CN112220459A - Chronic disease monitoring and management system - Google Patents
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- CN112220459A CN112220459A CN202010892446.5A CN202010892446A CN112220459A CN 112220459 A CN112220459 A CN 112220459A CN 202010892446 A CN202010892446 A CN 202010892446A CN 112220459 A CN112220459 A CN 112220459A
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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- A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
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Abstract
The invention relates to a monitoring management system, in particular to a chronic disease monitoring management system. The system comprises a health file unit, a resource sharing unit, a data monitoring unit, an information management unit, a treatment management unit and a medication management unit, wherein the health file unit comprises a personal information module, a physical examination information module, a diagnosis information module, a treatment information module and a clinical information module, the resource sharing unit comprises an appointment management module, a consultation management module, an expert management module and a consultation auxiliary module, the treatment management unit comprises a motion management module and a diet management module, and the medication management unit comprises a medication plan module and a medication reminding module.
Description
Technical Field
The invention relates to a monitoring management system, in particular to a chronic disease monitoring management system.
Background
The chronic disease management is not only a hot point concerned in the field of medical health, but also becomes a social problem requiring urgent emmetropia and attention, most of chronic diseases belong to life-style diseases, such as diabetes, hypertension, hyperlipidemia, coronary heart disease, cancer and autoimmune system diseases, the harm of the chronic disease mainly causes damage to important organs such as brain, heart, kidney and the like, the chronic disease is easy to cause disability, the labor capacity and the quality of life are affected, the medical expense is extremely high, the economic burden of society and families is increased, the chronic disease not only brings great psychological and physiological pain to patients, but also is a disaster to families of patients and even the whole society, however, the resource investment of the existing medical institutions is limited, the construction of a chronic disease management network is not complete, the data collection is incomplete, and the discovery of complications and the condition deterioration of the patients can be delayed.
Disclosure of Invention
The present invention is directed to a chronic disease monitoring and management system, which solves the above problems.
In order to achieve the above object, the present invention provides a chronic disease monitoring and management system, which comprises a health file unit, a resource sharing unit, a data monitoring unit, an information management unit, a treatment management unit and a medication management unit;
the health file unit is used for providing detailed data support for long-term diagnosis and treatment of patients, and is convenient for doctors and patients to perform early warning, medium-term control and later-term treatment on certain symptoms, complications, risk factors and the like;
the resource sharing unit is used for remote consultation, diagnosis and treatment and rehabilitation guidance of chronic diseases;
the data monitoring unit is used for monitoring various chronic disease data;
the information management unit is used for recording and diagnosing the data in the data monitoring unit;
the treatment management unit is used for braking out a reasonable exercise and diet plan for treating chronic diseases;
the medication management unit is used for guiding medication and illness state of the patient.
As a further improvement of the technical solution, the health record unit includes a personal information module, a physical examination information module, a diagnosis information module, a treatment information module, and a clinical information module, the personal information module is used for recording personal basic information of the patient, the physical examination information module is used for recording laboratory examination information, physical examination information, and imaging examination information of the patient, the diagnosis information module is used for recording a diagnosis result, the treatment information module is used for recording all treatment information, and the clinical information module is used for recording clinical medication and follow-up visit information.
As a further improvement of the technical solution, the resource sharing unit includes an appointment management module, a consultation management module, an expert management module, and a consultation auxiliary module;
the appointment management module is used for appointment consultation, after logging in the system through an IE browser, the appointment management module applies for consultation, and the appointment management module simultaneously performs consultation early-stage data preparation and transmits basic data to a server (the file uploading can be in different modes and can be divided into case history content, image pictures, inspection and inspection conclusions and the like which are uploaded according to formats) so as to be used in receiving, auditing and formal consultation, wherein the consultation comprises the appointment of the specific time of consultation, consultation experts, consultation cost (the consultation scale and the expert level can be selected according to the consultation cost and whether the consultation is used or not), the consultation room (if the consultation room has consultation room instructions) and the like;
the consultation management module is used for the consultation specialists to explain medical record data and carry out video, voice and information communication, the consultation specialists can operate and explain the medical record data, the consultation interfaces of the consultation specialists and the applying doctors realize synchronous transformation (or information communication), the consultation specialists or the applying doctors carry out annotation such as annotation, characters and the like on image data, and a consultation report sheet is provided (mainly, diagnosis opinions and treatment suggestions given by the specialists after consultation are recorded, and finally consultation data sorting and storing work is carried out;
the expert management module is used for checking basic information of required experts and maintaining the expert information;
the consultation auxiliary module is used for checking the text communication content of consultation and tracking the treatment effect of the patients in the network hospitals.
As a further improvement of the technical scheme, the data monitoring unit comprises a blood pressure measuring module, a blood sugar measuring module, a breath measuring module and a body temperature measuring module, wherein the blood pressure measuring module is used for evaluating blood pressure level, the blood sugar measuring module is used for measuring blood sugar data, the breath measuring module is used for measuring breath state, and the body temperature measuring module is used for measuring body temperature data.
As a further improvement of the technical solution, an average pressure calculation formula of the blood pressure measurement module is as follows:
where T is the period, p is the pressure, d is the distance, and T is the time.
As a further improvement of the present technical solution, the reaction equation of the blood glucose measuring module is as follows:
glucose + O2+ GOD → gluconic acid + H2O2，
H2O2→2H++O2+2e-。
Glucose oxidase is solidified on the surface of the electrode, after blood is dripped into the blood sugar test electrode, an oxidation-reduction reaction occurs, divalent iron ions in a transmission medium lose electrons in the reaction process, an oxidation reaction occurs, the glucose oxidase oxidizes glucose to generate H2O2 and gluconic acid, the H2O2 oxidizes the divalent iron ions, an electron gain and loss phenomenon occurs in the oxidation-reduction process, oxidation current is formed under the action of certain voltage, and the change of the detection current and the concentration of the glucose are approximately in a linear relation, so that the purpose of detecting the concentration of the blood sugar is achieved.
As a further improvement of the technical solution, the volume flow calculation formula of the respiration measurement module is as follows:
wherein V is the volume flow, Q is the respiratory flow, dt is the respiratory velocity, and the fluid volume increment is continuously measured by virtue of the momentum of the fluid itself.
The respiration measurement module is a flow meter, a meter for continuously measuring a large or small volume flow per unit time, which is also referred to as a volume flow meter, since it measures a volume flow.
As a further improvement of the technical solution, the therapy management unit comprises an exercise management module and a diet management module;
the motion management module is used for making a proper motion scheme, making the proper motion management scheme according to the condition of monitoring data in the information management unit, combining with a motion instrument, directly transmitting the motion data to the system server in a wireless mode, and enabling an expert to regularly adjust the motion scheme according to the real-time motion data, so that the motion of a patient is more scientific and reasonable, excessive and insufficient motion is prevented, and beneficial help is provided for the treatment of chronic diseases;
the diet management module is used for making a reasonable diet plan, braking the reasonable diet plan for the chronic disease patient by combining the actual situation of the patient, making proper guidance for the diet of the patient every day, tracking and adjusting for a long time, and automatically calculating the nutrient content and the calorie of the food ingested by the patient according to the food nutrition model and the calorie model so as to scientifically and reasonably control the diet of the chronic disease patient.
As a further improvement of the technical scheme, the medication management unit comprises a medication plan module and a medication reminding module, the medication plan module is used for making a medication plan, and the medication reminding module is used for reminding a user to take medication according to the medication plan module.
Compared with the prior art, the invention has the beneficial effects that:
in this chronic disease monitoring management system, through setting up healthy archives unit, can inquire the basic information of patient fast, make things convenient for doctor and patient to some symptoms, complications, risk factor etc. carry out early warning, middle period control and later stage treatment, through setting up resource sharing unit, make things convenient for the patient to carry out long-range consultation and diagnose, rehabilitation guidance, avoid going to hospital in-process delay treatment, through setting up data monitoring unit, can be to the blood pressure of patient, blood sugar, breathe and body temperature measure the monitoring at any time, make data collection more complete, help in time to discover patient's malaise.
Drawings
FIG. 1 is a block diagram showing the overall structure of embodiment 1;
FIG. 2 is a block diagram of the health file unit according to embodiment 1;
FIG. 3 is a block diagram of a resource sharing unit according to embodiment 1;
FIG. 4 is a block diagram of a data monitoring unit of embodiment 1;
FIG. 5 is a block diagram of a treatment management unit according to embodiment 1;
fig. 6 is a block diagram of medication administration management units according to embodiment 1.
The various reference numbers in the figures mean:
100. a health file unit; 101. a personal information module; 102. a physical examination information module; 103. a diagnostic information module; 104. a therapy information module; 105. a clinical information module;
200. a resource sharing unit; 201. a reservation management module; 202. a consultation management module; 203. an expert management module; 204. a consultation auxiliary module;
300. a data monitoring unit; 301. a blood pressure measuring module; 302. a blood glucose measurement module; 303. a respiration measurement module; 304. a body temperature measuring module;
400. an information management unit; 500. a treatment management unit; 501. a motion management module; 502. a diet management module;
600. a medication management unit; 601. a medication plan module; 602. and a medication reminding module.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the equipment or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
Example 1
Referring to fig. 1-6, the present embodiment provides a chronic disease monitoring and management system, which includes a health file unit 100, a resource sharing unit 200, a data monitoring unit 300, an information management unit 400, a treatment management unit 500, and a medication management unit 600;
the health file unit 100 is used for providing detailed data support for long-term diagnosis and treatment of patients, and is convenient for early warning, medium-term control and later-term treatment of doctors and patients on certain symptoms, complications, risk factors and the like;
the resource sharing unit 200 is used for remote consultation, diagnosis and treatment and rehabilitation guidance of chronic diseases;
the data monitoring unit 300 is used for monitoring various chronic disease data;
the information management unit 400 is used for recording and diagnosing the data in the data monitoring unit 300;
the treatment management unit 500 is used to generate a reasonable exercise and diet plan for treating chronic diseases;
the medication management unit 600 is used to guide medication and conditions of the patient.
In this embodiment, the health profile unit 100 includes a personal information module 101, a physical examination information module 102, a diagnosis information module 103, a treatment information module 104, and a clinical information module 105;
the personal information module 101 is used for recording personal basic information of the patient;
the physical examination information module 102 is used for recording laboratory examination information, physical examination information and imaging examination information of the patient;
the diagnosis information module 103 is used for recording diagnosis results;
the treatment information module 104 is used for recording all treatment information;
the clinical information module 105 is used for recording clinical medication and follow-up information;
the basic information of the patient can be rapidly inquired through the health record unit 100, so that early warning, medium-term control and later-term treatment of some symptoms, complications, risk factors and the like by doctors and patients are facilitated.
Further, the resource sharing unit 200 includes an appointment management module 201, a consultation management module 202, an expert management module 203, and a consultation auxiliary module 204;
the appointment management module 201 is used for appointment consultation, and after logging in a system through an IE browser, the appointment management module applies for consultation, including booking of information such as specific consultation time, consultation experts, consultation cost (consultation scale can be selected according to the consultation cost, expert level can be selected, and whether video consultation is used or not can adopt non-video consultation) and consultation rooms (such as consultation room quotations) and the like, meanwhile, preparation of early-stage consultation data is performed, and basic data is transmitted to a server (file uploading can adopt different modes, and uploading of medical record content, image pictures, inspection and inspection conclusions and the like according to formats) so as to be used in receiving, auditing and formal consultation conveniently;
the consultation management module 202 is used for the consultation specialist to explain medical record data, to communicate video, voice and information including characters, files, pictures, images and the like, the consultation specialist can operate and explain the medical record data, the consultation specialist and the doctor applying for consultation interface realize synchronous transformation (or information communication), the consultation specialist or the doctor applying for consultation annotates on the image data, such as labels, characters and the like, and issues a consultation report sheet (mainly recording diagnosis opinions and treatment suggestions given by the specialist after consultation, and finally performing consultation data sorting and storing work;
the expert management module 203 is used for checking the basic information of the needed expert and the maintenance of the expert information;
the consultation auxiliary module 204 is used for checking the text communication content of consultation and tracking the treatment effect of the patients in the network hospital;
resources such as experts, knowledge bases and the like of a plurality of authoritative hospitals are directly shared with basic medical institutions through the resource sharing unit 200, remote consultation, diagnosis and treatment and rehabilitation guidance can be directly carried out on serious diseases, chronic diseases and other difficult and complicated diseases, and basic patients can directly carry out chronic disease management through the system by the experts of the upper authoritative hospitals.
It should be noted that the data monitoring unit 300 includes a blood pressure measuring module 301, a blood sugar measuring module 302, a respiration measuring module 303 and a body temperature measuring module 304;
the blood pressure measuring module 301 is used for evaluating blood pressure level, a patient takes a supine position or a sitting position, the sleeve is rolled to the shoulder to expose the upper arm, the elbow is straightened, the palm is extended upwards by 15 degrees, the zero point of the sphygmomanometer, the brachial artery and the heart are kept at the same level, the sphygmomanometer is laid flat and is horizontally placed stably, a mercury tank switch is opened, whether a mercury column is at the zero point or not is observed, air in the sleeve is exhausted, the sleeve is wound in the middle of the upper arm smoothly and non-folded, the lower edge is 2-3cm away from the elbow pit, and the elasticity is preferably that a finger can be placed. Inquiring whether the patient is uncomfortable, advising the patient to keep quiet temporarily when measuring the blood pressure, wearing a stethoscope, touching the most obvious part of the brachial artery, tightly attaching a chest piece of the stethoscope to the most obvious part of the brachial artery pulse, inflating until the pulse sound of the brachial artery disappears, then rising by 20-30mmHg, then slowly deflating at the speed of 4mmHg per second, observing scales of the mercury column through eyes, and generating the first sound pulse sound of the stethoscope, wherein the scales pointed by the mercury column are systolic pressure; when the pulsation sound suddenly weakens or disappears, the scale pointed by the mercury column is diastolic pressure, after the measurement is finished, the residual air of the cuff is exhausted, the cuff is wound and placed in a sphygmomanometer box, the sphygmomanometer is tilted at an angle of 45 degrees right, the mercury backflow groove is formed, the switch of the mercury groove is closed, and the sphygmomanometer is closed;
the blood glucose measuring module 302 is used for measuring blood glucose data, preparing a blood sampling needle head, opening a blood glucose meter, displaying a number on a screen, debugging the number to be completely consistent with the number on a test paper bottle to be used, when a prompt of inserting test paper flashes on the screen, slightly inserting the test paper, sampling blood, disinfecting fingers, completely evaporating disinfectant, placing the blood sampling needle at a part to be sampled by the fingers (the blood sampling needle is deeply punctured by the fingers), pressing the blood sampling needle, slightly pressing the fingers, enabling the test holes of the test paper to be close to the blood, filling the test holes with the blood, not smearing and moving the test paper, waiting for displaying a blood glucose measured value on the screen, pressing a blood sampling point by using a sterile dry cotton swab, ensuring no bleeding, discarding the blood glucose test paper, closing the blood glucose meter, and finally arranging a comfortable position for a patient;
the respiration measuring module 303 is used for measuring the respiration condition;
the body temperature measurement module 304 is used for measuring body temperature data, wiping sweat under the armpit by using a glass thermometer, putting the mercury end of the thermometer in the deep armpit of a patient and tightly adhering the mercury end to the skin to prevent the mercury end from falling off, taking out the mercury end after measuring for 5-10 minutes, observing the position of a mercury column and recording a measurement result.
Specifically, the average pressure of the blood pressure measuring module 301 is calculated according to the following formula:
where T is the period, p is the pressure, d is the distance, and T is the time.
Specifically, the reaction equation of the blood glucose measurement module 302 is as follows:
glucose + O2+ GOD → gluconic acid + H2O2，
H2O2→2H++O2+2e-；
Glucose oxidase GOD is solidified on the surface of the electrode, when blood is dripped into the blood sugar test electrode, redox reaction occurs, ferrous ions in a transmission medium lose electrons in the reaction process, oxidation reaction occurs, and the glucose oxidase oxidizes glucose to generate H2O2And gluconic acid, H2O2The ferrous ions are oxidized, the electron gain and loss phenomenon occurs in the oxidation reduction process, under the action of a certain voltage, an oxidation current is formed, and the purpose of detecting the blood glucose concentration is achieved by detecting that the current change and the glucose concentration are approximately in a linear relation.
Specifically, the volume flow calculation formula of the respiration measurement module 303 is as follows:
wherein V is the volume flow, Q is the respiratory flow, dt is the respiratory velocity, and the fluid volume increment is continuously measured by virtue of the momentum of the fluid itself.
The respiration measurement module 303 is a flow meter, and is a meter for continuously measuring a volume flow rate per unit time, and is also referred to as a volume flow meter because it measures a volume flow rate.
Further, the treatment management unit 500 includes an exercise management module 501 and a diet management module 502;
the motion management module 501 is used for making a proper motion scheme, making a proper motion management scheme according to the condition of monitoring data in the information management unit 400, combining an exercise instrument, directly transmitting motion data to the system server in a wireless mode, and enabling experts to regularly adjust the motion scheme according to the real-time motion data, so that the motion of a patient is more scientific and reasonable, excessive and insufficient motion is prevented, and beneficial help is provided for treatment of chronic diseases;
the diet management module 502 is used for making a reasonable diet plan, braking the reasonable diet plan for the chronic disease patient by combining the actual situation of the patient, making proper guidance for the diet of the patient every day, tracking and adjusting for a long time, and automatically calculating the nutrient content and the calorie of the food taken by the patient according to the food nutrition model and the calorie model so as to scientifically and reasonably control the diet of the chronic disease patient.
In addition, the medication management unit 600 includes a medication plan module 601 and a medication reminding module 602, the medication plan module 601 is used for making a medication plan, the patient records the daily medication condition and the state of an illness of the patient in the system, and a background expert guides the medication and the state of the illness of the patient by combining the actual condition of the chronic patient, so as to help the patient to take medication correctly and perform treatment and rehabilitation better;
the medication reminding module 602 is used for reminding the user of medication according to the medication plan module 601, and reminding the chronic disease patient of various short messages such as taking medicine, exercising, checking, re-diagnosing, illness state and the like, so that the chronic disease management efficiency and treatment effect are greatly improved, the patient feels well in mind, and the service quality of the chronic disease management is improved.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and the preferred embodiments of the present invention are described in the above embodiments and the description, and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (9)
1. A chronic disease monitoring and management system, characterized in that: comprises a health file unit (100), a resource sharing unit (200), a data monitoring unit (300), an information management unit (400), a treatment management unit (500) and a medication management unit (600);
the health record unit (100) is used for providing detailed data support for long-term diagnosis and treatment of patients;
the resource sharing unit (200) is used for remote consultation, diagnosis and treatment and rehabilitation guidance of chronic diseases;
the data monitoring unit (300) is used for monitoring various chronic disease data;
the information management unit (400) is used for recording and diagnosing data in the data monitoring unit (300);
the treatment management unit (500) is used for braking out a reasonable exercise and diet plan for treating chronic diseases;
the medication management unit (600) is used for guiding medication and illness states of patients.
2. The chronic disease monitoring and management system of claim 1, wherein: the health record unit (100) comprises a personal information module (101), a physical examination information module (102), a diagnosis information module (103), a treatment information module (104) and a clinical information module (105), wherein the personal information module (101) is used for recording personal basic information of a patient, the physical examination information module (102) is used for recording laboratory examination information, physical examination information and imaging examination information of the patient, the diagnosis information module (103) is used for recording a diagnosis result, the treatment information module (104) is used for recording all treatment information, and the clinical information module (105) is used for recording clinical medication and follow-up information.
3. The chronic disease monitoring and management system of claim 1, wherein: the resource sharing unit (200) comprises a reservation management module (201), a consultation management module (202), an expert management module (203) and a consultation auxiliary module (204); the appointment management module (201) is used for appointment consultation; the consultation management module (202) is used for a consultation specialist to explain medical record data; the expert management module (203) is used for checking basic information of required experts and maintaining the expert information; the consultation auxiliary module (204) is used for checking the text communication content of consultation and tracking the treatment effect of the patients in the network hospitals.
4. The chronic disease monitoring and management system of claim 1, wherein: the data monitoring unit (300) comprises a blood pressure measuring module (301), a blood sugar measuring module (302), a breath measuring module (303) and a body temperature measuring module (304), wherein the blood pressure measuring module (301) is used for evaluating blood pressure level, the blood sugar measuring module (302) is used for measuring blood sugar data, the breath measuring module (303) is used for measuring breath state, and the body temperature measuring module (304) is used for measuring body temperature data.
5. The chronic disease monitoring and management system of claim 4, wherein: the average pressure calculation formula of the blood pressure measurement module (301) is as follows:
where T is the period, p is the pressure, d is the distance, and T is the time.
6. The chronic disease monitoring and management system of claim 5, wherein: the reaction equation of the blood glucose measurement module (302) is as follows:
glucose + O2+ GOD → gluconic acid + H2O2，
H2O2→2H++O2+2e-。
7. The chronic disease monitoring and management system of claim 6, wherein: the volume flow calculation formula of the respiration measurement module (303) is as follows:
where V is the volume flow, Q is the respiratory flow, and dt is the respiratory rate.
8. The chronic disease monitoring and management system of claim 1, wherein: the treatment management unit (500) comprises an exercise management module (501) and a diet management module (502), wherein the exercise management module (501) is used for formulating an appropriate exercise scheme; the diet management module (502) is used for making a reasonable diet plan.
9. The chronic disease monitoring and management system of claim 1, wherein: the medication management unit (600) comprises a medication plan module (601) and a medication reminding module (602), the medication plan module (601) is used for making a medication plan, and the medication reminding module (602) is used for reminding a user to take medication according to the medication plan module (601).
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113520346A (en) * | 2021-06-30 | 2021-10-22 | 江门市奥威斯电子有限公司 | Intelligent management system for monitoring rehabilitation life of patient |
| CN116759038A (en) * | 2023-06-30 | 2023-09-15 | 重庆医科大学附属第二医院 | Chronic patient management system and method |
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| CN103559397A (en) * | 2013-10-31 | 2014-02-05 | 合肥学院 | Intelligent service system and method applied to hypertension chronic diseases |
| CN104200294A (en) * | 2014-05-04 | 2014-12-10 | 黄海铨 | Outpatient service information management system |
| CN107229814A (en) * | 2016-03-24 | 2017-10-03 | 深圳中迈数字医疗技术有限公司 | The method and system intervened according to chronic's information |
| CN105893752A (en) * | 2016-03-31 | 2016-08-24 | 厦门市糖尿病研究所 | Three-specialist co-management graded diagnosis and treatment transfer treatment system and method for chronic disease |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113520346A (en) * | 2021-06-30 | 2021-10-22 | 江门市奥威斯电子有限公司 | Intelligent management system for monitoring rehabilitation life of patient |
| CN116759038A (en) * | 2023-06-30 | 2023-09-15 | 重庆医科大学附属第二医院 | Chronic patient management system and method |
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