JP5876952B2 - Medical appointment system and program - Google Patents

Description

The present invention relates to a medical reservation system such as a medical checkup reservation or a medical reservation reservation, and a program of each server device.
The appointment system of the present invention is particularly suitable as a system for an unspecified number of examination applicants to make appointments for medical examinations / medical treatments at a desired medical examination / medical facility via the Internet.

A service that allows a user to access a desired medical checkup (health checkup) facility or medical facility server device via the Internet from the terminal device of the applicant, and to make a medical checkup or medical reservation with a simple operation. Is desired.
Japanese Patent Laid-Open No. 2006-323633 (Patent Document 1) states that “a medical examination system that allows a medical examiner to easily make a medical examination reservation via a network and perform a series of medical examinations accurately and efficiently. Is provided. "

JP 2006-323633 A

A large amount of confidential information such as personal information of many examinees, medical examination / medical history, or health insurance association information is accumulated in a server device of a medical examination facility or a medical treatment facility. For this reason, it is not preferable in terms of security to connect a server device of a medical examination facility or a medical facility to the Internet and make it accessible from the outside.
On the other hand, in the acceptance process for medical examination appointments and medical appointment applications, the reservation status of inspection equipment / equipment, medical equipment / equipment, etc. managed by the medical examination facility or the server device of the medical institution, and the work schedule of facility employees Etc. are indispensable. In addition, for fee calculation and billing, it is also necessary to collate with information on the health insurance association to which the applicant belongs.

Therefore, a medical examination reservation / medical appointment system capable of collating with each of the above information and reliably preventing unauthorized access from the outside to the server device in which each information of the medical examination / medical facility is stored Is desired.
The present invention has been made in view of such circumstances, and is managed by a medical examination / medical examination server device of a medical examination facility / clinical facility in an acceptance process for an application for a medical examination appointment / medical appointment from an external terminal via the Internet. It is possible to provide a medical system (medical examination / medical care) reservation system that can be collated with various types of confidential information and can reliably prevent unauthorized access from outside to the medical examination / medical examination server device. Objective.

  The present invention is described as follows. In addition, the code | symbol attached | subjected in this item (means for solving a problem) and the following item (effect of invention) is for making an understanding easy, and in the meaning which limits this invention to the structure of a code | symbol Absent. In the following, “medical system” means medical examination (health examination) and / or medical treatment (diagnosis / treatment at a medical institution). The numbers correspond to the reference symbols of the corresponding configurations in the embodiments, are for reference, and are not limited.

[1] Reservation server device 1
When reservation information is input from the Internet via the medical reservation screen provided to the client device 5 (S101; YES), an intermediate instruction for instructing acquisition of reservation information is sent to the intermediate server apparatus 2 (S103) Indicating means;
When a reservation information request for requesting transmission of reservation information is input from the intermediate server device 2 (S121; YES), the requested reservation information is sent to the intermediate server device 2 (S123);
When the result information regarding the reception result of the reservation information is input from the intermediate server device 2 (S181; YES), the result information is sent to the client device 5 that is the input source of the reservation information (S183);
The reservation server apparatus 1 characterized by having.
In the above, the intermediate instruction means may be configured as means for sending an intermediate instruction to the intermediate server device corresponding to the medical reservation destination facility included in the input reservation information. For example, when the input reservation information has data indicating the medical facility A, that is, when the input reservation information sets the medical facility A as a reservation destination, the intermediate server device 2a of the medical facility A is contacted. It may be configured to send an intermediate instruction. Of course, this configuration is not used, and the intermediate server devices 2a, 2b, 2c. . . It may be configured to send an intermediate instruction to.
In the above, the reservation information providing means may be configured as means for sending reservation information corresponding to the medical facility corresponding to the requesting intermediate server device. For example, when it is a request from the intermediate server device 2a, it may be configured to send reservation information with the medical facility A corresponding to the intermediate server device 2a as a reservation destination. Of course, instead of such a configuration, it may be configured to send all the reservation information requested from the intermediate server device. In that case, the intermediate server device reserves a medical facility managed by itself. You may comprise so that the reservation information made ahead may be requested | required. For example, in the case of the intermediate server device 2a, it may be configured to request reservation information with the medical facility A managed by the own device as a reservation destination.
A program for causing a computer to function as the reservation server apparatus 1 is also the present invention.

[2] Medical reservation system (reservation server device and intermediate server device)
A medical reservation system comprising any of the reservation server devices 1 and an intermediate server device 2 connectable to the reservation server device 1,
The intermediate server device 2
A reservation information request is sent to the reservation server device 1 based on the intermediate instruction input from the reservation server device 1 (S216);
When reservation information is input from the reservation server device 1 (S232; YES), an instruction for facility for instructing acquisition of reservation information is sent to the medical server device 3 (S234);
When a reservation information request for requesting reservation information is input from the medical server device 3 (S252; YES), the requested reservation information is sent to the medical server device 3 (S254);
When availability information related to whether or not reservation information is accepted is input from the medical server device 3 (S272; YES), result information relating to the acceptance result of the reservation information is generated from the inputted availability information and the reservation server device 1 (S274) having result information providing means,
A medical reservation system characterized by this.
In the above description, “based on the intermediate instruction” means that the connection between the reservation server apparatus 1 and the intermediate server apparatus 2 for sending the reservation information from the reservation server apparatus 1 to the intermediate server apparatus 2 is “intermediate It starts on the basis of "instructions" and means that in principle there is no other opportunity. In other words, it means that the process is started only when based on the intermediate instruction. Note that the method for checking the presence / absence of “intermediate instruction” is arbitrary, and for example, a method for checking at every predetermined time described below may be used.
In the above, the reservation information requesting means checks the input status of the intermediate instruction every predetermined time (S212) (S214), and if there is an input (S214; YES), sends a reservation information request (S216). You may comprise as a means.
Here, as the predetermined time, for example, a time within the range of 0.1 to 10 seconds can be adopted, thereby reducing the possibility of squeezing the network bandwidth, and overlapping reservation applications of a plurality of people. The possibility of doing so can be reduced.
In the above, the reservation information requesting means may be configured as a means for requesting the reservation information stored in the reservation server apparatus from the time when the previous reservation information request was transmitted until the present time.
In the above, the intermediate server device further includes data conversion means for converting the inputted reservation information into data suitable for the medical server device, and the reservation information providing means of the intermediate server device is the medical server. As reservation information to be sent to the apparatus, data converted by the data conversion means may be sent.

[3] Intermediate server device 2
It can be connected to the reservation server device 1 and
A reservation information request is sent to the reservation server device 1 based on the intermediate instruction input from the reservation server device 1 (S216);
When reservation information is input from the reservation server device 1 (S232; YES), an instruction for facility for instructing acquisition of reservation information is sent to the medical server device 3 (S234);
When a reservation information request for requesting reservation information is input from the medical server device 3 (S252; YES), the requested reservation information is sent to the medical server device 3 (S254);
When availability information related to whether or not reservation information is accepted is input from the medical server device 3 (S272; YES), result information relating to the acceptance result of the reservation information is generated from the inputted availability information and the reservation server device 1 (S274) result information providing means,
An intermediate server device 2 characterized by comprising:
In the above description, “based on the intermediate instruction” means that the connection between the reservation server device 1 and the intermediate server device 2 for sending the reservation information from the reservation server device 1 to the intermediate server device 2 is in principle: It starts based on the “intermediate instruction” and means that there is no other opportunity. Note that the method for checking the presence / absence of “intermediate instruction” is arbitrary, and for example, a method for checking at every predetermined time described below may be used.
In the above, the reservation information requesting means of the intermediate server device 2 checks the input status of the intermediate instruction every predetermined time (S212) (S214), and if there is an input (S214; YES), the reservation You may comprise as a means to send an information request (S216).
Here, as the predetermined time, for example, a time within the range of 0.1 to 10 seconds can be adopted, thereby reducing the possibility of squeezing the network bandwidth, and overlapping reservation applications of a plurality of people. The possibility of doing so can be reduced.
In the above, the reservation information requesting means of the intermediate server device 2 may be configured as a means for requesting the reservation information accumulated by the reservation server device from the time of transmission of the previous reservation information request to the current time. .
In the above, the intermediate server device further includes data conversion means for converting the inputted reservation information into data suitable for the medical server device, and the reservation information providing means of the intermediate server device is the medical server. As reservation information to be sent to the apparatus, data converted by the data conversion means may be sent.
A program for causing a computer to function as the intermediate server device 2 is also the present invention.

[4] Medical reservation system (reservation server device, intermediate server device, medical server device)
A medical reservation system comprising any of the reservation server device 1 and the intermediate server device 2, and a medical server device 3 connectable to the intermediate server device 2,
The medical server device 3
A reservation information requesting means for sending a reservation information request to the intermediate server device 2 based on the instruction to the facility input from the intermediate server device 2 (S345);
When the reservation information is input from the intermediate server device 2 (S361; YES), the medical database 4 is referred to check whether the reservation information can be accepted, and the information indicating whether or not the reservation information is received is the intermediate information. Sending to the server apparatus 2 (S363).
A medical reservation system characterized by this.
In the above description, “connectable to the intermediate server device” basically means “applicable only to the intermediate server device as a device connected to an external network”. Therefore, the input / output device or the like in the medical facility may be connected on the condition that the device is blocked from the external net.
Further, in the above description, “based on facility instruction” means that the intermediate server device 2 and the medical server device 3 for sending reservation information from the intermediate server device 2 to the medical server device 3 in principle. This means that the connection is started only based on the “facility instruction”. That is, in principle, it means that it is started only when it is based on the facility instruction. Note that the method for checking the presence / absence of “to-facility instruction” is arbitrary, and for example, a method of checking every predetermined time as described below may be used.
In the above, the reservation information requesting means of the medical server device 3 checks the input status of the instruction to the facility (S343) every predetermined time (S341), and if there is an input (S343)
YES) The reservation information request may be sent (S345).
Here, as the predetermined time, for example, a time within the range of 0.1 to 10 seconds can be adopted, thereby reducing the possibility of squeezing the network bandwidth, and overlapping reservation applications of a plurality of people. The possibility of doing so can be reduced.
In the above, the reservation information requesting means of the medical server device 3 is configured to request the reservation information accumulated by the intermediate server device 2 from the time of transmission of the previous reservation information request to the current time. May be.

[5] Medical server device 3
It can be connected to the intermediate server device 2 and
Based on the facility instruction input from the intermediate server device 2, a reservation information request is sent to the intermediate server device 2 (S345);
When the reservation information is input from the intermediate server device 2 (S361; YES), the medical database 4 is referred to determine whether the reservation information can be accepted, and the information indicating whether or not the reservation information is accepted is sent to the intermediate server device 2. Sending (S363) availability information providing means;
A medical server device 3 characterized by comprising:
In the above, “connectable to an intermediate server device” means, in principle, “a device connected to an external network can only be connected to an intermediate server device”. Therefore, the input / output device or the like in the medical facility may be connected on the condition that the device is blocked from the external net.
Further, in the above description, “based on facility instruction” means that the intermediate server device 2 and the medical server device 3 for sending reservation information from the intermediate server device 2 to the medical server device 3 in principle. This means that the connection is started only based on the “facility instruction”. That is, it is started only when based on the facility instruction. Note that the method for checking the presence / absence of “to-facility instruction” is arbitrary, and for example, a method of checking every predetermined time as described below may be used.
Also, in the above, the reservation information requesting means of the medical server device 3 checks the input status of the facility instruction every predetermined time (S341) (S343), and if there is an input (S343; YES) A reservation information request may be sent (S345).
Here, as the predetermined time, for example, a time within the range of 0.1 to 10 seconds can be adopted, thereby reducing the possibility of squeezing the network bandwidth, and overlapping reservation applications of a plurality of people. The possibility of doing so can be reduced.
In the above, the reservation information requesting means of the medical server device 3 requests the reservation information accumulated by the intermediate server device 2 from the time of transmission of the previous reservation information request to the current time (S345). It may be configured.
A program for causing a computer to function as the medical system server device 3 is also the present invention.

[6] Medical reservation system (reservation server device, intermediate server device, medical server device)
A medical reservation system comprising a reservation server device 1, an intermediate server device 2 connectable to the reservation server device 1, and a medical server device 3 connectable to the intermediate server device 2,
The reservation server device 1
When reservation information is input from the network via the medical reservation screen provided to the client device (S101; YES), an intermediate instruction for instructing acquisition of reservation information is sent to the intermediate server apparatus 2 (S103) Indicating means;
When a reservation information request for requesting reservation information is input from the intermediate server device 2 (S121; YES), the requested reservation information is sent to the intermediate server device 2 (S123), and reservation information providing means is provided.
The intermediate server device 2
A reservation information request is sent to the reservation server device 1 based on the intermediate instruction input from the reservation server device 1 (S216);
When reservation information is input from the reservation server device 1 (S232; YES), a facility instruction for instructing acquisition of reservation information is sent to the medical system server device 3 (S234);
When a reservation information request for requesting reservation information is input from the medical server device 3 (S252; YES), the requested reservation information is sent to the medical server device 3 (S254). And
The medical server device 3
A reservation information request means is sent to the intermediate server device 2 based on the instruction for facility input from the intermediate server device 2 (S254).
A medical reservation system characterized by this.
In the above, the intermediate server device is further provided with data conversion means for converting the inputted reservation information into data suitable for the medical server device, and the reservation information providing means of the intermediate server device is transferred to the medical server device. As reservation information to be sent, the data converted by the data converting means may be sent.

[7] Simplified system and server device A medical system reservation system comprising any reservation server device 1 described in [1] above and a facility server device 3P connectable to the reservation server device 1. And
The facility server 3P
Reservation information requesting means for sending a reservation information request to the reservation server device 1 based on the intermediate instruction input from the reservation server device 1;
When the reservation information is input from the reservation server device 1, based on the reservation information and referring to the medical database 4 </ b> P, whether the reservation information can be accepted or not is determined. Result information providing means for generating result information related to the reception result of the reservation information and sending the result information to the reservation server device 1;
A medical reservation system characterized by comprising:
In the above, the facility server device 3P further includes data conversion means for converting the inputted reservation information into data suitable for collation with the medical database 4P of the facility server device 3P, and the facility server The result information providing unit of the device 3P may be configured to check whether it can be accepted based on the data converted by the data converting unit.
A program for causing a computer to function as the facility-side server device 3P of the medical reservation system is also the present invention.
[8] Medical examination reservation system In any one of the medical appointment systems described in [2] [4] [6] [7],
The medical appointment system is a medical examination appointment system that processes appointments related to a medical examination.
A medical reservation system characterized by this.

According to the reservation server device 1 of [1], the configuration of a medical reservation system that can collate with various secret information managed by the medical server device 3 and can prevent external access to the medical server device 3. A component that is arbitrarily accessible from the Internet can be provided.
According to the medical reservation system of [2], the configuration of the medical reservation system that can collate with various secret information managed by the medical server device 3 and can prevent external access to the medical server device 3. It is possible to provide a component that has a component that can be arbitrarily accessed from the Internet and that can prevent data transmission / reception to the medical server device 3 other than a regular medical reservation.
According to the intermediate server device 2 of [3], the configuration of a medical reservation system that can collate with various secret information managed by the medical server device 3 and can prevent external access to the medical server device 3. An intermediate server device 2 is provided as a component that has an element that can be arbitrarily accessed from the Internet in the previous stage and that can prevent data transmission / reception to the medical server apparatus 3 other than regular medical appointments. can do.
According to the medical reservation system of [4], a medical reservation system that can collate with various secret information managed by the medical server device 3 and can prevent external access to the medical server device 3 is provided. can do.
According to the medical server device 3 of [5], a medical reservation system that can collate with various secret information managed by the medical server device 3 and can prevent external access to the medical server device 3. The intermediate server device 2 as a component that has a component that is arbitrarily accessible from the Internet in the previous stage and that can prevent data transmission / reception to the medical server device 3 other than regular medical reservations The medical server device 3 can be provided as a protected component.
According to the medical reservation system of [6], there is provided a medical reservation system capable of collating with various secret information managed by the medical server device 3 and preventing external access to the medical server device 3. can do.
According to the simplified system and server device of [7], providing a simplified system in which the intermediate server device 2 and the medical server device 3 are combined, and a facility-side server device 3P that is a component thereof. Can do.
According to the medical examination reservation system of [8], the above-described effects can be obtained in the medical examination reservation system.

It is a block diagram which shows the structure of the medical examination reservation system of embodiment. It is a flowchart which shows the process performed with the reservation server apparatus, intermediate | middle server apparatus, and medical examination server apparatus which comprise the system of FIG. It is a functional block diagram which shows the data transmitted / received between the reservation server apparatus, intermediate | middle server apparatus, and medical examination server apparatus which comprise the system of FIG. It is a functional block diagram which shows the data transmitted / received between the reservation server apparatus and the facility side server apparatus which comprise a simple type system. It is a block diagram of the medical examination reservation system which concerns on Embodiment 2. FIG. It is a figure which shows the structural example of the reservation server apparatus shown in FIG. It is a figure which shows the structural example of the intermediate | middle server apparatus shown in FIG. It is a figure which shows the structural example of the medical examination server apparatus shown in FIG. It is a figure which shows an example of the reservation frame information stored in medical examination DB. (A) And (b) is a figure which shows an example of a reservation screen. It is a figure which shows an example of the reservation information transmitted to a reservation server apparatus from a client apparatus. It is a figure which shows an example of the reservation information accumulate | stored in a reservation server apparatus. (A) The figure which shows the structural example of an "intermediate instruction | indication", (b) The figure which shows the preserve | saved "intermediate instruction", (c) The figure which shows the structural example of reservation request information. It is a figure which shows an example of the reservation information transmitted to a middle server apparatus from a reservation server apparatus. (A) It is a figure which shows an example with respect to facilities, (b) It is a figure which shows an example of a reservation information request | requirement. It is a figure which shows an example of the permission information. It is a figure which shows an example of the reservation frame information for medical system reservation systems. It is a figure which shows the structure of the medical examination reservation system which concerns on Embodiment 3. FIG. It is a figure which shows an example of health insurance subscriber information. It is a figure which shows an example of the reservation frame information only for health insurance associations. It is a figure which shows the list of alliances with a medical examination facility and a health insurance association. It is a flowchart of a reservation screen production | generation process. It is a figure which shows an example of a report. It is a figure which shows an example of claim data. It is a figure for demonstrating the reservation possible number concerning Embodiment 4. FIG.

With reference to the drawings, a reservation system according to an embodiment of the present invention will be described.
(Embodiment 1)
In the first embodiment, a medical examination (health check) facility is assumed as a medical facility. For this reason, as shown in FIG. 1, the medical examination server apparatus 3 is used as a server apparatus that manages the business of the facility. In the case of a reservation for a medical facility such as a hospital, it can be performed in substantially the same manner as in the present embodiment by using a server device for the medical facility instead of the medical examination server device 3.
As illustrated, the medical examination reservation system 10 according to the first embodiment includes a plurality of reservation server apparatuses 1a, 1b. . . , Intermediate server devices 2a, 2b, 2c. . . , Medical examination server devices 3a, 3b, 3c, 3cc. . . , Medical examination database (DB) 4a, 4b, 4c, 4cc. . . , Etc. Hereinafter, a plurality of reservation server apparatuses 1a, 1b. . Are collectively referred to as a reservation server device 1 and a plurality of intermediate server devices 2a, 2b, 2c. . . Are collectively referred to as an intermediate server device 2 and a plurality of medical examination server devices 3a, 3b, 3c, 3cc. . Are collectively referred to as a medical examination server device 3, a plurality of medical examination DBs 4a, 4b, 4c, 4cc. . Are collectively referred to as medical checkup DB4.

Each reservation server device 1 is composed of a computer and is always connected to the Internet IN, and responds to requests from arbitrary client devices (terminal devices used by reservation applicants) 5 (5a, 5b, 5c...). Then, the “medical examination reservation screen” or the like is provided to the client device 5.
Each reservation server device 1 receives from the client device 5 reservation information including a request item input by the reservation applicant from the “medical checkup reservation screen”, and executes processing according to the request item. Specifically, the reservation server device 1 transmits, to the intermediate server device 2, “intermediate instruction” for instructing transmission of reservation information, as will be described later, based on data input from the “medical checkup reservation screen”. If a “reservation information request” is received as a response, the reservation information requested by the “reservation information request” is transmitted to the intermediate server device 2 that is the transmission source of the “reservation information request”.
The reservation server device 1 can also be configured as a cloud.

The intermediate server device 2 is configured by a computer, and is provided in each medical examination facility in the medical examination reservation system 10 and connected to the medical examination server device 3 for each medical examination facility. A configuration in which a plurality of medical examination facilities C and CC are covered by a single intermediate server device 2 (2c) as in the intermediate server device 2c is also possible.
As will be described later, the intermediate server device 2 is configured so as to be able to transmit and receive data only with the reservation server device 1 as an external device.

  The medical examination server device 3 is provided for each medical examination facility, and manages the medical examination data of each medical examination facility. The medical examination data includes data associating the date and time (time zone) with the person who undergoes the health examination in the time zone and the contents of the medical examination. The medical examination server device 3 is not directly connected to an external device such as the Internet IN, and can be connected only through the intermediate server device 2. In addition, transmission / reception of data to / from an external device is possible only for data related to a medical examination reservation, and the transmission is configured to be started only when the “facility instruction” is received from the intermediate server device 2. Yes.

  The medical examination DB 4 is provided for each medical examination facility and stores medical examination data of the medical examination facility. The medical examination DB 4 is accessed by the medical examination server device 3. The examination data includes data associating the date and time (time zone) with the person who undergoes the health examination in the time zone and the contents of the examination. The medical examination DB may store medical examination results.

Next, with reference to FIG. 2 and FIG. 3, the procedure of the medical examination reservation using the medical examination reservation system 10 is demonstrated.
First, an applicant who reserves a health check-up operates an arbitrary client device 5 to access the reservation server device 1 via the Internet and opens a “medical check-up reservation screen”. More specifically, the arbitrary client device 5 requests the reservation server device 1 to receive and receive the data for displaying the medical examination reservation screen and the latest reservation frame (reservation availability) information in accordance with the operation of the applicant for the medical examination reservation. Display on your monitor. The items of reservation frame information include, for example, a free medical examination facility, the date (reservation frame date), the start time of the medical examination, etc. (health examination course), details of the medical examination course, the medical examination Options available for the course, details of the option, the number of people that can be booked for the medical examination course, the deadline for the appointment frame, applicable health insurance, price, etc. can be employed. In other words, the “medical examination reservation screen” is a screen in which the applicant (the operation input person of the arbitrary client device 5) can make a reservation and details of the medical examination contents / date and time, etc. in a list or sequentially. The reservation server device 1 only needs to be able to provide a “medical checkup reservation screen” having such a function in response to a request from an arbitrary client device 5.

  The applicant selects the desired medical examination facility, medical examination course, options, etc. from the reservation frame information displayed on the medical examination reservation screen, and further inputs necessary items such as applicant information as necessary. Enter the send operation using the send button. In response to the transmission operation, the client device 5 transmits the input data (reservation information) to the reservation server device 1 (FIG. 3: (1)). The reservation server device 1 receives the transmitted data (FIG. 2: S101; YES), encrypts the received input data, stores it in the storage unit, and holds it. Further, the reservation server device 1 transmits data “instruction for intermediate” for instructing acquisition of reservation information to the intermediate server device 2 (FIG. 2: S103, FIG. 3: (2)). Note that the “intermediate instruction” only instructs to acquire information, and does not include reservation information. The intermediate server device 2 that is the transmission destination of the “intermediate instruction” is an intermediate server that can be connected to the medical examination server device 3 that manages the medical examination facility (the medical examination facility selected by the applicant) possessed by the input data. Device 2 is set up. For example, when the medical examination facility CC is selected, the intermediate server device 2c that can be connected to the medical examination server device 3cc that manages the medical examination facility CC is set as the transmission destination. When the second desired or less is input as a health examination facility to be a health examination reservation target, the intermediate server device 2 corresponding to the second desired health examination facility or less is similarly set as the transmission destination.

When the intermediate server device 2 receives the “intermediate instruction”, the intermediate server device 2 stores it together with reception time data and the like.
The intermediate server device 2 checks whether or not an “intermediate instruction” is received at predetermined time intervals (S212, S214). If the intermediate server device 2 has received the “in-middle instruction” within the “predetermined time” immediately after the previous check (S214; YES), the intermediate server device 2 sends a “reservation information request” requesting transmission of reservation information to “ This is transmitted to the reservation server device 1 that is the transmission source of the “intermediate instruction” (FIG. 2: S216, FIG. 3: (3)). At this time, information that uniquely defines the latest data in the “reservation information” received last time (for example, unique information such as the previous reception time, the order of input in the reservation server device 1, etc. is attached to each reservation information. If so, the unique order is transmitted together.

  The “predetermined time” is preferably a time of about 0.1 to 10 [sec]. This is not preferable if it is shorter than 0.1 [sec] because it compresses the network bandwidth. On the other hand, if it is longer than 10 [sec], there is a high possibility that multiple people will apply for the same reservation frame. This is because the labor on the side of the health check facility is increased, which is not preferable.

  The intermediate server device 2 transmits a predetermined “reservation information request” to the reservation server device 1 only when it has received a predetermined “against intermediate instruction” within the most recent “predetermined time”. Subsequently, each process generated is executed in order to receive the reservation information. The intermediate server device 2 is configured not to start any processing for other data input from the outside such as the Internet (data input other than a predetermined “intermediate instruction”).

  When the reservation server apparatus 1 receives a predetermined “reservation information request” from any of the intermediate server apparatuses 2 (FIG. 2: S121; YES), it transmits the requested reservation information to the intermediate server apparatus 2 that is the request source. (FIG. 2: S123, FIG. 3: (4)). Here, the requested reservation information is reservation information whose reservation destination is a medical examination facility managed by the medical examination server apparatus 3 connected to the intermediate server apparatus 2 of the request source, This is the reservation information that has been input to the reservation server device 1 after the previous transmission of reservation information to the server device 2 and accumulated up to now.

  The reservation server device 1 transmits the requested reservation information to the intermediate server device 2 only when a predetermined “reservation information request” is received, and responds to other transmission requests from the outside such as the Internet IN. Is configured so as not to react at all (does not start processing for transmitting reservation information). Since it is configured in this manner, it is necessary to modify the programs of both the reservation server device 1 and the intermediate server device 2 in order to transmit the reservation information input to the reservation server device 1 to an unauthorized destination. It becomes virtually impossible.

  After transmitting the “reservation information request” to the reservation server device 1, the intermediate server device 2 receives the reservation information sent from the reservation server device 1 (S232; YES). Subsequently, the intermediate server device 2 transmits predetermined data “facility instruction” instructing acquisition of reservation information to the connected medical examination server device 3 (FIG. 2: S234, FIG. 3 (5)). .

  Further, the intermediate server device 2 converts the “reservation information” received this time into data for the medical examination server device 3 connected to the intermediate server device 2, and further, predetermined data such as an AES (Advanced Encryption Standard) algorithm And stored in a database (not shown) of the intermediate server device 2. For example, the intermediate server device 2c is connected to the medical examination server device 3c of the medical examination facility C and the medical examination server device 3cc of the medical examination facility CC. In the case of the reservation destination facility, the “reservation information” is converted into data for the medical examination server device 3c, encrypted and held. This data conversion is performed so as to conform to the system version and OS of the medical examination server device 3 that is the transmission destination of the “reservation information”, and further to the version of the OS. In addition, data conversion for matching items is performed as necessary. For example, the “medical examination reservation screen” displayed by the client device 5 uses general terms and classifications that are easy for ordinary people to understand, but these are not necessarily used for terms and classifications used in medical examination facilities. Does not match. For this reason, data conversion for adapting them to terms and classifications used in medical examination facilities is also performed.

  Further, the intermediate server device 2 uniquely identifies the latest data in the “reservation information” received this time (for example, the current reception time, unique information such as the input order in the reservation server device 1 for each reservation information). Is stored in its own database. This “uniquely defined information” is notified to the reservation server device 1 the next time the processing of step S216 (processing for transmitting a “reservation information request” to the reservation server device 1) is executed.

When the medical examination server device 3 receives the “facility instruction” from the intermediate server device 2, it temporarily stores this.
The medical examination server device 3 checks whether or not the “facility instruction” is received at predetermined time intervals (S341, S343). If the “facility instruction” is received within the most recent predetermined time after the previous check (S343; YES), predetermined data “reservation information request” for requesting transmission of reservation information is sent to the intermediate server device 2. (FIG. 2: S345, FIG. 3: (6)). At this time, information that uniquely defines the latest data in the “reservation information” received last time (for example, unique information such as the previous reception time, the order of input in the reservation server device 1, etc. is attached to each reservation information. If so, the unique order is transmitted together. The “predetermined time” is preferably about 0.1 to 10 [sec], for the same reason as described in the description of step S212 regarding the intermediate server device 2.

  The medical examination server device 3 transmits a predetermined “reservation information request” to the intermediate server device 2 only when a predetermined “to-facility instruction” has been received, and performs each processing that occurs following the transmission. Although executed in order, it is configured not to react to any other data input from outside (data input other than a predetermined “facility instruction”).

  When the intermediate server device 2 receives the “reservation information request” from the medical examination server device 3 that transmitted the “facility instruction” in step S234 (S252; YES), the “requested reservation information” is stored in a database (not shown). Is transmitted to the medical examination server device 3 (FIG. 2: S254, FIG. 3 (7)). Here, the “requested reservation information” refers to a medical examination managed by the medical examination server apparatus 3 that has been input to the intermediate server apparatus 2 after being previously transmitted to the medical examination server apparatus 3 and accumulated until now. This is reservation information for a facility as a reservation destination. As described above, the reservation information is data converted into data for the medical examination server apparatus 3 and is encrypted data.

  Only when the “reservation information request” is received, the intermediate server device 2 transmits the requested reservation information to the requesting medical examination server device 3 in response to another transmission request from the outside such as the Internet. Is configured so as not to react at all (does not start processing for transmitting reservation information). Since it is configured in this way, it is necessary to modify the programs of both the intermediate server device 2 and the medical examination server device 3 in order to transmit the reservation information input to the intermediate server device 2 to an unauthorized destination. Yes, virtually impossible.

  When the requested reservation information is transmitted from the intermediate server device 2, the medical examination server device 3 receives this information (S 361; YES), decrypts the received reservation information, and refers to the data of the medical examination database 4. Then, it is determined whether or not the health check specified by the reservation information is acceptable. The medical examination server device 3 transmits “possibility information”, which is a result of the determination, to the intermediate server device 2 (FIG. 2: S363, FIG. 3 (8)). If the medical examination server device 3 can accept the reservation, the medical examination server device 3 stores the reservation information in the encrypted state in the medical examination database 4 of the medical examination server device 3. However, if the reservation information is less than or equal to the second request, the final result of the first request is awaited and stored.

  Further, at this time, the medical examination server device 3 uniquely specifies the latest data in the “reservation information” received this time (for example, the current reception time and each reservation information input by the reservation server device 1). If unique information such as order is assigned, the order is stored in the database of the medical examination server device 3. This “uniquely defined information” is used as described above when the process of step S345 (process for transmitting “reservation information request” to the intermediate server apparatus 2) is executed next time.

  The intermediate server device 2 receives the “permission information” from the medical examination server device 3 (S272; YES). The intermediate server device 2 converts the received “acceptability information” into general-purpose “result information” (WEB data format) suitable for storage in the reservation server device 1 and transmits it to the reservation server device 1 ( FIG. 2: S274, FIG. 3: (9)).

  The reservation server device 1 receives the “result information” from the intermediate server device 2 (S181; YES). The reservation server device 1 is mutually coordinated with “result information” based on reservation information linked to the reservation information and transmitted to the intermediate server device 2 different from the intermediate server device 2, and the result is The “result information” shown is transmitted to the requesting client device 5 (FIG. 2: S183, FIG. 3: (10)). Here, the linked reservation information is reservation information such as the first request and the second request in the medical examination reservation.

  The client device 5 receives the “result information” transmitted from the reservation server device 1 and displays it. If the displayed “result information” cannot be reserved, the applicant inputs the reservation information again from the reservation screen as necessary. On the other hand, when the displayed “result information” can be reserved, the applicant performs a process of confirming or canceling the reservation. The client device 5 transmits information for instructing the reservation server device 1 to confirm / cancel the reservation. The reservation server device 1 holds (updates) the reservation information determined by the reply from the client device 5 by itself.

  The reservation server device 1 transmits information indicating confirmation or cancellation to the intermediate server device 2 when transmitting the reservation information in step S123 or the like. The intermediate server device 2 transmits the received information indicating confirmation or cancellation to the medical examination server device 3 when transmitting the reservation information. The medical examination server apparatus 3 adds information indicating confirmation or cancellation to the reservation information registered in the medical examination DB 4 based on the received confirmation / cancellation information. The updated reservation information stored in the medical examination server device 3, the medical examination database 4 and the like is also encrypted by a predetermined encryption method (for example, AES algorithm) as described above.

In the above description, it is explained in the case of a reservation for a medical examination facility, but in the case of a medical appointment for a medical institution such as a hospital, for example, the “medical examination reservation screen” is changed to a “medical appointment reservation screen”, etc. Although a slight change is necessary, it can be implemented in substantially the same manner.
For example, as illustrated in FIG. 5 in a medical treatment DB corresponding to the medical checkup DB 4, for example, reservation frame information is stored for each medical department, reservations are received in order within the frame, and the number of reservations every time one reservation is received. +1 should be added. Further, when a plurality of medical departments, for example, internal medicine and otolaryngology departments are consulted as a set, it may be determined that the reservation is OK only when reservation of all medical departments to be examined is possible.

  In the above description, the intermediate server device 2 and the medical examination server device 3 are configured as separate devices. However, as shown in FIG. 4, by providing a facility-side server device 3P that combines these functions. A simple reservation system can be configured.

  In FIG. 4, the facility-side server device 3P monitors the “intermediate instruction” from the reservation server device 1 and transmits a “reservation information request” to the reservation server device 1 as a transmission source. 1 has a function to convert the reservation information transmitted from 1. These are functions that the above-described intermediate server device 2 has.

  Further, the facility server device 3P collates the data-converted reservation information with the data of the predetermined medical database 4P of the facility server device 3P, generates permission information based on the result, and if necessary, And has a function of updating the data of the medical database 4P. These are functions that the above-described medical examination server device 3 has.

  Further, the facility-side database 3P has a function of converting the availability information into result information that is WEB data and transmitting the result information to the reservation server device 1. This is a function of the intermediate server device 1 described above.

(Embodiment 2)
Hereinafter, Embodiment 2 according to the medical examination reservation system 100, which is more specific of Embodiment 1, will be described with reference to FIGS.

  As shown in FIG. 5, also in this embodiment, the medical examination reservation system 101 includes the reservation server apparatus 1, the intermediate server apparatus 2, the medical examination facility (the medical examination server apparatus 3, the medical examination DB 4), and the client apparatus. 5 is provided. Each medical examination server device 3 is connected to a medical facility terminal 6 (6a, 6b...) Installed in a medical facility that actually performs the medical examination via an in-facility LAN (local area network) or the like. Yes. In FIG. 5, the medical facility terminal 6 is represented as being connected to the medical examination server device 3 via the medical examination DB 4, but is not via the medical examination DB 4.

As shown in FIG. 6, the reservation server device 1 includes a control unit 11, a memory 12, an auxiliary storage device 13, and a communication unit 14.
The control unit 11 includes a processor and the like, and executes an operation program stored in the memory 12 to reserve a medical checkup, for example, i) a medical checkup server device via the intermediate server device 2 3 is a process for receiving the latest reservation status (reservation availability information) from 3 and storing it in the auxiliary storage device 13; ii) a reservation screen (reservation application web page) based on the latest reservation status stored in the auxiliary storage device 13; ) Is generated and provided to the client device 5 iii) Reservation information from the client device 5 via the reservation screen is received and stored in the auxiliary storage device 14, and the reservation information is transmitted via the relay server device 3. Processing to be transmitted to the medical examination server device 3; iv) the reservation result is received from the medical examination server device 3 via the intermediate server device 2 and stored in the auxiliary storage device 13; The processing provided to the client device 5 is executed. Details of the processing will be described later.

The memory 12 stores an operation program for the control unit 11.
The auxiliary storage device 13 is i) the latest reservation status of a medical examination service provided by a plurality of medical examination facilities, ii) reservation information transmitted from the client apparatus 5, iii) the medical examination server apparatus 3 via the intermediate server apparatus 2 The reservation result transmitted from is stored.
The communication unit 14 communicates with the intermediate server device 2 and the client device 5 via the Internet IN.

  As illustrated in FIG. 7, the intermediate server device 2 illustrated in FIG. 5 includes a control unit 2, a memory 22, an auxiliary storage device 23, and a communication unit 24.

The control unit 21 includes a processor and executes processing for mediating transmission of information between the reservation server device 1 and the medical examination server device 3 by executing an operation program stored in the memory 22. To do. Details of the processing will be described later.
The memory 22 stores an operation program for the control unit 21.

The auxiliary storage device 23 stores “intermediate request” and “reservation information” transmitted from the reservation server device 1. In addition, the auxiliary storage device 23 stores “result information” transmitted from the medical examination server device 3.
The communication unit 24 is connected to the reservation server device 1 via the Internet IN or the like, and connected to the medical examination server device 3 via an intranet or the like, and communicates with the reservation server device 1 and the medical examination server device 3. The communication unit 24 is set so as not to communicate with other communication devices.

A medical examination server device 3 shown in FIG. 5 is a server device that manages a schedule of medical examinations at a medical examination facility. As shown in FIG. 8, the medical examination server device 3 includes a control unit 31, a memory 32, an auxiliary storage device 33, a communication unit 34, and a database (DB) controller 35.
The control unit 31 includes a processor, and executes a process related to a health checkup by executing an operation program stored in the memory 32. In this embodiment, in particular, it is determined whether or not the reservation specified by the reservation information provided from the intermediate server device 2 is possible, the determination result is transmitted to the intermediate server device 2, and the reservation content is sent to the medical examination DB 4. Manage the schedule of medical examinations, including reservation management, such as registration. Details of the processing will be described later.

The memory 32 stores an operation program for the control unit 31.
The auxiliary storage device 33 stores “facility instruction”, “reservation information” and the like transmitted from the intermediate server device 2.
The communication unit 34 is connected to the intermediate server device 2 and the medical facility terminal 6 via an intranet or the like, and communicates with each other. The communication unit 34 is set so as not to communicate with other communication devices.
The DB controller 35 is connected to the medical examination DB 4 via a dedicated line, and controls the medical examination DB 4.

  The medical checkup DB 4 stores various data related to the medical checkup. In this embodiment, in particular, data such as reservable frame information indicating a frame for accepting a reservation for a health check, reservation for a health check, results of a health check, and the like are stored.

  The client device 5 is a terminal device used by a general user who applies for a health checkup, and includes a personal computer, a tablet, a smartphone, and the like.

  The medical facility terminal 6 is installed in a medical facility that conducts a medical checkup, and sets reservable frame information indicating a reservable frame for a medical checkup in the medical checkup DB 4 via the medical checkup server device 3. The schedule for conducting the medical examination is set according to the convenience of the medical examination facility.

  Next, operation | movement of the medical examination reservation system 100 which has the said structure is demonstrated.

(Reservation frame setting)
The person in charge of the medical facility performing the medical checkup operates the medical facility terminal 6 to access the medical checkup server device 3 and transmits reservable frame information indicating the setting of the upper limit for accepting the medical checkup. The reservable frame information includes, for example, information such as the name of the medical examination facility, the date, the course / option that can be reserved, the number of people that can be reserved, and the reservation conditions (gender, age, etc.) The control unit 31 of the medical examination server device 3 receives the reservable frame information via the communication unit 34, adds reservation number information indicating the number of reserved persons to the received reservable frame information, and sets the reservation frame information. Generate and register in the medical examination DB 4. For example, in the morning of January 22, 20 people in the A course, 15 people in the B course, ..., 5 people in the optional mammography visit, 6 people in the mammogram. . . It is assumed that a reservation available frame is set. In this case, reservation frame information as illustrated in FIG. 9 is registered in the medical examination DB 4. The number of reserved people is initially set to an initial value of 0. “Reservable number of persons−reserved number of persons” is the remaining number of reservations.

  Each time the control unit 31 of the medical examination server device 3 communicates with the intermediate server device 2, it determines whether or not the reservation frame information stored in the medical examination DB 4 has been updated after the previous communication. After the previous communication, for example, when the number of reservations in the reservation frame information stored in the medical examination DB 4 is updated or new reservation frame information is added, the control unit 31 sets the reservation frame information. Is updated, and the latest reservation frame information is read from the medical examination DB 4 and transmitted to the intermediate server device 2. In addition, you may limit the reservation frame information to transmit to the updated part and its related information.

  The control unit 21 of the intermediate server device 2 receives the reservation frame information transmitted from the medical examination server device 3 via the communication unit 24 and stores it in the memory 22. Each time the control unit 21 communicates with the reservation server device 1, whether or not the reservation frame information stored in the auxiliary storage device 23 has been updated after the previous communication with the reservation server device 1 (the medical examination server device 3). Whether or not the updated reservation frame information has been received.

  If the reservation frame information has been updated, the control unit 21 reads it from the memory 22 and transmits it to the reservation server device 1 (1a, 1b,...) Via the communication unit 24. The controller 11 of each reservation server device 1 receives the transmitted reservation frame information via the communication unit 14 and stores it in the auxiliary storage device 13. In this way, the latest reservation frame information is stored in the auxiliary storage device 13 of the reservation server device 1. When a difference in reservation frame information is transmitted, the control unit 11 updates the reservation frame information stored in the auxiliary storage device 13 to the latest reservation frame information based on the received difference.

  In this way, in the auxiliary storage device 13 of each reservation server device 1, the most recent reservation frame information of each medical examination facility is accumulated while being updated.

  On the other hand, a user who wishes to receive a medical examination operates the client terminal 5 and requests a reservation screen from the reservation server device 1. The control unit 11 of the reservation server device 1 receives the request via the communication unit 14, and based on the reservation frame information of the plurality of medical checkup facilities stored in the auxiliary storage device 13, the medical checkup facility, date / time, course A selection screen (web page) for selecting an option or the like is synthesized as illustrated in FIGS. 10A and 10B, for example. The reservation server device 1 transmits the combined selection screen to the client device 5 via the communication unit 14.

  On the selection screen, the user inputs the desired reservation contents by selecting the date, time, medical facility, course, option, and the like of the medical checkup to be received. It is also possible to select a plurality of medical facilities or select a plurality of desired dates for each medical examination facility.

  After selecting the desired reservation content, the user clicks the send button. In response to this operation, the client device 5 transmits the input reservation information to the reservation server device 1 (FIG. 3: (1)). As shown in FIG. 11, the reservation information to be transmitted includes a member number, examinee information (address, name, gender, age, e-mail address, telephone number and other recipient attribute information), reservation number, facility, and course. Option, desired date / time, reservation confirmation date / time, transmission (1 → 5) time stamp, and the like. The “reservation number” is a unique number assigned for each medical examination facility. The “reservation confirmation date” is blank or null at this stage. “Transmission (5 → 1) time stamp” is a time stamp of the transmission date and time from the client terminal 5 to the reservation server device 1.

  In the reservation information shown in FIG. 11, the user of the member number 1234 selects 1) A course of A hospital, selects “cancer risk” as an option, and the first consultation desired date is February 4, 2015 AM , Select PM on February 4, 2015 as the second desired date, and select AM on February 11, 2015 as the third desired date. 2) Select the PET course at B Clinic, and select “Mamography” as an option. And select 04: 00-100: 00 on February 4, 2015 as the desired visit date, 3) Select C course of C clinic, select “Cancer Risk, Gastrocamera” as an option, This is an example in a case where February 4, 2015 is selected as the first consultation request date and February 11, 2015 is selected as the second consultation request date. The client device 5 assigns the reservation number “110000001” for the reservation of the A hospital, the reservation number “110000002” for the reservation of the B clinic, the reservation number “110000003” for the reservation of the C clinic, It is 16: 21: 21.032366 seconds on January 20, 2015.

  The control unit 11 of the reservation server apparatus 1 receives the transmitted reservation information via the communication unit 14 (FIG. 2: S101; YES), and transmits the reception time stamp and the received reservation information (1 → 2). A time stamp is added, and as shown in FIG. 12, it is added to the reservation information stored in the auxiliary storage device 13 and encrypted and stored.

  FIG. 12 shows a state where the encryption is released. The transmission (1 → 2) time stamp is information that is attached when the reservation information is transmitted to the intermediate server device 2, and is set to Null in the initial stage.

  FIG. 12 shows an example in which all reservation information is stored together, but the reservation server device 1 may store reservation information in any form. For example, the reservation information may be stored separately for each medical examination facility or for each intermediate server device 2.

  In response to the reception of the reservation information, or periodically, the control unit 11 transmits an “intermediate instruction” to the intermediate server device 2 installed for the medical examination facility specified by the reservation information. (FIG. 2: S103, FIG. 3: (2)).

The “intermediate instruction” includes reservation server device identification data for identifying the reservation server device 1 of the transmission source.
For example, it is assumed that the reservation information shown in FIG. 12 is stored in the auxiliary storage device 14 of the reservation server device 1a, and the reservation information up to the membership number “3456” has been transmitted to the intermediate server device 2. In this case, the reservation information to be transmitted to the intermediate server device 2 is only the reservation information of the member number “1234”, and the medical examination facilities to be notified of the reservation information are the A hospital, the B clinic, and the C clinic. For this reason, the control unit 11 transmits an “intermediate instruction” to the intermediate server device 2a of hospital A, the intermediate server device 2b of clinic B, and the intermediate server device 2c of C clinic via the communication unit 14. . As illustrated in FIG. 13A, the control unit 11 includes, in the “intermediate instruction”, identification information indicating that the transmission source such as the IP address and the MAC address is the reservation server device 1a, and the reservation server device 1a. Include a random value encrypted with the encryption key.

  The control unit 21 of each intermediate server device 2 receives the “to-intermediate instruction” via the communication unit 24 and adds a time stamp of the reception time to the auxiliary storage device 23 as shown in FIG. Store.

The control unit 21 of the intermediate server device 2 has an internal timer (RTC), and whether or not the “intermediate instruction” is received in the auxiliary storage device 23 at a predetermined period of about 0.1 to 10 [sec]. Is checked (FIG. 2: S214). That is, the control unit 21 checks the time stamp of the reception time of the “intermediate instruction” stored in the auxiliary storage device 23 and determines whether or not the intermediate instruction has been received within the latest “predetermined period”. To do. The previous check time may be stored, and it may be determined whether or not the counter instruction is received after the time stamp.
When it is determined that the “direct instruction” is received, the control unit 21 determines whether or not the transmission source is the reservation server device 1 registered in advance.

  When a new “in-between instruction” is received within a predetermined period and it is determined that it is from the registered reservation server device 1 (FIG. 2: S214; YES), the control unit 21 Transmits a “reservation information request” requesting transmission of reservation information to the reservation server device 1 via the communication unit 24 (FIG. 2: S216, FIG. 3: (3)). At this time, information specifying the last received “reservation information”, for example, the reservation number and transmission (1 → 2) time stamp of the last received reservation information (from the reservation server device 1 to the intermediate server device 2) Transmission time). Also, the encrypted random number value included in the intermediate instruction is decrypted, and this is encrypted with its own encryption key and included in the “reservation information request”.

  For example, it is assumed that the last reservation information received by the intermediate server device 2a for Hospital A is the reservation information of the member number “3456” shown in FIG. In this case, the reservation number and the transmission (1 → 2) time stamp of the last received reservation information are “1099999999” and “2015-01-20 16: 17: 08.45”. Accordingly, the control unit 21 generates and transmits a reservation information request as shown in FIG.

  As in the first embodiment, the “predetermined time” is preferably about 0.1 to 10 [sec].

  When the control unit 11 of the reservation server device 1 receives a “reservation information request” from any of the intermediate server devices 2 via the communication unit 14 (S121; YES), it transmits the “intermediate instruction” transmitted by itself. It is checked whether the response corresponds to. Specifically, the address (IP address, Mac address, etc.) of the source intermediate server device 2 is checked, and further, it is confirmed that the encrypted random number value matches the value included in the intermediate instruction. To determine whether the request is genuine.

  If the control unit 11 determines that the request is a genuine “reservation information request”, the reservation information stored after the reservation information having the “reservation number” included in the received “reservation information request”, or Reservation information that has a transmission (1 → 2) time stamp after the “transmission (1 → 2) time stamp” included in the received reservation information request or that has not yet been read is read out, and the requesting intermediate server device 2 (FIG. 2: S123, FIG. 3: (4)).

  For example, if the reservation server device 1 receives the “reservation information request” shown in FIG. 13C from the intermediate server device 2a, the control unit 21 stores the reservation information stored after the reservation number “109999999”, or The transmission (1 → 2) time stamp “2015-1-20 16: 17: 08.45” or a transmission time stamp later than the transmission time stamp is transmitted to the intermediate server device 2a. If the stored reservation information is the one shown in FIG. 12, the reservation information with the reservation number “110000001” is read out as the reservation information for hospital A, and as shown in FIG. Send.

  The control unit 11 attaches a time stamp of the transmission time to the transmitted reservation information, that is, the reservation information whose reservation number is “110000001”. In the example of FIG. 12, reservation information for the B clinic and the C clinic remains, but this is because the reservation server device 1 sends “intermediate instructions” to the intermediate server devices 2b and 2c, respectively, and the reservation server Sent when the device 1 receives the “reservation information request” from the intermediate server devices 2b and 2c.

  After transmitting the reservation information request to the reservation server device 1, the control unit 21 of the intermediate server device 2 receives the reservation information sent from the reservation server device 1 via the communication unit 24 (S232; YES). The control unit 21 stores the received reservation information in the auxiliary storage device 23. In response to receiving the reservation information, the control unit 21 transmits a “facility instruction” for instructing acquisition of the reservation information to the connected medical examination server device 3 via the communication unit 24 (FIG. 2). : S234, FIG. 3 (5)).

  At this time, the control unit 21 converts the “reservation information” received this time into data for the connected medical examination server device 3 and further performs predetermined encryption such as an AES (Advanced Encryption Standard) algorithm. The encrypted data is stored in the auxiliary storage device 23 of the intermediate server device 2. For example, the control unit 21 converts “February 4, 2015 AM” on the first desired medical examination date into 20130204A and “A course” into a code CA indicating the same. Also, data conversion is performed according to the difference in OS.

  When the control unit 31 of the medical examination server device 3 receives the “facility instruction” from the intermediate server device 2 via the communication unit 34, the control unit 31 attaches a time stamp of the reception time and stores it in the memory 32. However, the process is not started when the “facility instruction” is received directly.

  The control unit 31 determines whether or not the “facility instruction” has been received at the predetermined time interval within the most recent predetermined time by checking the time stamp of the facility instruction stored in the memory 32 (S343). ). If the control unit 31 determines that the “facility instruction” has been received within the most recent predetermined time after the previous check (S343; YES), the “reservation information request” as illustrated in FIG. Is transmitted to the intermediate server device 2 via the communication unit 34 (FIG. 2: S345, FIG. 3: (6)). At this time, information that uniquely defines the latest data in the “reservation information” received up to the previous time (eg, previous transmission time, reservation number, etc.) is also transmitted. The “predetermined time” is, for example, a time of about 0.1 to 10 [sec].

  Here, assuming that the medical examination server apparatus 3 has received the reservation information of the member number “3456” shown in FIG. 12 as the latest reservation information, the reservation number “110000001” and its transmission time (the intermediate server apparatus 2 (Time stamp when transmitted to the medical examination server device 3) is added to the “reservation information request”.

  When the control unit 21 of the intermediate server device 2 receives the “reservation information request” from the medical examination server device 3 that transmitted the “facility instruction” in step S234 (S252; YES), it is included in the received reservation information request. The reservation information after the reservation information indicated by the information defining the latest data is read from the auxiliary storage device 23 and transmitted to the medical examination server device 3 (FIG. 2: S254, FIG. 3 (7)).

  In the above-described example, whether the reservation information received by the intermediate server device 2a after the reservation information with the reservation number “1099999999” or the transmission time stamp later than the transmission time stamp attached to the latest reservation information is included. Unsent reservation information, that is, reservation information whose reservation number is “110000001” shown in FIG. 14 is transmitted to the medical examination server device 3.

  When the reservation information is transmitted from the intermediate server device 2, the control unit 31 of the medical examination server device 3 receives the reservation information via the communication unit 34 (S361; YES). The control unit 31 decrypts the received reservation information. Subsequently, with reference to the reservation frame information stored in the medical examination DB 4, it is determined whether or not the medical examination specified by the reservation information can be accepted. If there is reservation information with a plurality of desired orders, it is determined whether or not each piece can be accepted. For example, if the reservation number is reservation information “110000001”, it is determined whether or not consultation is possible for each of the first desired consultation date to the third desired consultation date.

Based on the result of the determination, the control unit 31 determines on which desired date it is possible to have a medical checkup, and among the desired days that can be received, the highest priority is determined as the reserved date, and the medical checkup DB 4 To store. Also, +1 is added to the column of the corresponding reservation number in the reservation frame information.
The control unit 31 generates “possibility information” as a result of the discrimination as shown in FIG. 16 and transmits it to the intermediate server device 2 (FIG. 2: S363, FIG. 3 (8)). Note that the example of FIG. 16 is an example of the case where it is determined that the first desired visit date and time can be received when the reservation information shown in FIG. 14 is received.

  The control unit 31 also uniquely specifies the latest data in the “reservation information” received this time (membership number, reservation number, time stamp of the transmission time from the intermediate server device 2 to the medical examination server device 3). Are stored in the memory 32. This “uniquely defined information” is used as described above when executing the processing of step S345 (processing for transmitting predetermined data “reservation information request” to the intermediate server device 2) next time.

  The control part 21 of the intermediate | middle server apparatus 2 will receive this via the communication unit 24, if "possibility information" is transmitted from the medical examination server apparatus 3 (S272; YES). The intermediate server device 2 converts the received “acceptability information” into general-purpose “result information” (data format for WEB) suitable for accumulation in the reservation server device 1 and transmits the corresponding reservation information. It transmits to the server apparatus 1 (FIG. 2: S274, FIG. 3: (9)).

When the “result information” is transmitted from the intermediate server device 2, the control unit 11 of the reservation server device 1 receives it and stores it in the memory 12 (S181; YES).
The reservation server device 1 compares the received “result information” with the reservation information stored in the auxiliary storage device 13, and has received “result information” for all the reservation information for the reservation applicant. Is determined. For example, when the “result information” shown in FIG. 16 is received, the “result information” is received for the remaining two desired reservation information of the member number “1234” in comparison with the reservation information shown in FIG. It is determined whether or not.

  The control unit 11 stands by if no “result information” is received from one set of reservation information. On the other hand, if all the “result information” has been received, they are collected and stored in the auxiliary storage device 13.

  Subsequently, the control unit 11 transmits “result information” to the requesting client device 5 (FIG. 2: S183, FIG. 3: (10)).

The client device 5 receives the “result information” transmitted from the reservation server device 1 and displays them.
In this way, the user can know the final availability of the reservation for the transmitted reservation information.

  The user may input an instruction such as cancellation or re-search at an appropriate timing. In this case, as described above, the confirmed reservation is changed or canceled by exchanging information such as “intermediate instruction”, “reservation information request”, “facility instruction”, and the like.

  Note that when the “checkability information” and “result information” are transmitted from the medical examination server device 3 to the reservation server device 1 via the intermediate server device 2, the reservation frame information stored in the medical examination DB 4 is transmitted. The Note that the reservation frame information may be transmitted to the reservation server device 1 every time the reservation frame information is updated.

  Note that the same can be applied to the case of using a server device in which the intermediate server device 2a and the medical examination server device 3 are integrated as shown in FIG.

  In the above description, an example is shown in which both the reservation number and the transmission time stamp are used to identify the latest data that the server apparatuses 2 and 3 are receiving, but either one may be used. In addition to the reservation number, the reservation server device 1 may add a serial data number to each reservation information, and specify the order of the reservation information by the data number. Moreover, the internal configuration of each server device is an example, and is not limited.

  In the above description, it is explained in the case of a reservation for a medical examination facility, but in the case of a medical appointment for a medical institution such as a hospital, for example, the “medical examination reservation screen” is changed to a “medical appointment reservation screen”, etc. Although a slight change is necessary, it can be implemented in substantially the same manner. For example, as illustrated in FIG. 17 in a medical treatment DB corresponding to the medical examination DB 4, for example, reservation frame information is stored for each medical department, reservations are received in order within the frame, and the number of reservations is received every time one reservation is received. +1 should be added. Further, when a plurality of medical departments, for example, internal medicine and otolaryngology departments are consulted as a set, it may be determined that the reservation is OK only when reservation of all medical departments to be examined is possible.

  In the above description, when the medical examination server device 3 presents availability information (result information) to the user and confirms the reservation after the user's confirmation operation, the first desired reservation is “OK”. In addition, the reservation may be confirmed at that time. In this case, the user may be notified of the contents of the first desired reservation and that the reservation has been confirmed.

(Embodiment 3)
Health insurance may be available for medical examinations. Hereinafter, the medical examination reservation system 101 corresponding to health insurance will be described with reference to FIGS.

  In this case, for example, as shown in FIG. 18, the health check server device 3 of each health check facility has the health insurance association of the health insurance association with which the contract is concluded through the intermediate server device 2 or through a dedicated line. Server devices 7 (7e, 7f,...) Are connected.

  Each health insurance server device 7 provides information on health insurance subscribers as exemplified in FIG. 19 to the health check server device 3 of the health check facility in the affiliated relationship. The medical examination server device 3 stores the provided health insurance subscriber information in the medical examination DB 4. In the case where health insurance subscriber information is provided to the medical examination server device 3b via the Internet IN and the intermediate server device 2, the reservation information is transferred to the medical examination server device 3 in the first and second embodiments. Similarly, it is desirable to transfer data while preventing intrusion from the outside using the “intermediate instruction”, “facility instruction” or the like via the intermediate server device 2.

As shown in Fig. 20, each health check facility prepares courses, options, and prices (shares paid by the health insurance association, shares paid by the health insurance association) that are exclusively for the health insurance associations that are affiliated. Is registered in the medical examination DB4.
Further, as shown in FIG. 21, the reservation server device 1 stores a list of alliances between the medical examination facility and the health insurance association in the auxiliary storage device 13 or the like.

  The medical examination server device 3 of each medical examination facility transmits the reservation frame information dedicated to the health insurance association subscriber to the reservation server device 1 together with the reservation frame information for general users. The reservation server device 1 stores reservation frame information transmitted from each medical examination server device 3 in the auxiliary storage device 13.

  The reservation server device 1 arranges fields for inputting the health insurance association name and the insurance card number on the authentication screen provided to the client device 5.

  A user who has joined the health insurance inputs information on the health insurance together with the authentication information on the authentication screen, and a user who has not joined the health insurance inputs only the authentication information. The client device 5 transmits the input information to the reservation server device 1.

The reservation server apparatus 1 starts the reservation screen generation process shown in FIG. 22 based on the transmitted information, and first performs an authentication process (step S11). If the authentication is successful (S11; YES), the reservation server apparatus 1 It is determined whether or not information specifying a health insurance association that is contracted to use has been input (S12).
When information specifying a health insurance association is input (S12; YES), a health examination facility affiliated with the health insurance association is identified from the table shown in FIG. 21, and the health of the identified health insurance facility is determined. Reservation frame information for insurance members is read from the auxiliary storage device 13 (S13), and a selection screen is generated and displayed (S14).

On the other hand, if it is determined in step S12 that the information specifying the health insurance association that has contracted to use this system has not been input (S12; NO), all the reservations provided by the field medical examination facility The frame information is read from the auxiliary storage device 13 (S15), and a selection screen is generated and displayed (S14).
When the information for specifying health insurance is input to the reservation screen, the reservation server device 1 reads only the frame information for the health insurance association that is input, creates a reservation screen based on the read frame information, Provided to the client device 5.

  Subsequent processing is basically the same as in the first and second embodiments.

Based on the reservation information recorded in the medical checkup DB 4 and the information on the medical checkup results, the medical checkup server device 3 is the health insurance subscriber among the health insurance subscribers, the medical checkup completed, A report as illustrated in FIG. 23 is generated and provided for information on the unreserved person periodically, as needed, or in response to a request from the health server apparatus 7.
Furthermore, for example, the amount of the bill is calculated on a monthly basis by calculation such as course fee (health insurance union share) x number of patients + option fee (health insurance union share) x number of patients = amount of invoice, as shown in FIG. The invoice data may be automatically generated and provided to the insurance association server device 7 together with the details (list of examinees).

  The ID for authentication and the health insurance card number may be associated in advance, and the process related to health insurance may be performed by simply inputting the authentication information.

(Embodiment 4)
Various inspection instruments used in medical examination facilities are also used for medical care. For this reason, in Embodiments 1 to 3, the upper limit of the number of reservations is set in advance for the medical examination course and options so as not to adversely affect the medical practice. For this reason, although the reservation for the medical examination is full and the reservation is refused, the inspection device reserved for medical use is not used, and the use efficiency of the inspection device may be lowered. In preparation for such a situation, reservation of use of medical examination equipment and reservation of use of medical equipment may be dynamically adjusted.

  As shown in FIG. 25, it is assumed that n types of inspection devices M1 to Mn (n is an integer of 2 or more) are used in a medical examination course A. The inspection devices M1 to Mn are assumed to have a maximum number of usable N1 to Nn persons within the time frame of the medical examination course A due to the difference in the number of units, the difference in time required for the inspection, and the like.

  In the case of a medical check-up, the inspection devices M1 to Mn are usually used once for each examinee. Therefore, if the number of reserved medical examination courses A is J, the number of times each inspection device Mi is used is J (i is an integer from 1 to n). On the other hand, for medical use, the inspection device Mi is individually reserved as necessary for medical treatment. When the number of medical treatment reservations for the inspection device Mi is Li, the remaining usable number of times for each inspection device Mi is Ni-J-Li.

In the case of a medical checkup, it is necessary to use each inspection device once for each examinee. Therefore, it is possible to make a reservation for a medical checkup, which is the smallest number of remaining usable times Ni-J-Li of the inspection device Mi. It becomes.
Therefore, the medical examination server device 3 sets the remaining number of reservations for the medical examination course A to be transmitted to the reservation server device 1 as “minimum value of Ni-J-Li”, while the examination device Mi presenting to the medical terminal 6 The remaining number that can be reserved is “Ni-J-Li”.
In this way, reservations can be accepted while dynamically adjusting the number of reservations that can be made between the medical examination system and the medical system.

In order to secure emergency use for medical treatment in an emergency, for example, the remaining number of appointments for medical examinations is “minimum value of Ni-J-Li” −Ki (K is a correction value), You may make it ensure use of Ki stand of the test | inspection apparatus Mi for medical uses.
Further, for example, the examination device Mi is a medical examination A course, a medical examination B course. . . When the medical examination P course is used together, the reserved number Ji of the examination equipment Mi by the medical examination is set to Ji = JAi + JBi +. . . JPi may be used, and the remaining number of appointments for medical examination may be “minimum value of Ni-Ji-Li” −Ki (K is a correction value).

  As described above, according to the embodiment, various types of information can be collated, and unauthorized access from the outside to the server device in which various types of information on medical examinations / medical facilities are stored can be prevented.

1 (1a, 1b) Reservation server device 2 (2a, 2b, 2c) Intermediate server device 3 (3a, 3b, 3c, 3cc) Medical examination server device 4 (4a, 4b, 4c, 4cc) Medical examination database 5 (5a , 5b, 5c) Client device 6 (6a, 6b, 6c, 6cc) Medical facility terminal A, B, C Medical examination facility

Claims (8)

A medical reservation system comprising a reservation server device and an intermediate server device connectable to the reservation server device,
The reservation server device
When the reservation information is input from the network via the reservation screen provided to the client device, an intermediate instruction means for sending an intermediate instruction to instruct acquisition of the reservation information to the intermediate server device;
Reservation information providing means for transmitting reservation information requested by the reservation information request to the intermediate server device when a reservation information request for requesting transmission of reservation information is input from the intermediate server device;
When the result information related to the reception result of the reservation information is input from the intermediate server device, the result information providing means for sending the result information to the client device that is the input source of the reservation information,
The intermediate server device
Reservation information requesting means for transmitting the reservation information request to the reservation server device based on the counter intermediate instruction transmitted from the reservation server device;
When reservation information is input from the reservation server device, a facility instruction means for transmitting a facility instruction for instructing acquisition of the reservation information to the medical server device;
When a reservation information request for requesting reservation information is input from the medical server device, reservation information providing means for sending the requested reservation information to the medical server device;
Data conversion means for converting the input reservation information into data suitable for the medical server device;
Result information providing means that, when acceptability information regarding whether or not reservation information is accepted is input from the medical server device, results information providing means for generating result information regarding the acceptance result of the reservation information from the input availability information and sending the result information to the reservation server device; Have
The reservation information providing unit of the intermediate server device sends the reservation information after conversion by the data conversion unit to the medical server device.
A medical reservation system characterized by this. In claim 1,
Wherein said pair intermediate instruction means reservation server device sends said pair intermediate instruction to the intermediate server device corresponding to the reservation target Medical facilities whose reservation information input,
Wherein said reservation information providing means of the reservation server apparatus transmits the reservation information corresponding to the medical system facility corresponding to the transmission source of the intermediate server device of said reservation information request,
A medical reservation system characterized by this. In claim 1 or 2 ,
Wherein said reservation information requesting unit of the intermediate server checks the input state of said pair intermediate instructions at predetermined time intervals, sends the reservation information request if the input there,
A medical reservation system characterized by this. In claim 1, 2 or 3 ,
The medical reservation system, wherein the reservation information request means of the intermediate server device requests reservation information accumulated by the reservation server device from the time of transmission of the previous reservation information request to the present time. Reserve a server device, and the intermediate server apparatus connectable to the reservation server device, a medical system reservation system and the medical system server apparatus connectable to the intermediate server device, Ru consists,
The reservation server device
The reservation information from the network via the medical療系reservation screen provided to the client device is input, a pair intermediate instruction means for sending a pair intermediate instruction to acquire the reservation information to the intermediate server device,
Wherein a the intermediate server reservation information request for requesting the reservation information from the device is input, and the reservation information providing means for sending the requested reservation information to the intermediate server device, a
The intermediate server device
The reservation based on the input pair intermediate instruction from the server apparatus, a reservation information requesting means for sending reservation information request to the reservation server device,
When reservation information is input from the reservation server device, a facility instruction means for sending a facility instruction for instructing acquisition of reservation information to the medical server device;
When reservation information request you request the reservation information from the medical system server device is input, a reservation information providing means for sending the requested reservation information to the medical system server device,
Data conversion means for converting the input reservation information into data suitable for the medical server device ,
The reservation information providing means sends the reservation information converted by the data conversion means to the medical server device,
The medical system server device has on the basis of the intermediate server device input from the pair facility instruction, reservation information requesting means for sending said reservation information request to the intermediate server device,
A medical reservation system characterized by this. A reservation server device, a medical system reservation system that consists of a facility server apparatus connectable to those 該予 about server device,
The reservation server device
When reservation information is input from the network via the reservation screen provided to the client device, an intermediate instruction means for sending an intermediate instruction to instruct acquisition of the reservation information to the facility-side server device;
When a reservation information request for requesting transmission of reservation information is input from the facility server device, reservation information providing means for transmitting the reservation information requested by the reservation information request to the facility server device;
When the result information related to the reception result of the reservation information is input from the facility-side server device, the result information providing means for sending the result information to the client device that is the input source of the reservation information,
The facility-side server device is
The reservation based on the input pair intermediate instruction from the server apparatus, a reservation information requesting means for sending reservation information request Previous Ki予 about server device,
Data conversion means for converting the input reservation information into data suitable for collation with the medical database of the facility server device;
The reservation information is input from the previous Ki予 about the server device, the data converted by said data converting means, and, by referring to the doctor療系database checks the acceptability of the reservation information, the result of examining has a result information providing means for sending from one availability information to Ki予 about the server device prior to generating a result information about the reception result of the reservation information, and
A medical reservation system characterized by this.   The medical reservation system according to any one of claims 1 to 6, wherein the reservation information is reservation information related to a medical examination or medical treatment.   A program for causing one or more computers to function as the medical appointment system according to any one of claims 1 to 6.

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