Medical follow-up visit management method and device, electronic equipment and storage medium
By obtaining the latest consultation channel information and the latest diagnosis and treatment information of patients, personalized follow-up planning information is determined and targeted follow-up templates are generated, which solves the problem of low availability of follow-up data in the existing technology and achieves the efficiency and accuracy of follow-up data.
Patent Information
- Application Number
- CN202311675413.5
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2023-12-06
- Publication Date
- 2025-06-06
AI Technical Summary
Among the existing medical follow-up methods, the follow-up template design failed to be adjusted for individual patient differences, resulting in low availability of follow-up data.
By obtaining the latest patient consultation channel information and the latest diagnosis and treatment information, personalized follow-up planning information is determined and targeted follow-up templates are generated based on this, including questions for consulting for disease conditions.
The availability of follow-up data is improved, making the follow-up data more targeted and valuable, and can more accurately reflect the patient's actual situation.
Smart Images

Figure CN120108783A_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the field of medical big data technology, and in particular to a medical follow-up management method, device, electronic equipment and storage medium. Background Art
[0002] Follow-up is a method of observation by which hospitals regularly monitor the changes in the condition of patients who have been treated in the hospital and guide their rehabilitation through communication or other means. The results obtained through follow-up can improve the hospital's pre- and post-medical service level, and at the same time facilitate doctors to track and observe patients, obtain first-hand information for statistical analysis and accumulate experience. It is also conducive to the development of medical research and the improvement of the professional level of medical workers, so as to better serve patients.
[0003] Currently, many hospitals and medical institutions will conduct follow-up visits after patients have seen a doctor. These visits are usually simple one-time visits or formal follow-ups. They also use a unified follow-up plan to design a follow-up template for follow-up visits on different patients.
[0004] However, the follow-up template designed based on the above follow-up plan did not ask questions targeting individual differences among patients; therefore, the follow-up data obtained after the follow-up were of low usability. Summary of the invention
[0005] In view of this, the embodiments of the present application provide a medical follow-up management method, device, electronic device and storage medium, aiming to solve the technical problem of low availability of follow-up data in the related art.
[0006] In a first aspect, an embodiment of the present application provides a medical follow-up management method, the method comprising:
[0007] Obtain the latest consultation channel information and the latest diagnosis and treatment information of patients;
[0008] Determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information;
[0009] A follow-up template for performing medical follow-up on the patient is generated based on the follow-up planning information, wherein the follow-up template includes at least one question for inquiring about the patient's disease condition.
[0010] In the above solution, the follow-up planning information includes a follow-up path; determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes:
[0011] If it is determined based on the latest consultation channel information that the patient's consultation channel is an outpatient clinic, then the duration of the patient's current consultation is obtained based on the latest consultation information, and the duration of the current consultation is compared with the pre-stored average consultation duration per person;
[0012] According to the comparison result and a preset first mapping relationship, a follow-up path matching the comparison result is determined; wherein the follow-up path is a way of performing medical follow-up on the patient; and the first mapping relationship stores a correspondence between the comparison result and the follow-up path.
[0013] In the above solution, the follow-up planning information includes a follow-up path; determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes:
[0014] If it is determined based on the latest consultation channel information that the patient's consultation channel is online consultation, then querying based on the latest diagnosis and treatment information whether there is an online consultation report and outpatient consultation data of the patient;
[0015] If it is determined that only the online consultation report is available, the address of the medical institution is obtained; the current address of the patient is determined based on the latest diagnosis and treatment information, and the distance between the current address and the address of the medical institution is compared with the preset distance;
[0016] The follow-up path of the patient is determined according to the distance comparison result and a preset second mapping relationship; wherein the second mapping relationship stores a correspondence between the distance comparison result and the follow-up path.
[0017] In the above solution, if it is determined that both the online consultation report and the outpatient consultation data are available, the method further includes:
[0018] A follow-up path for the patient is determined based on a preset third mapping relationship; wherein the third mapping relationship stores a follow-up path corresponding to both an online consultation report and outpatient consultation data.
[0019] In the above solution, the follow-up planning information includes a follow-up path; determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes:
[0020] If it is determined based on the latest consultation channel information that the patient's consultation channel is a referral, then the number of hospitalized days and the expected number of hospitalized days of the patient are obtained based on the latest diagnosis and treatment information;
[0021] Obtaining the difference in days between the expected hospitalization days and the hospitalization days actually completed;
[0022] Obtaining a comparison result between the day difference and a preset day difference;
[0023] According to the comparison result and a preset fourth mapping relationship, a follow-up path matching the patient is determined; wherein the fourth mapping relationship stores a corresponding relationship between the comparison result and the follow-up path.
[0024] In the above scheme, the follow-up planning information also includes the follow-up period and the follow-up type; the latest diagnosis and treatment information includes disease information and hospitalization information; according to the latest consultation channel information and the latest diagnosis and treatment information, the follow-up period and the follow-up type of the patient are determined, including:
[0025] For any of the consultation channels, the follow-up period and the follow-up type are determined based on the illness information and the hospitalization information; wherein the follow-up type is the type of follow-up patient set according to the follow-up purpose.
[0026] In the above solution, after obtaining the follow-up template generated based on the follow-up planning information, the method further includes:
[0027] If it is determined that the patient's follow-up period has been reached, obtaining the follow-up template;
[0028] Sending the follow-up template to the doctor terminal;
[0029] Acquire the follow-up data returned by the doctor terminal; wherein the follow-up data is various data collected by the doctor when performing medical follow-up on the patient based on the follow-up template.
[0030] In a second aspect, an embodiment of the present application further provides a medical follow-up management device, the device comprising:
[0031] Patient information acquisition module, used to obtain the patient's latest consultation channels and latest diagnosis and treatment information;
[0032] A planning information acquisition module, used to determine the follow-up planning information of the patient according to the consultation channel and the latest diagnosis and treatment information;
[0033] A follow-up template acquisition module is used to generate a follow-up template for medical follow-up of the patient based on the follow-up planning information, wherein the follow-up template includes at least one question for inquiring about the patient's disease condition.
[0034] In a third aspect, an embodiment of the present application further provides an electronic device, comprising: a processor and a memory for storing a computer program that can be run on the processor, wherein the processor, when running the computer program, executes the steps of the method described in the first aspect.
[0035] In a fourth aspect, an embodiment of the present application further provides a computer storage medium, on which a computer program is stored, and when the computer program is executed by a processor, the steps of the method described in the first aspect are implemented.
[0036] The present application provides a medical follow-up management method, device, electronic device and storage medium, by obtaining the latest consultation channel information and the latest diagnosis and treatment information of the patient; determining the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information; generating a follow-up template for medical follow-up of the patient based on the follow-up planning information, wherein the follow-up template includes at least one question for consulting the patient's disease condition. The latest diagnosis and treatment information and the latest consultation channel information of the patient obtained by the present application are closely related to each patient and personalized information. Therefore, the follow-up planning information of the patient determined based on these personalized patient information is matched with the patient's own diagnosis and treatment situation, and the follow-up template generated based on the follow-up planning information, because the patient's own diagnosis and treatment situation is fully considered, the design of the follow-up template is obviously personalized and more targeted. For example, if the diagnosis and treatment situation of different patients is different, and there are differences in the latest consultation channel information and the latest diagnosis and treatment information, the corresponding generated follow-up planning information and follow-up template are different. When hospitals or medical institutions subsequently use the matching follow-up templates to conduct medical follow-up on a large number of patients, the follow-up data obtained for each patient will be different, which can effectively improve the availability of follow-up data. BRIEF DESCRIPTION OF THE DRAWINGS
[0037] Figure 1 This is a flow chart of a method for executing medical follow-up management in one embodiment of the present application;
[0038] Figure 2 This is a flow chart of a method for executing medical follow-up management in another embodiment of the present application;
[0039] Figure 3 This is a flowchart of a medical follow-up management method in yet another embodiment of the present application;
[0040] Figure 4 This is a structural diagram of a medical follow-up management device in one embodiment of the present application;
[0041] Figure 5 It is a schematic diagram of the structure of an electronic device in one embodiment of the present application. DETAILED DESCRIPTION
[0042] The present application is further described in detail below in conjunction with the accompanying drawings and embodiments.
[0043] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those commonly understood by those skilled in the art to which this application belongs. The terms used herein in the specification of this application are only for the purpose of describing specific embodiments and are not intended to limit this application.
[0044] In order to clearly understand the technical solution of the present application, the solution of the related technology is first introduced in detail.
[0045] In the related art, many hospitals and medical institutions will follow up after the patient's visit, usually a simple single follow-up or a formal follow-up, and use a unified follow-up plan to design a follow-up template for follow-up on different patients. Among them, a number of questions are set in the follow-up template for doctors to ask patients to obtain some of the patient's disease recovery or deterioration. However, the follow-up template designed based on the above follow-up plan, in which the question setting is universal, does not ask questions based on individual differences in patients. Therefore, after any patient is asked questions using the follow-up template in the related art, the follow-up data obtained is basically the same. Therefore, after following up on patients based on a unified follow-up template, the follow-up data obtained has low availability.
[0046] Therefore, when facing the technical problems of related technologies, the inventors found through creative research that after obtaining the diagnosis and treatment conditions of each patient (including the latest consultation channel information and the latest diagnosis and treatment information), a follow-up template that matches the diagnosis and treatment conditions of each patient can be designed according to the patient's own diagnosis and treatment conditions. Subsequent doctors can conduct medical follow-up on the patient based on the matching follow-up template and obtain the follow-up data of the patient. Since the follow-up template used for medical follow-up of each patient is determined based on the patient's own diagnosis and treatment conditions. Therefore, after conducting medical follow-up on the patient based on this follow-up template, the availability of follow-up data can be improved.
[0047] Figure 1 A medical follow-up management method is provided in one embodiment of the present application. The execution subject of the medical follow-up management method provided in this embodiment may be an electronic device, and the electronic device may be a cloud platform, a computer device, and a terminal device. The medical follow-up management method provided in this embodiment includes the following steps:
[0048] Step 101, obtaining the patient's latest consultation channel information and latest diagnosis and treatment information.
[0049] Among them, the patient's latest consultation channel information refers to the data information on the channel through which the patient recently consulted in the medical institution. The patient's latest consultation channel information at least includes marks corresponding to consultation channels such as outpatient, online consultation and referral. Exemplarily, if it is determined that the patient's latest consultation channel information is a mark corresponding to outpatient, then the patient's consultation channel is determined to be outpatient.
[0050] When medical institutions conduct medical follow-up on patients, they are based on the latest diagnosis and treatment information and the latest consultation channel information of the patients before the follow-up. Among them, the latest diagnosis and treatment information refers to the diagnosis and treatment information of the patient's latest visit to the medical institution. The latest diagnosis and treatment information includes the patient's illness information and hospitalization information. Among them, the illness information may include the patient's identity information, disease type and name. Hospitalization information may include the patient's identity information, hospitalization days, infusion frequency, ward number and bed number, etc. The number of hospitalization days may include the number of days hospitalized and the expected number of days hospitalized. The number of hospitalization days and infusion frequency can be 0, which means that the patient currently has no hospitalization and infusion arrangements. The latest diagnosis and treatment information and the latest consultation channel information comprehensively represent the patient's own diagnosis and treatment situation.
[0051] Taking a patient receiving outpatient treatment at a medical institution as an example, an electronic device can obtain relevant data of the patient before and after the entire outpatient treatment, thereby obtaining the patient's latest consultation channel information and the latest diagnosis and treatment information.
[0052] Step 102: Determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information.
[0053] Among them, the patient's follow-up planning information is information related to the medical follow-up plan that matches the patient's own diagnosis and treatment situation. Since the follow-up planning information is determined based on the patient's latest consultation channel information and the latest diagnosis and treatment information, it can reflect the patient's personal characteristics, so the follow-up planning information can be used as the basis for subsequent generation of a follow-up template. The follow-up planning information may include at least one of the following: a follow-up path, a follow-up type, and a follow-up cycle. Among them, the follow-up path refers to the way of conducting medical follow-up on the patient, and the follow-up path is, for example, conducting medical follow-up on the patient by phone or text message. The follow-up type refers to the type of medical follow-up for the patient, such as caring follow-up and scientific research follow-up. The follow-up cycle refers to the interval between medical follow-ups for the patient. For example, if the patient is followed up once every three months, the follow-up cycle is three months.
[0054] According to the latest consultation channel information and the latest diagnosis and treatment information, the patient's follow-up planning information is determined. More specifically, according to the latest consultation channel information and the latest diagnosis and treatment information, the patient's follow-up path, follow-up type and follow-up period are determined.
[0055] Step 103: Generate a follow-up template for performing medical follow-up on the patient based on the follow-up planning information.
[0056] Among them, the follow-up template is a question template for medical institutions to follow up with patients. The follow-up template includes at least one question for inquiring about the patient's disease condition, which can be questions related to the patient's disease recovery after diagnosis and treatment. For different diseases, the questions related to disease recovery are different. During the medical follow-up of the patient, the medical institution or doctor refers to the patient's follow-up template to ask the patient questions to obtain the patient's follow-up data.
[0057] In the process of designing questions for the follow-up template based on the follow-up planning information, the electronic device can focus on designing questions related to the patient's disease recovery after diagnosis and treatment according to the patient's own diagnosis and treatment situation, the importance of the patient's disease to scientific research, and the routine concerns of the patient's disease.
[0058] The present application obtains the latest consultation channel information and the latest diagnosis and treatment information of the patient; determines the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information; generates a follow-up template for medical follow-up of the patient based on the follow-up planning information, and the follow-up template includes at least one question for consulting the patient's disease condition. The latest diagnosis and treatment information and the latest consultation channel information of the patient obtained by the present application are closely related to each patient and personalized information. Therefore, the follow-up planning information of the patient determined based on these personalized patient information is matched with the patient's own diagnosis and treatment situation, and the follow-up template generated based on the follow-up planning information, because the patient's own diagnosis and treatment situation is fully considered, the design of the follow-up template is obviously personalized and more targeted. For example, different patients have different diagnosis and treatment situations, and there are differences in the latest consultation channel information and the latest diagnosis and treatment information, then the corresponding generated follow-up planning information and follow-up template are different. Subsequent hospitals or medical institutions use the matching follow-up templates for medical follow-up on a large number of patients, and the follow-up data of each patient obtained are different, which can effectively improve the availability of follow-up data.
[0059] In one embodiment, if Figure 2 As shown, the follow-up planning information includes a follow-up path; step 102 includes the following steps:
[0060] Step 201, if it is determined based on the latest consultation channel information that the patient's consultation channel is an outpatient clinic, then the patient's current consultation duration is obtained based on the latest diagnosis and treatment information, and the current consultation duration is compared with the pre-stored average consultation duration per person.
[0061] Among them, the follow-up path is the way in which the medical institution conducts medical follow-up on the patient. That is, what method the medical institution adopts to conduct medical follow-up on the patient. The follow-up path can be divided into the first follow-up path, the second follow-up path and the third follow-up path according to the complexity of communication. Among them, the communication complexity of the first follow-up path is the smallest, the communication complexity of the second follow-up path is in the middle, and the communication complexity of the third follow-up path is the largest. It should be noted that the depth of the questions set in the follow-up template is positively correlated with the complexity of communication. The availability of follow-up data is positively correlated with the depth of the questions set in the follow-up template.
[0062] For example, the first follow-up path is, for example, a doctor follows up with a patient by sending a text message to the patient. The second follow-up path is, for example, a doctor follows up with the patient by phone. The third follow-up path is, for example, a doctor follows up with the patient through social software.
[0063] Specifically, if it is determined that the patient's latest consultation channel information is a mark corresponding to an outpatient clinic, then the patient's consultation channel is determined to be an outpatient clinic. The latest medical information includes the patient's current visit duration, which refers to the time spent by the patient during his most recent visit to a medical institution. After obtaining the patient's current visit duration, the electronic device also obtains the pre-stored average visit duration per capita, which is obtained by taking the average visit duration of all patients who have visited the medical institution.
[0064] Step 202: Determine a follow-up path that matches the comparison result according to the comparison result and a preset first mapping relationship.
[0065] Among them, the preset first mapping relationship stores the correspondence between the comparison result and the follow-up path. For example, when the comparison result is a negative number, the follow-up path can be the first follow-up path; when the comparison result is not a negative number, the follow-up path can be the second follow-up path. It should be noted that if the comparison result is a negative number, it indicates that the degree to which the patient's disease requires in-depth follow-up is relatively low, or does not meet the follow-up conditions, and no follow-up is required. If the comparison result is not a negative number, it indicates that the degree to which the patient's disease requires in-depth follow-up is relatively high.
[0066] Specifically, the difference between the patient's current visit duration and the pre-stored average visit duration is calculated, and the difference obtained is the comparison result. Based on the comparison result, a search is performed in the first mapping relationship to find a follow-up path that matches the comparison result.
[0067] In this embodiment, if it is determined based on the latest consultation channel information that the patient's consultation channel is an outpatient clinic, then the patient's current consultation duration is obtained based on the latest diagnosis and treatment information, and the current consultation duration is compared with the pre-stored average consultation duration per capita; according to the comparison result and the preset first mapping relationship, a follow-up path that matches the comparison result is determined; wherein the follow-up path is a way of conducting medical follow-up for the patient. That is, when the patient's consultation channel is an outpatient clinic, the follow-up path for outpatient patients is determined based on the comparison result of the patient's current consultation duration and the average consultation duration per capita, as well as the preset first mapping relationship. By comparing the consultation duration, the patient's disease's demand for follow-up depth can be determined, and then the follow-up path can be matched for the patient in a targeted manner.
[0068] In one embodiment, the follow-up planning information includes a follow-up path; determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes the following steps:
[0069] a) If it is determined based on the latest consultation channel information that the patient's consultation channel is online consultation, then based on the latest diagnosis and treatment information, it is queried whether there is an online consultation report and outpatient consultation data of the patient.
[0070] Among them, if it is determined that the patient's latest consultation channel information is a mark corresponding to an online consultation, then the patient's consultation channel is determined to be an online consultation. For patients who consult online, the patient's disease information in the latest diagnosis and treatment information also includes any one of an online consultation report or outpatient consultation data, or includes both an online consultation report and outpatient consultation data. If the patient who consults online completes the online consultation on the Internet, the corresponding online consultation report can be obtained. If the patient who consults online also goes to a medical institution for offline consultation afterwards, the corresponding outpatient consultation data can also be obtained. It can be seen that for patients who have only conducted online consultations on the Internet and have not subsequently gone to a medical institution for offline consultations, there will be no outpatient consultation data.
[0071] b) If it is determined that only the online medical consultation report is available, the address of the medical institution is obtained; the current address of the patient is determined based on the latest medical information, and the distance between the current address and the address of the medical institution is compared with the preset distance.
[0072] Among them, if it is determined to include only online consultation reports based on the disease information, it means that the patient may be more resistant to medical follow-up. The follow-up path configuration can weaken the follow-up depth of the patient or not follow up on him.
[0073] Herein, the address of this medical institution refers to the address of the medical institution that conceived the medical follow-up management method in this application.
[0074] Specifically, the electronic device first obtains the distance between the patient's current address and the address of the medical institution, and then compares the distance with the preset distance. The comparison may be a difference between the distance and the preset distance, and the distance difference is used as the distance comparison result.
[0075] c) determining a follow-up path for the patient according to the distance comparison result and a preset second mapping relationship.
[0076] The preset second mapping relationship stores the corresponding relationship between the distance comparison result and the follow-up path.
[0077] Specifically, according to the distance comparison result, a follow-up path matching the distance comparison result is searched in the second mapping relationship. Exemplarily, when the distance comparison result is greater than a preset value, the follow-up path is the second follow-up path. When the distance comparison result is less than or equal to the preset value, the follow-up path is the third follow-up path.
[0078] It should be noted that when determining a follow-up path for a patient who is undergoing online consultation, it is different from determining a follow-up path for an outpatient, and can be performed as described in this embodiment.
[0079] In this embodiment, if it is determined based on the latest consultation channel information that the patient's consultation channel is online consultation, then it is queried based on the latest medical information whether there is an online consultation report and outpatient consultation data for the patient; if it is determined that only the online consultation report is available, then the patient's current address is determined based on the latest medical information, and the distance between the current address and the address of the medical institution is compared with the preset distance; the patient's follow-up path is determined based on the distance comparison result and a preset second mapping relationship; wherein the second mapping relationship stores the corresponding relationship between the distance comparison result and the follow-up path. For patients who only have online consultation reports, their follow-up path is determined based on the distance comparison result between their current address and the address of the medical institution and the preset second mapping relationship.
[0080] In one embodiment, if the electronic device determines that the patient has both an online consultation report and outpatient consultation data, the electronic device determines a follow-up path for the patient according to a preset third mapping relationship.
[0081] Among them, when the third mapping relationship stores both online consultation reports and outpatient consultation data, the corresponding follow-up path is the third follow-up path. That is, the third mapping relationship stores only one corresponding relationship, and when both online consultation reports and outpatient consultation data are stored, the corresponding follow-up path is the third follow-up path.
[0082] If it is determined that both online consultation reports and outpatient consultation data are included based on the disease information, it means that the patient is less resistant to medical follow-up than the patient who consulted online, and the patient who consulted online can be followed up medically according to the normal follow-up depth in the follow-up path configuration. For example, by following the third follow-up path for such a patient, follow-up data with greater follow-up depth can be obtained.
[0083] In this embodiment, if it is determined that both the online consultation report and the outpatient consultation data are available, the follow-up path of the patient is determined based on a preset third mapping relationship; wherein the third mapping relationship stores the follow-up path corresponding to the case where both the online consultation report and the outpatient consultation data are available. For online consultation patients who have both the online consultation report and the outpatient consultation data, the corresponding follow-up path can usually be found based on the third mapping relationship. Since only one set of corresponding relationships is stored in the third mapping relationship, the efficiency of matching the follow-up path can be improved.
[0084] In one embodiment, the follow-up planning information includes a follow-up path; determining the follow-up path of the patient according to the consultation channel, the latest consultation channel information and the latest diagnosis and treatment information comprises the following steps:
[0085] a) If it is determined based on the latest consultation channel information that the patient's consultation channel is referral, then the number of hospital days and the expected number of hospital days of the patient are obtained based on the latest diagnosis and treatment information.
[0086] If it is determined that the patient's latest consultation channel information is a mark corresponding to referral, then the patient's consultation channel is determined to be referral.
[0087] Specifically, for referred patients, the electronic device obtains the patient's hospitalization days and expected hospitalization days from the latest diagnosis and treatment information of the referred patient. When the electronic device obtains the corresponding latest diagnosis and treatment information, different referred patients may have been hospitalized for several days or 0 days in the medical institution before referral, and may need to be hospitalized for several days or 0 days in this medical institution. The number of hospitalization days refers to the number of days the referred patient has been hospitalized in the medical institution before referral, and the expected number of hospitalization days is the number of days the referred patient needs to be hospitalized in this medical institution.
[0088] b) Obtain the difference in days between the expected hospitalization days and the actual hospitalization days.
[0089] Among them, the result of subtracting the number of days actually hospitalized from the expected number of days in hospital is the difference in days.
[0090] c) Obtain a comparison result between the day difference and a preset day difference.
[0091] The preset day difference is preset in the electronic device, and the preset day difference may be 0. The result of subtracting the preset day difference from the day difference is the comparison result.
[0092] d) determining a follow-up path matching the patient according to the comparison result and a preset fourth mapping relationship.
[0093] Among them, if the preset day difference is 0, the comparison result is greater than the preset day difference, that is, the number of days hospitalized is greater than the expected number of days hospitalized.
[0094] The fourth mapping relationship stores the corresponding relationship between the comparison result and the follow-up path. According to the comparison result, the follow-up path matching the comparison result can be found by searching in the preset fourth mapping relationship. Exemplarily, when the comparison result is a positive number, the follow-up path is the second follow-up path. When the comparison result is a negative number, the follow-up path is the third follow-up path.
[0095] In this embodiment, if it is determined based on the latest consultation channel information that the patient's consultation channel is a referral, then the number of days the patient has been hospitalized and the expected number of days in the hospital are obtained based on the latest diagnosis and treatment information; the difference in days between the expected number of days in the hospital and the number of days in the hospital are obtained; the comparison result of the difference in days and the preset difference in days is obtained; and the follow-up path that matches the patient is determined based on the comparison result and the preset fourth mapping relationship; wherein the fourth mapping relationship stores the corresponding relationship between the comparison result and the follow-up path. For referred patients, when matching the follow-up path, the electronic device determines the comparison result between the number of days in the hospital and the expected number of days in the hospital and the preset fourth mapping relationship, which can improve the rationality of the follow-up path matching.
[0096] In the above embodiments, different follow-up paths can be set for different patients, and thus different follow-up depths can be set for different patients, so that the obtained follow-up data is more targeted and more valuable, reducing the cost of human and material resources and avoiding the waste of human and material resources.
[0097] In one embodiment, the follow-up planning information also includes a follow-up cycle and a follow-up type; the latest diagnosis and treatment information includes disease information and hospitalization information; the follow-up cycle and follow-up type of the patient are determined based on the latest consultation channel information and the latest diagnosis and treatment information, including: for any of the consultation channels, the follow-up cycle and the follow-up type are determined based on the disease information and the hospitalization information.
[0098] Among them, the follow-up type is the type of follow-up of patients set according to the purpose of follow-up. Follow-up types include national standard type, care type and scientific research type. National standard type follow-up means that for certain diseases, medical institutions can conduct medical follow-up on patients in accordance with the follow-up standards of the disease stipulated by the state. The care type means that for certain diseases, medical institutions themselves conduct medical follow-up on patients for the purpose of caring for patients. The scientific research type follow-up means that for certain diseases, medical institutions themselves conduct medical follow-up on patients for the purpose of scientific research.
[0099] The follow-up period refers to the period of medical follow-up of patients, for example, once every three months.
[0100] In this embodiment, for outpatients, online consultation patients and referred patients, the follow-up period and follow-up type are determined based on the patient's illness information and hospitalization information.
[0101] In one embodiment, determining the follow-up period and the follow-up type according to the illness information and the hospitalization information specifically includes the following steps:
[0102] a) judging whether the patient's disease is a disease of concern, and the category of the disease of concern, based on the preset disease of concern information and the disease information of the patient in the disease information.
[0103] Among them, the preset disease of concern information includes the names of all diseases of concern. Diseases of concern are diseases that are of concern to medical follow-up, which are classified according to follow-up types. The categories of diseases of concern may include national standard diseases of concern, caring diseases of concern, and scientific research diseases of concern.
[0104] The patient's disease information includes the patient's disease name. If the patient's disease name can be found in the preset name of the disease of concern, the patient's disease is determined to be a disease of concern. Further, if it is determined that the patient's disease name is found under the category of the national standard disease of concern, the patient's disease is determined to be a national standard disease of concern.
[0105] b) If it is determined that the patient's disease is a disease of concern, then according to the category of the disease of concern and a preset fifth mapping relationship, a follow-up type matching the category of the disease of concern is determined.
[0106] The preset fifth mapping relationship stores the corresponding relationship between the category of the disease of concern and the follow-up type.
[0107] Exemplarily, the category of the disease of concern is the national standard disease of concern, and the follow-up type of the patient is the national standard type; the category of the disease of concern is the caring disease of concern, and the follow-up type of the patient is the caring type; the category of the disease of concern is the scientific research disease of concern, and the follow-up type of the patient is the scientific research type.
[0108] If the patient's disease name cannot be found in the preset names of the diseases of concern, it is determined that the patient's disease is not a disease of concern, and the subsequent steps will not be executed, and the follow-up planning information and follow-up template will not be generated for medical follow-up of the patient.
[0109] c) determining the patient's follow-up period based on the hospitalization information and the patient's disease information.
[0110] Specifically, the follow-up period of the patient is limited in combination with the patient's medical information and hospitalization information. The follow-up period is divided into three levels: primary follow-up, secondary follow-up and tertiary follow-up, and the importance of the three levels of follow-up is ranked as follows: tertiary follow-up is greater than secondary follow-up, and secondary follow-up is greater than primary follow-up.
[0111] In this embodiment, by judging whether the patient's disease is a disease of concern and the category of the disease of concern according to the preset disease of concern information and the disease information of the patient in the disease information; if the patient's disease is determined to be a disease of concern, the follow-up type matching the category of the disease of concern is determined according to the category of the disease of concern and the preset fifth mapping relationship; the follow-up period of the patient is determined according to the hospitalization information and the disease information of the patient. Since the follow-up type and follow-up period of the patient are determined based on whether the patient's disease is a disease of concern, the category of the disease of concern, and the hospitalization information, the determined follow-up type and follow-up period are more accurate and meet the patient's personal situation.
[0112] In one embodiment, after obtaining the follow-up template generated based on the follow-up planning information, the medical follow-up management method further includes the following steps:
[0113] a) If it is determined that the patient's follow-up period has arrived, the follow-up template is obtained.
[0114] Here, when the electronic device determines that the current time reaches the follow-up period of the patient, the follow-up template of the patient is obtained. For example, if the follow-up period of the patient is once every three months, then a medical follow-up is performed on the patient three months after the follow-up template of the patient is determined in step 103.
[0115] b) sending the follow-up template to the doctor terminal.
[0116] The follow-up template includes several questions for the doctor to review and ask the patient questions based on these questions. Therefore, before the medical follow-up, the electronic device first sends the follow-up template to the doctor's terminal.
[0117] c) Obtaining the follow-up data returned by the doctor terminal.
[0118] After the doctor performs medical follow-up on the patient, the doctor summarizes and organizes the data into follow-up data and inputs the data into the electronic device so that the electronic device can obtain the follow-up data. The follow-up data is various data collected by the doctor when performing medical follow-up on the patient based on the follow-up template.
[0119] In this embodiment, if it is determined that the follow-up period of the patient has been reached, the follow-up template is obtained; the follow-up template is sent to the doctor terminal; and the follow-up data returned by the doctor terminal is obtained; wherein the follow-up data is various data collected by the doctor when following up the patient based on the follow-up template. In the actual application after obtaining the follow-up template, the follow-up template of the patient is first sent to the doctor terminal so that the doctor can perform medical follow-up on the patient based on the follow-up template, thereby effectively obtaining the follow-up data of the patient.
[0120] In a specific application embodiment, the present application constructs a medical follow-up management system, which includes at least a full course of disease management module and a follow-up management module, and the full course of disease management module and the follow-up management module are connected in communication. The technical solution of this application example involves two parts: the intelligent diagnosis and treatment stage and the follow-up template generation stage.
[0121] 1. Diagnosis and Treatment Stage
[0122] The whole course of disease management module is used to obtain the patient's latest consultation channel information and the latest diagnosis and treatment information during this diagnosis process, and send the patient's latest consultation channel information and the latest diagnosis and treatment information to the follow-up management module.
[0123] Among them, based on the patient's latest consultation channel information, it can be determined whether the patient's consultation channel is outpatient, online consultation or referral. The latest diagnosis and treatment information of outpatient patients at least includes the duration of the patient's current consultation. There are two types of online consultation patients. The latest diagnosis and treatment information of online patients who only have online consultation reports includes the current address and online consultation reports. The latest diagnosis and treatment information of online patients who have both online consultation reports and outpatient consultation data also includes outpatient consultation data. The latest diagnosis and treatment information of referred patients includes the number of hospitalization days in the medical institution before referral and the expected number of hospitalization days in this medical institution.
[0124] 2. Generate follow-up template stage
[0125] The follow-up management module is used to receive the latest consultation channel information and the latest diagnosis and treatment information of the patient, determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information of the patient, and generate a follow-up template for medical follow-up of the patient based on the follow-up planning information. Among them, the follow-up planning information includes the follow-up path, follow-up type and follow-up cycle.
[0126] Specifically, if the patient's consultation channel is determined to be an outpatient clinic based on the latest consultation channel information, the patient's follow-up path is determined based on the comparison result of the patient's current consultation duration and the pre-stored average consultation duration per capita, and the preset first mapping relationship. Among them, the first mapping relationship stores the correspondence between the comparison result and the follow-up path. The latest diagnosis and treatment information includes disease information and hospitalization information; the follow-up management module determines the patient's follow-up period and follow-up type based on the patient's disease information and hospitalization information.
[0127] If it is determined based on the latest consultation channel information that the patient's consultation channel is an online consultation, then based on the latest diagnosis and treatment information, it is queried whether there is an online consultation report and outpatient consultation data for the patient. If it is determined that there is only an online consultation report, the patient's follow-up path is determined based on the distance between the medical institution address and the current address in the latest diagnosis and treatment information, and the preset second mapping relationship. If it is determined that there are both online consultation reports and outpatient consultation data, the patient's follow-up path is determined based on the online consultation reports and outpatient consultation data, as well as the preset third mapping relationship. The latest diagnosis and treatment information includes illness information and hospitalization information; the follow-up management module determines the patient's follow-up period and follow-up type based on the patient's illness information and hospitalization information.
[0128] The second mapping relationship stores the corresponding relationship between the distance comparison result and the follow-up path. The third mapping relationship stores the follow-up path corresponding to the online consultation report and the outpatient consultation data.
[0129] If the patient's consultation channel is determined to be a referral based on the latest consultation channel information, the patient's hospitalization days and expected hospitalization days are obtained based on the latest diagnosis and treatment information. The difference in days between the hospitalization days and the expected hospitalization days is calculated, and the difference in days is compared with the preset difference in days to obtain a comparison result. Afterwards, the patient's follow-up path is determined based on the comparison result and the preset fourth mapping relationship. The latest diagnosis and treatment information includes illness information and hospitalization information; the follow-up management module determines the patient's follow-up period and follow-up type based on the patient's illness information and hospitalization information.
[0130] The fourth mapping relationship stores the corresponding relationship between the comparison result and the follow-up path.
[0131] After obtaining the follow-up template generated based on the follow-up planning information, the follow-up management module is further used to: if it is determined that the follow-up period of the patient has been reached, obtain the follow-up template. Send the follow-up template to the doctor terminal. Obtain the follow-up data returned by the doctor terminal. The follow-up data is various data collected by the doctor when conducting medical follow-up on the patient based on the follow-up template.
[0132] In this embodiment, the follow-up planning information of the patient is determined based on these personalized patient information, which matches the patient's own diagnosis and treatment situation. The follow-up template generated based on the follow-up planning information fully considers the patient's own diagnosis and treatment situation, so the design of the follow-up template is obviously personalized and more targeted. For example, different patients have different diagnosis and treatment situations, and there are differences between the latest consultation channel information and the latest diagnosis and treatment information. The corresponding generated follow-up planning information and follow-up template are different. Subsequent hospitals or medical institutions use the matching follow-up templates for medical follow-up on a large number of patients, and the follow-up data obtained for each patient are different, which can effectively improve the availability of follow-up data.
[0133] The medical follow-up management system also includes a follow-up terminal module, which is used by medical staff to view the patient's follow-up plan and evaluate the completion of the follow-up. The follow-up terminal module can remind medical staff to implement medical follow-up on time. After the implementation is completed, the follow-up terminal module evaluates the completion of the follow-up. If it is determined that all is completed, the follow-up terminal module closes the patient's follow-up channel.
[0134] In order to implement the method of the embodiment of the present application, the embodiment of the present application also provides a medical follow-up management device, such as Figure 4 As shown, the medical follow-up management device 400 corresponds to the above-mentioned medical follow-up management method, and each step in the above-mentioned medical follow-up management method embodiment is also completely applicable to the embodiment of the medical follow-up management device 400.
[0135] The device comprises: a patient information acquisition module 401, a planning information acquisition module 402 and a follow-up template acquisition module 403, wherein:
[0136] The patient information acquisition module 401 is used to obtain the patient's latest consultation channel information and the latest diagnosis and treatment information;
[0137] A planning information acquisition module 402 is used to determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information;
[0138] The follow-up template acquisition module 403 is used to generate a follow-up template for medical follow-up of the patient based on the follow-up planning information, wherein the follow-up template includes at least one question for inquiring about the disease condition of the patient.
[0139] In one embodiment, the follow-up planning information includes a follow-up path; the planning information acquisition module 402 is specifically used to: if it is determined based on the latest consultation channel information that the patient's consultation channel is an outpatient clinic, then based on the latest diagnosis and treatment information, the patient's current consultation duration is obtained, and the current consultation duration is compared with the pre-stored average consultation duration per person; based on the comparison result and a preset first mapping relationship, a follow-up path matching the comparison result is determined; wherein the follow-up path is a way of conducting medical follow-up on the patient; the first mapping relationship stores the correspondence between the comparison result and the follow-up path.
[0140] In one embodiment, the planning information acquisition module 402 is specifically used to: if it is determined based on the latest consultation channel information that the patient's consultation channel is online consultation, then based on the latest diagnosis and treatment information, query whether there is an online consultation report and outpatient consultation data of the patient; if it is determined that only the online consultation report is available, obtain the address of this medical institution; determine the patient's current address based on the latest diagnosis and treatment information, and compare the distance between the current address and the address of the medical institution with a preset distance; determine the follow-up path of the patient based on the distance comparison result and a preset second mapping relationship; wherein the second mapping relationship stores the correspondence between the distance comparison result and the follow-up path.
[0141] In one embodiment, the planning information acquisition module 402 is also specifically used to: if it is determined that both the online consultation report and the outpatient consultation data are available, determine the follow-up path of the patient based on a preset third mapping relationship; wherein the third mapping relationship stores the follow-up path corresponding to the case where both the online consultation report and the outpatient consultation data are available.
[0142] In one embodiment, the follow-up planning information includes a follow-up path; the planning information acquisition module 402 is specifically used to: if it is determined based on the latest consultation channel information that the patient's consultation channel is referral, then based on the latest diagnosis and treatment information, obtain the patient's hospitalization days and expected hospitalization days; obtain the difference in days between the expected hospitalization days and the hospitalization days; obtain the comparison result of the day difference and the preset day difference; determine the follow-up path matching the patient according to the comparison result and a preset fourth mapping relationship; wherein the fourth mapping relationship stores the correspondence between the comparison result and the follow-up path.
[0143] In one embodiment, the follow-up planning information also includes a follow-up period and a follow-up type; the latest diagnosis and treatment information includes disease information and hospitalization information; the planning information acquisition module 402 is specifically used to: for any of the consultation channels, determine the follow-up period and the follow-up type based on the disease information and the hospitalization information; wherein the follow-up type is the type of follow-up patient set according to the follow-up purpose.
[0144] In one embodiment, the medical follow-up management device 400 also includes a follow-up data acquisition module, which is specifically used to: after obtaining the follow-up template generated based on the follow-up planning information, if it is determined that the follow-up period of the patient has been reached, then obtain the follow-up template; send the follow-up template to the doctor terminal; obtain the follow-up data returned by the doctor terminal; wherein the follow-up data is various data collected by the doctor when conducting medical follow-up on the patient based on the follow-up template.
[0145] In actual application, the patient information acquisition module 401, the planning information acquisition module 402 and the follow-up template acquisition module 403 can be implemented by a processor in the medical follow-up management device. Of course, the processor needs to run the computer program in the memory to realize its function.
[0146] It should be noted that: the medical follow-up management device provided in the above embodiment only uses the division of the above program modules as an example to illustrate when performing medical follow-up management. In actual applications, the above processing can be assigned to different program modules as needed, that is, the internal structure of the device is divided into different program modules to complete all or part of the processing described above. In addition, the medical follow-up management device provided in the above embodiment and the medical follow-up management method embodiment belong to the same concept, and the specific implementation process is detailed in the method embodiment, which will not be repeated here.
[0147] Based on the hardware implementation of the above program modules and in order to implement the method of the embodiment of the present application, the embodiment of the present application also provides an electronic device. Figure 5 Only an exemplary structure of the electronic device is shown, not all structures, and it can be implemented as needed. Figure 5 Partial or complete structure shown.
[0148] like Figure 5 As shown, the electronic device 500 provided in the embodiment of the present application includes: at least one processor 501, a memory 502, a user interface 503 and at least one network interface 504. The various components in the electronic device 500 are coupled together through a bus system 505. It can be understood that the bus system 505 is used to realize the connection and communication between these components. In addition to the data bus, the bus system 505 also includes a power bus, a control bus and a status signal bus. However, for the sake of clarity, in Figure 5 Various buses are labeled as bus system 505 .
[0149] The user interface 503 may include a display, a keyboard, a mouse, a trackball, a click wheel, keys, buttons, a touch pad or a touch screen.
[0150] The memory 502 in the embodiment of the present application is used to store various types of data to support the operation of the electronic device. Examples of such data include: any computer program used to operate on the electronic device.
[0151] The medical follow-up management disclosed in the embodiment of the present application can be applied to the processor 501, or implemented by the processor 501. The processor 501 may be an integrated circuit chip with signal processing capabilities. In the implementation process, each step of the medical follow-up management can be completed by the hardware integrated logic circuit or software instructions in the processor 501. The above-mentioned processor 501 can be a general-purpose processor, a digital signal processor (DSP, Digital Signal Processor), or other programmable logic devices, discrete gates or transistor logic devices, discrete hardware components, etc. The processor 501 can implement or execute the various methods, steps and logic block diagrams disclosed in the embodiment of the present application. The general-purpose processor can be a microprocessor or any conventional processor, etc. In combination with the steps of the method disclosed in the embodiment of the present application, it can be directly embodied as a hardware decoding processor to execute, or it can be executed by a combination of hardware and software modules in the decoding processor. The software module can be located in a storage medium, which is located in the memory 502. The processor 501 reads the information in the memory 502 and completes the steps of the medical follow-up management provided in the embodiment of the present application in combination with its hardware.
[0152] In an exemplary embodiment, the electronic device may be implemented by one or more application specific integrated circuits (ASIC), DSP, programmable logic device (PLD), complex programmable logic device (CPLD), field programmable gate array (FPGA), general processor, controller, microcontroller (MCU), microprocessor, or other electronic components to execute the aforementioned method.
[0153] It can be understood that the memory 502 can be a volatile memory or a non-volatile memory, and can also include both volatile and non-volatile memories. Among them, the non-volatile memory can be a read-only memory (ROM), a programmable read-only memory (PROM), an erasable programmable read-only memory (EPROM), an electrically erasable programmable read-only memory (EEPROM), a magnetic random access memory (FRAM), a flash memory, a magnetic surface memory, an optical disk, or a compact disc read-only memory (CD-ROM); the magnetic surface memory can be a disk memory or a tape memory. The volatile memory can be a random access memory (RAM), which is used as an external cache. By way of example and not limitation, many forms of RAM are available, such as static random access memory (SRAM), synchronous static random access memory (SSRAM), dynamic random access memory (DRAM), synchronous dynamic random access memory (SDRAM), double data rate synchronous dynamic random access memory (DDRSDRAM), enhanced synchronous dynamic random access memory (ESDRAM), synchronous link dynamic random access memory (SLDRAM, SyncLink Dynamic Random Access Memory), and direct RAM bus random access memory (DRRAM, Direct Rambus Random Access Memory).The memories described in the embodiments of the present application are intended to include, but are not limited to, these and any other suitable types of memories.
[0154] In an exemplary embodiment, the present application also provides a computer storage medium, namely, a computer storage medium, which may be a computer-readable storage medium, for example, a memory 502 storing a computer program, and the computer program may be executed by a processor 501 of an electronic device to complete the steps described in the method of the present application. The computer-readable storage medium may be a memory such as a ROM, a PROM, an EPROM, an EEPROM, a Flash Memory, a magnetic surface memory, an optical disk, or a CD-ROM.
[0155] It should be noted that: "first", "second", etc. are used to distinguish similar objects, and are not necessarily used to describe a specific order or sequence.
[0156] In addition, the technical solutions described in the embodiments of the present application can be combined arbitrarily without conflict.
[0157] The above is only a specific implementation of the present application, but the protection scope of the present application is not limited thereto. Any technician familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed in the present application, which should be included in the protection scope of the present application. Therefore, the protection scope of the present application should be based on the protection scope of the claims.
Claims
1. A medical follow-up management method, It is characterized in that The method comprises: Obtain the latest consultation channel information and the latest diagnosis and treatment information of patients; Determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information; A follow-up template for performing medical follow-up on the patient is generated based on the follow-up planning information, wherein the follow-up template includes at least one question for inquiring about the patient's disease condition.
2. The method according to claim 1, It is characterized in that The follow-up planning information includes a follow-up path; Determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes: If it is determined based on the latest consultation channel information that the patient's consultation channel is an outpatient clinic, then the duration of the patient's current consultation is obtained based on the latest consultation information, and the duration of the current consultation is compared with the pre-stored average consultation duration per person; According to the comparison result and a preset first mapping relationship, a follow-up path matching the comparison result is determined; wherein the follow-up path is a way of performing medical follow-up on the patient; and the first mapping relationship stores a correspondence between the comparison result and the follow-up path.
3. The method according to claim 1, It is characterized in that The follow-up planning information includes a follow-up path; Determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes: If it is determined based on the latest consultation channel information that the patient's consultation channel is online consultation, then querying based on the latest diagnosis and treatment information whether there is an online consultation report and outpatient consultation data of the patient; If it is determined that only the online consultation report is available, the address of the medical institution is obtained; the current address of the patient is determined based on the latest diagnosis and treatment information, and the distance between the current address and the address of the medical institution is compared with the preset distance; The follow-up path of the patient is determined according to the distance comparison result and a preset second mapping relationship; wherein the second mapping relationship stores a correspondence between the distance comparison result and the follow-up path.
4. The method according to claim 3, It is characterized in that If it is determined that both the online consultation report and the outpatient consultation data are available, the method further includes: A follow-up path for the patient is determined based on a preset third mapping relationship; wherein the third mapping relationship stores a follow-up path corresponding to both an online consultation report and outpatient consultation data.
5. The method according to claim 1, It is characterized in that The follow-up planning information includes a follow-up path; Determining the follow-up path of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes: If it is determined based on the latest consultation channel information that the patient's consultation channel is a referral, then the number of hospitalized days and the expected number of hospitalized days of the patient are obtained based on the latest diagnosis and treatment information; Obtaining the difference in days between the expected hospitalization days and the hospitalization days actually completed; Obtaining a comparison result between the day difference and a preset day difference; According to the comparison result and a preset fourth mapping relationship, a follow-up path matching the patient is determined; wherein the fourth mapping relationship stores a corresponding relationship between the comparison result and the follow-up path.
6. The method according to any one of claims 2 to 5, It is characterized in that The follow-up planning information also includes a follow-up period and a follow-up type; the latest diagnosis and treatment information includes disease information and hospitalization information; and determining the follow-up period and the follow-up type of the patient according to the latest consultation channel information and the latest diagnosis and treatment information includes: For any of the consultation channels, the follow-up period and the follow-up type are determined based on the illness information and the hospitalization information; wherein the follow-up type is the type of follow-up patient set according to the follow-up purpose.
7. The method according to claim 1, It is characterized in that After obtaining the follow-up template generated based on the follow-up planning information, the method further includes: If it is determined that the patient's follow-up period has been reached, obtaining the follow-up template; Sending the follow-up template to the doctor terminal; Acquire the follow-up data returned by the doctor terminal; wherein the follow-up data is various data collected by the doctor when performing medical follow-up on the patient based on the follow-up template.
8. A medical follow-up management device, It is characterized in that The device comprises: Patient information acquisition module, used to obtain the patient's latest consultation channel information and the latest diagnosis and treatment information; A planning information acquisition module, used to determine the follow-up planning information of the patient according to the latest consultation channel information and the latest diagnosis and treatment information; A follow-up template acquisition module is used to generate a follow-up template for medical follow-up of the patient based on the follow-up planning information, wherein the follow-up template includes at least one question for inquiring about the patient's disease condition.
9. An electronic device, It is characterized in that include: A processor and a memory for storing a computer program that can be executed on the processor, wherein: The processor is used to execute the steps of the method according to any one of claims 1 to 7 when running a computer program.
10. A computer storage medium having a computer program stored thereon, It is characterized in that When the computer program is executed by a processor, the steps of the method according to any one of claims 1 to 7 are implemented.