A two-step open system(TOS) was proposed to relay between a healing platform and a repository of personal health documents. TOS was designed by taking into consideration the pubsub service based on large scale connections to monitor a provider's access/request process for health documents in real time. TOS, however, uses WebSocket as a communication protocol in case of pubsub. Given the operational environment of low quality wireless networks for mobile devices that are user terminals in a healing platform, there is a need to add a messaging protocol to support QoS as well as a transmission protocol. As a light messaging protocol optimized for mobile devices, MQTT defines reliable messaging QoS to consider a wireless network situation of low speed/low quality. This study designed an MQTT protocol-based message broker to support QoS in case of large scale connections and pubsub by taking into consideration mobile devices that are user terminals in a healing platform. After designing a model between TOS and MQTT message broker, the study implemented a prototype based on the proposed design and compared it with its counterparts from previous studies based on the performance indicators in a load-test with the MQTT client tool.