Health management system and method

Abstract

The invention discloses a health management system and method. The system comprises a reservation module, an information module, an order module, an operation module, an authorization module and a management module. The reservation module is used for providing a reservation function for a user on a front-end page and receiving reservation information provided by the user; the information module is used for obtaining user information after determining that a user provides reservation information, and establishing a user health file according to the user information; the order module is used for creating a service order according to the reservation information and the user information; the job module is used for generating at least one job according to the service order; the authorization module is used for pre-authorizing at least one job to obtain at least one pre-authorized job; and the management module is used for matching the service order, the disease information, the disease code, the user information, the health management file and the at least one pre-authorization job according to the association relationship. The system can support comprehensive monitoring and multi-data integration capability of user behaviors.

Description

Technical Field

[0001] Embodiments of the present invention relate to the field of artificial intelligence technology, and in particular, to a health management system and method. Background Art

[0002] Health management systems play an important role in equipment health management and human health management. With the progress of technology and the expansion of application scenarios, the development needs of health management systems have become increasingly prominent.

[0003] Existing health management platforms often lack the ability to comprehensively monitor user behavior and integrate multiple data, and have a weak combination with business scenarios in vertical fields, resulting in the inability to timely identify and respond to potential user health management needs. Summary of the Invention

[0004] The present invention provides a health management system and method to solve the problem that existing health management systems lack the ability to comprehensively monitor user behavior and integrate multiple data.

[0005] According to one aspect of the present invention, a health management system is provided, including: a reservation module, an information module, an order module, a job module, an authorization module, and a management module. The order module is respectively connected to the information module, the reservation module, and the job module. The authorization module is connected to the job module. The management module is respectively connected to the information module, the order module, the job module, and the authorization module;

[0006] The reservation module is used to provide a reservation function for users on the front-end page and receive reservation information provided by users;

[0007] The information module is used to obtain user information after determining that the user provides reservation information, and establish a user health record according to the user information;

[0008] The order module is used to create a service order according to the reservation information and the user information;

[0009] The job module is used to generate at least one job according to the service order;

[0010] The authorization module is used to pre-authorize the at least one job to obtain at least one pre-authorized job;

[0011] The management module is used to match the service order, disease information, disease coding, the user information, the health management record, and the at least one pre-authorized job according to the association relationship.

[0012] According to another aspect of the present invention, a health management method is provided, which is executed by the health management system provided in one aspect of the present invention, including:

[0013] Through the reservation module, provide a reservation function for users on the front-end page and receive the reservation information provided by the users;

[0014] Through the information module, obtain the user information after determining that the user provides the reservation information, and establish a user health record according to the user information;

[0015] Through the order module, create a service order according to the reservation information and the user information;

[0016] Through the job module, generate at least one job according to the service order;

[0017] Through the authorization module, perform pre-authorization on the at least one job to obtain at least one pre-authorized job;

[0018] Through the management module, match the service order, disease information, disease code, the user information, the health management record, and the at least one pre-authorized job according to the association relationship.

[0019] The technical solution of the embodiment of the present invention matches the service order, disease information, disease code, user information, health management record, and at least one pre-authorized job according to the association relationship through the management module, solving the problem that the existing health management system lacks the comprehensive monitoring of user behavior and the ability to integrate multiple data. This system has the beneficial effect of supporting the comprehensive monitoring of user behavior and the ability to integrate multiple data.

[0020] It should be understood that the content described in this part is not intended to identify the key or important features of the embodiments of the present invention, nor is it used to limit the scope of the present invention. Other features of the present invention will become easily understood through the following description. Brief Description of the Drawings

[0021] In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the following will briefly introduce the drawings required for the description of the embodiments. Obviously, the drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, without creative efforts, other drawings can be obtained based on these drawings.

[0022] Figure 1 It is a schematic structural diagram of a health management system provided in Embodiment 1 of the present invention;

[0023] Figure 2 It is a schematic structural diagram of a health management system provided in Embodiment 2 of the present invention;

[0024] Figure 3 It is a front-end technical architecture diagram of a health management system provided in the embodiments of the present invention;

[0025] Figure 4 This is a schematic flowchart of a health management method provided in Embodiment 3 of the present invention. Detailed implementation manners

[0026] In order to enable those skilled in the art to better understand the solution of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention. It should be understood that the steps recorded in the method embodiments of the present invention can be executed in different orders and / or executed in parallel. In addition, the method embodiments may include additional steps and / or omit the steps shown. The scope of the present invention is not limited in this regard.

[0027] As used herein, the term "including" and its variants are open-ended, that is, "including but not limited to". The term "based on" means "at least partially based on". The term "one embodiment" means "at least one embodiment"; the term "another embodiment" means "at least one additional embodiment"; the term "some embodiments" means "at least some embodiments". The relevant definitions of other terms will be given in the following description.

[0028] It should be noted that the terms "first", "second", etc. in the description and claims of the present invention and the above-mentioned drawings are used to distinguish similar objects, and do not necessarily need to be used to describe a specific order or sequence. It should be understood that such data can be interchanged under appropriate circumstances so that the embodiments of the present invention described herein can be implemented in an order other than those illustrated or described herein. In addition, the terms "including" and "having" and any of their variants are intended to cover non-exclusive inclusion. For example, a process, method, system, product or device that includes a series of steps or units does not necessarily have to be limited to those steps or units clearly listed, but may include other steps or units not clearly listed or inherent to these processes, methods, products or devices.

[0029] It should be noted that the modifications of "one" and "multiple" mentioned in the present invention are illustrative rather than restrictive. Those skilled in the art should understand that unless otherwise clearly stated in the context, it should be understood as "one or more".

[0030] The names of the messages or information exchanged between multiple devices in the embodiments of the present invention are only for illustrative purposes and do not limit the scope of these messages or information.

[0031] It should be noted that the acquisition, storage, use, processing, etc. of data in the technical solution of this application all comply with the relevant provisions of national laws and regulations.

[0032] It can be understood that before using the technical solutions disclosed in the embodiments of this disclosure, the types, usage scopes, usage scenarios, etc. of the personal information involved in this disclosure should be informed to the target object and the authorization of the target object should be obtained in an appropriate manner in accordance with relevant laws and regulations.

[0033] Embodiment 1

[0034] Figure 1 FIG. 10 is a schematic structural diagram of a health management system provided in Embodiment 1 of the present invention. The health management system is applicable to the situation of comprehensively managing the health information of users. The health management system can be implemented by software and hardware. The system includes multiple modules, and each module is used to implement different functions and jointly implement the health management of users.

[0035] As Figure 1 shown, a health management system provided in Embodiment 1 of the present invention includes: a reservation module 110, an information module 120, an order module 130, a task module 140, an authorization module 150, and a management module 160. The order module 130 is respectively connected to the information module 120, the reservation module 110, and the task module 140. The authorization module 150 is connected to the task module 140. The management module 160 is respectively connected to the information module 120, the order module 130, the task module 140, and the authorization module 150;

[0036] The reservation module 110 is used to provide a reservation function for users on the front-end page and receive the reservation information provided by users;

[0037] The information module 120 is used to obtain user information after determining that the user provides reservation information, and establish a user health record according to the user information;

[0038] The order module 130 is used to create a service order according to the reservation information and the user information;

[0039] The task module 140 is used to generate at least one task according to the service order;

[0040] The authorization module 150 is used to pre-authorize the at least one task to obtain at least one pre-authorized task;

[0041] The management module 160 is used to match the service order, disease information, disease code, the user information, the health management record, and the at least one pre-authorized task according to the association relationship.

[0042] In this embodiment, the reservation module 110 can be used to provide a reservation function for users on the front-end page, and users can fill in reservation information on the front-end page. The reservation information can be information for reserving a medical appointment, including at least the user's name, user identification information, appointment time, appointment location, reserved department information, and reserved physician information; the reservation information can also be information for reserving related services, including at least the user's name, user identification information, service name, service number, and channel number. The related services can include advance payment services, claims settlement services, and third-party medical services.

[0043] In this embodiment, the information module 120 can determine whether the user has provided reservation information by connecting to the reservation module 110. If it is determined that the user has provided reservation information, it can further obtain the user information, which has been authorized by the user. The user information includes at least the user's basic information, user portrait, health index information, medical insurance information, insurance information, and medical appointment information, etc.

[0044] In this embodiment, the order module 130 is connected to the reservation module 110 to obtain reservation information; the order module 130 is also connected to the information module 120 to obtain user information; the order module 130 integrates the reservation information and user information to create a corresponding service order. If the reservation information is for a medical appointment, the corresponding service order created is a medical appointment order; if the reservation information is for related services, the corresponding service order created is a pending service order. The health management system can also include an order import module, which provides functions such as order template download, order import, and order information viewing.

[0045] In this embodiment, after the order module 130 creates a service order, it is necessary to determine whether there is a health record of this user in the information module 120. It can query whether there is a health record of this user by means of user information and / or mobile phone number. If not, the information module 120 is also used to create a user health record according to the user information.

[0046] In this embodiment, the job module 140 is connected to the order module 130 to obtain the service order and create at least one job according to the service order. The job module 140 includes a task unit 141 and a service unit 142. The task unit 141 is used to create at least one task according to the service order, update the task status, and record the task execution result. The at least one task includes tasks such as expert inpatient arrangement tasks, multidisciplinary expert consultation tasks, examination rush tasks, and personal escort tasks; the service unit 142 is used to create at least one service according to the service order. The at least one service includes advance payment services, claims settlement services, and medical services.

[0047] Among them, the task unit 141 can specifically be used to create tasks, update task status, and record task execution results. Through the operation module 140, medical staff can clearly understand the task content and task time of each user, and can optimize the work process of medical staff to improve service quality.

[0048] In this embodiment, the authorization module 150 is connected to the operation module 140 and is used to obtain at least one operation and review the operation. If the review is passed, pre-authorization is performed on the operation to obtain a pre-authorized operation. Among them, the authorization module 150 is used to obtain at least one task, perform pre-authorization on at least one task to obtain a pre-authorized task;. The authorization module 150 is used to obtain at least one service, perform pre-authorization on at least one service to obtain a pre-authorized service.

[0049] In this embodiment, the management module 160 supports functions such as creating disease codes, viewing disease names, editing disease information, and deleting disease codes; the management module 160 is connected to the information module 120 and is used to obtain user information and health management files; the management module 160 is connected to the order module 130 and is used to obtain service orders; the management module 160 is connected to the authorization module 150 and is used to obtain pre-authorized operations; the management module 160 is also used to match and manage service orders, disease information, disease codes, user information, health management files, and at least one pre-authorized operation according to the association relationship.

[0050] A health management system provided in Embodiment 1 of the present invention, the appointment module is used to provide an appointment function for users on the front-end page and receive appointment information provided by users; the information module is used to obtain user information after determining that the user provides appointment information and establish a user health record according to the user information; the order module is used to create a service order according to the appointment information and the user information; the operation module is used to generate at least one operation according to the service order; the authorization module is used to perform pre-authorization on the at least one operation to obtain at least one pre-authorized operation; the management module is used to match the service order, disease information, disease code, the user information, the health management record, and the at least one pre-authorized operation according to the association relationship. The above system can support comprehensive monitoring of user behavior and multiple data integration capabilities, enhance the combination of the system with business scenarios in vertical fields, and timely identify and respond to potential user health management needs.

[0051] Furthermore, the system further includes an order management module, and the order management module is used to manage user solutions and service orders.

[0052] Among them, the user solution may include the user's treatment plan, the user's claim settlement plan, the user's fund advance plan, and the user's third-party diagnosis and treatment plan.

[0053] Among them, the order management module can be used to associate service orders with corresponding users, and can also manage the status of service orders, the numbers of service orders, and other information.

[0054] Embodiment 2

[0055] Figure 2 FIG. is a schematic structural diagram of a health management system provided by Embodiment 2 of the present invention. Embodiment 2 is optimized on the basis of the above embodiments. For the content not detailed in this embodiment, please refer to Embodiment 1.

[0056] In this embodiment, the system further includes a supervision module 170. The supervision module 170 is connected to the authorization module 150. The supervision module 170 is used to determine the time of the pre-authorization service for performance and update the progress of the execution of the pre-authorization service; the supervision module 170 is also used to determine the time of the pre-authorization task for performance and update the progress of the execution of the pre-authorization task.

[0057] Exemplarily, if the pre-authorization service is a claim settlement service, the supervision module 170 can be used to determine the time of claim settlement and update the claim settlement progress in real time; if the pre-authorization task is a multidisciplinary expert consultation task, the supervision module 170 can be used to determine the time of multidisciplinary expert consultation and update the progress of the execution of this task.

[0058] Further, the system further includes a transfer module 180. The transfer module 180 is connected to the authorization module 150. The transfer module 180 is used to transfer the fund advance service to an external financial institution for processing; the transfer module is also used to transfer the claim settlement service to an external claim settlement institution for processing; the transfer module is also used to transfer the medical service to an external medical institution for processing.

[0059] In this embodiment, the transfer module 180 is connected to the authorization module 150, and is used to obtain the pre-authorization service from the authorization module 150 and transfer the fund advance service to an external financial institution for processing; the transfer module 180 is also used to transfer the claim settlement service to an external claim settlement institution for processing; the transfer module 180 is also used to transfer the medical service to an external medical institution for processing. Among them, the external financial institution, the external claim settlement institution, and the external medical heterogeneous are all authorized.

[0060] Further, the system further includes a to-do module 190. The to-do module 190 is connected to the job module 140. The to-do module 190 is used to display the at least one job to the user on a visual page; the to-do module 190 is also used to delete the to-do job after receiving the information that the execution of the to-do job is completed.

[0061] Among them, the to-do module 190 is connected to the job module 140 and is used to obtain at least one to-do task and / or to-do service from the job module 140, and display the to-do task and / or to-do service on the visualization page; after the to-do task is completed, the to-do module 190 can also delete the to-do task; after the to-do service is completed, the to-do module 190 can also delete the to-do service.

[0062] Among them, the to-do module 190 supports the functions of creating, viewing, and deleting to-do tasks and to-do services, which can improve the task completion efficiency. By setting information such as task type, content, timeline, and copywriting, it can ensure timely response and on-time completion of tasks.

[0063] Furthermore, the system further includes a view module 200. The view module 200 is respectively connected to the information module 120, the management module 160, the authorization module 150, and the to-do module 190, and is used to obtain the user information, the disease information, the at least one pre-authorization job, and the to-do job; the view module 200 is also used to identify the user identity according to the identification information input by the user, and visually display the information associated with the user.

[0064] Among them, the view module 200 is connected to the information module 120 to obtain user information; the view module 200 is connected to the management module 160 to obtain disease information; the view module 200 is connected to the information module 120 to obtain information; the view module 200 is connected to the authorization module 150 to obtain at least one pre-authorization job; the view module 200 is connected to the to-do module 190 to obtain the to-do job, and the to-do job includes to-do tasks and to-do services.

[0065] Among them, the view module 200 can identify the user identity according to the identification information input by the user, and visually display the information associated with the user. The identification information can be one or more of name, phone number, contact phone number, and identity document number. The information associated with the user can also include treatment information.

[0066] Furthermore, the system further includes a data display module 210. The data display module 210 is respectively connected to the information module 120, the management module 160, the authorization module 150, and the to-do module 190, and is used to obtain the user information, the disease information, the at least one pre-authorization job, and the to-do job; the data display module 210 is used to perform multi-dimensional statistical analysis on the user information, the disease information, the at least one pre-authorization job, and the to-do job, obtain data trends, service profiles, and task statistics information, and display key performance indicators and statistical data in an intuitive manner.

[0067] Among them, the data display module 210 provides functions for viewing data and trends such as patients, services, and tasks. The data display module 210 displays key performance indicators and important statistical data in an intuitive manner, including information such as data overview, patient data trends, service profiles, task statistics, etc., and supports real-time update and multi-dimensional analysis of data.

[0068] Furthermore, the system further includes a knowledge base module, which is used for querying medical materials across systems.

[0069] Among them, the knowledge base module has an external interface and can retrieve medical materials from external systems. This module is mainly used for summarizing information storage and query, and provides cross-system query of medical materials such as advanced medical devices and supplies, guidelines and consensus, disease knowledge, drug knowledge, adverse reactions, etc.

[0070] Furthermore, the system further includes a permission management module, which is used to control the permissions of each module and allocate corresponding permissions according to the user role.

[0071] Among them, the permission management module provides permission control for external users to view system modules, allowing administrators to allocate appropriate access permissions according to the roles and responsibilities of users, thereby protecting sensitive data and preventing unauthorized access. The roles mainly include health care stewards, project administrators, medical managers, and product center leaders, etc.

[0072] A health management system provided in Embodiment 2 of the present invention specifies the operation module and adds a supervision module, a transfer module, a to-do module, a view module, a data display module, a knowledge base module, and a permission management module. This system has the ability to comprehensively monitor user behavior and integrate multiple data, and can increase the combination of the system with business scenarios in vertical fields, and timely identify and respond to potential user health management needs.

[0073] Among them, Figure 3 is a front-end technical architecture diagram of a health management system provided in an embodiment of the present invention. As Figure 3 shown, it is divided into a data layer, a code layer, a compilation layer, and a view layer, and the functions of each module are displayed to users on the browser for use.

[0074] Embodiment 3

[0075] Figure 4 is a flowchart of a health management method provided in Embodiment 3 of the present invention. This embodiment is applicable to the situation of comprehensively managing user health information. This method can be executed by the health management system provided in the above embodiments. This system can be implemented by hardware and software. The method specifically includes the following steps:

[0076] S110. Provide a reservation function for users on the front-end page through the reservation module, and receive the reservation information provided by the users.

[0077] S120. After determining that the user has provided reservation information through the information module, obtain the user information, and establish a user health record according to the user information.

[0078] Among them, the user information includes user basic information, user portrait, health index information, insurance information, and medical treatment information.

[0079] S130. Create a service order according to the reservation information and the user information through the order module.

[0080] S140. Generate at least one task according to the service order through the task module.

[0081] Among them, at least one task may include at least one task and at least one service. At least one task includes tasks such as expert inpatient arrangement tasks, multidisciplinary expert consultation tasks, examination expediting tasks, and dedicated escort tasks. At least one service includes services such as fund advance payment services, claim settlement services, and medical treatment services.

[0082] S150. Perform pre-authorization on the at least one task to obtain at least one pre-authorized task through the authorization module.

[0083] Among them, the authorization module authorizes at least one task and / or at least one service.

[0084] S160. Match the service order, disease information, disease coding, the user information, the health management record, and the at least one pre-authorized task according to the association relationship through the management module.

[0085] A health management system provided in the third embodiment of the present invention embodies the management method of the health management system. This method matches the service order, disease information, disease coding, the user information, the health management record, and the at least one pre-authorized task according to the association relationship through the management module, can comprehensively monitor user behavior and integrate multiple data, and can combine with the business scenarios in vertical fields to timely identify and respond to potential user health management needs.

[0086] Further, the method further includes: determining the time for fulfilling the pre-authorized service and updating the progress of executing the pre-authorized service through the supervision module; determining the time for fulfilling the pre-authorized task and updating the progress of executing the pre-authorized task through the supervision module.

[0087] Further, the method further includes: transferring the fund-advanced service to an external financial institution for processing through a transfer module; transferring the claim settlement service to an external claim settlement institution for processing through the transfer module; and transferring the medical service to an external medical institution for processing through the transfer module.

[0088] Further, the method further includes: displaying the at least one task to the user on a visualization page through a to-do module; and deleting the to-do task after receiving the information that the to-do task has been completed through the to-do module.

[0089] Further, the method further includes: performing multi-dimensional statistical analysis on the user information, the disease information, the at least one pre-authorization task, and the to-do task through a data display module to obtain data trends, service profiles, and task statistics information, and displaying key performance indicators and statistical data in an intuitive manner.

[0090] Further, the method further includes: querying medical materials across systems through a knowledge base module; and using a permission management module to control the permissions of each module and assign corresponding permissions according to the user role.

[0091] It should be understood that various forms of the processes shown above can be used, with steps reordered, added, or deleted. For example, the steps described in the present invention can be executed in parallel, sequentially, or in a different order, as long as the desired results of the technical solution of the present invention can be achieved, and no limitation is made herein.

[0092] The above specific embodiments do not constitute a limitation on the protection scope of the present invention. Those skilled in the art should understand that various modifications, combinations, sub-combinations, and substitutions can be made according to design requirements and other factors. Any modifications, equivalent substitutions, and improvements made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.

Claims

1. A health management system, characterized in that: The system includes a reservation module, an information module, an order module, an operation module, an authorization module and a management module, wherein the order module is respectively connected to the information module, the reservation module and the operation module, the authorization module is connected to the operation module, and the management module is respectively connected to the information module, the order module, the operation module and the authorization module; The reservation module is used to provide a reservation function for users on the front-end page and receive reservation information provided by users; The information module is used to obtain user information after determining that the user provides appointment information, and to establish a user health file based on the user information; The order module is used to create a service order according to the reservation information and the user information; The operation module is used to generate at least one operation according to the service order; The authorization module is used to pre-authorize the at least one job to obtain at least one pre-authorized job; The management module is used to match the service order, disease information, disease code, user information, health management file, and at least one pre-authorization operation according to the association relationship.

2. The system according to claim 1, characterized in that The user information includes basic user information, user portrait, health indicator information, insurance information and medical information.

3. The system according to claim 1, characterized in that The operation module includes a task unit and a service unit. The task unit is used to create at least one task according to the service order, update the task status and record the task execution result, wherein the at least one task includes a specialist hospitalization arrangement task, a multidisciplinary expert consultation task, an expedited examination task and a dedicated accompanying task; The service unit is used to create at least one service according to the service order, and the at least one service includes a fund advance service, a claim settlement service, and a medical service.

4. The system according to claim 3, characterized in that The system further comprises a supervision module, wherein the supervision module is connected to the authorization module. The monitoring module is used to determine the time of performing the pre-authorization service and update the progress of performing the pre-authorization service; The supervision module is also used to determine the time for performing the pre-authorization task and update the progress of performing the pre-authorization task.

5. The system according to claim 3, characterized in that The system further comprises a switching module, which is connected to the authorization module. The transfer module is used to transfer the fund advance service to an external financial institution for processing; The transfer module is also used to transfer the claim service to an external claim agency for processing; The transfer module is also used to transfer the medical service to an external medical institution for processing.

6. The system according to claim 1, characterized in that The system further comprises a to-do module, which is connected to the operation module. The to-do module is used to display the at least one task to the user on a visual page; The to-do module is further configured to delete the to-do job after receiving information indicating that the to-do job has been completed.

7. The system according to claim 6, characterized in that The system further comprises a view module, which is respectively connected to the information module, the management module, the authorization module and the to-do module, and is used to obtain the user information, the disease information, the at least one pre-authorized job and the to-do job; The view module is also used to identify the user's identity based on the identification information input by the user, and to visually display the user-related information.

8. The system according to claim 6, characterized in that The system further comprises a data display module, which is respectively connected to the information module, the management module, the authorization module and the to-do module, and is used to obtain the user information, the disease information, the at least one pre-authorized job and the to-do job; The data display module is used to perform multi-dimensional statistical analysis on the user information, the disease information, the at least one pre-authorized job and the pending jobs, obtain data trends, service overviews, task statistics, and display key performance indicators and statistical data in an intuitive manner.

9. The system according to claim 1, characterized in that The system also includes a knowledge base module and a rights management module. The knowledge base module is used to query medical data across systems; The authority management module is used to control the authority items of each module and allocate corresponding authority according to user roles.

10. A health management method, characterized in that: Executed by the health management system according to any one of claims 1 to 9, the method comprises: Through the reservation module, the reservation function is provided to users on the front-end page, and the reservation information provided by users is received; Through the information module, after determining that the user provides the appointment information, the user information is obtained, and the user health file is established according to the user information; Creating a service order according to the reservation information and the user information through an order module; Generate at least one job according to the service order through a job module; Pre-authorizing the at least one job to obtain at least one pre-authorized job through the authorization module; Through the management module, the service order, disease information, disease code, user information, health management file, and at least one pre-authorization operation are matched according to the association relationship.

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