WO2019041711A1

WO2019041711A1 - Chronic disease follow-up monitoring system and method based on health examination all-in-one machine

Info

Publication number: WO2019041711A1
Application number: PCT/CN2017/120305
Authority: WO
Inventors: 张贯京; 葛新科; 王海荣; 高伟明; 张红治; 周亮
Original assignee: 深圳市易特科信息技术有限公司
Priority date: 2017-08-31
Filing date: 2017-12-29
Publication date: 2019-03-07
Also published as: CN107506598A

Abstract

A chronic disease follow-up monitoring system and method based on a health examination all-in-one machine. The method comprises the steps of: reading, from a chronic disease management server, a daily follow-up plan made by a doctor for a patient; searching a medical order system platform for examination items of the daily follow-up plan and corresponding plan dates, and generating a current follow-up plan of the patient; comparing, when the medical order system platform transmits a medical order, the examination items of the current follow-up plan with the examination items transmitted from the medical order system platform to determine unplanned examination items and planned examination items of the patient, and sending the unplanned and planned examination items to a mobile intelligent terminal of the patient to instruct the patient to take item examination; and performing, when the examination result is received from a self-service health examination all-in-one machine, statistical analysis on the examination result to evaluate the execution effect of chronic disease management of the patient by the doctor. The system and method can monitor daily examination and treatment of a patient during a rehabilitation period or an observation period, thereby preventing the condition of the patient becoming worse.

Description

Slow disease follow-up monitoring system and method based on health inspection integrated machine

Technical field

The invention relates to the technical field of chronic disease management, in particular to a chronic disease follow-up monitoring system and method based on a health check and integrated machine.

Background technique

Chronic diseases usually refer to chronic diseases such as high blood pressure, high blood fat, diabetes, and mental illness. The treatment of chronic diseases usually lasts for a long time, patients need long-term hospitalization, or long-term travel between home and hospital, which takes up a lot of time for patients. Moreover, at present, there is a lack of a chronic disease management follow-up monitoring system for chronic disease management for daily examination items during the rehabilitation or observation period after the patient is diagnosed and treated in the hospital, that is, it is impossible to automatically supervise whether the patient completes self-examination and self-execution of the patient according to the plan. The management of chronic diseases may lead to delays in the patient's condition, prolonged treatment period, and no effective therapeutic effect, and the patient cannot be completely recovered.

technical problem

The main object of the present invention is to provide a chronic disease follow-up monitoring system and method based on an integrated health check-up machine, aiming at solving the technical problem that the existing chronic disease management system cannot monitor whether a chronic disease follow-up plan is performed during a rehabilitation period or an observation period of a patient. .

Technical solution

To achieve the above object, the present invention provides a chronic disease follow-up monitoring system based on a health check-in integrated machine, which is operated in a chronic disease management server, which is connected with a medical system platform and self-service health set in a community medical institution. The allergy monitoring and monitoring system includes: a follow-up plan generation module, configured to read a daily follow-up plan prepared by the doctor for the patient from the storage unit of the chronic disease management server, and import the inspection item of the daily follow-up plan into the The medical order system platform finds the inspection items of the daily follow-up plan and the corresponding planning date in the medical order system platform, and combines the planned items close to the current date with the planned date and generates the patient's current follow-up plan; the medical order monitoring module is used to monitor the medical order Whether the system platform transmits the doctor's order, when the doctor's system platform transmits the doctor's order, compare the inspection items of the follow-up plan and the inspection items transmitted by the doctor's system platform to determine the patient's unplanned inspection project and the planned inspection project; the follow-up plan tracking module uses Unplanned examination of the patient The mobile intelligent terminal sent to the patient by the planned inspection item notifies the patient to the self-service health check-in machine of the nearest community medical institution to perform the item inspection; the follow-up plan analysis module is used to receive the result of the patient's examination from the self-service health check-in machine. At the time, statistical analysis was performed on the results of the examination to assess the effectiveness of the doctor's implementation of the patient's chronic disease management and treatment.

Further, the follow-up plan generating module generates the patient's current follow-up plan, which comprises: extracting the check item of the scheduled follow-up plan from the daily follow-up plan, and grouping the check items that should be followed up according to the planned date, and The combination of test items with a planned date close to the current date is used as the initial follow-up plan; the equivalent follow-up items in the daily follow-up plan in the initial follow-up plan and the initial follow-up plan are removed, and the patient's follow-up plan is generated.

Further, the medical order monitoring module determines that the patient's unplanned inspection item and the planned inspection item specifically include: extracting an inspection item transmitted from the medical order system platform from the medical order; and determining whether there is a transmitted inspection item in the current follow-up plan; If there is no transmitted inspection item in the follow-up plan, it is determined that the transmitted inspection item is the patient's unplanned inspection item; if there is a transmitted inspection item in the current follow-up plan, it is determined that the transmitted inspection item is the patient's planned inspection item. .

Further, the self-service health check-in machine includes an ID card reader, a medical human body scale, an infrared height detector, a body composition analyzer, an ultrasonic bone density meter, a blood pressure meter, a smart blood glucose meter, and a cardiovascular function measurement. Instrument, ECG detector, blood oxygen detector, electronic vision measuring instrument, TCM body tester, printer and display.

Further, the health check-integrator-based chronic disease follow-up monitoring system further includes a health knowledge presentation module for obtaining corresponding information from the storage unit of the chronic disease management server according to the execution effect of the chronic disease management and treatment Health management knowledge, and send health management knowledge to the patient's mobile smart terminal to educate and educate patients about health knowledge.

The invention also provides a chronic disease follow-up monitoring method based on a health check and integrated machine, which is applied to a cloud server, which is connected with a medical system platform and a self-service health check-in machine installed in a community medical institution, the method The method includes the following steps: reading a daily follow-up plan prepared by the doctor for the patient from the storage unit of the chronic disease management server, and importing the inspection item of the daily follow-up plan into the medical order system platform; searching for the inspection item of the daily follow-up plan in the medical system platform And the corresponding planned date, and the planned date is close to the current date of the inspection item combination and generate the patient's current follow-up plan; monitor the medical order system platform to transmit the medical order; when the medical order system platform transmits the medical order, compare the inspection items of the follow-up plan And the inspection item transmitted by the medical order system platform to determine the patient's unplanned inspection item and the planned inspection item; the patient's unplanned inspection item and the planned inspection item are sent to the patient's mobile intelligent terminal to notify the patient to the nearest community medical institution for self-help Health check-in machine Check the line item; when the check is received from the self-service machine to check the health outcomes for patients, statistical analysis of test results to assess the implementation of the results of the doctors chronic disease management and treatment of the patient.

Further, the step of combining the inspection items with the planned date close to the current date and generating the patient's current follow-up plan includes: extracting the inspection item that should be followed up from the daily follow-up plan, and checking the scheduled follow-up plan The project is grouped according to the planned date, and the combination of the test items whose planned date is close to the current date is used as the initial follow-up plan; the equivalent check items in the daily follow-up plan and the initial follow-up plan in the initial follow-up plan are removed, and the patient's book is generated. Follow-up plan.

Further, the step of comparing the inspection item of the current follow-up plan with the inspection item transmitted by the medical order system platform to determine the patient's unplanned inspection item and the planned inspection item includes: extracting the inspection item transmitted by the medical order system platform from the medical order; Determine whether there is a transmitted inspection item in this follow-up plan; if there is no transmitted inspection item in this follow-up plan, it is determined that the transmitted inspection item is the patient's unplanned examination item; if there is a transmission inspection in this follow-up plan For the project, it is determined that the transmitted inspection item is the patient's planned inspection item.

Further, the health check-integrator-based chronic disease follow-up monitoring method further comprises the steps of: obtaining corresponding health management knowledge from the storage unit of the chronic disease management server according to the execution effect of the chronic disease management and treatment, and acquiring health management knowledge The mobile smart terminal sent to the patient conducts health knowledge presentation and education to the patient.

Beneficial effect

Compared with the prior art, the chronic disease follow-up monitoring system and method based on the health check-in machine can generate a corresponding daily follow-up plan according to the patient's diagnosis and treatment plan, and introduce it into the medical order system platform, by comparing the present The inspection items transmitted by the follow-up plan and the inspection items transmitted by the medical order system platform automatically learn the inspection items in the follow-up plan that the doctor has established for the patient, and the uncompleted examination items, thereby realizing the recovery period or observation period after the patient is diagnosed in the hospital. Daily inspection and treatment are monitored, the implementation status of the follow-up plan is mastered in a timely manner, and timely monitoring is performed to the patient to perform physical examinations to avoid delays in the patient's condition.

DRAWINGS

1 is a schematic diagram of an application environment of a preferred embodiment of a chronic disease follow-up monitoring system based on a health check-up integrated machine of the present invention;

2 is a functional block diagram of a chronic disease follow-up monitoring system based on a health check-up integrated machine of the present invention;

3 is a flow chart of a preferred embodiment of a chronic disease follow-up monitoring method based on the health check-integrator of the present invention.

The implementation, functional features, and advantages of the present invention will be further described in conjunction with the embodiments.

BEST MODE FOR CARRYING OUT THE INVENTION

The specific embodiments, structures, features and functions of the present invention are described in detail below with reference to the accompanying drawings and preferred embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Referring to FIG. 1, FIG. 1 is a schematic diagram of an application environment of a preferred embodiment of a chronic disease follow-up monitoring system based on the health check-integrator of the present invention. In this embodiment, the health check-integrator-based chronic disease follow-up monitoring system 10 runs in the chronic disease management server 1, and the chronic disease management server 1 establishes a communication connection with the medical order system platform 2 through the communication network 4, and A communication connection is established with one or more self-service health check-in machines 3 via the communication network 4. The chronic disease management server 1 is a chronic disease management server installed in a smart medical institution, and the medical order system platform 2 is provided in a server or a computer in a smart medical institution.

The chronic disease management server 1 includes, but is not limited to, a chronic disease follow-up monitoring system 10 based on a health check-integrator, a communication unit 11, a processing unit 12, and a storage unit 13. The communication unit 11 is a wired communication interface or a wireless communication interface, for example, a communication interface supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, and FDD-LTE. The processing unit 12 may be a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having a data processing function. The storage unit 13 can be a read only memory (ROM), an electrically erasable memory (EEPROM), a flash memory (FLASH), or a solid state hard disk. The chronic disease management server 1 can perform statistical analysis on the detection result of the patient, realize the requirement for effective management, evaluation and follow-up of chronic disease, and timely issue a monitoring reminder to the patient to avoid the patient's condition delay, and can be targeted. Health knowledge and education for chronically ill patients.

The medical order system platform 2 is provided with a medical order system for doctors to open a doctor's prescription, and the doctor can open a medical order, check medical orders, and the like. In conjunction with the health check-up machine-based chronic disease follow-up monitoring system 10 of the present invention, the doctor can open the patient's chronic disease follow-up plan at the moment, select the required test items, and import it into the medical order system platform 2, Save time for doctors to manually issue medical orders. After the doctor sends the doctor's order, the doctor's system platform 2 automatically matches the actual inspection items and the follow-up plan check items. The doctors choose different reasons, such as the patient's rejection and detection.

The self-service health check-in machine 3 is installed in a residential community medical institution, such as a community medical service center or a "healthy house" set in a community medical service center. In this embodiment, the self-service health check-in machine 3 includes, but is not limited to, an ID card reader, a medical human body scale, an infrared height detector, a body composition analyzer, an ultrasonic bone density measuring instrument, and a blood pressure measuring instrument. , intelligent blood glucose meter, cardiovascular function measuring instrument, electrocardiogram detector, blood oxygen detector, electronic vision measuring instrument, TCM body quality detector, printer and display screen. The chronically ill patients are in the rehabilitation period or observation period after the hospital treatment, and can go to the community health service center of the nearest community medical service center for daily physical examination. The self-service health check-up machine 3 automatically uploads the examination results to the chronic disease. The management server 1 facilitates the chronic disease manager or the doctor to grasp the physical condition of the patient in real time, so as to timely grasp the execution status of the chronic disease management follow-up plan, avoiding the long-term travel between the patient and the hospital, and the patient improves the convenience of the patient. .

The communication network 4 can be a wired communication network or a wireless communication network. In this embodiment, the communication network 4 may be a wireless communication network, including but not limited to, a GSM network, a GPRS network, a CDMA network, a TD-SCDMA network, a WiMAX network, a TD-LTE network, an FDD-LTE network, and the like. transporting network. The communication network 4 can also be a wired communication network, such as an Internet network and a TCP/IP protocol network. The medical order system platform 2 is connected to one or more doctor workstations 5 via a communication network 4, and the doctor workstation 5 can be a personal computer or a laptop computer, etc., and the doctor can open a doctor's workstation 5 or adjust a chronic disease management program. . In the present example, the mobile intelligent terminal 6 of the patient includes a smartphone, a PDA device, a notebook computer or other communication device carried by the patient, and can receive and display the chronic disease management related information issued by the chronic disease management server 1.

Referring to Figure 2, Figure 2 is a block diagram of a preferred embodiment of a chronic disease follow-up monitoring system based on the health check-integrator of the present invention. In this embodiment, the health check-integrator-based chronic disease follow-up monitoring system 10 includes, but is not limited to, a follow-up plan generation module 101, a medical order monitoring module 102, a follow-up plan tracking module 103, a follow-up plan analysis module 104, and Health knowledge presentation module 105. The module referred to in the present invention refers to a series of computer program instruction segments that can be executed by the processing unit 12 of the cloud server 1 and that can perform fixed functions, which are stored in the storage unit 13 of the cloud server 1.

The follow-up plan generation module 101 is configured to read the daily follow-up plan formulated by the doctor for the patient from the storage unit 13 of the chronic disease management server 1, and import the check-up item of the daily follow-up plan into the medical order system platform 2. In the present embodiment, the storage unit 13 of the chronic disease management server 1 stores a follow-up plan for a plurality of patients, wherein the daily follow-up plan of each patient includes the patient's examination item and the planned date. The daily follow-up plan for each patient is generated based on the doctor's treatment plan and stored in the storage unit 13 of the chronic disease management server 1. Among them, the treatment plan includes: examination plan, treatment plan and rehabilitation plan. The inspection plan includes information such as inspection project code, inspection project name, and cycle. According to the diagnosis and treatment plan and combined with the specific medical record information, the daily follow-up plan is automatically generated through the cycle. It should be noted that each routine follow-up plan can be manually changed by a doctor and requires a standardized diagnosis, treatment, and rehabilitation program that meets the patient's own condition. The process of the follow-up plan generation module 101 introducing the daily follow-up plan check item into the order system platform 2 is as follows: selecting the check item in the follow-up plan, and then coding the selected item, the project name and the patient card number into the middle of the order system platform 2 In the table. The medical order system platform 2 checks the item data through the patient code extraction intermediate table, and deletes the examination item data of the patient in the intermediate table.

The follow-up plan generation module 101 is further configured to look up the inspection items of the daily follow-up plan and the corresponding planned dates in the medical order system platform 2, and combine the planned items whose planned dates are close to the current date and generate the current follow-up plan of the patient. In this embodiment, the follow-up plan generation module 101 extracts the inspection items that should be followed up from the daily follow-up plan, and groups the inspection items that should be followed up according to the planned date, and sets the planned date close to the current date. Combine as an initial follow-up plan. Then, the follow-up plan generation module 101 performs data processing on the check items of the initial follow-up plan, including: removing the equivalent follow-up items in the daily follow-up plan in the initial follow-up plan and the check items in the initial follow-up plan, and generating the patient's current follow-up plan. .

The medical order monitoring module 102 is configured to monitor whether the medical order system platform 2 transmits the medical order. When the medical order system platform 2 transmits the medical order, the inspection item transmitted by the current follow-up plan and the inspection item transmitted by the medical order system platform 2 are compared to determine the unplanned examination of the patient. Project and planned inspection projects. In the present embodiment, the doctor can open the medical order through the doctor workstation 5, and send the medical order to the chronic disease health management server 1 through the medical order system platform 2. The medical order monitoring module 102 compares the inspection items of the follow-up plan with the inspection items transmitted by the medical system platform 2, and includes the following steps: extracting the inspection items transmitted by the medical order system platform 2 from the medical order; determining whether there is a transmission in the follow-up plan. Check the item; if there is no transmitted inspection item in the follow-up plan, it is determined that the transmitted inspection item is the patient's unplanned inspection item; if there is a transmitted inspection item in the current follow-up plan, it is determined that the transmitted examination item is the patient Planned inspection items.

The follow-up plan tracking module 103 is configured to send the patient's unplanned check item and the plan check item to the mobile smart terminal 6 of the patient to notify the patient to the self-service health check-in machine 3 of the community hospital to perform the item check. In this embodiment, the follow-up plan tracking module 103 automatically sends a message to the patient 7 days in advance according to the follow-up plan to remind the patient to check in the nearest community hospital. Patients can go to the nearest community hospital to use the self-service health check-in machine 3 set up in the community hospital or with the help of a community doctor to check according to the unplanned inspection items and planned inspection items, for example, blood pressure measurement, blood oxygenation Inspection of blood test, blood glucose test, BMI value measurement, body composition measurement, cardiovascular function test, electrocardiogram test, and Chinese medicine psychological test. At the beginning of the project inspection using the self-service health check-in machine 3, the patient places the resident second-generation provincial card in the photoelectric sensing area of the self-service health check-in machine 3 ID card reader, and the ID card reader can read The identity information stored on the patient's second-generation ID magnetic strip, including the name, age, date of birth, and residence address, can be directly read in, which saves the patient's time to enter personally identifiable information and the input error caused by the entry. The entry of personally identifiable information is incorrect. The self-service health check-in machine 3 can automatically upload the inspection result corresponding to the inspection item and the identity information of the patient to the chronic disease management server 1 via the communication network 4.

The follow-up plan analysis module 104 is configured to perform statistical analysis on the test result when the patient's test result is received from the self-service health check-in machine 3 to evaluate the doctor's effect on the patient's chronic disease management and treatment, thereby providing the doctor Adjust the treatment plan and rehabilitation program for chronic disease management. In this embodiment, the follow-up plan analysis module 104 compares the test results of each test item (for example, blood pressure measurement) with the historical results, and uses statistical analysis charts to calculate historical trends, thereby reflecting the chronic disease patients in the hospital. The therapeutic effect during the recovery period or observation period after treatment. The statistical analysis chart may be a histogram, a pie chart, a line chart or a graph. The invention timely grasps the execution status of the chronic disease management follow-up plan through the follow-up plan analysis module 104, realizes the requirement for effective management, evaluation and follow-up of chronic disease, and timely sends a monitoring reminder to the patient to avoid the patient's condition delay, thereby improving The effect of chronic disease management and treatment.

The health knowledge presentation module 105 is configured to acquire corresponding health management knowledge from the storage unit 13 of the chronic disease management server 1 according to the execution effect of the chronic disease management and treatment, and transmit the health management knowledge to the mobile intelligent terminal 6 of the patient. Patients conduct health knowledge presentations and education. In the present embodiment, the health knowledge presentation module 105 acquires corresponding health management knowledge from the storage unit 13 of the chronic disease management server 1 according to the execution effect of the chronic disease management and treatment, and transmits the health management knowledge to the mobile intelligent terminal of the patient. 6 Conduct health education and education for patients, such as automatically sending SMS reminders to health talks and health consultations.

Referring to Fig. 3, there is shown a flow chart of a preferred embodiment of the chronic disease follow-up monitoring method based on the health check-integrator of the present invention. In the present embodiment, the chronic disease follow-up monitoring method based on the health check-integrator is applied to the chronic disease management server 1, and as shown in FIG. 1 and FIG. 2, the method includes the following steps S31 to S37.

In step S31, the daily follow-up plan prepared by the doctor for the patient is read from the chronic disease management server 1, and the inspection item of the daily follow-up plan is imported into the medical order system platform 2. Specifically, the follow-up plan generation module 101 reads the daily follow-up plan formulated by the doctor for the patient from the storage unit 13 of the chronic disease management server 1, and imports the check-up item of the daily follow-up plan into the medical order system platform 2. In the present embodiment, the storage unit 13 of the chronic disease management server 1 stores a follow-up plan for a plurality of patients, wherein the daily follow-up plan of each patient includes the patient's examination item and the planned date. The daily follow-up plan for each patient is generated based on the doctor's treatment plan. Among them, the treatment plan includes: examination plan, treatment plan and rehabilitation plan. The inspection plan includes information such as inspection project code, inspection project name, and cycle. According to the diagnosis and treatment plan and combined with the specific medical record information, the daily follow-up plan is automatically generated through the cycle. It should be noted that each routine follow-up plan can be manually changed by a doctor and requires a standardized diagnosis, treatment, and rehabilitation program that meets the patient's own condition. In step S31, the step of introducing the inspection item of the daily follow-up plan into the medical system platform comprises the following steps: selecting the inspection item in the follow-up plan, and then coding the selected item, the project name and the patient card number into the medical system platform. In the middle table of 2; the medical order system platform 2 checks the item data through the patient code extraction intermediate table, and deletes the examination item data of the patient in the intermediate table.

In step S32, the inspection item of the daily follow-up plan and the corresponding planned date are searched in the medical system platform 2, and the inspection item combination whose planned date is close to the current date is generated and the patient's current follow-up plan is generated. Specifically, the follow-up plan generation module 101 searches the medical order system platform 2 for the inspection items of the daily follow-up plan and the corresponding plan dates, and combines the planned items whose planned dates are close to the current date and generates the current follow-up plan of the patient. In this embodiment, the follow-up plan generation module 101 extracts the inspection items that should be followed up from the daily follow-up plan, and groups the inspection items that should be followed up according to the planned date, and sets the planned date close to the current date. Combine as an initial follow-up plan. Then, the follow-up plan generation module 101 performs data processing on the check items of the initial follow-up plan, including: removing the equivalent follow-up items in the daily follow-up plan in the initial follow-up plan and the check items in the initial follow-up plan, and generating the patient's current follow-up plan. .

In step S33, it is determined whether the medical order system platform 2 transmits the medical order. Specifically, the medical order monitoring module 102 monitors whether the medical order system platform 2 transmits the medical order, if the medical order system platform 2 transmits the medical order, the process proceeds to step S34; if the medical order system platform 2 does not transmit the medical order, the process repeats the step S3 to guide the medical order system platform 2 to transfer the medical order . In the present embodiment, the doctor can open the medical order through the doctor workstation 5, and send the medical order to the chronic disease health management server 1 through the medical order system platform 2.

Step S34, comparing the inspection item of the current follow-up plan with the inspection item transmitted by the medical order system platform 2 to determine the unplanned inspection item and the planned inspection item of the patient; specifically, when the medical order system platform 2 transmits the medical order, the medical order monitoring module 102 Compare the inspection items of this follow-up plan with the inspection items transmitted by the medical order system platform 2 to determine the patient's unplanned inspection items and planned inspection items. The medical order monitoring module 102 compares the inspection items of the follow-up plan with the inspection items transmitted by the medical system platform 2, and includes the following steps: extracting the inspection items transmitted by the medical order system platform 2 from the medical order; determining whether there is a transmission in the follow-up plan. Check the item; if there is no transmitted inspection item in the follow-up plan, it is determined that the transmitted inspection item is the patient's unplanned inspection item; if there is a transmitted inspection item in the current follow-up plan, it is determined that the transmitted examination item is the patient Planned inspection items.

Step S35, the mobile intelligent terminal 6 that sends the patient's unplanned examination item and the planned examination item to the patient notifies the patient to the self-service health check-in machine 3 of the community hospital to perform the item inspection; specifically, the follow-up plan tracking module 103 takes the patient The unplanned inspection item and the planned inspection item are sent to the patient's mobile intelligent terminal 6 to notify the patient to the self-service health check-in machine 3 of the community hospital to perform the item inspection. In this embodiment, the follow-up plan tracking module 103 automatically sends a message to the patient 7 days in advance according to the follow-up plan to remind the patient to check in the nearest community hospital. Patients can go to the nearest community hospital to use the self-service health check-in machine 3 set up in the community hospital or with the help of a community doctor to check according to the unplanned inspection items and planned inspection items, for example, blood pressure measurement, blood oxygenation Inspection of blood test, blood glucose test, BMI value measurement, body composition measurement, cardiovascular function test, electrocardiogram test, and Chinese medicine psychological test. The self-service health check-in machine 3 can automatically upload the inspection result corresponding to the inspection item and the identity information of the patient to the chronic disease management server 1 via the communication network 4.

Step S36, when receiving the examination result of the patient from the self-service health check-integrator 3, performing statistical analysis on the inspection result to evaluate the execution effect of the doctor on the patient's chronic disease management and treatment; specifically, the follow-up plan analysis module 104 When the patient's examination result is received from the self-service health check-in machine 3, the inspection result is statistically analyzed to evaluate the doctor's effect on the patient's chronic disease management and treatment, so that the doctor can adjust the treatment plan and rehabilitation program of the chronic disease management. . In the present embodiment, the follow-up plan analysis module 104 compares the test result of each test item (for example, measuring blood pressure) with the historical result, and uses a statistical analysis chart (for example, a histogram, a pie chart, a line chart, or a curve). Charts, etc.) statistical trends, reflecting the treatment effect of chronically ill patients in the rehabilitation or observation period after hospital treatment, and timely grasp the implementation status of the chronic disease management follow-up plan, to achieve effective management, assessment and tracking of chronic diseases The need for follow-up, and timely monitoring and reminding patients to avoid delays in the patient's condition, thereby improving the effectiveness of chronic disease management and treatment.

Step S37: Acquire corresponding health management knowledge from the chronic disease management server 1 according to the execution effect of the chronic disease management and treatment, and send the health management knowledge to the mobile intelligent terminal 6 of the patient to publicize and educate the patient about the health knowledge; specifically The health knowledge presentation module 105 acquires corresponding health management knowledge from the storage unit 13 of the chronic disease management server 1 according to the execution effect of the chronic disease management and treatment, and transmits the health management knowledge to the patient's mobile intelligent terminal 6 to perform health for the patient. Knowledge presentation and education. In the present embodiment, the health knowledge presentation module 105 acquires corresponding health management knowledge from the storage unit 13 of the chronic disease management server 1 according to the execution effect of the chronic disease management and treatment, and transmits the health management knowledge to the mobile intelligent terminal of the patient. Advise and educate patients about health knowledge, such as automatically sending SMS reminders to health talks and health consultations.

The chronic disease follow-up monitoring system and method based on the health check-in machine of the present invention can generate a corresponding daily follow-up plan according to the patient's diagnosis and treatment plan, and introduce it into the medical order system platform, by comparing the inspection items and medical orders of the follow-up plan. The inspection items transmitted by the system platform automatically know the inspection items in the follow-up plan formulated by the doctor for the patient and the inspection items that have not been completed, so as to realize the daily inspection and treatment of the patient during the rehabilitation period or observation period after the hospital treatment, timely Master the implementation status of the follow-up plan, and timely issue monitoring reminders to the patient to perform physical examinations in time to avoid delays in the patient's condition.

A person skilled in the art may understand that all or part of the steps of the various methods in the above embodiments may be completed by related program instructions, and the program may be stored in a computer readable storage medium, and the storage medium may include: a read only memory, a random access memory, Disk or disc, etc.

The above are only the preferred embodiments of the present invention, and are not intended to limit the scope of the invention, and the equivalent structure or equivalent process transformations made by the description of the present invention and the drawings are directly or indirectly applied to other related technical fields. The same is included in the scope of patent protection of the present invention.

Industrial applicability

Claims

A chronic disease follow-up monitoring system based on a health check-in machine running in a chronic disease management server, which is connected with a medical order system platform and a self-service health check-in machine installed in a community medical institution, wherein The chronic disease follow-up monitoring system includes: a follow-up plan generation module, configured to read a daily follow-up plan prepared by the doctor for the patient from the storage unit of the chronic disease management server, and import the check-up item of the daily follow-up plan into the medical order system platform, Find the inspection items of the daily follow-up plan and the corresponding planning date in the doctor's system platform, and combine the planning items close to the current date to generate the patient's current follow-up plan; the medical order monitoring module is used to monitor whether the medical order system platform transmits The doctor's advice is to compare the inspection items of the follow-up plan with the inspection items transmitted by the medical order system platform to determine the patient's unplanned inspection items and planned inspection items; the follow-up plan tracking module is used to treat the patients. Unplanned inspection items and planned inspection items The mobile intelligent terminal sent to the patient notifies the patient to the self-service health check-in machine of the nearest community medical institution to perform a project check; the follow-up plan analysis module is used to check the result of the patient when receiving the test result from the self-service health check-in machine Results Statistical analysis was performed to assess the effectiveness of the physician's implementation of chronic disease management and treatment.
The health check-integrator-based chronic disease follow-up monitoring system according to claim 1, wherein the follow-up plan generating module generates the patient's current follow-up plan, which comprises: extracting the current follow-up plan from the daily follow-up plan. The inspection project will group the inspection items that should be followed up according to the planned date, and combine the test items with the planned date close to the current date as the initial follow-up plan; remove the daily follow-up plan and the initial follow-up plan check in the initial follow-up plan. The equivalent of the project in the project, the patient's follow-up plan is generated.
The health check-integrator-based chronic disease follow-up monitoring system according to claim 1, wherein the medical order monitoring module compares the inspection item of the follow-up plan with the inspection item transmitted by the medical order system platform to determine the patient's unplanned condition. The inspection project and the planned inspection project specifically include: extracting the inspection items transmitted from the medical order system platform from the medical examination; determining whether there is a transmission inspection item in the current follow-up plan; if there is no transmission inspection item in the current follow-up plan, determining The transmitted examination item is the patient's unplanned examination item; if there is a transmission inspection item in the current follow-up plan, it is determined that the transmitted examination item is the patient's planned examination item.
The health check-up monitoring system for a chronic disease follow-up monitoring system according to claim 1, wherein the self-service health check-up integrated machine comprises an ID card reader, a medical human body scale, an infrared height detector, and a body composition analysis. Instrument, ultrasonic bone density measuring instrument, blood pressure measuring instrument, intelligent blood glucose meter, cardiovascular function measuring instrument, electrocardiogram detector, blood oxygen detector, electronic vision measuring instrument, TCM physical quality detector, printer and display.
The health check-integrator-based chronic disease follow-up monitoring system according to any one of claims 1 to 4, wherein the health check-up-based chronic disease follow-up monitoring system further comprises a health knowledge presentation module, the health The knowledge presentation module is configured to acquire corresponding health management knowledge from the storage unit of the chronic disease management server according to the execution effect of the chronic disease management and treatment, and send the health management knowledge to the patient's mobile intelligent terminal to present the health knowledge and education to the patient. .
A chronic disease follow-up monitoring method based on a health check-one integrated machine is applied to a cloud server, which is connected with a medical order system platform and a self-service health check-in machine installed in a community medical institution, characterized in that the method The method includes the following steps: reading a daily follow-up plan prepared by the doctor for the patient from the storage unit of the chronic disease management server, and importing the inspection item of the daily follow-up plan into the medical order system platform; searching for the inspection item of the daily follow-up plan in the medical system platform And the corresponding planned date, and the planned date is close to the current date of the inspection item combination and generate the patient's current follow-up plan; monitor the medical order system platform to transmit the medical order; when the medical order system platform transmits the medical order, compare the inspection items of the follow-up plan And the inspection item transmitted by the medical order system platform to determine the patient's unplanned inspection item and the planned inspection item; the patient's unplanned inspection item and the planned inspection item are sent to the patient's mobile intelligent terminal to notify the patient to the nearest community medical institution for self-help Health check-in machine Check the line item; when the check is received from the self-service machine to check the health outcomes for patients, statistical analysis of test results to assess the implementation of the results of the doctors chronic disease management and treatment of the patient.
The health check-in machine-based chronic disease follow-up monitoring method according to claim 6, wherein the step of combining the examination items whose planned date is close to the current date and generating the patient's current follow-up plan includes: daily routine follow-up Plan to extract the inspection items that should be followed up, plan the inspection items that should be followed up according to the planned date, and combine the test items with the planned date close to the current date as the initial follow-up plan; remove the daily routine in the initial follow-up plan. The follow-up plan and the test items of the initial follow-up plan are equivalent, and the patient's follow-up plan is generated.
The method according to claim 6, wherein the inspection item transmitted by the current follow-up plan and the inspection item transmitted by the medical order system platform are used to determine an unplanned examination item of the patient and The steps of the planned inspection project include: extracting the inspection items transmitted from the medical order system platform from the medical examination; determining whether there is a transmission inspection item in the current follow-up plan; if there is no transmission inspection item in the current follow-up plan, determining the transmission The examination item is an unplanned examination item of the patient; if there is a transmission inspection item in the current follow-up plan, it is determined that the transmitted inspection item is the patient's planned inspection item.
The method according to claim 6, wherein the self-service health check-up integrated machine comprises an ID card reader, a medical human body scale, an infrared height detector, and a body composition analysis. Instrument, ultrasonic bone density measuring instrument, blood pressure measuring instrument, intelligent blood glucose meter, cardiovascular function measuring instrument, electrocardiogram detector, blood oxygen detector, electronic vision measuring instrument, TCM physical quality detector, printer and display.
The method for monitoring chronic disease follow-up according to any one of claims 6 to 7, wherein the method further comprises the step of: storing from the chronic disease management server according to the execution effect of the chronic disease management and treatment The unit acquires corresponding health management knowledge and sends health management knowledge to the patient's mobile intelligent terminal to educate and educate the patient about health knowledge.