JP5961716B1 - Interconnect system, method and program - Google Patents

Abstract

Interconnection is made in real time while suppressing unnecessary information leakage and cost. An interconnection system includes a plurality of cooperative gateway devices. Each cooperative gateway device 14, 24, 34 includes an identifier conversion unit 142, a protocol conversion unit 143, an intra-network communication unit 144, an inter-network communication unit 145, and a control unit 146. When a server device outside the network is set in the transmission destination information in the message received by the intra-network communication unit 144, the control unit 146 performs an inter-network communication unit 145 after the processing of the identifier conversion unit 142 and the protocol conversion unit 143. Control to communicate. When the server device in the network is set in the transmission destination information in the message received by the inter-network communication unit 145, the control unit 146 performs the intra-network communication unit 144 after the processing of the identifier conversion unit 142 and the protocol conversion unit 143. Control to communicate. [Selection] Figure 1

Description

  The present invention relates to an interconnection system, method, and program.

  In a specific area such as a secondary medical area, in order for medical institutions to share patient medical information, the construction and operation of a medical cooperation network to which server devices of the respective medical institutions belong is being promoted. In this promotion, in order to further improve patient convenience, improve the efficiency of dispensing operations, and ensure safety, efforts are made to share medical information across regional medical cooperation networks. (For example, refer nonpatent literature 1).

  On the other hand, the medical cooperation network handles sensitive information such as medical information of patients, and is constructed and operated in a form that restricts connection with an external network in order to suppress unnecessary information leakage.

  For this reason, from the viewpoint of sharing medical information across regions while suppressing unnecessary information leakage, a method of interconnecting medical institutions offline is performed. Examples of the method of interconnecting offline include a method in which each medical institution stores medical information in an external storage medium and carries it to a medical institution in another region (a method of hand-carrying).

Regarding the promotion of ICT in the fields of health, medical care and nursing care, Ministry of Health, Labor and Welfare, March 31, 2014, http://www.mhlw.go.jp/file/06-Seisakujouhou-12600000-Seisakutoukatsukan/0000042495.pdf

  However, although the method of carrying the external storage medium can suppress unnecessary information leakage, it is necessary for each medical institution to construct and operate a new mechanism for storing medical information in the external storage medium. Therefore, the method of carrying the external storage medium has the disadvantage that it takes a great deal of cost and labor.

  In addition, the method of carrying an external storage medium has a disadvantage that it cannot satisfy the requirement that interconnection between other regions be performed in real time.

  For example, as shown in FIG. 20, it is assumed that there are medical cooperation networks 10, 20, and 30 in the X region, the Y region, and the Z region, respectively. The medical information management server devices 11 to 13 of A hospital, B hospital, and C hospital belong to the medical cooperation network 10 in the X region. The medical information management server devices 21 to 23 of D hospital, E hospital, and F hospital belong to the medical cooperation network 20 in the Y region. The medical information management server devices 31 to 33 of G hospital, H hospital, and I hospital belong to the medical cooperation network 30 in the Z region.

  Here, for example, the medical information management server device 11 of the A hospital in the X region and the medical information management server device 12 of the B hospital in the same X region belong to the same medical cooperation network. Thus, the medical information management server apparatuses 11 and 12 in the same medical cooperation network can be interconnected in real time.

  On the other hand, the medical information management server device 11 of the A hospital in the X region and the medical information management server device 32 of the H hospital in the Z region belong to different medical cooperation networks. Thus, the mutual connection between the medical information management server apparatuses 11 and 32 belonging to different medical cooperation networks is limited. Therefore, when it is desired to share medical information between the medical information management server apparatuses 11 and 32, it is necessary to carry an external storage medium storing the medical information. However, since it takes a lot of time to carry the external storage medium between different regions, there is a disadvantage that it cannot be interconnected in real time.

  That is, the conventional method cannot be interconnected in real time while suppressing unnecessary information leakage and cost.

  The present invention has been made paying attention to the above circumstances, and an object of the present invention is to provide an interconnection system, method, and program that can be interconnected in real time while suppressing unnecessary information leakage and cost. It is to provide.

In order to achieve the above object, a first aspect of the present invention includes the following components. That is, the interconnection system manages information on the operation target person in association with different or the same identifiers that identify the same operation target person, and communicates the information based on different or the same communication protocol. A plurality of gateway devices respectively included in the plurality of networks for interconnecting server devices in the plurality of networks by communicating messages. The electronic message includes transmission destination information indicating the server device as a transmission destination, and identifier information in which the identifier of the operation target person is set. Among the messages, a message responding to a message requesting the information further includes the information. Each of the cooperative gateway devices includes a plurality of first identifiers for the server devices in the network to which each of the cooperative gateway devices belong to individually identify the operation target person, and the operation target person in common between the networks. storing corresponds information associating the second identifier identifies. Based on the above the stored corresponds information for identifier information in the message, to mutually convert the first identifier and the optional first identifier and said second identifier of said plurality of first identifiers. Based on the stored correspondence information, for the identifier information in the message, the arbitrary first identifier and a new first identifier of the plurality of first identifiers are mutually converted into a second identifier. . About the said message | telegram, the 1st communication protocol used within the network to which each said cooperation gateway apparatus belongs, and the 2nd communication protocol used for the communication between each said network mutually carry out protocol conversion. A first telegram in which the arbitrary first identifier is set in the identifier information and the first telegram communicated based on the first communication protocol is communicated with a server device in the network to which each of the cooperative gateway devices belongs. Execute communication. The second identifier is set in the identifier information, and second communication is performed in which the second telegram communicated based on the second communication protocol is communicated with another cooperative gateway device. When a server device outside the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the first message received in the first communication, the first message is converted into the second message. Then, the first control for controlling the first identifier conversion, the protocol conversion, and the second communication is executed so as to communicate the second telegram. When the server device in the network to which each of the cooperation gateway devices belongs is set in the destination information in the second message received in the second communication, the second message is converted into the first message. Then, the first identifier conversion, the protocol conversion, and the second control for controlling the first communication are executed so as to communicate the first electronic message . When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the first message received by the first communication means, the first message is changed to the new first message. The second identifier conversion and the third control for controlling the first communication are executed so as to communicate a new first message whose identifier is set in the identifier information .

  The first aspect of the present invention is characterized by comprising the following aspects.

In the first aspect , the correspondence information is associated with the plurality of first identifiers and the second identifier, and is commonly used in the network to which each cooperative gateway device belongs. A third identifier for identifying is further included. The first identifier conversion means converts the arbitrary first identifier and the second identifier to each other via the third identifier . The second identifier conversion means converts the arbitrary first identifier and the new first identifier to each other via the third identifier .

  In the second aspect, the electronic message further includes transmission source information indicating the server device of the transmission source. Based on the transmission destination information and / or transmission source information in the message, it is further authenticated whether or not the message is to be communicated. When the first communication is authenticated to communicate the first telegram as a result of the authentication, the first communication communicates the first telegram with a server device in the network to which each cooperation gateway device belongs. . The second communication means is configured to communicate the second telegram with another cooperative gateway device when it is authenticated to communicate the second telegram as a result of the authentication. .

  According to the first aspect of the present invention, when a server device outside the network to which each cooperative gateway device belongs is set in the transmission destination information in the message received from the server device in the network to which each cooperative gateway device belongs, The identifier and protocol in the message are converted. Thereafter, control is performed so as to communicate with a server device outside the network to which each cooperative gateway device belongs. In addition, when the server device in the network to which each cooperative gateway device belongs is set in the transmission destination information in the message received from the server device outside the network to which each cooperative gateway device belongs, the identifier and protocol in the message are converted. To do. Then, control is performed so as to communicate with the server device in the network to which each cooperative gateway device belongs. For this reason, server devices in each network that communicate with each other based on different communication protocols in association with different identifiers can be connected to each other via the cooperative gateway devices. it can. Therefore, it is possible to interconnect in real time while suppressing unnecessary information leakage. In addition, since it is not necessary to construct and operate a new mechanism in the server device itself, unnecessary costs can be suppressed.

  According to the first aspect, by further associating the first identifier and the second identifier with the third identifier that commonly identifies the operation target person in each network, the first identifier Will be able to further reduce the risk of leaking out. Therefore, it is possible to suppress unnecessary information leakage.

  According to the 2nd aspect, it can authenticate whether a message | telegram is communicated based on the transmission source information and / or transmission destination information in a message | telegram. Further, based on the authentication result, it becomes possible to perform interconnection across regions. Therefore, it is possible to suppress unnecessary information leakage.

  That is, according to the present invention, it is possible to provide an interconnection system, method, and program that can be interconnected in real time while suppressing unnecessary information leakage and cost.

It is a block diagram which shows an example of a function structure of the comprehensive medical cooperation network which concerns on one Embodiment of this invention. It is a block diagram which shows an example of a function structure of the medical information management server apparatus in the embodiment. It is a schematic diagram which shows an example of the medical information in the embodiment. It is a schematic diagram which shows an example of the medical information in the embodiment. It is a schematic diagram which shows an example of the request | requirement message | telegram in the embodiment. It is a schematic diagram which shows an example of the response message in the same embodiment. It is a block diagram which shows an example of a function structure of the cooperation gateway apparatus in the embodiment. It is a mimetic diagram showing an example of patient ID correspondence information in the embodiment. It is a mimetic diagram showing an example of patient ID correspondence information in the embodiment. It is a mimetic diagram showing an example of patient ID correspondence information in the embodiment. It is a sequence diagram which shows an example for demonstrating operation | movement of the interconnection system in the embodiment. It is a sequence diagram which shows an example for demonstrating operation | movement of the interconnection system in the embodiment. It is a schematic diagram which shows an example for demonstrating operation | movement of the interconnection system in the embodiment. It is a schematic diagram which shows an example for demonstrating operation | movement of the interconnection system in the embodiment. It is a schematic diagram which shows an example of the request | requirement message | telegram in the embodiment. It is a schematic diagram which shows an example of the response message in the same embodiment. It is a block diagram which shows an example of a function structure of the cooperation gateway apparatus in the modification of the embodiment. It is a schematic diagram which shows an example of the transmission destination information list | wrist in the modification of the embodiment. It is a sequence diagram which shows an example for demonstrating operation | movement of the interconnection system in the modification of the embodiment. It is a schematic diagram which shows an example for demonstrating operation | movement of a general interconnection system.

  Embodiments according to the present invention will be described below with reference to the drawings. Note that the following interconnection system may be implemented using a program for causing each computer to function as an interconnection system for mutually connecting each network. That is, the interconnection system may be realized by a function of a functional block in which a hardware resource such as a computer readable memory and a CPU (Central Processing Unit) and a program cooperate with each other.

[One Embodiment]
FIG. 1 is a block diagram showing an example of a functional configuration of a comprehensive medical cooperation network according to an embodiment of the present invention. The comprehensive medical cooperation network 1 includes medical cooperation networks 10, 20, 30 and an interconnection system 40. The comprehensive medical cooperation network 1 is a network in which the medical cooperation networks 10, 20, and 30 are connected to each other via the interconnection system 40.

  Note that the total medical cooperation network 1 is not limited to three, but is a network in which any number of medical cooperation networks can be interconnected via the interconnection system 40.

  Each medical cooperation network 10, 20, 30 is based on different or the same communication protocol in association with different or the same identifier for information related to the same operation subject by the respective cooperation gateway devices 14, 24, 34. It has a function to communicate.

  In addition, each medical cooperation network 10, 20, 30 may be a medical cooperation network established in each region. For example, the medical cooperation networks 10, 20, and 30 may be provided in the X region, the Y region, and the Z region, respectively.

  Here, each area may be an area such as a municipality such as a primary medical area, or a wider area such as a plurality of municipalities such as a secondary medical area.

  The medical cooperation network 10 includes medical information management server devices 11, 12, and 13 and a cooperation gateway device 14.

  Similarly, the medical cooperation network 20 includes each medical information management server device 21, 22, 23 and a cooperation gateway device 24. The medical cooperation network 30 includes medical information management server devices 31, 32, 33 and a cooperation gateway device 34.

  In the following description, the medical cooperation networks 10, 20, and 30 have the same functional configuration. Therefore, the description of the functional configuration is performed only for the medical cooperation network 10, and the functional configuration of each medical cooperation network 20, 30 is described as necessary only for the differences, and the other portions are described. Will not be described.

  Each medical information management server device 11, 12, 13 has a function of managing operations such as generation, storage, request, and response with respect to information related to the operation target person.

  Each medical information management server device 11, 12, 13 is not limited to three, and any number of medical information management server devices can be connected to the medical cooperation network 10.

  Each medical information management server device 11, 12, 13 may be a server device provided in each hospital in the area where the medical cooperation network 10 is maintained. For example, the medical information management server apparatuses 11, 12, and 13 may be provided in A hospital, B hospital, and C hospital in the X area, respectively.

  Similarly, for example, the medical information management server devices 21, 22, and 23 may be provided in D hospital, E hospital, and F hospital in the Y area, respectively. The medical information management server devices 31, 32, and 33 may be provided in G hospital, H hospital, and I hospital in the Z area.

  As illustrated in FIG. 2, the medical information management server device 11 includes a medical information storage unit 111, a request message generation unit 112, a response message generation unit 113, a transmission unit 114, and a reception unit 115. The explanation of each part 111 to 115 is made by replacing the upper two digits “11” of the reference symbol with “12” or “13”, so that each part 121 to 125 of the medical information management server apparatus 12 or the medical information management server apparatus 13 It can be read as the explanation of each part 131-135. This re-readability is the same for the medical information management server devices 21 to 23 and 31 to 33.

  That is, the medical information management server device 12 includes a medical information storage unit 121, a request message generation unit 122, a response message generation unit 123, a transmission unit 124, and a reception unit 125 (not shown). The medical information management server device 13 includes a medical information storage unit 131, a request message generation unit 132, a response message generation unit 133, a transmission unit 134, and a reception unit 135 (not shown).

  Similarly, each of the medical information management server devices 21, 22, 23 includes medical information storage units 211, 221, 231, request message generation units 212, 222, 232, response message generation units 213, 223, 233, and transmission units, respectively. 214, 224, 234 and receivers 215, 225, 235 (not shown).

  Similarly, each of the medical information management server devices 31, 32, 33 includes medical information storage units 311, 321, 331, request message generation units 312, 322, 332, response message generation units 313, 323, 333, and transmission units, respectively. 314, 324, 334 and receivers 315, 325, 335 (not shown).

  In the following description, each medical information management server device 11-33 has the same functional configuration. Therefore, the description of the functional configuration is performed only for the medical information management server device 11, and the functional configuration of each medical information management server device 12-33 is described as necessary only for the differences, Description of other parts is omitted.

  The medical information storage unit 111 is a memory that can be read / written from each unit, and stores information on the operation target person. The medical information storage unit 111 reads information in response to a request from the response message generation unit 113 and stores information received from the reception unit 115 in advance. For example, the medical information storage unit 111 may store medical information 100a as illustrated in FIG. 3 in advance as information related to the operation target person. The medical information storage unit 111 may set “A001” as the in-hospital patient ID for identifying the operation subject “OO ΔΔ” in a part of the medical information 100a.

  The medical information 100a is information in which information such as a name, a consultation date, and a disease name of a patient who is an operation target is associated with a first identifier for identifying the operation target. The medical information 100a may appropriately include information related to the medical care of the operation target person such as the name of a doctor in charge and a medical record as necessary. In the following description, “identifier” may be read as “ID”, and “first identifier” may be read as “in-hospital patient ID”.

  Here, the in-hospital patient ID is an identifier by which each medical information management server device 11-33 in each medical cooperation network 10, 20, 30 to which each cooperation gateway device 14, 24, 34 belongs individually identifies an operation subject. It is. Therefore, the 1st identifier in medical information 100a is an identifier for A hospital provided with medical information management server device 11 to identify the same operation subject person independently from other B hospitals and C hospitals.

  Further, for example, the medical information storage unit 321 included in the medical information management server device 32 of the H hospital belonging to the medical cooperation network 30 in the Z region stores medical information 100b as shown in FIG. May be. On the other hand, the medical information storage unit 321 may set “H001” as an in-hospital patient ID different from the above-described in-hospital patient ID of the A hospital for the same operation subject “OO ΔΔ”.

  The request message generator 112 generates a request message 100 c as shown in FIG. 5 and transmits it to the transmitter 114.

  The request message 100c is a message for requesting information to the other medical information management server devices 12-33, and includes transmission destination information indicating the transmission destination server device and identifier information of the operation target person. The request message 100c may further include information such as a message type, a request identifier for identifying requested information, and transmission source information indicating a transmission source server device.

  The request message generator 112 generates the request message 100c based on the first communication protocol used in the network to which the medical information management server device 11 and the cooperative gateway device 14 belong. For example, the request message generation unit 112 may generate the request message 100c based on an IDWSF (Identity Web Service Framework) protocol as the first communication protocol. The request message generator 112 can generate the request message 100c based on an arbitrary communication protocol, not limited to the IDWSF protocol, according to the content of the request message 100c to be generated. For example, when requesting care information as request information, the request message generation unit 112 may generate the request message 100c based on the SOAP (Simple Object Access Protocol) protocol as the first communication protocol. In the following description, “first communication protocol” may be read as “intra-region communication protocol”.

  The response message generation unit 113 receives the request message 100c from the reception unit 115, and reads the requested medical information 100a from the medical information storage unit 111 according to the request message 100c. The response message generator 113 generates a response message 100d as shown in FIG. 6 based on the read medical information 100a and transmits it to the transmitter 114.

  The response message 100d is a message for responding to information requested from another medical information management server device 12-33, and includes transmission destination information and identifier information of the operation target person. The response message 100d may further include information such as a message type, transmission source information, and requested information.

  Here, the requested information corresponds to information such as a consultation date and a disease name as included in the medical information 100a. In addition, in order to suppress unnecessary information leakage from the requested information, information such as an in-hospital patient ID and a name may be deleted from the medical information 100a.

  The transmission unit 114 receives the request message 100c from the request message generation unit 112, and transmits the request message 100c to the medical information management server device 12 or 13 or the cooperation gateway device 14. When the transmission destination information in the request message 100c does not indicate the medical information management server device 12 or 13 belonging to the same medical cooperation network 10, the transmission unit 114 transmits the electronic message to the cooperation gateway device 14. In addition, when the transmission destination information in the request message 100c indicates the medical information management server device 12 or 13 belonging to the same medical cooperation network 10, the transmission unit 114 displays the request message 100c as the medical information management server that is the transmission destination. You may transmit directly to the apparatus 12 or 13, and you may transmit to the cooperation gateway apparatus 14.

  Further, the transmission unit 114 receives the response message 100d from the response message generation unit 113 and transmits the response message 100d to the medical information management server device 12 or 13 or the cooperation gateway device 14. When the transmission destination information in the response message 100d does not indicate the medical information management server device 12 or 13 belonging to the same medical cooperation network 10, the transmission unit 114 transmits the electronic message to the cooperation gateway device 14. When the transmission destination information in the response message 100d indicates the medical information management server device 12 or 13 belonging to the same medical cooperation network 10, the transmission unit 114 displays the response message 100d as the medical information management server that is the transmission destination. You may transmit directly to the apparatus 12 or 13, and you may transmit to the cooperation gateway apparatus 14.

  The reception unit 115 receives the request message 100 c from the medical information management server device 12 or 13 or the cooperation gateway device 14 and transmits the request message 100 c to the response message generation unit 113. In addition, the receiving unit 115 receives the response message 100d from the medical information management server device 12 or 13 or the cooperation gateway device 14, and writes the requested information in the response message 100d to the medical information storage unit 111.

  The cooperative gateway device 14 receives the request message 100c or the response message 100d from the transmission units 114, 214, and 314, and transmits the message based on the transmission destination information in the message. Also, the cooperative gateway device 14 receives the request message 100c or the response message 100d from each of the cooperative gateway devices 24 and 34, and transmits the message based on the destination information in the message. The detailed functional configuration of the cooperative gateway device 14 will be described together with the functional configuration of the interconnection system 40 described later.

  The interconnection system 40 includes a plurality of cooperative gateway devices respectively included in the plurality of networks for interconnecting server devices in the plurality of networks by communicating electronic messages. That is, the interconnection system 40 includes the cooperation gateway devices 14, 24, and 34 included in the medical cooperation networks 10, 20, and 30, respectively. Here, server devices in a plurality of networks manage information related to the operation target person in association with different or the same identifier for identifying the same operation target person, and based on different or the same communication protocol. To communicate the information. As information regarding the operation target person, for example, personal information of the operation target person such as patient medical information can be used.

  In the following description, each cooperative gateway device 14, 24, 34 has the same functional configuration. Therefore, the description of the functional configuration is performed only for the cooperative gateway device 14, and the functional configuration of each of the cooperative gateway devices 24 and 34 is described as necessary only for the differences, and the other portions are described. Will not be described.

  As shown in FIG. 7, the cooperative gateway device 14 includes a correspondence information storage unit 141, an identifier conversion unit 142, a protocol conversion unit 143, an intra-network communication unit 144, an inter-network communication unit 145, and a control unit 146.

  Similarly, each cooperative gateway device 24, 34 includes correspondence information storage units 241, 341, identifier conversion units 242, 342, protocol conversion units 243, 343, intra-network communication units 244, 344, and inter-network communication units 245, 345, respectively. And control units 246 and 346 (not shown).

  The correspondence information storage unit 141 is a memory that can be read / written from each unit. The correspondence information storage unit 141 includes a hospital patient ID in which the server device in the network to which the cooperative gateway device 14 belongs individually identifies the operation target person, and a second identifier that identifies the operation target person in common between the networks. Is stored in advance. In the following description, “second identifier” may be read as “inter-region ID”.

  The correspondence information storage unit 141 may store patient ID correspondence information 100e as shown in FIG. 8 as the first correspondence information.

  The patient ID correspondence information 100e is information in which an in-hospital patient ID set to identify the same operation subject is associated with an interregional patient ID. Specifically, for example, the patient ID correspondence information 100e indicates that the intra-hospital patient IDs “A001”, “B001”, and “C001” that identify the same operation subject “OO ΔΔ” The patient ID “P001” is associated. The patient ID correspondence information 100e may further associate a hospital name. In the example shown in FIG. 8, “A001” in Hospital A, “B001” in Hospital B, “B001” in Hospital C, and “ C001 "is set for each.

  The correspondence information storage unit 141 replaces the patient ID correspondence information 100e with patient ID correspondence information 100f and 100g as shown in FIGS. 9A and 9B, respectively, as second correspondence information and third correspondence information. May be stored in advance.

  The patient ID correspondence information 100f includes an in-hospital patient ID set to identify the same operation subject and a third identifier (hereinafter referred to as “regional patient”) that commonly identifies the operation subject within the region. Is also referred to as “ID”). In the example shown in FIG. 9A, the patient ID correspondence information 100f corresponds to the in-hospital patient IDs “A001”, “B001”, and “C001” that identify the same operation subject “OOΔΔ”. , The regional patient ID “X001” is associated. The patient ID correspondence information 100f may further associate a hospital name.

  The patient ID correspondence information 100g is third correspondence information in which an intra-region patient ID set to identify the same operation subject and an inter-region patient ID are associated with each other. In the example shown in FIG. 9B, the patient ID correspondence information 100g includes the inter-region patient ID “P001” for the intra-region patient ID “X001” that identifies the same operation subject “OO ΔΔ”. Corresponds. The patient ID correspondence information 100g may further associate an area name.

  Similarly to the correspondence information storage unit 141, the correspondence information storage units 241 and 341 may store correspondence information in which the in-hospital patient ID and the inter-region patient ID are finally associated with each other. For example, the correspondence information storage unit 341 may store the patient ID correspondence information 100h and 100i as illustrated in FIGS. 10A and 10B in advance as the second correspondence information and the third correspondence information. In the example shown in FIGS. 10A and 10B, “G001” in the G hospital and “H001” in the H hospital as the in-hospital patient ID associated with the operation subject “OO ΔΔ”. However, “I001” is set in the I hospital. In addition, “Z001” is set as an in-region patient ID common to the Z region to which these hospitals belong, and this in-region patient ID “Z001” corresponds to the inter-region patient ID “P001”. Yes.

  In any case, each correspondence information storage unit 141, 241 and 341 is provided in the hospital where the medical information management server device 11-33 in the network to which each cooperative gateway device 14, 24 and 34 belongs individually identifies the operation target person. Correspondence information that finally associates the patient ID with the inter-region patient ID that identifies the operation target person in common between the networks is stored in advance.

  The identifier conversion unit 142 receives the request message 100c or the response message 100d from the control unit 146. Based on the patient ID correspondence information 100e stored in the correspondence information storage unit 141, the identifier conversion unit 142 mutually converts the in-hospital patient ID and the inter-region patient ID with respect to the identifier information in the received request message 100c or response message 100d. An identifier conversion process is performed for conversion. The identifier conversion unit 142 transmits the converted request message 100c or response message 100d to the protocol conversion unit 143.

  The identifier conversion unit 142 calculates the in-hospital patient ID and the in-region patient ID for the identifier information in the received request message 100c or response message 100d based on the patient ID correspondence information 100f stored in the correspondence information storage unit 141. You may convert mutually. Further, the identifier conversion unit 142 further converts the in-region patient ID and the inter-region patient ID based on the patient ID correspondence information 100g stored in the correspondence information storage unit 141, and finally converts the in-hospital patient ID and the region You may implement the identifier conversion process which converts between patient IDs mutually.

  The protocol conversion unit 143 receives the request message 100c or the response message 100d from the identifier conversion unit 142. For the received request message 100c or response message 100d, the protocol conversion unit 143 uses a regional communication protocol used in the network to which the cooperative gateway device 14 belongs and a second communication protocol (hereinafter referred to as communication between each network). Protocol conversion processing that mutually converts “inter-regional communication protocol”) is performed. The protocol conversion unit 143 transmits the converted request message 100c or response message 100d to the control unit 146.

  The protocol conversion unit 143 may use an XCA (Cross Community Access) protocol standardized in IHE (Integrating the Healthcare Enterprise) as an inter-region communication protocol. Further, the protocol conversion unit 143 can apply any communication protocol as an inter-region communication protocol regardless of the XCA protocol.

  The communication unit 144 in the network belongs to the cooperative gateway device 14 in the request message 100c or the response message 100d, the first message transmitted in accordance with the communication protocol in the region, in which the hospital patient ID is set in the identifier information. A first communication process for communicating with each medical information management server device 11, 12, 13 in the medical cooperation network 10 is performed. The intra-network communication unit 144 receives the request message 100c or the response message 100d from each of the medical information management server devices 11, 12, and 13 and transmits it to the control unit 146. The intra-network communication unit 144 receives the request message 100c or the response message 100d from the control unit 146, and transmits the request message 100c or the response message 100d to the medical information management server apparatuses 11, 12, and 13 based on the transmission destination information in the received message.

  The inter-network communication unit 145 communicates the second telegram in which the inter-region patient ID is set in the identifier information and is communicated based on the inter-region communication protocol with each of the other cooperative gateway devices 24 and 34. Perform communication processing. The inter-network communication unit 145 receives the request message 100c or the response message 100d from each cooperative gateway device 24, 34 and transmits it to the control unit 146. The inter-network communication unit 145 receives the request message 100c or the response message 100d from the control unit 146, and transmits the request message 100c or the response message 100d to each of the cooperative gateway devices 24 and 34 based on the transmission destination information in the received message.

  The control unit 146 receives the first electronic message from the intra-network communication unit 144 in the first communication process. When the medical information management server device 21-33 outside the network to which the cooperative gateway device 14 belongs is set in the transmission destination information in the received first electronic message, the control unit 146 identifies the first electronic message as an identifier conversion unit. 142. Further, the control unit 147 controls the identifier conversion process, the protocol conversion process, and the second communication process so as to convert the first electronic message into the second electronic message and communicate the second electronic message. Specifically, the control unit 147 performs the first control so that the second communication process is performed after the identifier conversion process and the protocol conversion process are performed on the first electronic message. That is, the control unit 146 receives from the protocol conversion unit 143 the first message that has been subjected to the identifier conversion process and the protocol conversion process, and transmits the first message to the inter-network communication unit 145.

  In addition, when the medical information management server devices 12 and 13 in the network to which the cooperation gateway device 14 belongs are set in the transmission destination information in the received first electronic message, the control unit 146 transmits the first electronic message to the network. You may transmit to the internal communication part 144.

  The control unit 146 receives the second telegram from the inter-network communication unit 145 in the second communication process. When the medical information management server devices 12 and 13 in the network to which the cooperative gateway device 14 belongs are set in the transmission destination information in the received second message, the control unit 146 converts the second message into an identifier conversion unit. 142. In addition, the control unit 147 performs the second control so that the first communication process is performed after the identifier conversion process and the protocol conversion process are performed on the second electronic message. That is, the control unit 146 receives from the protocol conversion unit 143 the second message that has been subjected to the identifier conversion process and the protocol conversion process, and transmits the second message to the intra-network communication unit 144.

  In addition, when the medical information management server device 21-33 outside the network to which the cooperative gateway device 14 belongs is set in the transmission destination information in the received second message, the control unit 146 transmits the second message to the network. It may be transmitted to the intercommunication unit 145.

  Next, an example of the operation of the interconnection system configured as described above will be described with reference to sequence diagrams shown in FIGS. In the following description, as shown in FIGS. 13 and 14, the medical information management server device 11 installed in the hospital A in the medical cooperation network 10 in the X region and the hospital H in the medical cooperation network 30 in the Z region. An example of the operation when interconnecting the medical information management server device 32 installed in will be described.

  It is assumed that the medical information management server device 11 requests and acquires information related to the operation target person “OO ΔΔ” from the medical information management server device 32. It is assumed that the medical information storage unit 321 stores medical information 100b illustrated in FIG. 3 in advance. Further, it is assumed that the correspondence information storage unit 141 stores in advance patient ID correspondence information 100f and 100g as illustrated in FIG. 9 as patient ID correspondence information regarding the operation target person “OO ΔΔ”. Further, it is assumed that the correspondence information storage unit 341 stores in advance patient ID correspondence information 100h and 100i as illustrated in FIG. 10 as patient ID correspondence information regarding the operation subject “OO ΔΔ”. In addition, the medical cooperation networks 10 and 30 and the interconnection system 40 both use the IDWSF protocol as the regional communication protocol. Further, the interconnection system 40 uses the IHE XCA protocol as an inter-region communication protocol.

  First, the medical information management server device 11 of the hospital A requests the medical information management server device 32 of the hospital H to request medical information regarding the operation target person “OO ΔΔ” as shown in FIG. A telegram 200a is generated and transmitted. Specifically, each unit of the medical information management server device 11 executes the following steps ST101 to ST102.

  The request message generation unit 112 generates a request message 200a including the transmission destination information and the identifier information of the operation target person based on the IDWSF protocol which is an intra-region communication protocol (ST101). As the transmission destination information, “medical information management server device 32 of hospital H” is set. As the identifier information, “A001”, which is set as the in-hospital patient ID in the medical information management server device 11 of the A hospital, is set for the operation target person “OOΔΔ”. In the request message 200a, “request” indicating that it is a request message is set as the type, “medical information” is set as the request identifier, and “medical information management server device of hospital A” is set as the transmission source information. 11 "may be set. The request message generation unit 112 transmits the generated request message 200 a to the transmission unit 114.

  The transmission unit 114 transmits the received request message 200a to the cooperative gateway device 14 (ST102).

  The cooperative gateway device 14 performs an identifier conversion process and a protocol conversion process on the received request message 200a, and transmits it to the cooperative gateway device 34. Specifically, each part of the cooperation gateway apparatus 14 performs the following steps ST103-ST107.

  The intra-network communication unit 144 receives the request message 200a (ST103). Specifically, the in-network communication unit 144 sets the in-hospital patient ID “A001” in the request message 200a as the identifier information, and communicates based on the IDWSF protocol, which is an in-region communication protocol. The first communication process is performed in which the request message 200a is communicated with the medical information management server device 11 in the medical cooperation network 10 to which the cooperation gateway device 14 belongs. The intra-network communication unit 144 transmits the received request message 200a to the control unit 146.

  When the medical information management server device 21-33 outside the network to which the cooperative gateway device 14 belongs is set in the transmission destination information in the received first message, the control unit 146 sets the first message (request message 200a). ) Is converted into a second message (request message 200c) and the first control for controlling the identifier conversion process, the protocol conversion process, and the second communication process is executed so that the second message is communicated ( ST104). For example, when the request message 200a is received, the control unit 146 transmits the request message 200a to the identifier conversion unit 142 because “H hospital medical information management server device 32” is set in the transmission destination information.

  The identifier conversion unit 142 receives the request message 200a and reads the patient ID correspondence information 100f and 100g from the correspondence information storage unit 141. Based on the patient ID correspondence information 100f and 100g, the identifier conversion unit 142 performs an identifier conversion process for converting the in-hospital patient ID and the inter-region patient ID with respect to the identifier information in the request message 200a. Specifically, the identifier conversion unit 142 converts the identifier information in the request telegram 200a from the hospital ID “A001” to the regional ID “X001” based on the patient ID correspondence information 100f, and FIG. A request message 200b as shown is obtained. Further, the identifier conversion unit 142 converts the identifier information in the request message 200b from the intra-region ID “X001” to the inter-region ID “P001” based on the patient ID correspondence information 100g, and the request as shown in FIG. A telegram 200c is obtained (ST105). The identifier conversion unit 142 transmits the request message 200c subjected to the identifier conversion process to the protocol conversion unit 143.

  For the received request message 200c, the protocol conversion unit 143 mutually converts the regional communication protocol used in the network to which the cooperative gateway device 14 belongs and the regional communication protocol used for communication between the networks. Specifically, the protocol conversion unit 143 converts the request message 200c generated based on the IDWSF protocol, which is an intra-region communication protocol, based on the IHE XCA protocol, which is an inter-region communication protocol (ST106). The protocol conversion unit 143 transmits the protocol-converted request message 200c to the control unit 146.

  The control unit 146 receives the request message 200c obtained by performing the identifier conversion process and the protocol conversion process, and performs the first control to perform the second communication process. Specifically, the control unit 146 transmits the request message 200c to the inter-network communication unit 145.

  The inter-network communication unit 145 sets the inter-region patient ID “P001” in the identifier information in the request message 200c, and the request message is a second message that is communicated based on the IHE XCA protocol that is the inter-region communication protocol. A second communication process is performed in which 200 c communicates with another cooperative gateway device 34. That is, the inter-network communication unit 145 receives the request message 200c and transmits it to the cooperative gateway device 34 (ST107).

  The cooperation gateway device 34 performs an identifier conversion process and a protocol conversion process on the received request message 200c, and transmits it to the medical information management server device 32 of the H hospital. Specifically, each part of the cooperation gateway apparatus 34 performs the following steps ST108-ST112.

  If the in-hospital patient ID “P001” is set in the identifier information for the received request message 200c, the inter-network communication unit 345 is the second message transmitted based on the inter-region communication protocol. 2nd communication processing which communicates with the medical information management server apparatus 31 in the medical cooperation network 30 to which it belongs is implemented. That is, the inter-network communication unit 345 receives the request message 200c (ST108) and transmits it to the control unit 346.

  When the medical information management server devices 31, 32, and 33 in the network to which the cooperation gateway device 34 belongs are set in the transmission destination information in the received second message, the control unit 346 sets the second message (request). The second control for controlling the identifier conversion process, the protocol conversion process, and the first communication process is executed so that the electronic message 200c) is converted into the first electronic message (request message 200e) and the first electronic message is communicated. (ST109). For example, when the request message 200c is received, the control unit 346 transmits the request message 200c to the identifier conversion unit 342 because “H hospital medical information management server device 32” is set in the transmission destination information.

  The identifier conversion unit 342 receives the request message 200c, and reads the patient ID correspondence information 100h and 100i from the correspondence information storage unit 341. Based on the patient ID correspondence information 100h and 100i, the identifier conversion unit 342 performs an identifier conversion process for converting the in-hospital patient ID and the inter-region patient ID with respect to the identifier information in the request message 200c. Specifically, the identifier conversion unit 342 converts the identifier information in the request message 200c from the inter-region ID “P001” to the intra-region ID “Z001” based on the patient ID correspondence information 100h, and FIG. A request message 200d as shown is obtained. Further, the identifier conversion unit 342 converts the identifier information in the request message 200d from the regional ID “Z001” to the in-hospital ID “H001” based on the patient ID correspondence information 100i, and the request as shown in FIG. A telegram 200e is obtained (ST110). The identifier conversion unit 342 transmits the request message 200e subjected to the identifier conversion process to the protocol conversion unit 343.

  For the received request message 200e, the protocol conversion unit 343 mutually converts the regional communication protocol used in the network to which the cooperative gateway device 34 belongs and the regional communication protocol used for communication between the networks. Specifically, the protocol conversion unit 343 converts the request message 200e generated based on the IHE XCA protocol, which is an inter-region communication protocol, based on the IDWSF protocol, which is an intra-region communication protocol (ST111). The protocol conversion unit 343 transmits the request message 200e after the protocol conversion to the control unit 346.

  The control unit 346 receives the request message 200e obtained by performing the identifier conversion process and the protocol conversion process, and performs the second control to perform the first communication process. Specifically, the control unit 346 transmits the request message 200e to the intra-network communication unit 344.

  The intra-network communication unit 344 receives the request message 200e and transmits it to the medical information management server device 32 of the H hospital (ST112). Specifically, the in-network communication unit 344 sets the in-hospital patient ID “H001” in the request message 200e as the identifier information, and communicates based on the IDWSF protocol that is an in-region communication protocol. The request message 200e is communicated with the server device in the network to which the cooperative gateway device 34 belongs, and a first communication process is executed.

  The reception unit 315 of the medical information management server device 32 receives the request message 200e (ST113) and transmits it to the response message generation unit 313.

  The response message generation unit 313 searches the medical information 100b stored in the medical information storage unit 311 based on the identifier information “H001” in the received request message 200e, and obtains medical information related to the operation target person “OO △ Δ”. Read (ST201). Specifically, as a result of the search, the response message generation unit 313 determines that the operation target person “OO ΔΔ” is H from the medical information storage unit 311 on the consultation date “December 1, 2014” regarding the disease name “abdominal pain”. Read the medical information that you have seen the hospital.

  The response message generation unit 313 generates a response message 200f as shown in FIG. 16A based on the read information (ST202). In the response message 200f, “medical information management server apparatus 11 of hospital A” is set as transmission destination information. The identifier information is set to “H001”, which is set as the in-hospital patient ID in the medical information management server device 32 of the H hospital for the operation subject “OO ΔΔ”. In the response message 200f, “response” indicating that it is a response message is set as the type, “medical information” is set as the request identifier, and “H hospital medical information management server device” is set as the transmission source information. 32 "may be set. The response message generation unit 313 transmits the generated response message 200f to the transmission unit 314.

  Transmitting section 314 transmits received response message 200f to cooperative gateway device 34 (ST203).

  The cooperative gateway device 34 performs an identifier conversion process and a protocol conversion process on the received response message 200f, and transmits the response message 200f to the cooperative gateway device 14. Specifically, each part of the cooperation gateway apparatus 34 performs the following steps ST204-ST208.

  The intra-network communication unit 344 receives the response message 200f (ST204). Specifically, the in-network communication unit 344 sets a response message 200f in the hospital message ID “H001” in the identifier information and is a response message that is a first message communicated based on the communication protocol in the area. 200f is communicated with the medical information management server apparatus 31 in the medical cooperation network 30 to which the cooperation gateway apparatus 34 belongs, and a first communication process is performed. The intra-network communication unit 344 transmits the received response message 200f to the control unit 346.

  When the medical information management server devices 11, 12, 13, 21, 22, and 23 outside the network to which the cooperative gateway device 34 belongs are set in the transmission destination information in the received first electronic message, the control unit 346 The identifier conversion process, the protocol conversion process, and the second communication process are controlled so that the first message (response message 200f) is converted into the second message (response message 200h) and the second message is communicated. First control is executed (ST205). For example, when the response message 200f is received, the control unit 346 transmits the response message 200f to the identifier conversion unit 342 because “medical information management server apparatus 11 of hospital A” is set in the transmission destination information.

  The identifier conversion unit 342 receives the response message 200f, and reads the patient ID correspondence information 100h and 100i from the correspondence information storage unit 341. Based on the patient ID correspondence information 100h and 100i, the identifier conversion unit 342 performs an identifier conversion process for converting the in-hospital patient ID and the inter-region patient ID with respect to the identifier information in the response message 200f. Specifically, the identifier conversion unit 342 converts the identifier information in the response message 200f from the in-hospital ID “H001” to the in-region ID “Z001” based on the patient ID correspondence information 100h, as shown in FIG. A response message 200g as shown is obtained. Also, the identifier conversion unit 342 converts the identifier information in the response message 200g from the intra-region ID “Z001” to the inter-region ID “P001” based on the patient ID correspondence information 100i, and the response as shown in FIG. A telegram 200h is obtained (ST206). The identifier conversion unit 342 transmits the response message 200h subjected to the identifier conversion process to the protocol conversion unit 343.

  For the received response message 200h, the protocol conversion unit 343 converts the intra-region communication protocol used in the network to which the cooperative gateway device 34 belongs and the inter-region communication protocol used for communication between the networks. Specifically, the protocol conversion unit 343 converts the response message 200h generated based on the IDWSF protocol that is the intra-regional communication protocol based on the IHE XCA protocol that is the inter-regional communication protocol (ST207). The protocol conversion unit 343 transmits the response message 200h after the protocol conversion to the control unit 346.

  The control unit 346 receives the response message 200h obtained by performing the identifier conversion process and the protocol conversion process, and performs the first control so as to perform the second communication process. Specifically, the control unit 346 transmits the response message 200h to the inter-network communication unit 345.

  The inter-network communication unit 345 sets the inter-region patient ID “P001” in the identifier information, and transmits the response message 200h, which is a second message communicated based on the inter-region communication protocol IHE XCA protocol, to other cooperation A second communication process for communicating with the gateway device 14 is executed. That is, the inter-network communication unit 345 transmits the received response message 200h to the cooperative gateway device 14 (ST208).

  The cooperation gateway apparatus 14 performs an identifier conversion process and a protocol conversion process on the received response message 200h, and transmits it to the medical information management server apparatus 11 of the hospital A. Specifically, each part of the cooperation gateway apparatus 14 performs the following steps ST209-ST213.

  When the inter-network communication unit 145 is the second telegram in which the in-hospital patient ID “P001” is set in the identifier information and communicated based on the inter-region communication protocol for the received response telegram 200h, A second communication process for communicating with the device 34 is performed. That is, the inter-network communication unit 145 receives the response message 200h (ST209) and transmits it to the control unit 146.

  When the medical information management server devices 11, 12, and 13 in the network to which the cooperative gateway device 14 belongs are set in the transmission destination information in the received second message, the control unit 146 sets the second message (response) The second control for controlling the identifier conversion process, the protocol conversion process, and the first communication process is executed so that the first message (response message 200j) is converted into the first message (response message 200j) and the first message is communicated. (ST210). For example, when the response message 200h is received, the control unit 146 transmits the response message 200h to the identifier conversion unit 142 because “medical information management server device 11 of hospital A” is set in the transmission destination information.

  The identifier conversion unit 142 receives the response message 200h, and reads the patient ID correspondence information 100f and 100g from the correspondence information storage unit 141. Based on the patient ID correspondence information 100f and 100g, the identifier conversion unit 142 performs an identifier conversion process for converting the in-hospital patient ID and the inter-region patient ID with respect to the identifier information in the response message 200h. Specifically, the identifier conversion unit 142 converts the identifier information in the response message 200h from the inter-region ID “P001” to the intra-region ID “X001” based on the inter-region ID correspondence information 100f, and FIG. A response message 200i as shown in FIG. Further, the identifier conversion unit 142 converts the identifier information in the response message 200i from the regional ID “X001” to the in-hospital ID “A001” based on the patient ID correspondence information 100g, and the response as shown in FIG. A message 200j is obtained (ST211). The identifier conversion unit 142 transmits the response message 200j subjected to the identifier conversion process to the protocol conversion unit 143.

  For the received response message 200j, the protocol conversion unit 143 mutually converts the intra-area communication protocol used in the network to which the cooperative gateway device 14 belongs and the inter-area communication protocol used for communication between the networks. Specifically, the protocol conversion unit 143 converts the response message 200j generated based on the IHE XCA protocol, which is an inter-region communication protocol, based on the IDWSF protocol, which is an intra-region communication protocol (ST212). The protocol conversion unit 143 transmits the response message 200j after the protocol conversion to the control unit 146.

  The control unit 146 receives the response message 200j obtained by performing the identifier conversion process and the protocol conversion process, and performs the second control to perform the first communication process. Specifically, the control unit 146 transmits the response message 200j to the intra-network communication unit 144.

  The intra-network communication unit 144 receives the response message 200j and transmits it to the medical information management server device 11 of the hospital A (ST213). Specifically, the in-network communication unit 144 sets the in-hospital patient ID “A001” in the response message 200j as the identifier information, and communicates based on the IDWSF protocol that is an in-region communication protocol. A first communication process is performed in which the response message 200j is communicated with a server device in the network to which the cooperative gateway device 14 belongs.

  The receiving unit 115 of the medical information management server apparatus 11 receives the response message 200j (ST214), and stores the requested information in the response message 200j in the medical information storage unit 111 (ST215).

  As described above in detail, in one embodiment, an interconnection system communicates information related to the same operation subject based on different or the same communication protocol in association with different or the same identifier. Server devices in the network are connected to each other by communicating messages. The interconnection system includes a plurality of gateway devices respectively included in the plurality of networks. The electronic message includes transmission destination information and identifier information of the operation target person. Among the messages, a message responding to a message requesting the information further includes the information. Each of the cooperation gateway devices includes a first identifier for identifying the operation target person in the network to which the cooperation gateway device belongs, and a second identifier for identifying the operation target person in common between the networks. The associated correspondence information is stored. Based on the stored correspondence information, the first identifier and the second identifier are mutually converted with respect to the identifier information in the message. About the said message | telegram, the 1st communication protocol used within the network to which each said cooperation gateway apparatus belongs, and the 2nd communication protocol used for communication between each said network are mutually converted. A first communication process in which the first identifier is set in the identifier information, and the first telegram communicated based on the first communication protocol is communicated with a server device in the network to which each cooperative gateway device belongs. Execute. The second identifier is set in the identifier information, and a second communication process for communicating a second telegram communicated based on the second communication protocol with another cooperative gateway device is executed. When the server device outside the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the first message received in the first communication process, the first message is converted into a second message. Then, the identifier conversion process, the protocol conversion process, and the first control process for controlling the second communication process are executed so as to communicate the second telegram. When the server device in the network to which each of the cooperation gateway devices belongs is set in the transmission destination information in the second message received in the second communication process, the second message is converted into the first message. Thus, the identifier conversion process, the protocol conversion process, and the second control process for controlling the first communication process are executed so as to communicate the first electronic message.

  Therefore, the user can mutually connect between different medical cooperation networks in real time while suppressing unnecessary information leakage and cost.

  Supplementally, when the medical information management server apparatuses 11 and 32 request and respond to medical information related to the same operation subject to the medical information management server apparatuses in other regions, the intra-regional communication protocol used in its own region And a telegram may be generated using the in-hospital patient ID. Therefore, it is not necessary to construct and operate a new system as compared with the case where medical information is communicated. Therefore, it is possible to interconnect in real time while suppressing unnecessary costs.

  Further, since the in-hospital patient ID used in the request and response is converted into the inter-region patient ID in the cooperation gateway device, the in-hospital patient ID is prevented from flowing out to the medical cooperation network in another area. be able to. Therefore, unnecessary information leakage can be suppressed.

  Also, second correspondence information in which the first identifier and the person to be operated are commonly identified in each network, and different third identifiers are associated with each network, and the third identifier And third correspondence information in which the second identifier is associated. For the identifier information in the message, the first identifier and the third identifier are mutually converted based on the stored second correspondence information, and the third identifier is converted based on the stored third correspondence information. The identifier and the second identifier are converted into each other. As a result, the first identifier and the second identifier are finally connected to each other.

Thereby, the medical information management server apparatuses 11 and 32 can suppress the unnecessary information leakage by using the local identifier.
(Description of modification)
In addition, the configuration and function of the interconnection system, the communication means, the processing procedure and the processing content can be variously modified and implemented without departing from the gist of the present invention.

  For example, the cooperative gateway device 14 may be configured to have a function of authenticating whether or not to communicate with a message to be communicated.

  In this case, the message to be communicated may further include transmission source information. Further, the transmission source information in the message may include information used for authentication processing such as a server certificate.

  FIG. 17 is a block diagram illustrating an example of a functional configuration of the cooperative gateway device according to a modification of the embodiment. The cooperative gateway device 14 further includes an authentication unit 147.

  The authentication unit 147 receives the request message 100c or the response message 100d from the in-network communication unit 144, and authenticates whether to communicate based on the received transmission destination information in the request message 100c or the response message 100d. When the authentication unit 147 is authenticated to communicate the request message 100c or the response message 100d as a result of the authentication, the authentication unit 147 transmits the request message 100c or the response message 100d to the in-network communication unit 144.

  The authentication unit 147 receives the request message 100c or the response message 100d from the inter-network communication unit 145, and authenticates whether to communicate based on the destination information in the received request message 100c or response message 100d. The authentication unit 147 transmits the authentication result to the inter-network communication unit 145.

  Note that the authentication unit 147 may store a transmission destination information list 300a as shown in FIG. 18 in a memory (not shown) in advance. The authentication unit 147 may search the transmission destination information list 300a for the transmission destination information in the request message 100c or the response message 100d, and may authenticate communication when the corresponding transmission destination information exists. The authentication unit 147 may verify information used for authentication processing such as a server certificate, and may authenticate communication when the validity of the transmission source information can be confirmed.

  The intra-network communication unit 144 receives the request message 100c or the response message 100d from each of the medical information management server devices 11, 12, and 13 and transmits it to the authentication unit 147. The intra-network communication unit 144 receives the authentication result regarding the transmitted request message 100c or response message 100d from the authentication unit 147. The in-network communication unit 144 transmits the request message 100c or the response message 100d to the control unit 146 when it is authenticated as a result of authentication. Further, the intra-network communication unit 144 receives the request message 100c or the response message 100d from the control unit 146, and transmits the message to the medical information management server device 11, 12, or 13 based on the destination information in the received message. To do.

  The inter-network communication unit 145 receives the request message 100c or the response message 100d from each cooperative gateway device 24, 34 and transmits it to the authentication unit 147. The inter-network communication unit 145 receives the authentication result related to the transmitted request message 100c or response message 100d from the authentication unit 147. The inter-network communication unit 145 transmits the request message 100c or the response message 100d to the control unit 146 when communication is authenticated as a result of authentication. Further, the inter-network communication unit 145 receives the request message 100c or the response message 100d from the control unit 146, and transmits the message to the cooperation gateway device 24 or 34 based on the transmission destination information in the received message.

  Next, an example of the operation of the modified example of the interconnection system configured as described above will be described with reference to the sequence diagram shown in FIG. In the following description, an operation example when performing interconnection similar to the operation example in the embodiment will be described. Moreover, in order to avoid duplication of description, only an operation example in the case of transmission of a request message will be described, and description of steps that are the same as in the embodiment will be omitted as appropriate.

  First, the medical information management server device 11 of the hospital A generates a request message for medical information related to the operation target person “OO ΔΔ” for the hospital H and transmits it to the cooperative gateway device 14 (ST101-ST102). .

  The cooperative gateway device 14 performs an identifier conversion process and a protocol conversion process on the received request message 200a, and transmits it to the cooperative gateway device 34. Specifically, each part of the cooperation gateway apparatus 14 performs the following steps ST103'-ST107.

  The intra-network communication unit 144 receives the request message 200a and transmits it to the authentication unit 147. Based on the transmission destination information and / or transmission source information in the received request message 200a, the authentication unit 147 authenticates whether the request message 200a is communicated (ST103 '). The authentication unit 147 transmits the authentication result to the intra-network communication unit 144.

  The intra-network communication unit 144 transmits the request message 200a to the control unit 146 when it is authenticated as a result of authentication that the request message 200a is communicated.

  Since operations in steps ST104 to ST107 are the same as those in the embodiment, the description thereof is omitted.

  The cooperation gateway device 34 performs an identifier conversion process and a protocol conversion process on the received request message 200c, and transmits it to the medical information management server device 32 of the H hospital. Specifically, each part of the cooperation gateway apparatus 34 performs the following steps ST108'-ST112.

  The inter-network communication unit 345 receives the request message 200c and transmits it to the authentication unit 347. Based on the destination information and / or source information in the received request message 200c, the authentication unit 347 authenticates whether or not the request message 200c is to be communicated (ST108 '). The authentication unit 347 transmits the authentication result to the inter-network communication unit 345.

  The inter-network communication unit 345 transmits the request message 200c to the control unit 346 when it is authenticated as a result of authentication that the request message 200c is communicated.

  Since operations in steps ST109 to ST111 are the same as those in the embodiment, the description thereof is omitted.

  The intra-network communication unit 344 receives the request message 200e and transmits it to the medical information management server device 32 of the H hospital (ST112).

  The reception unit 315 of the medical information management server device 32 receives the request message 200e (ST113) and transmits it to the response message generation unit 313.

  As described above, in this modification, whether or not to communicate a message is authenticated based on the transmission source information and / or transmission destination information in the message.

  As a result, communication is executed only when communication is authenticated, thereby preventing communication to an unknown transmission destination and communication from an unknown transmission source.

  Therefore, according to this modification, in addition to the effects of the above-described embodiment, it is possible to suppress unnecessary information leakage.

  In short, the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

  DESCRIPTION OF SYMBOLS 1 ... Comprehensive medical cooperation network 10, 20, 30 ... Medical cooperation network 11, 12, 13, 21, 22, 23, 31, 32, 33 ... Medical information management server apparatus, 14, 24, 34 ... Cooperation gateway apparatus , 40 ... interconnection system, 111, 121, 1311, 211, 221, 231, 311, 321, 331 ... medical information storage device, 112, 122, 132, 212, 222, 232, 312, 322, 332 ... request message Generator, 113, 123, 133, 213, 223, 233 ... Response message generator, 114, 124, 134, 214, 224, 234, 314, 324, 334 ... Transmitter, 115, 125, 135, 215, 225 , 235, 315, 325, 335... Receiving unit, 141, 241, 341... Correspondence information storing unit, 142, 24 , 342 ... identifier conversion unit, 143, 243, 343 ... protocol conversion unit, 144, 244, 344 ... intra-network communication unit, 145, 245, 345 ... inter-network communication unit, 146, 246, 346 ... control unit, 147, 247, 347: Authentication unit, 100a, 100b ... Medical information, 100c, 200a, 200b, 200c, 200d, 200e ... Request message, 100d, 200f, 200g, 200h, 200i, 200j ... Response message, 100e, 100f, 100g, 100h, 100i ... patient ID correspondence information, 300a ... transmission destination information list.

Claims (5)

Server devices in a plurality of networks that manage information related to the operation target person in association with different or the same identifiers that identify the same operation target person, and communicate the information based on different or the same communication protocol An interconnect system comprising a plurality of cooperative gateway devices respectively included in the plurality of networks for interconnecting each other by communicating messages,
The message includes transmission destination information indicating the server device of the transmission destination, and identifier information in which an identifier of the operation target person is set, and a message that responds to a message requesting the information among the messages further includes: Including the information,
Each cooperation gateway device is
A plurality of first identifiers for the server devices in the network to which each of the cooperative gateway devices belong to individually identify the operation target person; and a second identifier for identifying the operation target person in common between the networks; storage means for storing corresponds information that associates,
Based on the memorized corresponds information for identifier information in said message, a first identifier for converting between any first identifier and said second identifier of said plurality of first identifiers each other Conversion means;
Based on the stored correspondence information, for the identifier information in the message, a second one that mutually converts the arbitrary first identifier and a new first identifier of the plurality of first identifiers. An identifier conversion means;
Protocol conversion means for mutually converting a first communication protocol used in the network to which each of the cooperative gateway devices belongs and a second communication protocol used for communication between the networks for the electronic message,
A first telegram in which the arbitrary first identifier is set in identifier information and a first telegram communicated based on the first communication protocol is communicated with a server device in a network to which each of the cooperative gateway devices belongs. Communication means;
A second communication unit configured to communicate a second telegram in which the second identifier is set in identifier information and communicated based on the second communication protocol with another cooperative gateway device;
When a server device outside the network to which each cooperative gateway device belongs is set in the transmission destination information in the first message received by the first communication means, the first message is changed to the second message. converted and to communicate said second message, a first control means for controlling said first identifier converting means, said protocol conversion means and the second communication means,
When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the second message received by the second communication means, the second message is changed to the first message. Second control means for controlling the first identifier conversion means, the protocol conversion means and the first communication means so as to convert and communicate the first electronic message ;
When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the first message received by the first communication means, the first message is changed to the new first message. A third control means for controlling the second identifier conversion means and the first communication means so as to communicate a new first telegram having an identifier set in the identifier information;
An interconnection system characterized by comprising: The correspondence information is associated with the plurality of first identifiers and the second identifiers, and is commonly used in the network to which each of the cooperative gateway devices belongs to identify a third person to be operated. Further including an identifier,
The first identifier converting means converts the arbitrary first identifier and the second identifier to each other via the third identifier ,
2. The mutual identifier according to claim 1, wherein the second identifier conversion unit converts the arbitrary first identifier and the new first identifier to each other via the third identifier. Connection system. The electronic message further includes transmission source information indicating the server device of the transmission source,
Each cooperation gateway device is
Further comprising authentication means for authenticating whether or not to communicate the message based on the destination information and / or source information in the message;
The first communication unit communicates the first message with a server device in the network to which each of the cooperative gateway devices belongs when the authentication unit is authenticated to communicate the first message. ,
The second communication unit communicates the second message with another cooperative gateway device when the authentication unit is authenticated to communicate the second message. An interconnect system according to claim 1 or claim 2. Server devices in a plurality of networks that manage information related to the operation target person in association with different or the same identifiers that identify the same operation target person, and communicate the information based on different or the same communication protocol In the case of a message including transmission destination information indicating the server device of the transmission destination and identifier information in which the identifier of the operation target person is set, and when responding to a message requesting the information, An interconnection method executed by a plurality of cooperative gateway devices included in each of the plurality of networks for mutual connection by communicating the message including information,
A plurality of first identifiers for the server devices in the network to which each of the cooperative gateway devices belong to individually identify the operation target person; and a second identifier for identifying the operation target person in common between the networks; a storage step of storing in the storage means corresponds information that associates,
Based on the memorized corresponds information for identifier information in said message, a first identifier for converting between any first identifier and said second identifier of said plurality of first identifiers each other Conversion process;
Based on the stored correspondence information, for the identifier information in the message, a second one that mutually converts the arbitrary first identifier and a new first identifier of the plurality of first identifiers. An identifier conversion step;
A protocol conversion step for mutually converting a first communication protocol used in the network to which each of the cooperative gateway devices belongs and a second communication protocol used for communication between the networks for the electronic message,
A first telegram in which the arbitrary first identifier is set in identifier information and a first telegram communicated based on the first communication protocol is communicated with a server device in a network to which each of the cooperative gateway devices belongs. Communication process;
A second communication step in which the second identifier is set in the identifier information and the second telegram communicated based on the second communication protocol is communicated with another cooperative gateway device;
When a server device outside the network to which each of the cooperation gateway devices belongs is set in the transmission destination information in the first message received in the first communication step, the first message is changed to the second message. A first control step for controlling the first identifier conversion step, the protocol conversion step, and the second communication step so as to convert and communicate the second electronic message;
When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the second message received in the second communication step, the second message is changed to the first message. A second control step for controlling the first identifier conversion step, the protocol conversion step and the first communication step so as to convert and communicate the first electronic message ;
When a server device in the network to which each cooperative gateway device belongs is set in the transmission destination information in the first message received in the first communication step, the first message is changed to the new first message. A third control step for controlling the second identifier conversion step and the first communication step so as to communicate a new first telegram having an identifier set in the identifier information;
An interconnection method characterized by comprising: Server devices in a plurality of networks that manage information related to the operation target person in association with different or the same identifiers that identify the same operation target person, and communicate the information based on different or the same communication protocol In the case of a message including transmission destination information indicating the server device of the transmission destination and identifier information in which the identifier of the operation target person is set, and when responding to a message requesting the information, A program used individually for a plurality of cooperative gateway devices included in each of the plurality of networks, for mutual connection by communicating the telegram containing information,
Said each cooperation gateway apparatus,
A plurality of first identifiers for the server devices in the network to which each of the cooperative gateway devices belong to individually identify the operation target person; and a second identifier for identifying the operation target person in common between the networks; storage means for storing corresponds information that associates,
Based on the memorized corresponds information for identifier information in said message, a first identifier for converting between any first identifier and said second identifier of said plurality of first identifiers each other Conversion means,
Based on the stored correspondence information, for the identifier information in the message, a second one that mutually converts the arbitrary first identifier and a new first identifier of the plurality of first identifiers. Identifier conversion means,
Protocol conversion means for mutually converting a first communication protocol used in the network to which each of the cooperative gateway devices belongs and a second communication protocol used for communication between the networks for the electronic message,
A first telegram in which the arbitrary first identifier is set in identifier information and a first telegram communicated based on the first communication protocol is communicated with a server device in a network to which each of the cooperative gateway devices belongs. Communication means,
A second communication unit configured to communicate a second telegram in which the second identifier is set in the identifier information and communicated based on the second communication protocol with another cooperative gateway device;
When a server device outside the network to which each cooperative gateway device belongs is set in the transmission destination information in the first message received by the first communication means, the first message is changed to the second message. converted and to communicate the second message, the first identifier converting means, said protocol conversion means and first control means for controlling said second communication means,
When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the second message received by the second communication means, the second message is changed to the first message. Second control means for controlling the first identifier conversion means, the protocol conversion means, and the first communication means so as to convert and communicate the first electronic message ;
When the server device in the network to which each of the cooperative gateway devices belongs is set in the transmission destination information in the first message received by the first communication means, the first message is changed to the new first message. A program for functioning as a second control unit for controlling the second identifier conversion unit and the first communication unit so as to communicate a new first telegram having an identifier set in the identifier information .

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