dedicated protocol in order to secure in-hospital information. Note that the communication method is not limited to the above as long as hospital information can be secured.

  The mobile unit 20 has functions of a business logic (mobile server program) 22, a device control 23, a communication management 24, and an OS (operating system) 25, but is not limited to these functions, and other functions You may have. Similarly, the external delivery unit 21 described later is not limited to the functions described in FIG.

  The business logic (mobile server program) 22 operates under the OS 25, and manages data to be displayed on a patient data management 22a for managing patient-related data, a patient guidance display board (not shown) in the hospital, and the like. Display data management 22b, device control management 22c for managing control by device control 23 to be described later, communication management 22d for managing transmission / reception of telegrams, patient data 22e for storing patient-related data, telegram reception and telegram generation, data When there is today's reservation with reference to the reception information TBL 134a, the reception information acquisition process 22g that updates the reception information TBL (table) 134a of the patient data 22e with reference to the common 22f that performs management, etc., and the electronic medical record server 122 , The same day reservation transmission pro that makes a mail transmission request to the external distribution unit 21 Scan 22h, receives access information from an external distribution unit 21, and a number of persons waiting update process 22i to update the visit schedule of the reception information TBL134a of patient data 22e.

  The device control 23 includes a control module 23 a and controls the operation of the mobile unit 20. The device control 23 controls the device 20a that performs serial communication with the device 21a on the external delivery unit 21 side using a dedicated protocol. The device control 23 sends a mail request message for a reservation confirmation guide mail described later to the external delivery unit 21. The device 20a is controlled to transmit to the device 21a on the side by serial communication.

  The communication management 24 controls general functions of the transmission / reception management 24a and a LAN (Local Area Network) 24b, and manages communication with the hospital system 100 and the external distribution unit 21.

  The external distribution unit 21 includes functions of a business logic (external distribution server program) 26, a device control 27, a communication management 28, and an OS 29. The business logic (external distribution server program) 26 operates under the OS 29, and includes a device control management 26a for managing control by device control 27 (to be described later), a communication management 26b for managing transmission / reception of telegrams, and the like. A mail fixed sentence 26c for managing a fixed form of mail to be transmitted to the cloud server 202a described later, a common 26d for receiving a message, generating a message, managing data, and the like, and further receiving a mail request message from the mobile unit 20 and sending it to the cloud server 202a. It consists of an external information cooperation process 26g that transmits a mail request message, receives access information from the cloud server 202a, and notifies the mobile unit 20 of the access information.

  The device control 27 includes a control module 27 a and controls the operation of the external distribution unit 21. The device control 27 controls the device 21a that performs serial communication with the device 20a on the mobile unit 20 side using a dedicated protocol. For example, the device control 27 receives access information described later received from the cloud server 202a on the mobile unit 20 side. The device 21a is controlled to transmit to the device 20a by serial communication.

  The communication management 28 controls the functions of the transmission / reception management 28a, the WAN (Wide Area Network) 28b, and the global IP 28c, and manages communication with the outside (cloud 200) and the mobile unit 20.

  The global IP 28c is, for example, a global IP address set in the external information receiving / distributing device 130 when the external information receiving / distributing device 130 is connected to the in-hospital network, and a global IP address shared by the terminal 300 held by the patient. It is to hold. The same global IP address as the held global IP address is recorded in the cloud 200 (cloud server 202a) in association with, for example, a hospital code for identifying a hospital.

  The recording to the cloud 200 is performed by, for example, an administrator who manages the cloud 200 that has received notification that the external information receiving / distributing device 130 is connected to the hospital network. Note that a unique global IP address is assigned to the cloud server 202a, and communication with the external information receiving / distributing device 130 and the terminal 300, which will be described later, is performed using the same. As will be described later, the mobile terminal 300 accesses the Web server 202b or the mail server 202c via the URL and receives a service. Although not particularly described below, the global IP address described above is used when communication is performed via the Internet.

  Due to the configuration described above, the external information receiving / distributing device 130 can save time and labor for hardware procurement while maintaining security, and can easily acquire and set a global IP address.

  The external information receiving / distributing device 130 (mobile unit 20) provides medical examination information by mail to a terminal (mobile terminal) 300 owned by a patient to provide a medical examination guidance service. The medical examination information includes the name of the patient's department, the name of the doctor, the appointment time, the waiting number, and the like. The mail for which the examination information is provided is hereinafter referred to as “in-day guidance mail”. Hereinafter, the external information receiving / distributing device 130 (mobile unit 20) is simply referred to as the mobile unit 20.

  The patient data 22e is a database that stores patient information necessary for the examination guidance service. The patient data 22e stores reception information TBL (table) 134a and patient information TBL (table) 134b, which will be described later. The reception information TBL 134a is a table in which reservation information for each patient is described. The patient information TBL 134b is a table in which the mail address of each patient is described.

  The mobile unit 20 distributes a “same day guidance email for reservation confirmation (hereinafter referred to as a reservation confirmation guidance email)” to the patient's terminal 300 as a day guidance email before the start of reception (for example, the morning of the day) and starts acceptance. Later, the “Guidance mail on the day after acceptance starts” will be distributed.

  The reservation confirmation guidance email is an email for confirming the patient's intention to visit. The day guidance email after the start of reception is an email that provides information such as the examination status and waiting time to patients waiting in the hospital mainly after reception.

  The mobile unit 20 creates an email request message for a reservation confirmation guidance email with reference to the patient data 22e, for example, in the morning of the consultation day, for a reserved patient who has reserved a diagnosis in advance. Creation and transmission of this mail request message correspond to processing related to provision of a mail distribution service. Note that the mobile unit 20 may create a mail request message for the reservation confirmation guide mail before a predetermined time before the medical examination time, other than in the morning of the medical examination day.

  After the start of the examination, the electronic medical record server 122 transmits a diagnosis message D1 shown in FIG. The mobile unit 20 updates the reception information TBL 134a with reference to the diagnosis message D1. And the mobile part 20 produces the mail request message for the day guidance mail after the reception start which guides the medical examination situation and waiting time with reference to reception information TBL134a with respect to the patient after reception.

  The mobile unit 20 creates a mail request message with reference to the reception information TBL 134a and the patient information TBL 134b.

  FIG. 8 is a table showing the contents of the patient data 22e. The reception information TBL 134a is composed of reservation information of a reserved patient, information on a medical examination status, and the like. In the reception information TBL 134a, items of reception date, department, reservation time zone, reservation flag, and delay flag are managed in association with the patient ID. When the patient completes the reception on the return machine (not shown), the date of the reception completion is described in “Reception Date”. In the “clinical department”, the name of the clinical department reserved by the patient is described. When the patient makes a medical appointment in advance, the appointment time is written in the “reservation time zone”. Although the details will be described later, the “reservation flag” is turned ON when the patient performs a confirmation operation on the terminal 300 in the reservation confirmation guidance mail. The “delay flag” is a flag indicating a patient's examination delay state, and is turned ON when there is no examination call even after 30 minutes or more have elapsed since the patient's appointment time. In the patient information TBL 134b, the mail address of the terminal 300 is managed in association with the patient ID.

  The external information receiving / distributing apparatus 130 (external distribution unit 21) performs information communication between the in-hospital system 100 and the outside (in this example, the cloud 200) via the network 400. Hereinafter, the external information receiving / distributing device 130 (external distribution unit 21) is simply referred to as the external distribution unit 21.

  The cloud 200 is a system installed in an external network so as to perform mail distribution and Web service via the network 400.

  The cloud 200 includes a cloud server 202a, a Web server 202b, a mail server 202c, a performance DB 204, a storage DB 206, and the like. The cloud 200 delivers a mail request from the mobile unit 20 to the terminal 300 as a day guidance mail.

  The cloud server 202a relays the external distribution unit 21, the Web server 202b, and the mail server 202c. In addition, the cloud server 202a stores the contents of the mail request message transmitted from the mobile unit 20 (hospital ID, medical department, examination room, mail delivery time, etc.) in the result DB 204 and the storage DB 206. An example of information stored in the results DB 204 and the storage DB 206 is shown in FIG.

  The Web server 202b detects access to the Web site from the terminal 300, and provides the terminal 300 with a Web screen for the day guidance mail (described later in FIGS. 5A and 5B). The Web server 202b refers to the results DB 204 and the storage DB 206, and creates a Web screen for the day guidance mail provided to the terminal 300.

  The mail server 202 c creates a day guidance mail based on the mail request message transmitted from the mobile unit 20 and distributes it to the patient terminal 300. D3 in FIG. 10 is an example of a mail configuration. The mail server 202c creates a day guidance mail based on the patient's mail address and examination information included in the mail request message.

  Further, the mail server 202c includes a URL (Uniform Resource Locator) 700 for response in the body of the day guidance mail. In the response URL 700 (also referred to as response URL), information obtained by encrypting the patient ID and the hospital ID is added to the examination guidance Web. A specific example of the response URL will be described with reference to FIG.

  The cloud server 202a transmits access to the Web site by the response URL from the terminal 300 to the mobile unit 20 via the external distribution unit 21.

  The patient's terminal 300 may be any terminal capable of mail communication, and may be a mobile phone or a tablet owned by the patient. The terminal 300 is connected to the cloud 200 via the network 400 and further connected to the mobile unit 20 via the external distribution unit 21.

  The procedure for delivering the day guidance email will be briefly described. In the morning of the appointment date or a predetermined time before the appointment appointment time, an email request message for reservation confirmation is transmitted from the mobile unit 20 to the cloud 200, and the mail server 202c distributes the appointment confirmation guide email 500a to the terminal 300. When there is an access (response) to the response URL at the terminal 300, the Web server 202b detects it. The cloud server 202a notifies the mobile unit 20 of access to the response URL from the terminal 300 via the external distribution unit 21, and the mobile unit 20 turns on the reservation flag of the reception information TBL 134a, and examines the patient. Confirm the reservation.

  In addition, the mobile unit 20 may cancel the reservation if there is no access to the response URL from the terminal 300 even after a predetermined time (for example, one hour) has elapsed after the reservation confirmation guide mail 500a is delivered. Good. The mobile unit 20 may instruct the mail server 202c to deliver the reservation confirmation guidance mail 500a again when there is no access to the response URL for a predetermined time.

  After receiving the medical examination, the received mail request message is sent from the mobile unit 20 to the cloud 200, and the mail server 202c distributes it to the terminal 300 as the day guidance mail after the reception. When there is an access to the response URL from the terminal 300, the cloud 200 notifies the mobile unit 20 via the mobile unit 20. The mobile unit 20 notifies the cloud 200 of information on the diagnosis status. The web server 202 b creates a web screen and transmits it to the terminal 300. Thereby, the patient can know the progress of the examination and the waiting time.

  Note that the servers and devices such as the electronic medical record server 122, the external distribution unit 21, the mobile unit 20, and the cloud server 202a are realized by general-purpose computers and the like, and thus the hardware configuration is general although not specifically illustrated. is there. That is, for example, an arithmetic processor such as a CPU, a storage device such as a hard disk and a memory, a communication function unit, and the like (all not shown) are included. Furthermore, a display, a keyboard / mouse, and the like may be provided.

  FIG. 3 is a diagram for explaining the first mail address registration of the patient and the mobile mail call after the registration. The in-hospital system 100 is provided with a registration terminal 160 (not shown) that registers in advance the mail address of the patient's terminal 300, and is connected to the mobile unit 20 and the electronic medical chart system 120 so as to be communicable.

  When the patient inserts an examination ticket (not shown) into the registration terminal 160, the registration terminal 160 magnetically reads a patient ID stored in, for example, a magnetic stripe of the examination ticket. The registration terminal 160 creates a QR code (registered trademark) based on the patient ID, and displays the QR code 600 on the screen. The contents of the QR code are a mail address of a transmission destination and a body (patient ID). The email address of the transmission destination is, for example, the address of the external distribution unit 21. The body (patient ID) is subjected to security measures such as encryption from the viewpoint of personal information protection.

  The patient activates a QR reader application built in the terminal 300 in advance, and holds the camera of the terminal 300 over the screen of the registration terminal 160. The terminal 300 automatically reads the QR code 600, acquires the transmission destination mail address from the read QR code 600, and transmits a blank mail 520 having the patient ID as the mail text. The external distribution unit 21 becomes a transmission destination mail address.

  The external distribution unit 21 receives the empty mail 520 from the terminal 300 via the mail server 202c. The mobile unit 20 receives a blank mail 520 reception notification from the external distribution unit 21. The mobile unit 20 registers the mail address of the patient who transmitted the blank mail 520 in the patient information TBL 134b of the patient DB 134 corresponding to the patient ID in response to the reception notification of the blank mail 520.

  The mobile unit 20 registers the patient's email address in the patient information TBL 134 b and instructs the mail server 202 c to transmit the registration completion email 530 to the patient terminal 300. Then, the registration completion mail 530 is distributed from the mail server 202c to the terminal 300. A mail screen M1 in FIG. 3 is an example of a registration completion mail 530 displayed on the terminal 300.

  After the registration is completed, the mobile unit 20 instructs the mail server 202c to notify the day guidance mail as appropriate, and the day guidance mail is distributed from the mail server 202c to the patient's terminal 300. The mail screen M2 is an example of the same day guidance mail displayed on the terminal 300.

  Next, the contents of the day guidance email will be specifically described. FIG. 4 is a diagram for explaining how a reservation is confirmed by a reservation confirmation guide mail. It is assumed that the patient has made a medical appointment on the telephone or the Web in advance. Reservation confirmation guide mail 500a is delivered to the patient's terminal 300 in the morning of the reservation date or a predetermined time before the reservation time. The mail screen M3 in FIG. 4 shows the contents of the reservation confirmation guidance mail 500a. The reservation confirmation guide mail 500a describes reservation contents such as a department and a doctor name, and a response URL 700 is attached to the lower row.

  When the response URL 700 is clicked (accessed) at the terminal 300, the Web server 202b of the cloud 200 detects the access. The Web server 202b notifies the mobile unit 20 of access to the response URL 700 via the external distribution unit 21.

  The mobile unit 20 identifies the accessed patient based on the information of the accessed URL for response 700, and sets the corresponding patient reservation flag in the reception information TBL 134a to ON. This will confirm the reservation. Then, the mobile unit 20 notifies each reservation information of the patient in the reception information TBL 134a to the Web server 202b via the external distribution unit 21.

  On the other hand, in the terminal 300, after the URL 700 is clicked, the screen is switched to the Web screen W1. When “waiting for medical examination information” is clicked on the Web screen W1, the Web screen W2 is displayed on the terminal 300. The web screen W2 is a screen created by the web server 202b based on the patient reservation content notified from the mobile unit 20. By displaying the reservation contents as the Web screen W2, the patient can also confirm the reservation contents.

  Next, with reference to FIGS. 5A and 5B, an example of the day guidance mail 500 that is appropriately distributed to the patient by the mobile unit 20 will be described. The web screen W2 in the left column of FIG. 5A shows the contents of the same day guidance mail distributed after the reservation is confirmed on the morning of the appointment date (for example, 8:00). The Web screen W2 is the same screen as described with reference to FIG. 4, and is a screen in a state where reception is not performed.

  The Web screen W3 is a screen of the day guidance mail delivered to the terminal 300 in a situation where the patient is not accepting at the hospital (for example, 9:30). The patient knows from the Web screen W3 that the examination status is already delayed by 30 minutes.

  After arriving at the hospital, the patient puts his / her examination card in a revising machine (not shown) connected to the in-hospital system 100 and performs reception processing. The mobile unit 20 is notified from the returning machine that the patient has completed reception, and records it in the reception information TBL 134a of the patient data 22e.

  The Web screen W4 is a screen for the day guidance mail delivered to the terminal 300, for example, at 10:30 after the reception at the hospital. The Web screen W4 shows that the diagnosis status is delayed by 30 minutes.

  The Web screen W5 (FIG. 5B) is a screen of the day guidance mail delivered to the terminal 300 at 12:00 after the reservation time (11:00) has elapsed since it is congested. The Web screen W6 (FIG. 5B) is a day guidance email screen that informs the end of the examination delivered to the terminal 300 after the examination of the patient is completed (12:30).

  Next, with reference to FIGS. 6 and 7, the flow of the day guidance mail distribution between the server and the apparatus (including the terminal 300) of the examination guidance service system 1 will be described. FIG. 6 is a diagram showing a flow of notifying the terminal 300 of the day guidance mail from the mobile unit 20. FIG. 7 is a diagram showing a flow in which the mobile unit 20 detects a response from the terminal 300 to the day guidance mail and reflects it in the reservation reception information. In particular, a flow is shown in which the mobile unit 20 detects an access to the reservation confirmation guide mail 500a made at the terminal 300 and finalizes the examination reservation.

  It demonstrates from FIG. The mobile unit 20 executes the reception information acquisition process and the same day reservation transmission process in parallel. The reception information acquisition process is a process of appropriately registering patient reception information in the reception information TBL 134a of the patient data 22e. Reception information is information relating to patient appointment reservations, patient reception status, patient diagnosis status, and the like.

  After activation, the mobile unit 20 acquires various types of patient reception information from P10 to P30 as an infinite loop, and updates the reception information TBL 134a of the patient data 22e with the acquired reception information. For example, the mobile unit 20 updates the reception information TBL 134a with reference to the electronic medical record server 122 during the examination (step P12).

  In addition, the mobile unit 20 also updates the reception information TBL 134a when the patient performs reception processing on the returning machine. In addition, when the patient makes a medical appointment by telephone or terminal 300 from the patient, the mobile unit 20 registers the reservation contents in the medical department or the appointment time zone of the reception information TBL 134a. The mobile unit 20 returns to Step P10 after waiting for a certain time (Step P14).

  The day reservation transmission process is a process in which the mobile unit 20 transmits a reservation confirmation guide mail 500a to a patient who has made a medical appointment reservation in order to confirm the intention of visiting the hospital on that day. As described above, the mobile unit 20 also transmits the day guidance mail 500 other than the reservation confirmation guidance mail 500 a to the terminal 300.

  The mobile unit 20 opens the reception port after activation (step P50). The mobile unit 20 determines whether or not there is a reservation today with the reception information TBL 134a, with P52 to P70 being an infinite loop (step P54).

  As described above, at a predetermined time in the early morning, the mobile unit 20 may determine whether there is a reservation today in the reservation time zone of the patient ID of the reception information TBL 134a. Further, the mobile unit 20 may determine whether to send the reservation confirmation guide mail 500a based on whether or not there is a reservation within a predetermined time from the current time.

  If the mobile unit 20 determines that there is a reservation today with the reception information TBL 134a (step P54 Yes), the mobile unit 20 transmits a predetermined mail request message to the external distribution unit 21 (step P56). A configuration example of the mail request message is shown in a message D2 in FIG.

  If the mobile unit 20 determines that there is no reservation today with the reception information TBL 134a (No at Step P54), the process proceeds to Step P70 and returns to Step P52. Note that the mobile unit 20 also sends a predetermined mail request message to the external distribution unit 21 for distribution of the same day guidance mail 500 (Web screen W3, Web screen W4, Web screen W5, etc. in FIG. 5A) other than the reservation confirmation guidance mail 500a. The details are omitted.

  After the activation, the external distribution unit 21 transmits a mail request message in an infinite loop between R10 and R30. The external distribution unit 21 receives the mail request message from the mobile unit 20 (step R12), and transmits the mail request message to the cloud server 202a (step R14).

  The cloud server 202a executes the external distribution cooperation process with an infinite loop between S10 and S30. After starting, the cloud server 202a performs mail delivery using an infinite loop between S10 and S30.

  The cloud server 202a receives the mail request message from the external distribution unit 21 (step S12), and communicates the mail address and the text to the mail server 202c (step S14). The mail server 202c creates a reservation confirmation guide mail 500a (see M3 in FIG. 4) based on the mail request message, and distributes it to the mail address described in the mail request message. The configuration of the reservation confirmation guide mail 500a is as shown in D3 of FIG.

  Further, based on the received mail request message, the cloud server 202a describes the hospital ID, the department, the examination room, the mail delivery time, and the like in the examination result TBL 204b for each hospital in the result DB 204 (step S16).

  After the activation, the terminal 300 receives a mail in an infinite loop from T10 to T30 (step T12). The terminal 300 receives the reservation confirmation guide mail 500a distributed from the mail server 202c.

  A process in which the mobile unit 20 confirms the reservation by accessing the distributed reservation confirmation guide mail 500a will be described with reference to FIG.

  The terminal 300 performs the following processing with an infinite loop from T10 to T30. After receiving the reservation confirmation guide mail 500a (step T12), the terminal 300, when the response URL 700 at the end of the text of the reservation confirmation guide mail 500a is accessed (clicked) by the patient, checks the mail link (step T20). ), The link destination is notified.

  The cloud server 202a performs the following processing with S10 to S30 being an infinite loop. When the cloud server 202a receives the access information from the terminal 300 from the web server 202b (step S20), the cloud server 202a identifies the hospital and patient ID from the content of the corresponding response URL 700.

  The cloud server 202a notifies the external delivery unit 21 of the corresponding hospital that the reservation confirmation guide mail 500a has been accessed for the patient ID. In addition, the cloud server 202a describes the hospital ID, the department, the examination room, the mail delivery time, and the like in the examination result TBL 204b for each hospital in the result DB 204 (step S24).

  The external distribution unit 21 performs the following processing with an interval between R10 and R30 as an infinite loop. When receiving the access information from the cloud server 202a (step R20), the external distribution unit 21 accesses the mobile unit 20 (step R22).

  The mobile unit 20 executes the waiting number update process with an interval between P100 and P110 as an infinite loop. When the mobile unit 20 receives the access information from the external distribution unit 21 (step P102), the mobile unit 20 refers to the electronic medical record server 122 and updates the visit schedule of the reception information TBL 134a of the patient data 22e (step P104). The mobile unit 20 counts the order and returns the waiting number (step P106).

  As described above, according to the present embodiment, functions of a conventional display server (mobile server) and an external distribution server are provided, and a global IP address assigned in advance is held. This eliminates the need for hardware procurement, facilitates acquisition and setting of global IP addresses, and reduces system construction costs.

  The present invention is not limited to the above-described embodiment as it is, but can be applied to a service in a field having a system that requires confidentiality, and is configured without departing from the gist of the implementation stage. Elements can be transformed and embodied. Moreover, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, all the constituent elements shown in the embodiments may be appropriately combined. Furthermore, constituent elements over different embodiments may be appropriately combined. It goes without saying that various modifications and applications are possible without departing from the spirit of the invention.

DESCRIPTION OF SYMBOLS 1 Examination guidance service system 100 In-hospital system 120 Electronic medical record system 122 Electronic medical record server 124 Electronic medical record client 130 External information receiving and delivering apparatus 134a Reception information TBL
134b Patient information TBL
160 registered terminal 200 cloud 202a cloud server 202b web server 202c mail server 204 results DB
206 Storage DB
300 Terminal 400 Network 500 Same day guidance email 500a Reservation confirmation guidance email 520 Empty email 530 Registration completion email 700 URL
20 Mobile part 20a Device 21 External distribution part 21a Device 22 Business logic (mobile server program)
22a Patient data management 22b Display data management 22c Device control management 22d Communication management 22e Patient data 22f Common 22g Acceptance information acquisition process 22h Same-day reservation transmission process 22i Waiting number update process 23 Device control 23a Control module 24 Communication management 24a Transmission / reception management 24b LAN
25 OS
26 Business Logic (External Distribution Server Program)
26a device control management 26b communication management 26c mail fixed form 26d common 26g external information linkage process 27 device control 27a control module 28 communication management 28a transmission / reception management 28b WAN
28c Global IP
29 OS

Claims (9)

An external information receiving and distributing apparatus for connecting a predetermined network and the Internet,
A mobile unit for performing processing related to provision of a predetermined service to a terminal connectable to the Internet;
A global IP address assigned in advance is held, and communication between the mobile unit and the outside that provides the predetermined service to the terminal is performed based on the processing of the mobile unit. Use the external distribution unit to relay using
Prepared ,
The global IP address is a global IP address set in the external information receiving / distributing device when the external information receiving / distributing device is connected to the predetermined network, and is a global IP address shared by the terminal. ,
Communication between the mobile unit and the external distribution unit is serial communication using a dedicated protocol, and communication between the external distribution unit and the external unit is performed via the Internet using the global IP address. Called
An external information receiving and distributing apparatus characterized by the above. The predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, the predetermined service is a mail delivery service to the mobile terminal, and the outside is outside the hospital The external information receiving and distributing apparatus according to claim 1, wherein the external information receiving and distributing apparatus is an installed cloud .   3. The external information receiving and distributing apparatus according to claim 1, wherein when there are a plurality of terminals, the global IP address is shared by the plurality of terminals. An external information receiving and distributing method according to the external information receiving and distributing apparatus for connecting a predetermined network and the Internet,
The mobile unit of the external information receiving and delivering device performs processing related to provision of a predetermined service to a terminal connectable to the Internet,
An external distribution unit of the external information receiving / distributing device is preliminarily assigned communication between the mobile unit and the outside for providing the predetermined service to the terminal, which is performed based on the processing of the mobile unit. Relay using a global IP address ,
The global IP address is a global IP address set in the external information receiving / distributing device when the external information receiving / distributing device is connected to the predetermined network, and is a global IP address shared by the terminal. ,
Communication between the mobile unit and the external distribution unit is serial communication using a dedicated protocol, and communication between the external distribution unit and the external unit is performed via the Internet using the global IP address. Called
An external information receiving and distributing method characterized by the above. The predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, the predetermined service is a mail delivery service to the mobile terminal, and the outside is outside the hospital The external information receiving / delivering method according to claim 4, wherein the external information receiving / delivering method is an installed cloud .   6. The external information receiving and distributing method according to claim 4 or 5, wherein when there are a plurality of terminals, the global IP address is shared by the plurality of terminals. An external information receiving and distributing program to be executed by the external information receiving and distributing apparatus for connecting a predetermined network and the Internet,
Causing the mobile unit of the external information receiving and distributing apparatus to perform processing related to provision of a predetermined service to a terminal connectable to the Internet;
Communication between the mobile unit and the outside for providing the predetermined service to the terminal, which is performed based on the processing of the mobile unit, is pre-assigned to the external distribution unit of the external information receiving / distributing device Relay using a global IP address ,
The global IP address is a global IP address set in the external information receiving / distributing device when the external information receiving / distributing device is connected to the predetermined network, and is a global IP address shared by the terminal. ,
Communication between the mobile unit and the external distribution unit is serial communication using a dedicated protocol, and communication between the external distribution unit and the external unit is performed via the Internet using the global IP address. Called
An external information receiving and distributing program characterized by that. The predetermined network is a network installed in a hospital, the terminal is a mobile terminal carried by a patient, the predetermined service is a mail delivery service to the mobile terminal, and the outside is outside the hospital The external information receiving and distributing program according to claim 7, wherein the external information receiving and distributing program is an installed cloud .   The external information receiving and distributing program according to claim 7 or 8, wherein when there are a plurality of terminals, the global IP address is shared by the plurality of terminals.