CN107993708B

CN107993708B - Intelligent diagnosis and treatment system for respiratory diseases and control and use method

Info

Publication number: CN107993708B
Application number: CN201711097135.4A
Authority: CN
Inventors: 王未来; 林荣军; 李越; 汤伟
Original assignee: Qingdao Future Medical Technology Co ltd
Current assignee: Qingdao Future Medical Technology Co ltd
Priority date: 2017-11-09
Filing date: 2017-11-09
Publication date: 2022-03-11
Anticipated expiration: 2037-11-09
Also published as: CN107993708A

Abstract

The invention provides an intelligent diagnosis and treatment system for respiratory diseases and a control and use method, wherein the intelligent diagnosis and treatment system comprises: a server comprising one or more processors configured to execute computer program modules characterized by: the computer program modules include: the system comprises a diagnosis and release system module, an asthma management scheme execution system module and a user equipment access authentication system module; the respiratory disease diagnosis/treatment scheme and the treatment scheme are seamlessly connected, so that the forward feedback and circulation of diagnosis → treatment (patient self-management) and treatment (patient self-management) → (doctor) in the asthma disease treatment are realized, the control and cure efficiency is improved, and the relapse and even deterioration of the disease condition caused by the failure of asthma self-management are avoided.

Description

Intelligent diagnosis and treatment system for respiratory diseases and control and use method

Technical Field

The invention belongs to the technical field of medical instruments, and also relates to the technical field of Internet of things, in particular to an intelligent diagnosis and treatment system for respiratory diseases and a control and use method.

Background

Chronic respiratory diseases mainly comprise asthma and chronic obstructive pulmonary disease, the asthma is also called bronchial asthma, the bronchial asthma is chronic airway inflammation which is participated by various cells and cell components, the inflammation is often accompanied by airway reactivity increase, repeated asthma, short breath, chest distress, cough and other symptoms are caused, the symptoms are often caused at night and (or) in the morning, the symptoms are often accompanied by wide and variable airflow obstruction, and the symptoms can be reversed automatically or through treatment.

Chronic Obstructive Pulmonary Disease (COPD) the Chronic Obstructive Pulmonary Disease (COPD) is characterized by incomplete reversible airflow limitation. Chronic obstructive pulmonary airflow limitation is often progressively exacerbated with abnormal inflammatory responses of the lungs to noxious particles or gases, primarily smoking. Although the slow-obstructive lung directly affects the lungs, it can also cause significant systemic effects. Chronic obstructive pulmonary disease is closely related to chronic bronchitis and emphysema.

The basic flow of asthma management is currently: the diagnosis was performed by a doctor for 10 minutes and self-management was performed for 2 months.

(1) In this basic process, the physician's diagnosis and treatment options depend largely on the patient's past medical records of the disease, but past paper records are cumbersome to write and are easily lost. If the patient's medical history is imperfect, the patient may have missed or inaccurate disease descriptions, and the doctor may not be able to make a complete personalized diagnosis and treatment plan. This also results in particularly high misdiagnosis and missed diagnosis rates of asthma.

(2) Also in this process, self-management plays a crucial role in the control of asthma. However, the self-management process has many pain points, which makes the asthma easily repeat and the control and cure are very difficult.

Firstly, the method comprises the following steps: poor compliance of asthma treatment in children and poor compliance of pulmonary function measurement lead to low clinical control rate of asthma, which is also the root cause of low clinical cure rate of asthma.

Secondly, the method comprises the following steps: there is a lack of effective equipment and tools to do home self-management. Due to the defects of the traditional apparatus, treatment and detection data cannot be uploaded in real time, the equivalent rate of manually writing asthma diaries by paper materials or apps is low and tedious, high-risk patients do not need to be identified in advance in the asthma family management process, and the exacerbation and emergency rate of asthma diseases of children is high. Thirdly, the method comprises the following steps: the self-management process lacks necessary professional assistance. Self-management solutions provided by physicians cannot be strictly implemented for various reasons. Undeniably, asthma self-management has certain professional requirements and is also an important factor.

Taking china as an example, asthma is only controlled completely by 2% and partially by about 40% at present. Indeed, GINA studies have shown that asthma is 85% controllable. The main reasons for this are poor compliance with treatment regimens in patient self-management, lack of effective devices and tools to address home self-management, which is the most critical step in asthma treatment. At present, the chronic obstructive pulmonary disease has similar problems.

How to design an intelligent respiratory disease diagnosis and treatment system and a control and use method, the respiratory disease diagnosis/treatment scheme and the treatment scheme are seamlessly connected, the forward feedback and circulation of diagnosis → treatment (patient self-management) and treatment (patient self-management) → (doctor) diagnosis in asthma disease treatment are realized, the control and cure efficiency is improved, and the relapse and even deterioration of the state of an illness caused by the failure of asthma self-management are avoided. This is a problem to be solved in the art.

Disclosure of Invention

The invention aims to solve the problems in the prior art and provides an intelligent diagnosis and treatment system for respiratory diseases and a control and use method thereof, which enable the respiratory disease diagnosis/treatment scheme and the treatment scheme to be seamlessly connected, realize the forward feedback and circulation of diagnosis → treatment (patient self-management) and treatment (patient self-management) → (doctor) diagnosis in the asthma disease treatment, improve the control and cure efficiency, and avoid the repeated and even worsened state of an illness caused by the failure of asthma self-management.

The purpose of the invention is realized by the following technical scheme:

an intelligent diagnosis and treatment system for respiratory diseases, comprising: a server comprising one or more processors configured to execute computer program modules, wherein the computer program modules comprise: the system comprises a diagnosis issuing system module, an asthma management scheme execution system module and a user equipment access authentication system module.

A diagnosis and release system module: the system has the functions of providing patient diagnosis input for medical institutions/doctors, and issuing diagnosis/order information to the relevant asthma management scheme execution system module; the method comprises the steps that a plurality of asthma management scheme execution system modules provided by different service providers exist in a support network, intelligent asthma treatment management is provided for a patient, the working state (such as treatment scheme execution accuracy, user response speed, service diversity, safety and the like) of each asthma management scheme execution system module is monitored, doctor/user feedback/scoring is carried out, and a charging information generation execution system report is provided for the patient to select a proper asthma management scheme execution system module; recording the asthma management scheme execution system module selected by the patient, and issuing diagnosis information to the corresponding asthma management scheme execution system module according to the selection of the patient after the diagnosis of the patient is completed.

The asthma management scheme execution system module: and generating an executable asthma management scheme according to the diagnosis and the advice of the doctor, controlling the relevant user equipment, executing a corresponding asthma management scheme execution system module, and recording the execution condition/result in detail.

The user equipment access authentication system module: when certain user equipment is connected with the asthma management scheme execution system module for the first time to be executed, the asthma management scheme execution system module is connected with the user equipment access authentication system module to ensure that the user equipment meets the requirements of corresponding hospitals/doctors (namely, an organization for issuing diagnosis/medical advice corresponding to the asthma management scheme), and if the user equipment meets the requirements, the user equipment can be used in the asthma management scheme execution system module; otherwise, the user equipment is refused to be used in the asthma management scheme execution system module, and equipment information meeting the medical order requirement is prompted.

Specifically, the method comprises the following steps: the diagnosis and distribution system module consists of a doctor terminal interface, a patient diagnosis/medical advice management module, a diagnosis and distribution management module, an asthma management scheme execution system management module and a personal equipment access management module; the asthma management scheme execution system module consists of a treatment scheme generation module, a treatment scheme execution module, an information filter management module and a personal equipment management module; the user equipment access authentication system module consists of an equipment authentication management module, an online authentication management module and an offline authentication management module.

In the diagnosis issuing system module:

a doctor terminal interface: and the doctor terminal is connected to realize the input of diagnosis information, the feedback of treatment execution condition information and the timely interaction between the doctor and the user.

Patient diagnosis/order management module: managing the entry and storage of patient diagnosis, and grading the effectiveness of the medical advice according to the execution result of the medical advice (namely the feedback of an execution system), wherein the grading result gives a score according to the gradual increase of the effectiveness from 1 to 10, or qualitatively evaluating the three results of completely reaching the expectation, partially reaching the expectation and not reaching the expectation; in order to realize the evaluation of the diagnosis/medical advice result, in addition, a treatment result expectation template is introduced for a doctor to fill in the result expectation of the treatment period after giving the diagnosis/medical advice, and after the treatment period is finished, the patient diagnosis/medical advice management module automatically generates the effectiveness score of the diagnosis/medical advice according to the treatment result expectation and the result feedback of the execution system.

The diagnosis release management module: the diagnosis issuing management module issues diagnosis and medical advice related information of a doctor to an asthma management scheme execution system module selected by a user according to direct selection of the user or a pre-stored user configuration file, the issued information at least comprises a user ID and specific diagnosis/medical advice information, the user ID is a unique identifier of the user in the whole respiratory disease intelligent diagnosis and treatment system, the user is supported to select the asthma management scheme execution system module, the working state of each different asthma management scheme execution system module is monitored, user feedback/scoring is carried out, and a charging information generation execution system report is generated, so that a patient can select a proper asthma management scheme execution system module; the diagnosis and the medical orders are generated, issued and executed in the form of strategy prescriptions, and one strategy prescription consists of more than one diagnosis and treatment rule, and each rule at least comprises two parts of a disease condition judgment condition (diagnosis) and a treatment measure (prescription).

Executing a system management module: and the system is responsible for monitoring the working state of each different execution system (such as accuracy of treatment plan execution, user response speed, service diversity, safety and the like), generating an execution system report by user feedback/scoring and charging information, and enabling a patient to select an appropriate asthma management plan execution system module.

Personal device admission management module: and maintaining a personal device list allowed to be used in the hospital/doctor/order, and connecting the asthma management scheme execution system module and the user equipment access authentication system module to complete personal device access management.

In the above asthma management scheme execution system module:

a treatment plan generation module: generating specific treatment plans according to the issued diagnoses and orders, wherein the specific treatment plans comprise asthma treatment plans based on keywords, and the keywords comprise at least the following three types:

basic keywords: "if"; 'just'

Basic diagnostic keywords: "good asthma control"; "advanced signs of asthma"; acute attack of asthma "

Basic treatment keywords: "asthma exacerbation response regimen"; "asthma exacerbation aura response regimen"; "good maintenance protocol for asthma control"

The asthma treatment strategy protocol was generated as follows, based on the published strategy prescription:

(1) if asthma is well controlled, a regimen for good maintenance of asthma control is taken;

(2) if the asthma aggravates the aura, adopting a solution for treating the asthma aggravating aura;

(3) if asthma is acute, a scheme for coping with asthma acute attack is adopted.

A treatment plan execution module: and the treatment plan execution module selects the most appropriate equipment to execute according to the available user equipment provided by the personal equipment access management module during execution, and selects the user terminal to control and execute by default.

In the process of executing the asthma treatment strategy prescription, the treatment plan executing module dynamically selects and executes a corresponding treatment plan according to diagnosis conditions, and the collection of the diagnosis conditions is executed by the selected proper user equipment.

An information filter management module: the execution system provides information filter functionality that is divided into two categories, a physician-defined information filter that allows a physician/medical facility to define abnormalities and concerns that occur during the execution of an asthma management program, and measures that need to be taken when the situation occurs, including updating medical orders, sending warnings, relevant disease education information, requiring a user to review a medical visit, and even triggering emergency measures (e.g., contacting an emergency ambulance, etc.), and a patient-defined information filter that allows a patient to define actions that are desired to be performed when the event occurs (e.g., automatically contacting a physician, ordering a review visit, etc.), the filter functionality is linked to a billing system at the same time, when a patient-defined information filter threshold is set too low (resulting in frequent system reports or requiring system/physician response times less than the set threshold), the system raises the corresponding charging standard.

A personal device management module: when one device is used for a certain treatment scheme for the first time, the personal device management module initiates an authentication request to the user device access authentication system and records an authentication result, and the authentication request is used as a basis for judging whether a certain device is selected in a treatment scheme.

The user equipment accesses the authentication system module:

the equipment authentication management module: controlling the user equipment to access an authentication system module to realize authentication management on the user access equipment; the user equipment access authentication system supports two authentication modes, namely an online authentication mode and an offline authentication mode, wherein the online authentication mode is that the user equipment access authentication system sends the information of equipment to be authenticated to a related equipment manufacturer or other authentication organizations, the offline authentication mode is that the user equipment access authentication system authenticates the equipment, and the selection of the authentication mode is determined by the equipment authentication management module according to the information set by the user.

An online authentication module: and when the equipment authentication management module determines that online authentication needs to be adopted, calling the online authentication module to finish online authentication of the user equipment.

An offline authentication module: the off-line authentication module realizes the open verification of the equipment, namely the verification mode of the equipment disclosed by the manufacturer, and any user equipment access authentication system can verify the equipment manufactured by the user equipment according to the verification mode disclosed by the manufacturer; this approach is more flexible and does not require the manufacturer to have its own device authentication system or an authentication system set up by a government/third party organization.

The invention discloses a control and use method of the respiratory disease intelligent diagnosis and treatment system, which comprises the following steps:

(1) the doctor submits the diagnosis and the medical advice of the patient to the diagnosis issuing system module to complete a diagnosis process;

(2) the diagnosis issuing system module issues the diagnosis and advice related information of the doctor to the selected asthma management scheme execution system module according to the direct selection of the user or a pre-stored user configuration file;

(3) the asthma management scheme execution system module generates an executable asthma management scheme according to the diagnosis and the advice of doctors, controls the relevant user equipment and executes the corresponding asthma management scheme;

(4) in the execution process of the asthma management scheme, when new user equipment enters, the asthma management scheme execution system module confirms whether the user equipment is allowed or not through the diagnosis release system module or the user equipment access authentication system module which is directly connected with the user equipment access authentication system module, so that the execution of the asthma management scheme can be ensured only by the user equipment which meets the standard;

(5) during the execution of the asthma management scheme, the asthma management scheme execution system module executes predefined operations (for example, reporting the treatment condition of the patient to the doctor, sending the asthma education information, etc.) according to the filter rules set by the doctor and the patient, and the following results are produced: the doctor updates the order, so that a new cycle from the step (1) to the step (5) is generated; secondly, the doctor directly interacts with the user to answer the user question; the asthma management plan execution system module identifies that the re-diagnosis condition is met, appoints the re-diagnosis for the patient according to the set condition and automatically generates a detailed report of the cost treatment cycle and a situation summarization of the whole treatment process (for example, a disease condition change curve graph, evaluation of the patient's execution advice, and the like).

The improvement of the technical scheme is as follows: after the step (5), further comprising: (6) according to the setting of the diagnosis issuing system module and the asthma management scheme execution system module, the detailed report of the treatment period can be sent to relevant doctors in advance, and can also be submitted to main doctors during the patient consultation.

The technical scheme is further improved as follows: the diagnosis and the medical orders are generated, issued and executed in the form of strategy prescriptions, one strategy prescription consists of more than one diagnosis and treatment rule, each rule at least comprises two parts of a disease condition judgment condition and a treatment measure, and the strategy prescription at least comprises the following diagnosis and treatment rules:

When the policy prescription is issued to the asthma management scheme execution system module, the asthma management scheme execution module dynamically selects and executes a corresponding treatment scheme according to the diagnosis condition.

The technical scheme is further improved as follows: after the treatment period is finished, the patient diagnosis/medical advice management module automatically generates a diagnosis/medical advice effectiveness score according to the treatment result expectation and the result feedback of the asthma management scheme execution system module, and the effectiveness score is sent to a doctor/medical institution in real time or at the time of patient re-diagnosis as a part of a detailed report of the treatment period and a situation summary report of the whole treatment process.

The technical scheme is further improved as follows: the diagnosis and order input modes comprise the following two modes:

the first method is as follows: the natural input method has no limit on doctors, the contents of diagnosis and advice are completely determined by the doctors, but the generation of the later treatment scheme completely depends on the intelligence degree of an execution system and the completeness degree of a related knowledge base;

the second method comprises the following steps: the method comprises the steps of setting a mode for inputting, wherein a doctor is required to input diagnosis and medical orders according to a certain preset mode, predefined keywords are used when the doctor is required to input, each keyword corresponds to a set of detailed treatment scheme, and then the doctor only needs to write the names of the keywords in the medical orders; after the diagnosis/medical advice is issued, the execution system can automatically extract a corresponding treatment scheme according to the keywords; under the condition of input in a specified mode, the patient diagnosis/medical advice management module is responsible for prompting/checking whether the input of the keywords of the user is correct, and under the condition that the keyword systems supported by a plurality of execution systems are not completely consistent, the patient diagnosis/medical advice management module needs to call the issuing module to select the execution system first and then complete the input and storage of diagnosis/medical advice; the prescribed pattern input also includes a manner of filling out a graphical interface that provides at least an "asthma exacerbation response scenario", "asthma exacerbation precursor response scenario", and "asthma control well-being maintenance scenario".

The technical scheme is further improved as follows: the personal device access management module maintains a personal device list allowed to be used in the hospital/doctor/order, and connects the asthma management scheme execution system and the user device access authentication system to complete personal device access management, and the flow is as follows:

the method comprises the following steps: receiving a new equipment authentication request sent by an asthma management scheme execution system;

step two: forwarding the received new equipment authentication request to a user equipment access authentication system;

step three: and inquiring whether the equipment belongs to the equipment which is allowed to be used by the corresponding hospital/doctor/order according to the equipment authentication information received from the user equipment access authentication system, if so, returning authentication passing information, and otherwise, failing the authentication.

A personal device management module: the personal device management module is used for managing related devices owned by a user, when one device is used for a certain treatment scheme for the first time, the personal device management module initiates an authentication request to a user device access authentication system and records an authentication result, and the authentication request is used as a basis for judging whether a certain device is selected in a treatment scheme, and the personal device management module specifically comprises the following steps:

the method comprises the following steps: initiating an authentication request to a user equipment access authentication system, wherein the information at least comprises: user equipment information and authentication information;

step two: the user equipment accesses the authentication system to authenticate and returns an authentication result;

step three: if the confirmation is successful, the information provided by the user device is verified to be correct, and based on the user device information, a determination is made as to whether the hospital/doctor/prescription requirements for device use are met, and if so, the device is allowed to access and be used in the treatment protocol, otherwise, use of the device is denied.

When the equipment authentication management module determines that online authentication needs to be adopted, calling the online authentication module to complete the following processing:

the method comprises the following steps: sending authentication information (namely an initial authentication system) received from an execution system to an online authentication module of the system, wherein the authentication information comprises user equipment information (equipment manufacturer information, equipment model information and the like) and authentication information (note: the authentication information is transparent for the user equipment to access the authentication system);

step two: the online authentication module inquires a corresponding remote authentication system address according to the user equipment information and then sends the authentication information to a corresponding remote authentication system;

step three: the remote authentication system completes authentication (if the remote system is not the final authentication system, the first step and the second step are continuously executed), and the result is returned to the initial authentication system;

step four: the initial authentication system sends the authentication result to the execution system.

The off-line authentication module can realize the open verification of the equipment, namely the verification mode of the equipment disclosed by the manufacturer, any user equipment access authentication system can verify the equipment manufactured by the user equipment access authentication system according to the verification mode disclosed by the manufacturer, and the off-line verification step comprises the following steps:

the method comprises the following steps: the off-line authentication module receives authentication information sent by the execution system, wherein the authentication information comprises user equipment information (such as equipment manufacturer information, equipment model information and the like) and authentication information, and the information is a digital signature of a manufacturer for the user equipment information;

step two: and the offline authentication module verifies the digital signature, and if the digital signature passes the authentication, the offline authentication module sends an authentication passing message to the asthma management scheme execution system module, otherwise, the offline authentication module sends an authentication failure message.

Compared with the prior art, the invention has many advantages and positive effects:

1. the invention provides an intelligent diagnosis and treatment system for respiratory diseases and a control and use method, which realize seamless connection between an asthma disease diagnosis/treatment scheme and treatment scheme execution. Asthma management protocols are generated by physician diagnosis/order. The system ensures that the patient is treated strictly according to the doctor's diagnosis/order through the execution of the asthma management program;

2. and the risk can be identified in time in the treatment process through the function of the information filter. Ensures that the doctor/patient can be contacted with each other at the first time, and ensures the real-time, pertinence and effectiveness of the treatment. The timely/complete interaction of the diagnosis/treatment information realizes the forward feedback and circulation of (doctor) diagnosis- > treatment (patient self-management), treatment (patient self-management) - > (doctor) diagnosis in the treatment of asthma. A step-by-step transition from standard treatment regimens to personalized treatment. Ultimately ensuring the control and cure of asthma disease;

3. the filter function is linked with the charging system, so that more medical resource users are occupied while basic medical services of patients are guaranteed, and more personalized service users are required to pay more. Reasonable distribution and paid use of medical resources are realized;

4. the diagnostic publication mechanism allows for multiple asthma management protocol execution systems provided by different service providers in a network to provide intelligent asthma treatment management for patients. Promoting the benign competition of the industry and the continuous improvement of the technology. Allowing the user to select the best self-management service provider according to the self requirement;

5. the user equipment access authentication system ensures that only devices that meet the standard can enter into the execution of the asthma management scheme. Effectively avoids the potential adverse effects of various and unsmooth personal medical equipment on the medical effect in the current market.

Drawings

FIG. 1 is a diagram illustrating the architecture and logic relationship of an intelligent diagnosis system for respiratory diseases according to the present invention;

FIG. 2 is a flow chart of the intelligent diagnosis and treatment system for respiratory diseases according to the present invention;

FIG. 3 is a schematic diagram of a diagnosis and distribution system module in the intelligent diagnosis and treatment system for respiratory diseases according to the present invention;

FIG. 4 is a schematic diagram of an asthma management plan execution system module in the respiratory disease intelligent diagnosis and treatment system according to the present invention;

fig. 5 is a schematic diagram of a user equipment access authentication system module in the respiratory disease intelligent diagnosis and treatment system of the present invention.

Detailed Description

The invention is described in further detail below with reference to the figures and examples.

Referring to fig. 1 to 5, an embodiment of an intelligent diagnosis and treatment system for respiratory diseases according to the present invention includes: a server comprising one or more processors configured to execute computer program modules, wherein the computer program modules comprise: the system comprises a diagnosis issuing system module, an asthma management scheme execution system module and a user equipment access authentication system module.

Specifically, the method comprises the following steps: the diagnosis and distribution system module (as shown in fig. 3) is composed of a doctor terminal interface, a patient diagnosis/medical advice management module, a diagnosis and distribution management module, an asthma management scheme execution system management module and a personal device admission management module; the asthma management plan execution system module (as shown in fig. 4) is composed of a treatment plan generation module, a treatment plan execution module, an information filter management module and a personal device management module; the user equipment access authentication system module is composed of an equipment authentication management module, an online authentication management module and an offline authentication management module (as shown in fig. 5).

The above modules in the diagnosis and distribution system are described in detail as follows:

a doctor terminal interface: the doctor terminal is connected to realize the input of diagnosis information, the feedback of treatment execution condition information and the timely interaction between the doctor and the user;

The above-mentioned asthma management scheme execution system modules are described in detail as follows:

basic keywords: "if"; 'just'

The above-mentioned modules in the user equipment access authentication system module are explained in detail as follows:

Referring to fig. 2, the embodiment of the control and use method of the intelligent diagnosis and treatment system for respiratory diseases according to the present invention includes the following steps:

Further, after the step (5), the method further comprises: (6) according to the setting of the diagnosis issuing system module and the asthma management scheme execution system module, the detailed report of the treatment period can be sent to relevant doctors in advance, and can also be submitted to main doctors during the patient consultation.

Further, the diagnosis and the medical orders are generated, issued and executed in the form of strategy prescriptions, one strategy prescription is composed of more than one diagnosis and treatment rule, each rule at least comprises two parts of disease condition judgment conditions and treatment measures, and the strategy prescription at least comprises the following diagnosis and treatment rules:

Further, after the treatment period is finished, the patient diagnosis/medical advice management module automatically generates a diagnosis/medical advice effectiveness score according to the result feedback of the treatment result expectation and the asthma management scheme execution system module, and the effectiveness score is sent to a doctor/medical institution in real time or at the time of patient re-diagnosis as a part of a detailed report of the treatment period and a situation summary report of the whole treatment process.

Further, the diagnosis and order input modes include the following two modes:

the second method comprises the following steps: a prescribed mode input, which requires the doctor to input the diagnosis and the medical order according to a certain predefined mode (for example, a mode input driven by keywords), and the doctor is required to use the predefined keywords (for example, the system predefines the following keywords of 'asthma acute attack coping scheme', 'asthma exacerbation coping scheme'; 'asthma control well-maintained scheme'), each keyword corresponds to a set of detailed treatment scheme, then the doctor only needs to write the keyword name in the medical order; after the diagnosis/medical advice is issued, the execution system can automatically extract a corresponding treatment scheme according to the keywords; under the condition of input in a specified mode, the patient diagnosis/medical advice management module is responsible for prompting/checking whether the input of the keywords of the user is correct, and under the condition that the keyword systems supported by a plurality of execution systems are not completely consistent, the patient diagnosis/medical advice management module needs to call the issuing module to select the execution system first and then complete the input and storage of diagnosis/medical advice; the prescribed pattern input also includes a manner of filling out a graphical interface that provides at least an "asthma exacerbation response scenario", "asthma exacerbation precursor response scenario", and "asthma control well-being maintenance scenario".

Further, the personal device admission management module maintains a list of personal devices allowed to be used in the hospital/doctor/order, and connects the asthma management scheme execution system and the user device access authentication system to complete personal device admission management, and the flow is as follows:

the method comprises the following steps: initiating an authentication request to a user equipment access authentication system, wherein the information at least comprises: user device information (such as device manufacturer information, device model information, etc.) and authentication information (note: the device does not need to know the content of the authentication information, i.e., the authentication information is transparent to the personal device management module);

Referring to fig. 1 to 5, the detailed contents of an embodiment of the intelligent diagnosis and treatment system for respiratory diseases according to the present invention are described as follows:

1. overview of respiratory disease intelligent diagnosis and treatment system module

Fig. 1 shows a diagram of the architecture and logical relationship of the intelligent diagnosis and treatment system for respiratory diseases provided by the invention.

The intelligent diagnosis and treatment system for respiratory diseases comprises a diagnosis and release system module, an asthma management scheme execution system module and a user equipment access authentication system module;

the diagnosis issuing system module is connected with a doctor terminal to realize the input and storage of diagnosis/medical advice information, the selection and issuing of an asthma management scheme execution system and the feedback of execution conditions/results to a doctor end. Meanwhile, the system is connected with a user equipment access authentication system to realize the authentication and admission of the user equipment in the execution of the asthma management scheme.

The asthma management scheme execution system module generates an executable asthma management scheme according to the diagnosis and the order of the doctor. And controlling related user equipment, executing a corresponding asthma management scheme, and recording the execution condition/result in detail. And the risk can be identified in time in the treatment process through the special information filter function. Ensures that the doctor/patient can be contacted with each other at the first time, and ensures the real-time, pertinence and effectiveness of the treatment. The timely/complete interaction of the diagnosis/treatment information realizes the forward feedback and circulation of (doctor) diagnosis- > treatment (patient self-management), treatment (patient self-management) - > (doctor) diagnosis in the treatment of asthma. A step-by-step transition from standard treatment regimens to personalized treatment. Ultimately ensuring the control and cure of asthma disease.

The user equipment access authentication system comprises the connection for realizing the authentication and the admission of the user equipment in the asthma management scheme execution. It is ensured that only devices that comply with the standard can enter into the execution of the asthma management scheme. Effectively avoids the potential adverse effects of various and unsmooth personal medical equipment on the medical effect in the current market.

Detailed implementation of intelligent respiratory disease diagnosis and treatment system module

2.1 diagnostic distribution System Module

The functions and components of the diagnosis and distribution system module are shown in fig. 3, and the diagnosis and distribution system module is composed of the following functional modules:

Patient diagnosis/order management: managing entry and storage of patient diagnoses. And scoring the effectiveness of the order based on the result of the order execution (i.e., feedback from the execution system). The scoring results can be given as scores gradually increasing in effectiveness from 1 to 10, or can be qualitatively evaluated by three results of "completely reaching the expectation", "partially reaching the expectation" and "not reaching the expectation". In order to realize the evaluation of the diagnosis/order result, the invention introduces a 'treatment result expectation' template in addition to the diagnosis/order, so that a doctor fills out the result expectation of the treatment cycle after giving the diagnosis/order. After the treatment period is finished, the patient diagnosis/medical advice management module automatically generates a diagnosis/medical advice validity score according to the treatment result expectation and the result feedback of the execution system. The "treatment outcome expectation" template is shown in table 1:

TABLE 1

For example, for an 8 year old patient in the acute phase of asthma, with one cycle of treatment, a physician may give the following expectations, see table 2:

TABLE 2

Note: the measurement of the above-mentioned state behavior can be obtained by:

a. the user questionnaire mode is that the system provides user questionnaire periodically through the user terminal, and requires the user to fill in related content

b. The connected user device automatically obtains, such as by a smart client device, e.g., a pulmonary function machine, measures and obtains relevant data, e.g., PEF.

After the treatment period is finished, the patient diagnosis/medical advice management module automatically generates a diagnosis/medical advice validity score according to the treatment result expectation and the result feedback of the execution system. The effectiveness score may be sent to the physician/medical facility in real time as part of a detailed report of the treatment cycle and a summary report of the condition of the entire treatment session, or at the patient's review.

The present invention supports two different patient diagnosis and order entry modes:

the first method is as follows: a natural input method. This method is completely unlimited by the physician. The contents of the diagnosis and the orders are completely decided by the doctor. But the generation of the post-treatment regimen depends entirely on the level of intelligence of the executive system and the completeness of the associated knowledge base.

The second method comprises the following steps: a mode input is specified. The method requires the physician to enter a diagnosis and order according to some predefined pattern. Such as keyword-driven mode input. The physician is asked to use pre-defined keywords for input. For example, the system predefines the following keywords:

asthma attack response scheme, asthma exacerbation precursor response scheme and asthma control good maintenance scheme. Each keyword corresponds to a detailed treatment protocol. Then, the doctor only needs to write the keyword name in the order. After the diagnosis/medical advice is issued, the execution system can automatically extract a corresponding treatment scheme according to the keywords.

In the case of prescribed mode input, the patient diagnosis/order management is responsible for prompting/checking whether the user keyword input is correct. When the keyword systems supported by the plurality of execution systems are not completely consistent, the patient diagnosis/medical advice management module needs to call the issuing module to select the execution system, and then complete the input and storage of the diagnosis/medical advice.

The other feasible realization mode of the second mode is a mode filled in by a graphical interface, and the graphical interface provides three schemes of responding to asthma acute attack, responding to asthma exacerbation and maintaining good asthma control. And more treatment regimens may be added as needed.

The diagnosis release management module: the diagnosis issuing management module issues the diagnosis and order related information of the doctor to the asthma management scheme execution system selected by the user according to the direct selection of the user or a pre-stored user configuration file. The published information contains at least a user ID and specific diagnosis/order information. The user ID is the unique identification of the user in the whole respiratory disease intelligent diagnosis and treatment system. In order to support the user to select the executive system, the executive system management module monitors the working state of each different executive system (such as accuracy of treatment plan execution, user response speed, service diversity, safety and the like), user feedback/scoring and charging information to generate an executive system report for the patient to select a proper executive system.

The user configuration provides the user with both static and dynamic options for implementing the system.

In a static mode, a user designates a certain service provider as an asthma management scheme execution system of the user, and then the diagnosis information of the user is fixedly issued to the asthma management scheme execution system.

In a dynamic manner, the user profile consists of a set of decision rules and corresponding actions to be performed (i.e. the selected asthma management scheme execution system), such as the following examples:

a. selecting the lowest monthly tariff in the asthma management scenario execution system modules #2, #6, #7 (see fig. 1);

b. the lowest tariff was selected in all systems with response speed <30 minutes.

Executing a system management module: and the system is responsible for monitoring the working state of each different executive system (such as accuracy of treatment plan execution, user response speed, service diversity, safety and the like), user feedback/scoring and charging information generation executive system reports, so that patients can select proper executive systems.

Personal device admission management module: maintaining a personal device list allowed to be used in a hospital/doctor/order, and connecting the asthma management scheme execution system module and the user equipment access authentication system module to complete personal device access management, wherein the process comprises the following steps:

step two: forwarding the received new equipment authentication request to a user equipment access authentication system module;

step three: inquiring whether the equipment belongs to the equipment which is allowed to be used by the corresponding hospital/doctor/medical advice or not according to the equipment authentication information received from the user equipment access authentication system module, and if so, returning authentication passing information; otherwise, authentication fails.

Asthma management scheme execution system module

The module of the asthma management plan execution system is shown in fig. 4, and the system is composed of the following functional modules:

a treatment plan generation module: and generating a specific treatment scheme according to the issued diagnosis and the orders. The invention provides a keyword-based implementation of an asthma treatment scheme. The system keywords are divided into three categories:

basic keywords: "if"; 'just'

Such as: good asthma control means that the following conditions are all met:

the blood-pressure check has no shortness of breath or chest stuffiness

(vi) no cough or wheezing

Check that there is no nocturnal symptom (out of breath/cough)

Absence of limitation of movement

TRACK is more than or equal to 80 points (suitable for people less than or equal to 5 years old)

The actual value of the volume of the solution is more than or equal to 80% of the expected value (suitable for people older than 5 years)

Measured value of FEV1 is not less than 80% of expected value (suitable for people older than 5 years)

The premonitory exacerbation of asthma implies the appearance of the following symptoms:

frequent cough with √

Root of Chinese thorowax

Chest stuffiness

Exacerbation of nocturnal symptoms of √ i

V. limitation of movement

TRACK less than 80 points (suitable for people less than or equal to 5 years old)

The actual value of the rate of the PEF is between 80% and 60% of the expected value

V (suitable for people older than 5 years)

Measured value of FEV1 & lt 80% of predicted value (> 5 years old adapted)

An asthma attack implies the appearance of the following symptoms:

violent cough, suffocating and dyspnea

A cold-drawn hook is difficult to speak and cannot lie flat

Deep-colored, and purple-colored lips and nails

Anxiety, dysphoria and confusion

Experimental value of "PEF" < 60% of expected value (> 5 years old for use in humans)

Basic treatment keywords: "asthma acute attack response program", "asthma exacerbation aura response program" and "good asthma control maintenance program"

An example of a counter-measure to an acute asthma attack is given below:

(iv) budesonide formoterol, 80/4.5 mug 1 suck/drink, 2 times/day 1 month

Wherein the basic diagnosis keyword and the basic treatment keyword constitute a diagnosis and treatment item of the diagnosis/treatment plan. A diagnosis/treatment plan is composed of at least one clinical item.

(3) if the asthma is acute attack, adopting a response scheme for the asthma acute attack;

on the basis of basic keywords, the system allows users to develop custom keywords.

If the user customizes the following two asthma exacerbation precursor coping schemes:

scheme # 1: r1 Salbutamol aerosol (100 μ g) 2 inhalation/time, 2 inhalation/day, 7 days

Scheme # 2: terbutaline solution (5mg/2ml) 2 times per day for 7 days

Further, the system supports user-defined variable parameter keywords, i.e., user-specified drugs, dosages, and frequency of administration.

Correspondingly, in the patient diagnosis/order management module of the diagnosis issuing system, the system supports the doctor to write the order in one of the following two ways:

a. the key is written directly to generate a policy recipe. For example:

b. the user graphical interface is used to select the input to generate a policy prescription.

After the medical orders based on the keywords are received, the treatment scheme generation module executes the following steps to generate a treatment scheme:

the method comprises the following steps: scanning a diagnosis/medical advice document, and extracting keywords in the diagnosis/medical advice document;

step two: and extracting a scheme corresponding to the keyword to generate a user treatment scheme.

A treatment plan execution module: responsible for executing the generated treatment plan. When the user equipment management module is executed, the execution module selects the most appropriate equipment to execute according to the available user equipment provided by the user equipment management module. And default, the execution module selects the user terminal to control execution. The following is an example of the execution of the following treatment plan (policy plan) when the user terminal is selected as the execution device:

the method comprises the following steps: the user terminal issues a questionnaire as shown in table 3, and the user is expected to select:

table 3 (please select the most appropriate your status representation)

In addition to the TRACK score, other status performances may also be automatically obtained by the smart device, e.g. PEF related data is obtained by the smart lung function machine. The personal device management module detects the user device accessing the system, and if the above contents can be automatically completed by the user device, the item will not appear in the above questionnaire but will be automatically obtained by the relevant device controlled by the execution system. If and only if the device is not available or does not meet the hospital/doctor requirements, the relevant item reappears in the questionnaire, chosen at the discretion of the user.

Step two: selecting proper treatment mode according to the selection of user state

For example: the user status corresponds to good asthma control, then a good asthma control maintenance protocol will be implemented.

If the user also has other devices which can detect the current state of the user, the treatment plan execution module can select the most appropriate user device to execute the operation according to the user/system setting. For example, a new wearable device may accurately detect the current user asthma control state, and the device, rather than the user terminal, may be selected to perform the corresponding detection.

A personal device management module: for managing the associated devices owned by the user. When a device is used for a certain treatment scheme for the first time, the personal device management module initiates an authentication request to the user equipment access authentication system and records the authentication result, which is used as a basis for judging whether a certain device is selected in a treatment scheme. The method comprises the following specific steps:

the method comprises the following steps: initiating an authentication request to a user equipment access authentication system, wherein the information at least comprises: user device information (device manufacturer information, device model information, etc.) and authentication information (note: the device does not need to know the authentication information content, i.e., the authentication information is transparent to the personal device management module).

Step two: the user equipment accesses the authentication system for authentication. See 2.3 for the user equipment to access the authentication system. And returns the authentication result.

Step three: if the validation is successful, it means that the device is indeed the device that it claims to be. Based on the user device information, it is determined whether the hospital/doctor/prescription requirements for device use are met, and if so, the device is allowed to access and be used in the present treatment protocol. Otherwise, the use of the device is denied.

An information filter management module: the execution system provides an information filter function. The information filters are classified into two types, a doctor-defined information filter and a patient-defined information filter. The physician-defined information filter allows the physician/medical facility to define abnormalities and concerns that arise during the performance of an asthma management program, as well as the measures that need to be taken when the situation occurs, such as targeted updating of orders, sending of warnings, relevant disease education information, requiring a user to review a visit, and even triggering of emergency measures (e.g., contacting an emergency vehicle, etc.). The patient-defined information filter allows the patient to define actions that the patient wishes to obtain physician feedback, wish to perform when the event occurs, such as automatically contacting the physician, making an appointment for a follow-up visit, etc. The filter function is linked to the billing system at the same time, and when the patient-defined information filter threshold is set too low (resulting in frequent system reports or requiring system/physician response time less than the set threshold), the system raises the corresponding billing criteria.

An example of a physician-defined information filter is given below (see Table 4):

TABLE 4

And the execution system monitors the doctor order updating condition, generates a new asthma management scheme and executes the scheme. If the medical advice contains the information of the doctor review, the execution system automatically finishes appointment registration for the user according to the relevant parameters and settings. Then, a detailed treatment report of the treatment course is generated based on the preset.

A user information collection questionnaire can be designed for collecting the user's past medical history, allergens, asthma causes, etc. Based on the relevant user information, the execution system automatically generates a relevant information filter to provide relevant services for the user.

For example, asthma in a patient is induced by the following three items:

a. not using the medicine according to the plan

b. Exercise of sports

c. Air pollution/haze

The system generates filters as shown in table 5:

TABLE 5

Wherein, the detection of excessive motion can be acquireed air pollution/haze condition by system connection user's intelligence bracelet/rhythm of the heart/breathing check out test set and can be obtained by relevant meteorological information service of system connection.

User equipment access authentication system module

In the execution process of the asthma management scheme, different user terminal devices need to be connected, for example, the user terminal device is connected to interact with a patient, a treatment device such as an atomizer and an intelligent medicine bottle is connected, and a detection device such as a lung function instrument and an oxygen generator is connected. Various devices in the current market are various in types and are good and irregular. To ensure the effectiveness of the asthma management scheme, the medical institution often needs to authenticate the user terminal device entering the asthma management scheme. The user equipment access authentication system provides a function of authenticating a user terminal equipment entering an asthma management scheme. When a certain user equipment is connected with the execution system for the first time to execute the asthma management scheme, the asthma management scheme execution system is connected with the user equipment access authentication system to ensure that the equipment meets the requirements of a corresponding hospital/doctor (namely, a mechanism for issuing diagnosis/medical advice corresponding to the asthma management scheme). If so, the device may be used in the asthma management scheme. Otherwise, the device is denied use in the corresponding asthma management scheme.

In a specific implementation, the user equipment access authentication system can exist as a third-party authentication authority, and also can exist as a slave subsystem of the diagnosis and release system.

Fig. 5 shows the logical composition of the user equipment access authentication system module.

The equipment authentication management module: and controlling the user equipment to access the authentication system module to realize the authentication management of the user access equipment.

The user equipment access authentication system module supports two authentication modes, namely an online authentication mode and an offline authentication mode. The on-line authentication is that the user equipment access authentication system module sends the information of the equipment needing authentication to the relevant equipment manufacturer or other authentication mechanism, for example, another user equipment access authentication system, and the equipment needing authentication is confirmed by the equipment. The off-line authentication mode is that the user equipment accesses the authentication system module to authenticate the equipment.

The selection of the authentication mode is determined by the equipment authentication management module according to the user setting information. Such as:

manufacturer settings: this requires the manufacturer to have its own device authentication system.

Legal/industry settings: the government/third party organization has established its own device authentication system requiring access to the official device authentication system.

And (3) open verification: the manufacturer opens an equipment authentication mode, and allows the user equipment to access an authentication system for self authentication, namely, offline authentication; etc. … …

An online authentication module: when the equipment authentication management module determines that online authentication needs to be adopted, calling the online authentication module to complete the following processing:

the method comprises the following steps: sending the authentication information received from the execution system to an online authentication module of the system (namely, an initial authentication system), wherein the online authentication module comprises user equipment information (equipment manufacturer information, equipment model information and the like) and authentication information (note: the authentication information is transparent for the user equipment to access the authentication system module);

An offline authentication module: the off-line authentication module realizes open verification of the equipment, namely a verification mode of the equipment disclosed by the manufacturer, and any user equipment access authentication system module can verify the equipment manufactured by the user equipment according to the verification mode disclosed by the manufacturer. This approach is more flexible and does not require the manufacturer to have its own device authentication system or an authentication system set up by a government/third party organization. An implementation of off-line verification is given below:

the method comprises the following steps: the offline authentication module receives authentication information sent from the execution system, which includes user equipment information (equipment manufacturer information, equipment model information, etc.) and authentication information. The information is a digital signature of the manufacturer for the user equipment information

Step two: the off-line authentication module verifies the digital signature, and if the digital signature passes the authentication, the off-line authentication module sends an authentication passing message to the asthma management scheme execution system module; otherwise, sending authentication failure message.

The foregoing is directed to preferred embodiments of the present invention, other and further embodiments of the invention may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow. However, any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention are within the protection scope of the technical solution of the present invention.

Claims

1. An intelligent diagnosis and treatment system for respiratory diseases, comprising: a server comprising one or more processors configured to execute computer program modules, wherein the computer program modules comprise: the system comprises a diagnosis and release system module, an asthma management scheme execution system module and a user equipment access authentication system module;

a diagnosis and release system module: the system is used for providing patient diagnosis input for medical institutions or doctors, and issuing diagnosis and medical advice information to a relevant asthma management scheme execution system module; the method comprises the steps that a plurality of asthma management scheme execution system modules provided by different service providers exist in a support network, intelligent asthma treatment management is provided for patients, the working state of each asthma management scheme execution system module is monitored, feedback and scoring of doctors or users are carried out, and charging information is generated to execute system reports, so that the patients can select proper asthma management scheme execution system modules; recording the asthma management scheme execution system module selected by the patient, and issuing diagnosis information to the corresponding asthma management scheme execution system module according to the selection of the patient after the diagnosis of the patient is completed;

the asthma management scheme execution system module: generating an executable asthma management scheme according to the diagnosis and the advice of a doctor, controlling related user equipment, executing a corresponding asthma management scheme execution system module, and recording the execution condition and the result in detail;

the user equipment access authentication system module: when certain user equipment is connected with the asthma management scheme execution system module for the first time to be executed, the asthma management scheme execution system module is connected with the user equipment access authentication system module to ensure that the user equipment meets the requirements of a corresponding hospital or doctor, and if the user equipment meets the requirements, the user equipment can be used in the asthma management scheme execution system module; otherwise, the user equipment is refused to be used in the asthma management scheme execution system module, and equipment information meeting the medical advice requirement is prompted;

the diagnosis issuing system module consists of a doctor terminal interface, a patient diagnosis and medical advice management module, a diagnosis issuing management module, an asthma management scheme execution system management module and a personal equipment access management module; the asthma management scheme execution system module consists of a treatment scheme generation module, a treatment scheme execution module, an information filter management module and a personal equipment management module; the user equipment access authentication system module consists of an equipment authentication management module, an online authentication management module and an offline authentication management module;

the diagnosis issuing system module comprises:

patient diagnosis and order management module: managing the entry and storage of patient diagnosis, scoring the effectiveness of the medical advice according to the execution result of the medical advice, and giving scores according to the gradual increase of the effectiveness of 1 to 10 on the scoring result, or qualitatively evaluating the three results of completely reaching the expectation, partially reaching the expectation and not reaching the expectation; in order to realize the evaluation of the results of diagnosis and medical advice, in addition, a template of 'treatment result expectation' is introduced for a doctor to fill in the result expectation of the treatment period after giving the diagnosis and the medical advice, and after the treatment period is finished, the patient diagnosis and medical advice management module automatically generates the effectiveness scores of the diagnosis and the medical advice according to the 'treatment result expectation' and the result feedback of the execution system;

the diagnosis release management module: the diagnosis issuing management module issues diagnosis and medical advice related information of a doctor to an asthma management scheme execution system module selected by a user according to direct selection of the user or a pre-stored user configuration file, the issued information at least comprises a user ID and specific diagnosis and medical advice information, the user ID is a unique identifier of the user in the whole respiratory disease intelligent diagnosis and treatment system, the user is supported to select the asthma management scheme execution system module, the working state of each different asthma management scheme execution system module is monitored, user feedback and scoring are performed, and a charging information generation execution system report is generated to enable a patient to select a proper asthma management scheme execution system module; the diagnosis and the medical orders are generated, issued and executed in the form of strategy prescriptions, one strategy prescription consists of more than one diagnosis and treatment rule, and each rule at least comprises two parts, namely disease condition judgment conditions and treatment measures;

executing a system management module: the system is responsible for monitoring the working state of each different execution system, user feedback and scoring, and charging information generation execution system report, so that a patient can select a proper asthma management scheme execution system module;

personal device admission management module: and maintaining a personal equipment list allowed to be used in the medical orders of the hospital or doctor, and connecting the asthma management scheme execution system module and the user equipment access authentication system module to complete personal equipment access management.

2. The intelligent diagnosis and treatment system for respiratory diseases according to claim 1, wherein the asthma management scheme execution system module comprises:

basic keywords: "if"; 'just'

a treatment plan execution module: the personal equipment access management module is used for providing a user terminal with a treatment plan execution module, and the treatment plan execution module is used for executing the generated treatment plan;

in the process of executing the asthma treatment strategy prescription, a treatment scheme execution module dynamically selects and executes a corresponding treatment scheme according to diagnosis conditions, and the collection of the diagnosis conditions is executed by the selected proper user equipment;

an information filter management module: the execution system provides an information filter function, the information filter is divided into a doctor-defined information filter and a patient-defined information filter, the doctor-defined information filter allows a doctor or a medical institution to define abnormal and concerned situations in the execution of the asthma management scheme and measures needed to be taken when the situations occur, the abnormal and concerned situations include updating medical orders, sending early warning, related disease education information, requiring a user to go back to a doctor or even triggering emergency measures, the patient-defined information filter allows the patient to define situations which the doctor wants to obtain feedback, operations which the patient wants to perform when the events occur, the filter function is simultaneously linked with a charging system, and when the threshold value of the patient-defined information filter is set to be too low, the system improves the corresponding charging standard;

3. The intelligent diagnosis and treatment system for respiratory diseases according to claim 1 or 2, wherein the user equipment is accessed into the authentication system module:

the equipment authentication management module: controlling the user equipment to access an authentication system module to realize authentication management on the user access equipment; the user equipment access authentication system supports two authentication modes, namely an online authentication mode and an offline authentication mode, wherein the online authentication is that the user equipment access authentication system sends the information of equipment to be authenticated to a related equipment manufacturer or other authentication mechanisms, the offline authentication mode is that the user equipment access authentication system authenticates the equipment, and the selection of the authentication mode is determined by the equipment authentication management module according to the information set by the user;

an online authentication module: when the equipment authentication management module determines that online authentication needs to be adopted, calling the online authentication module to finish online authentication of the user equipment;

an offline authentication module: the off-line authentication module realizes the open verification of the equipment, namely the verification mode of the equipment disclosed by the manufacturer, and any user equipment access authentication system can verify the equipment manufactured by the user equipment according to the verification mode disclosed by the manufacturer; this approach is more flexible and does not require the manufacturer to have its own device authentication system or an authentication system set up by a government or third party organization.

4. A method for controlling and using the respiratory disease intelligent diagnosis and treatment system according to any one of claims 1 to 3, comprising the following steps:

(5) during the execution of the asthma management scheme, the asthma management scheme execution system module executes predefined operations according to the filter rules set by the doctor and the patient, and the following results are produced: the doctor updates the order, so that a new cycle from the step (1) to the step (5) is generated; secondly, the doctor directly interacts with the user to answer the user question; and thirdly, the asthma management scheme execution system module identifies that the re-diagnosis condition is met, appoints the re-diagnosis for the patient according to the set condition and automatically generates a detailed report of the cost treatment period and a condition summary of the whole treatment process.

5. The method for controlling and using the intelligent respiratory disease diagnosis and treatment system according to claim 4, wherein after the step (5), the method further comprises the following steps: (6) according to the setting of the diagnosis issuing system module and the asthma management scheme execution system module, the detailed report of the treatment period can be sent to relevant doctors in advance, and can also be submitted to main doctors during the patient consultation.

6. The method for controlling the use of the intelligent diagnosis and treatment system for respiratory diseases according to claim 4 or 5, wherein the diagnosis and the medical orders are generated, issued and executed in the form of strategy prescriptions, one strategy prescription is composed of more than one diagnosis and treatment rules, each rule at least comprises two parts of a condition judgment condition and a treatment measure, and the strategy prescription at least comprises the following diagnosis and treatment rules:

when the policy prescription is issued to the asthma management plan execution system module, the asthma management plan execution system module dynamically selects and executes a corresponding treatment plan according to the diagnosis condition.

7. The method for controlling and using the intelligent respiratory disease diagnosis and treatment system according to claim 4 or 5, wherein after the treatment period is over, the patient diagnosis and order management module automatically generates the effectiveness scores of diagnosis and order according to the result feedback of the 'treatment result expectation' and asthma management scheme execution system module, and the effectiveness scores are sent to doctors or medical institutions in real time or at the time of patient re-diagnosis as a part of the detailed report of the treatment period and the situation summarization report of the whole treatment process.

8. The method for controlling and using the intelligent diagnosis and treatment system for respiratory diseases according to claim 4 or 5, wherein the diagnosis and order input modes comprise the following two modes:

the second method comprises the following steps: a prescribed mode input method, which requires a doctor to input diagnosis and medical advice according to a certain prescribed mode, and requires the doctor to use predefined keywords during the input, each keyword corresponds to a set of detailed treatment scheme, and the doctor only needs to write the name of the keyword in the medical advice; after the diagnosis and the medical advice are issued, the execution system can automatically extract a corresponding treatment scheme according to the keywords; under the condition of input in a specified mode, the patient diagnosis and medical advice management module is responsible for prompting and checking whether the key word input of the user is correct, and under the condition that the key word systems supported by a plurality of execution systems are not completely consistent, the patient diagnosis and medical advice management module needs to call the issuing module to select the execution system first and then complete the input and storage of diagnosis and medical advice; the prescribed pattern input also includes a manner of filling out a graphical interface that provides at least an "asthma exacerbation response scenario", "asthma exacerbation precursor response scenario", and "asthma control well-being maintenance scenario".

9. The method for controlling the use of the intelligent diagnosis and treatment system for respiratory diseases according to claim 4 or 5, wherein the personal device admission management module maintains a list of personal devices allowed to be used in the orders of hospitals or doctors, and connects the asthma management scheme execution system and the user equipment access authentication system to complete the personal device admission management, and the flow is as follows:

step three: inquiring whether the equipment belongs to equipment which is allowed to be used by a corresponding hospital or doctor advice or not according to equipment authentication information received from a user equipment access authentication system, if so, returning authentication passing information, and otherwise, failing authentication;

step three: if the confirmation is successful, the information provided by the user equipment is verified to be correct, whether the requirement of the hospital or doctor prescription on the use of the equipment is met or not is judged according to the information of the user equipment, if so, the equipment is allowed to be accessed and used in the treatment scheme, otherwise, the use of the equipment is refused;

the method comprises the following steps: sending authentication information received from an execution system to an online authentication module of the system, wherein the authentication information comprises user equipment information and authentication information;

step three: the remote authentication system completes authentication and returns the result to the initial authentication system;

step four: the initial authentication system sends an authentication result to the execution system;

the method comprises the following steps: the off-line authentication module receives authentication information sent by the execution system, wherein the authentication information comprises user equipment information and authentication information, and the information is a digital signature of a manufacturer for the user equipment information;