Treatment course management method and system with integration of medical treatment and nursing, storage medium and electronic equipment

Abstract

The invention relates to the field of medical care fusion, in particular to a medical care fusion disease course management method, a medical care fusion disease course management system, a storage medium and electronic equipment. The disease course management method based on medical care and health care fusion comprises the following steps: receiving medical care and health care data of a user sent by at least one service party; wherein the service party comprises one or more of a hospital, a rehabilitation hospital, an old-age care institution and user side equipment; when the medical care data of the user meets a task triggering condition, creating a disease course management task based on the medical care data of the user; wherein the disease course management task comprises at least one subtask, and the subtask is an online or offline task; and respectively issuing each sub-task in the disease course management task to the service party corresponding to the sub-task. According to the medical and nursing integrated disease course management method provided by the invention, data fusion of medical and nursing institutions can be promoted, and cost reduction and efficiency improvement of disease course management are realized.

Description

Technical Field

[0001] The present disclosure relates to the field of medical-nursing integration, and specifically to a medical-nursing integration disease course management method, a medical-nursing integration disease course management system, a storage medium and an electronic device. Background Art

[0002] The existing medical care and elderly care systems are different and isolated, and data sharing is impossible. This can easily lead to the situation where elderly care institutions do not provide care for the elderly, and medical institutions treat illnesses but do not provide care for the elderly. Therefore, how to effectively combine medical care and elderly care can give full play to the respective advantages of elderly care institutions and medical institutions.

[0003] It should be noted that the information disclosed in the above background technology section is only used to enhance the understanding of the background of the present disclosure, and therefore may include information that does not constitute the prior art known to ordinary technicians in the field. Summary of the invention

[0004] The purpose of the present disclosure is to provide a medical-nursing integrated disease course management method, a medical-nursing integrated disease course management system, a storage medium and an electronic device, aiming to promote data integration between medical and nursing institutions, and to achieve cost reduction and efficiency improvement in disease course management.

[0005] Other features and advantages of the present disclosure will become apparent from the following detailed description, or may be learned in part by the practice of the present disclosure.

[0006] According to one aspect of the present disclosure, a medical-nursing integrated disease course management method is provided, comprising:

[0007] Receive the medical and nursing data of a user sent by at least one service provider; wherein the service provider includes one or more of a hospital, a rehabilitation hospital, a nursing home, and a user-end device; when the medical and nursing data of the user meets the task triggering condition, create a disease course management task based on the medical and nursing data of the user; wherein the disease course management task includes at least one subtask, and the subtask is an online or offline task; and send each of the subtasks in the disease course management task to the service provider corresponding to the subtask.

[0008] Optionally, the creating the disease course management task based on the medical care data of the user includes: performing a health assessment according to the medical care data of the user to obtain an assessment result; and creating the disease course management task based on the assessment result.

[0009] Optionally, performing a health assessment based on the medical and nursing data of the user to obtain an assessment result includes: generating a medical and nursing clinical aggregation view based on the medical and nursing data of the user; and performing a health assessment based on the medical and nursing clinical aggregation view to obtain an assessment result.

[0010] Optionally, the creating the disease course management task includes: creating subtasks corresponding to each of the service providers, and a collaborative relationship between the subtasks, so as to obtain the disease course management task.

[0011] Optionally, the method further includes: creating the task triggering condition based on the medical care data of each of the users.

[0012] Optionally, the method further includes: acquiring execution data of each of the subtasks returned by each service provider, and updating the disease course management task according to the execution data.

[0013] According to a second aspect of the present disclosure, a medical and nursing integrated disease course management system is provided, comprising: a data center, connected to at least one service provider, for receiving a user's medical and nursing data, and for respectively sending each subtask in a disease course management task to the service provider corresponding to the subtask; wherein the service provider comprises one or more of a hospital, a rehabilitation center, and a remote clinic; a task center, connected to the data center, for creating the disease course management task based on the user's medical and nursing data when the user's medical and nursing data meets a task triggering condition; wherein the disease course management task comprises at least one subtask, and the subtask is an online or offline task.

[0014] Optionally, the task center further includes: a rule unit, which is used to create, delete, modify, and query the task triggering conditions.

[0015] According to a third aspect of the present disclosure, a computer-readable storage medium is provided, on which a computer program is stored, and when the program is executed by a processor, the medical-nursing integrated disease course management method as in the above-mentioned embodiment is implemented.

[0016] According to a fourth aspect of an embodiment of the present disclosure, an electronic device is provided, characterized in that it includes: one or more processors; a storage device for storing one or more programs, when the one or more programs are executed by the one or more processors, the one or more processors implement the medical and nursing integrated disease management method as in the above-mentioned embodiment.

[0017] The exemplary embodiments of the present disclosure may have some or all of the following beneficial effects:

[0018] In the technical solutions provided in some embodiments of the present disclosure, on the one hand, during disease course management, data platforms of multiple service providers including hospitals, rehabilitation hospitals, nursing homes, and user-end devices are connected to obtain users' all-round and multi-angle medical and nursing data for the creation of disease course management tasks, thereby realizing the effective integration of medical and nursing data; on the other hand, medical and nursing data from multiple service providers can be used in disease course management, so that the created disease course management tasks can jointly realize the coordination of medical care and nursing, effectively reduce the user's risk of illness, promote patient rehabilitation, and enhance user experience; on the other hand, through the merging of online and offline tasks of disease course management, it can be expanded from simple diagnosis and treatment services to a series of contents such as pre-hospital disease prevention, post-hospital follow-up and rehabilitation guidance, thereby reducing management costs and improving service efficiency.

[0019] It is to be understood that the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the present disclosure. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] The drawings herein are incorporated into the specification and constitute a part of the specification, showing embodiments consistent with the present disclosure, and together with the specification, are used to explain the principles of the present disclosure. Obviously, the drawings described below are only some embodiments of the present disclosure, and for ordinary technicians in this field, other drawings can be obtained based on these drawings without creative work. In the drawings:

[0021] Figure 1 A schematic diagram schematically illustrates a process flow of a medical and nursing integrated disease management method in an exemplary embodiment of the present disclosure;

[0022] Figure 2 A schematic diagram of a process flow of a medical and nursing integrated disease management system in an exemplary embodiment of the present disclosure is schematically shown;

[0023] Figure 3 A schematic diagram of data flow of a medical and nursing integrated disease course management system in an exemplary embodiment of the present disclosure is schematically shown;

[0024] Figure 4 The structure diagram of a computer system of an electronic device in an exemplary embodiment of the present disclosure is schematically shown. DETAILED DESCRIPTION

[0025] Example embodiments will now be described more fully with reference to the accompanying drawings. However, example embodiments can be implemented in a variety of forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be more comprehensive and complete and will fully convey the concept of the example embodiments to those skilled in the art.

[0026] In addition, the described features, structures or characteristics may be combined in one or more embodiments in any suitable manner. In the following description, many specific details are provided to provide a full understanding of the embodiments of the present disclosure. However, those skilled in the art will appreciate that the technical solutions of the present disclosure may be practiced without one or more of the specific details, or other methods, components, devices, steps, etc. may be adopted. In other cases, known methods, devices, implementations or operations are not shown or described in detail to avoid blurring the various aspects of the present disclosure.

[0027] The block diagrams shown in the accompanying drawings are merely functional entities and do not necessarily correspond to physically independent entities. That is, these functional entities may be implemented in software form, or in one or more hardware modules or integrated circuits, or in different networks and / or processor devices and / or microcontroller devices.

[0028] The flowcharts shown in the accompanying drawings are only exemplary and do not necessarily include all the contents and operations / steps, nor must they be executed in the order described. For example, some operations / steps can be decomposed, and some operations / steps can be combined or partially combined, so the actual execution order may change according to actual conditions.

[0029] The implementation details of the technical solution of the embodiment of the present disclosure are elaborated in detail below.

[0030] Figure 1 The following is a schematic diagram showing a process flow of a medical and nursing integrated disease management method in an exemplary embodiment of the present disclosure. Figure 1 As shown, the medical and nursing integrated disease management method includes steps S101 to S105:

[0031] Step S101, receiving medical care data of a user sent by at least one service provider; wherein the service provider includes one or more of a hospital, a rehabilitation hospital, a nursing home, and a user terminal device;

[0032] Step S103, when the medical care data of the user meets the task triggering condition, create a disease course management task based on the medical care data of the user; wherein the disease course management task includes at least one subtask, and the subtask is an online or offline task;

[0033] Step S105, sending each of the subtasks in the disease course management task to the service provider corresponding to the subtask.

[0034] In the technical solutions provided in some embodiments of the present disclosure, on the one hand, during disease course management, data platforms of multiple service providers including hospitals, rehabilitation hospitals, nursing homes, and user-end devices are connected to obtain users' all-round and multi-angle medical and nursing data for the creation of disease course management tasks, thereby realizing the effective integration of medical and nursing data; on the other hand, medical and nursing data from multiple service providers can be used in disease course management, so that the created disease course management tasks can jointly realize the coordination of medical care and nursing, effectively reduce the user's risk of illness, promote patient rehabilitation, and enhance user experience; on the other hand, through the merging of online and offline tasks of disease course management, it can be expanded from simple diagnosis and treatment services to a series of contents such as pre-hospital disease prevention, post-hospital follow-up and rehabilitation guidance, thereby reducing management costs and improving service efficiency.

[0035] Below, each step of the medical and nursing integrated disease management method in this example implementation will be described in more detail with reference to the accompanying drawings and examples.

[0036] In step S101, medical care data of a user sent by at least one service provider is received; wherein the service provider includes one or more of a hospital, a rehabilitation hospital, a nursing home, and a user terminal device.

[0037] Specifically, in order to better combine the two different systems of nursing homes and medical institutions, when obtaining the user's medical and nursing data, it is possible to connect with multiple service providers to obtain the user's all-round and multi-angle medical and nursing data.

[0038] Service providers can include those under two different systems: nursing homes and medical institutions, such as hospitals, rehabilitation hospitals, nursing homes, etc.

[0039] Hospital service providers, such as the medical systems of domestic special, first-level, second-level, and third-level hospitals, can also connect to multiple subsystems in the medical system, including HIS (Hospital Information System), CIS (Clinical Information System), EMP (Electronic Medical Record), PACS (Picture Archiving and Communication Systems), RIS (Radiology Information System), etc.

[0040] Rehabilitation hospital service providers, such as rehabilitation hospitals that users frequently visit, are hospitals that provide medical treatment for people with serious disabilities in work, life and study due to physical or psychological defects. Similar to ordinary hospitals, they can also connect to multiple subsystems in rehabilitation hospitals, such as HIS, CIS, EMP and others.

[0041] The service providers of elderly care institutions include the nursing home where the user is located. Currently, some service agencies in the elderly care system also care about the health of users, such as follow-up visits and care, and produce corresponding data.

[0042] The user-side device service provider can be a safety monitoring instrument worn by the user or a home health monitoring IoT device, such as a bracelet, home blood pressure monitor, etc. The device can realize real-time data collection and upload, and is connected to the data center to obtain the user's health status in a timely manner.

[0043] It should be noted that the explanation of the service provider in this disclosure is merely an exemplary explanation. In actual application, in addition to the above-mentioned service providers, other service provider platforms such as nursing homes can also be connected to better connect the data of medical institutions and nursing homes.

[0044] Based on the above solution, during disease course management, the data platforms of multiple service providers including hospitals, rehabilitation hospitals, nursing homes, and user-end devices are connected. When the user has new medical and nursing data during outpatient visits at each service provider, the service provider will send the new data to the data center of the medical and nursing integrated disease course management system, and then receive the user's all-round and multi-angle medical and nursing data for the creation of disease course management tasks, thereby realizing the effective integration of medical and nursing data.

[0045] In step S103, when the medical care data of the user meets the task triggering condition, a disease course management task is created based on the medical care data of the user; wherein the disease course management task includes at least one subtask, and the subtask is an online or offline task.

[0046] Specifically, task triggering conditions may be created in advance, and then when the task triggering conditions are met, a disease course management task may be created for the user in a timely manner.

[0047] In one embodiment of the present disclosure, the method further includes: creating the task trigger condition based on the medical and nursing data of each of the users. For example, the task trigger condition is such as the presence of health warning information in the latest assessment record of the medical end, the presence of health warning information in the visit record of the rehabilitation hospital in the past month, the presence of a pull cord alarm record in the latest follow-up record of the nursing home, and the presence of health risks in the latest physical examination report or imaging report, etc., or the change of key node data of the user's condition in the medical and nursing aggregation view as an event triggering the corresponding action of the task center.

[0048] In this way, when the user's diagnosis and treatment service ends, or when the user-side device detects an abnormality, the system obtains the relevant data of the node event and drives the re-evaluation and adjustment tasks of the collaborative plan, so that the subsequent plan matches the current development of the disease, and realizes seamless service collaboration among tertiary hospitals, rehabilitation hospitals, and elderly care systems.

[0049] It should be noted that the task triggering conditions disclosed in this disclosure are merely exemplary descriptions, and other task triggering conditions obtained by those skilled in the art based on this and in combination with conventional means in the art should also fall within the scope of protection of this disclosure.

[0050] The specific steps of determining whether the task triggering condition is met according to the medical and nursing data of the user in step S103 are as follows: performing a health assessment according to the medical and nursing data of the user to obtain an assessment result; and creating the disease course management task based on the assessment result.

[0051] Among them, performing a health assessment based on the medical and nursing data of the user to obtain an assessment result includes: generating a medical and nursing clinical aggregation view based on the medical and nursing data of the user; and performing a health assessment based on the medical and nursing clinical aggregation view to obtain an assessment result.

[0052] Specifically, the medical and nursing clinical aggregation view is a visualization tool that combines medical and elderly care services and aggregates and displays information in a clinical environment. It integrates, processes and analyzes clinical data and information from different sources and in different formats, and displays them in various forms such as charts, images, and animations, so that medical staff or elderly care workers can understand and use users' medical and nursing data more comprehensively and accurately, thereby formulating more reasonable and personalized treatment plans and care plans, reducing disease risks, reducing death crosses, and promoting patient recovery.

[0053] In one embodiment of the present disclosure, in addition to considering the user's health level, the user's current location and the location of the service provider may also be considered when creating a disease management task. Since the timing of triggering the task is different, the actual situation of the user is also different. When creating a task, it is necessary to consider the premise that the user is already in a hospital or rehabilitation hospital, and it is more convenient for the user under the premise of reasonable treatment and care.

[0054] In one embodiment of the present disclosure, the creating of the disease course management task includes: creating subtasks corresponding to each of the service providers, and a collaborative relationship between the subtasks, so as to obtain the disease course management task.

[0055] Specifically, since the created disease management tasks need to comprehensively consider all service providers and then jointly undertake medical services to users, it is necessary to combine the online and offline collaborative service models, create multiple sub-tasks belonging to different service providers, and make them cooperate with each other to effectively ensure the user's disease risk control and diagnosis, treatment and rehabilitation effects.

[0056] Subtasks include health intervention, disease prevention, offline diagnosis and treatment, online diagnosis and treatment, post-hospital follow-up and rehabilitation guidance. Subtasks can be online or offline. Online tasks are tasks that need to be completed in the system, while offline tasks are tasks that need to be completed through offline visits, which is convenient for both doctors and patients. In the process of executing subtasks, subtasks can be further split to further refine the task granularity and organically coordinate different service providers to better meet the actual needs of users.

[0057] Based on the above method, for traditional medical and nursing integration services that are at a certain distance, based on the user's medical and nursing aggregation view, through the design of the entire disease course plan, reasonably arrange online and offline services, and finally obtain the disease course management task to cope with different levels of urgency and different types of medical and health services. The in-depth application of the medical and nursing aggregation view has been completed, which can be expanded from simple diagnosis and treatment services to a series of contents such as pre-hospital disease prevention, post-hospital follow-up and rehabilitation guidance, effectively ensuring the service quality and frequency of the user's disease risk control and diagnosis and treatment rehabilitation effects, while reducing service costs, reducing insurance expenditures, and improving the user's medical and nursing integration service experience.

[0058] In step S105, each of the subtasks in the disease course management task is sent to the service provider corresponding to the subtask.

[0059] Specifically, it is distributed to relevant service providers through the task center of the medical history management system, and service collaboration is carried out according to the medical / health and offline / online dimensions based on service needs.

[0060] In one embodiment of the present disclosure, the method further includes: obtaining the execution data of each subtask returned by each service provider, and updating the course of disease management task according to the execution data. That is, in addition to distributing tasks, it is also necessary to collect execution data to monitor the execution of each subtask, thereby facilitating traceability and forming a complete management closed loop.

[0061] Figure 2 The following is a schematic diagram of a process flow diagram of a medical and nursing integrated disease management system in an exemplary embodiment of the present disclosure. Figure 2 As shown, the medical and nursing integrated disease course management system 200 includes:

[0062] The data center 201 is connected to at least one service provider, and is used to receive the medical care data of the user, and send each subtask in the course of disease management task to the service provider corresponding to the subtask; wherein the service provider includes one or more of a hospital, a rehabilitation center, and a remote clinic;

[0063] The task center 202 is connected to the data center and is used to create the disease management task based on the medical data of the user when the medical data of the user meets the task triggering condition; wherein the disease management task includes at least one subtask, and the subtask is an online or offline task.

[0064] The data center 201 includes a receiving unit and a sending unit, which are mainly used to communicate with various service providers, obtain the user's medical care data, and issue disease course management tasks. The task center includes a judgment unit and a creation unit. The judgment unit is used to judge whether the user's medical care data meets the task triggering conditions, and the creation unit is mainly used to create disease course management tasks.

[0065] In one embodiment of the present disclosure, the task center further includes: a rule unit (not shown in the figure) for creating, deleting, modifying, and querying the task triggering condition. The task triggering condition is created based on the user's medical care data.

[0066] The task center 202 is further used to perform a health assessment based on the medical care data of the user to obtain an assessment result; and to create the disease course management task based on the assessment result. Creating the disease course management task includes: creating subtasks corresponding to each of the service providers, and a collaborative relationship between the subtasks, so as to obtain the disease course management task.

[0067] The task center 202 is also used to obtain the execution data of each subtask returned by each service provider, and update the disease course management task according to the execution data.

[0068] Figure 3 The data flow diagram of a medical and nursing integrated course management system in an exemplary embodiment of the present disclosure is schematically shown. The service provider mainly includes a tertiary hospital medical system, a rehabilitation hospital medical system, and a nursing system. The medical and nursing integrated course management system can rely on the tertiary hospital medical system and share a server.

[0069] First, the user's medical and nursing data is obtained, including "hospital clinical diagnosis and treatment data" in the medical system of tertiary hospitals, "rehabilitation hospital clinical diagnosis and treatment data" in the medical system of rehabilitation hospitals, and "resident health data" in the elderly care system. These three types of data are collected in the data center of the medical and nursing integrated course management system. Then, based on the data in the data center, when the task triggering conditions are met, a course management task is generated. Finally, the course management task is sent to the corresponding service providers.

[0070] Next, the medical and nursing integrated disease management method proposed in this disclosure is introduced using a specific application scenario.

[0071] The service providers include Sichuan Hospital, Shuyuan Rehabilitation Hospital and Shuyuan Nursing Home, and the users are Shuyuan residents. Sichuan Hospital manages Shuyuan Rehabilitation Hospital and jointly undertakes medical services for the residents of Shuyuan Nursing Community. Sichuan Hospital and Shuyuan are about 1.5 hours away by car. The specific steps of the course of disease management are as follows:

[0072] Step 1: The wristband monitoring of Shuyuan residents finds that the blood pressure abnormalities reach the threshold of emergency intervention, and the data is transmitted to the data center of the disease management system in real time;

[0073] Step 2: The data center extracts all the data information of the resident, detects that the resident has a coronary stent surgery record in Sichuan Hospital, conducts a health assessment, and determines that the patient needs emergency treatment;

[0074] Step 3: Since the tertiary hospitals are far away and the rehabilitation hospitals are close to the community, the disease course management tasks are automatically generated, including the offline emergency rescue tasks coordinated by the nursing community and the rehabilitation hospital, the tasks of online specialist emergency rescue guidance of the tertiary hospitals, and the online collaborative service portal link, so that the rehabilitation hospital can provide offline emergency rescue for the residents, and the tertiary hospital can provide online specialist emergency rescue guidance at the same time, thus successfully completing the emergency rescue tasks;

[0075] Step 4: In the subtask of online specialist emergency guidance, doctors from tertiary hospitals and rehabilitation hospitals are required to formulate online and offline subtasks based on the medical and nursing clinical aggregation view;

[0076] Step 5. The task center will break down the subtasks of the specialized emergency guidance subtask, obtain online and offline collaborative tasks from doctors in tertiary hospitals and rehabilitation hospitals, and continue to carry out collaborative services for full-course management of the disease.

[0077] Step 6. At the same time, the data will continue to converge into the medical and nursing clinical aggregation view to form the latest basis for plan adjustment decisions, and guide the full course of disease management services before, during and after diagnosis, until the final rehabilitation guidance and patient rehabilitation.

[0078] Based on the above method, multiple systems are connected, and the aggregation of medical and nursing data drives the implementation of the online and offline collaborative management plan for the entire course of disease in the medical and nursing integrated service scenario, realizes the real-time update of medical and nursing data, and drives the collaborative linkage of various service parties.

[0079] It should be noted that, although several modules or units of the device for action execution are mentioned in the above detailed description, this division is not mandatory. In fact, according to the embodiments of the present disclosure, the features and functions of two or more modules or units described above can be embodied in one module or unit. On the contrary, the features and functions of one module or unit described above can be further divided into multiple modules or units to be embodied.

[0080] In an exemplary embodiment of the present disclosure, a storage medium capable of implementing the above method is also provided. It can adopt a portable compact disk read-only memory (CD-ROM) and include program code, and can be run on a terminal device, such as a mobile phone. However, the program product of the present disclosure is not limited to this. In this document, a readable storage medium can be any tangible medium containing or storing a program, which can be used by or in combination with an instruction execution system, an apparatus or a device.

[0081] In an exemplary embodiment of the present disclosure, an electronic device capable of implementing the above method is also provided. Figure 4 The structure diagram of a computer system of an electronic device in an exemplary embodiment of the present disclosure is schematically shown.

[0082] It should be noted that Figure 4 The computer system 700 of the electronic device shown is only an example and should not bring any limitation to the functions and scope of use of the embodiments of the present disclosure.

[0083] like Figure 4 As shown, the computer system 400 includes a central processing unit (CPU) 401, which can perform various appropriate actions and processes according to the program stored in the read-only memory (ROM) 402 or the program loaded from the storage part 408 to the random access memory (RAM) 403. In the RAM 403, various programs and data required for system operation are also stored. The CPU 401, the ROM 402 and the RAM 403 are connected to each other through a bus 404. An input / output (I / O) interface 405 is also connected to the bus 404.

[0084] The following components are connected to the I / O interface 405: an input section 406 including a keyboard, a mouse, etc.; an output section 407 including a cathode ray tube (CRT), a liquid crystal display (LCD), etc., and a speaker; a storage section 408 including a hard disk, etc.; and a communication section 409 including a network interface card such as a LAN (Local Area Network) card, a modem, etc. The communication section 409 performs communication processing via a network such as the Internet. A drive 410 is also connected to the I / O interface 405 as needed. A removable medium 411, such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, etc., is installed on the drive 410 as needed so that a computer program read therefrom is installed into the storage section 408 as needed.

[0085] In particular, according to an embodiment of the present disclosure, the process described below with reference to the flowchart can be implemented as a computer software program. For example, an embodiment of the present disclosure includes a computer program product, which includes a computer program carried on a computer-readable medium, and the computer program includes a program code for executing the method shown in the flowchart. In such an embodiment, the computer program can be downloaded and installed from a network through a communication section 409, and / or installed from a removable medium 411. When the computer program is executed by a central processing unit (CPU) 401, various functions defined in the system of the present disclosure are executed.

[0086] It should be noted that the computer-readable medium shown in the embodiment of the present disclosure may be a computer-readable signal medium or a computer-readable storage medium or any combination of the above two. The computer-readable storage medium may be, for example, but not limited to, a system, device or device of electricity, magnetism, light, electromagnetic, infrared, or semiconductor, or any combination of the above. More specific examples of computer-readable storage media may include, but are not limited to: an electrical connection with one or more wires, a portable computer disk, a hard disk, a random access memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM), a flash memory, an optical fiber, a portable compact disk read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the above. In the present disclosure, a computer-readable storage medium may be any tangible medium containing or storing a program, which may be used by an instruction execution system, device or device or used in combination with it. In the present disclosure, a computer-readable signal medium may include a data signal propagated in a baseband or as part of a carrier wave, wherein a computer-readable program code is carried. Such propagated data signals may take a variety of forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the above. Computer-readable signal media may also be any computer-readable medium other than computer-readable storage media, which may send, propagate, or transmit programs for use by or in conjunction with an instruction execution system, apparatus, or device. The program code contained on the computer-readable medium may be transmitted using any appropriate medium, including but not limited to: wireless, wired, etc., or any suitable combination of the above.

[0087] The flow charts and block diagrams in the accompanying drawings illustrate the possible architecture, functions and operations of the systems, methods and computer program products according to various embodiments of the present disclosure. In this regard, each box in the flow chart or block diagram can represent a module, a program segment, or a part of a code, and the above-mentioned module, program segment, or a part of a code contains one or more executable instructions for realizing the specified logical function. It should also be noted that in some alternative implementations, the functions marked in the box can also occur in a different order from the order marked in the accompanying drawings. For example, two boxes represented in succession can actually be executed substantially in parallel, and they can sometimes be executed in the opposite order, depending on the functions involved. It should also be noted that each box in the block diagram or flow chart, and the combination of the boxes in the block diagram or flow chart can be implemented with a dedicated hardware-based system that performs a specified function or operation, or can be implemented with a combination of dedicated hardware and computer instructions.

[0088] The units involved in the embodiments described in the present disclosure may be implemented by software or hardware, and the units described may also be arranged in a processor. The names of these units do not, in some cases, constitute limitations on the units themselves.

[0089] As another aspect, the present disclosure further provides a computer-readable medium, which may be included in the electronic device described in the above embodiment; or may exist independently without being assembled into the electronic device. The above computer-readable medium carries one or more programs, and when the above one or more programs are executed by an electronic device, the electronic device implements the method described in the above embodiment.

[0090] It should be noted that, although several modules or units of the device for action execution are mentioned in the above detailed description, this division is not mandatory. In fact, according to the embodiments of the present disclosure, the features and functions of two or more modules or units described above can be embodied in one module or unit. On the contrary, the features and functions of one module or unit described above can be further divided into multiple modules or units to be embodied.

[0091] Through the description of the above implementation, it is easy for those skilled in the art to understand that the example implementation described here can be implemented by software, or by software combined with necessary hardware. Therefore, the technical solution according to the implementation of the present disclosure can be embodied in the form of a software product, which can be stored in a non-volatile storage medium (which can be a CD-ROM, a USB flash drive, a mobile hard disk, etc.) or on a network, including several instructions to enable a computing device (which can be a personal computer, a server, a touch terminal, or a network device, etc.) to execute the method according to the implementation of the present disclosure.

[0092] Those skilled in the art will readily appreciate other embodiments of the present disclosure after considering the specification and practicing the invention disclosed herein. The present disclosure is intended to cover any variations, uses or adaptations of the present disclosure that follow the general principles of the present disclosure and include common knowledge or customary technical means in the art that are not disclosed in the present disclosure.

[0093] It should be understood that the present disclosure is not limited to the exact structures that have been described above and shown in the drawings, and that various modifications and changes may be made without departing from the scope thereof. The scope of the present disclosure is limited only by the appended claims.

Claims

1. A medical and nursing integrated disease management method, characterized in that: include: Receiving medical and nursing data of a user sent by at least one service provider; wherein the service provider includes one or more of a hospital, a rehabilitation hospital, a nursing home, and a user terminal device; When the medical care data of the user meets the task triggering condition, a disease course management task is created based on the medical care data of the user; wherein the disease course management task includes at least one subtask, and the subtask is an online or offline task; Each of the subtasks in the disease course management task is respectively issued to the service provider corresponding to the subtask.

2. The medical and nursing integrated disease course management method according to claim 1 is characterized in that: The creating of a disease course management task based on the medical care data of the user includes: Performing a health assessment based on the user's medical and nursing data to obtain an assessment result; The disease process management task is created based on the evaluation result.

3. The medical and nursing integrated disease course management method according to claim 2 is characterized in that: The health assessment is performed according to the medical care data of the user to obtain an assessment result, including: Generate a medical and nursing clinical aggregation view based on the medical and nursing data of the user; A health assessment is performed based on the medical and nursing clinical aggregated view to obtain an assessment result.

4. The medical and nursing integrated disease course management method according to claim 2 is characterized in that: The step of creating the disease course management task includes: Subtasks corresponding to each of the service providers are created, and collaborative relationships between the subtasks are created to obtain the disease course management task.

5. The medical and nursing integrated disease course management method according to claim 1 is characterized in that: The method further comprises: The task triggering condition is created based on the medical care data of each of the users.

6. The medical and nursing integrated disease course management method according to claim 1 is characterized in that: The method further comprises: The execution data of each subtask returned by each service provider is obtained, and the disease course management task is updated according to the execution data.

7. A medical and nursing integrated disease management system, characterized in that: include: A data center is connected to at least one service provider, and is used to receive the medical care data of the user, and to send each subtask in the course of disease management task to the service provider corresponding to the subtask; wherein the service provider includes one or more of a hospital, a rehabilitation center, and a remote clinic; The task center is connected to the data center and is used to create the disease management task based on the medical data of the user when the medical data of the user meets the task triggering condition; wherein the disease management task includes at least one subtask, and the subtask is an online or offline task.

8. The medical and nursing integrated disease course management system according to claim 7 is characterized in that: The mission center also includes: The rule unit is used to create, delete, modify, and query the task triggering conditions.

9. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the medical-nursing integrated disease course management method as described in any one of claims 1 to 6 is implemented.

10. An electronic device, characterized in that: include: one or more processors; A storage device for storing one or more programs. When the one or more programs are executed by the one or more processors, the one or more processors implement the medical and nursing integrated disease management method as described in any one of claims 1 to 6.

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