A western medicine health consultation and dynamic health record management system and method
Patent Information
- Application Number
- CN202611298531.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2026-08-26
- Publication Date
- 2026-10-30
AI Technical Summary
针对现有技术缺陷，本发明提供一种西医健康咨询与动态健康档案管理系统及方法，解决现有平台无时段管控、缺少报告结构化解析能力、无合规边界、无服务闭环、档案静态存储、定价单一、服务敷衍、无法落地线下就诊的技术痛点
[0007]本方案对健康咨询与临床诊疗的边界做出明确区分，允许患者自由提问，对医生输出内容进行约束，不执行开方、疾病确诊、疾病诊疗行为，规避互联网医疗相关监管风险。系统设置固定咨询时段搭配医生接单开关，医生可自主调配工作、学术及休息时间。平台可完成化验单、检查报告的结构化解析，并基于检验指标输出风险分层提示。借助咨询服务闭环校验机制，识别敷衍应答的会话并执行退款，维护患者付费权益。分级定价结合阶梯分账模式，可以匹配不同职称、不同能力医师的劳务报酬。动态健康档案分配唯一档案编号，对检验指标做时序更新与趋势比对，区别普通静态文件存储。本系统可以获得咨询服务收益、档案订阅收益，同时实现线上咨询向线下面诊导流，整体架构轻资产便于规模化部署，缓解线下门诊沟通时间有限、报告解读不充分的现实问题，医患双方均可受益。
Smart Images
Figure CN123017500A_ABST
Abstract
Description
Technical Field
[0001] This invention relates to the fields of artificial intelligence health services, compliant internet health consultation, digital lifelong record management, and online and offline doctor-patient referral services. Specifically, it relates to a long-term management system and method for asynchronous Q&A and dynamic health records in Western medicine, which is a non-diagnosis, non-prescription, and purely health consultation service. Background Technology
[0002] Existing online health consultation platforms for Western medicine generally suffer from numerous industry deficiencies: 1. Most platforms adopt a mandatory real-time consultation model with no time restrictions and no doctor's authority to close cases independently, which takes up doctors' rest and academic work time and results in a poor doctor-patient experience; 2. The platform's pricing model is too simplistic and cannot differentiate pricing based on doctors' professional titles, clinical qualifications, or expert levels, thus failing to reflect the value of renowned doctors in the market. 3. The lack of a service quality control mechanism means that doctors can charge fees with simple replies, resulting in perfunctory service and patients suffering losses when paying. 4. Archives are mostly stored as static files, simply saving images and text. They lack the ability to analyze lab reports and examination reports in a structured way, making it impossible to compare data from previous tests or track long-term health trends. They do not have real health management value. 5. The compliance system is not perfect and cannot strictly distinguish the boundary between health consultation and clinical diagnosis and treatment, which makes it easy for violations such as online diagnosis, online medication guidance and substitution for in-person consultation to occur. 6. The lack of a stable offline lead generation mechanism prevents online consultation services from being implemented, hinders the accumulation of value in doctor-patient communication, and leaves the platform without a long-term business loop.
[0003] In summary, current technologies lack a complete Western medicine health service system that is controllable in terms of time periods, autonomous control by doctors, and includes the ability to analyze examination reports, stratify risk indicators, verify service quality, stratify physician value, maintain dynamic records for long-term retention, and stably guide patients to offline clinics. Summary of the Invention
[0004] I. Purpose of the Invention To address the shortcomings of existing technologies, this invention provides a Western medicine health consultation and dynamic health record management system and method, which solves the technical pain points of existing platforms such as lack of time-based control, lack of structured report parsing capabilities, lack of compliance boundaries, lack of service loop, static storage of records, single pricing, perfunctory services, and inability to implement offline medical treatment. Technical solution
[0005] The system comprises eight core functional modules, with the addition of a structured analysis sub-module for examination reports and a risk stratification and early warning sub-module for Western medicine indicators. This forms a complete business chain: time-period control → independent order acceptance → asynchronous consultation → report analysis → indicator risk warning → risk control verification → tiered pricing and revenue sharing → closed-loop quality inspection → dynamic file accumulation → offline intention guidance. Designed for Western medicine health consultation scenarios, the system extracts structured information from test reports and provides risk stratification alerts based on Western medicine test thresholds. The system is strictly limited to providing only science popularization and risk warnings, and prohibits disease diagnosis and Western medicine prescription output.
[0006] [Distinction from Traditional Chinese Medicine Patent] Although this system and the applicant's prior patent for TCM Six Channels and Eight Principles Differentiation Consultation share some platform operation frameworks (time-slot control, order acceptance switch, asynchronous sessions, closed-loop refunds, intention appointments, and file access mechanisms), their core technologies are completely different. The prior TCM patent deals with TCM syndromes, tongue appearance, and classical formula knowledge bases; this invention deals with Western medicine laboratory reports, test indicators, and examination reports, using a Western medicine indicator risk stratification model. The files mainly store structured test data and Western medicine vital sign records, and output indicator popular science and risk warnings. The two are different technical solutions and do not constitute duplicate inventions. Beneficial effects
[0007] This solution clearly distinguishes between health consultation and clinical diagnosis and treatment, allowing patients to ask questions freely while restricting the content output by doctors. It refrains from prescribing medications, making disease diagnoses, or performing treatments, thus mitigating regulatory risks associated with internet healthcare. The system features fixed consultation time slots paired with a doctor's order-taking switch, allowing doctors to manage their work, academic, and rest time independently. The platform can perform structured analysis of lab reports and examination reports, and output risk-level alerts based on test indicators. A closed-loop verification mechanism for consultation services identifies perfunctory responses and issues refunds, protecting patients' payment rights. Tiered pricing combined with a tiered revenue-sharing model can match the remuneration of physicians with different titles and abilities. Dynamic health records are assigned unique file numbers, and test indicators are updated over time and compared with trends, distinguishing them from ordinary static file storage. This system can generate revenue from consultation services and file subscriptions, while simultaneously driving online consultations to offline consultations. The overall lightweight architecture facilitates large-scale deployment, alleviating the practical problems of limited communication time and insufficient report interpretation in offline clinics, benefiting both doctors and patients. Attached Figure Description
[0008] Appendix Figure 1 Overall architecture diagram of the Western medicine health consultation and dynamic health record management system; Appendix Figure 2 Consultation hours and doctor-independent order-taking control flowchart; Appendix Figure 3 Asynchronous Consulting Compliance and Risk Control Flowchart; Appendix Figure 4Service closed-loop verification and revenue sharing settlement flowchart; Appendix Figure 5 Flowchart for dynamic archive time-series updates and access control. Detailed Implementation
[0009] A Western medicine health consultation and dynamic health record management system runs on a cloud server, a patient mini-program terminal, and a doctor's workbench terminal. The platform is open for creating new paid consultations from 08:00 to 20:00 daily; creating new orders is prohibited after this time. Doctors can switch their order-taking status on and off at any time, flexibly managing their work pace. Doctors and patients use a timed asynchronous messaging system with a maximum of 3 hours, eliminating the need for constant online presence. Patients upload their lab reports and test results, and the structured parsing submodule of the test report extracts the test items, test values, and reference ranges. The Western medicine indicator risk stratification and early warning submodule outputs high, medium, and low risk information and does not make disease diagnoses. Doctors can only interpret symptoms, provide indicator information, risk stratification and early warning, offer health maintenance advice, and guide offline visits; all diagnosis and treatment, and prescribing Western medicine are prohibited. The system calculates revenue based on doctors' self-determined pricing, and settlement is only possible after a valid closed loop. Automatic full refunds will be issued if standards are not met or the session expires. All sessions, parsed structured test data, and original reports are automatically archived chronologically into a lifetime Western medicine health record; upon expiration of the record subscription, users can continue to view and export the data, but can disable doctor access. After the consultation loop is completed, unofficial offline appointment bookings can be generated, realizing the integration of online services with formal offline Western medicine treatment.
Claims
1. A Western medicine health consultation and dynamic health record management system, characterized in that, include: The system includes a time-slot control module, a doctor's self-service order-taking switch module, an asynchronous consultation interaction module, a structured parsing module for examination reports, a doctor-side compliance risk control interception module, a Western medicine indicator risk stratification early warning module, a doctor-tiered pricing and tiered revenue-sharing settlement module, a consultation service closed-loop verification module, a dynamic Western medicine health record management module, an offline intention appointment face-to-face consultation referral module, a doctor-patient dual-end interaction terminal, and a cloud data storage server. The time period control module is used to limit the service hours for newly created paid Western medicine health consultations, and the permission to create consultations is only open from 08:00 to 20:00 every day; During off-peak hours, the order placement button on the patient's device is grayed out, and new paid orders are not allowed. Sessions created during open time periods are not subject to time restrictions and can continue to facilitate interactive termination. The doctor-independent order-accepting switch module is deployed on the doctor's terminal and is used by the doctor to manually turn on or off the acceptance of new consultation orders during open hours; when it is off, it only blocks new orders and does not affect ongoing conversations; it does not require doctors and patients to be online in real time, and supports patients to submit symptom examination data and doctors to reply to questions in a fragmented manner; The asynchronous consultation and interaction module has a built-in structured parsing submodule for examination reports, which is used to parse uploaded test reports and imaging reports, extract test items, test values, reference ranges, and output structured index data. The doctor-side compliance risk control interception module pre-stores a database of high-risk and sensitive words in Western medicine diagnosis and treatment, and only intercepts the content output by doctors, while allowing all patient questions; it prohibits doctors from outputting illegal content such as disease diagnoses, Western medicine prescriptions, medication dosages, and direct medication instructions. The Western medicine indicator risk stratification early warning submodule receives structured indicator data and outputs three levels of popular science risk warnings (high, medium, and low) based on the test reference threshold, without outputting disease diagnosis conclusions. The doctor tiered pricing and tiered revenue sharing module is used to configure multiple doctor reference prices, supports doctors to customize consultation unit prices, matches tiered commission rules based on order unit prices, and automatically completes labor remuneration calculation and platform service fee statistics. The consultation service closed-loop verification module is used to determine whether a single consultation constitutes a valid service closed loop; valid closed-loop sessions are settled separately; sessions without substantive response, perfunctory responses, or those that fail to close within the time limit are deemed invalid and automatically refunded in full; The dynamic Western medicine health record management module assigns a unique lifelong record number to each user, collects consultation records, structured test indicators, original reports, vital signs, and appointment records, and realizes data time-series updates, test result trend tracing, and hierarchical access control. The offline appointment-based consultation module allows doctors to initiate unofficial appointment bookings after the consultation loop is completed. Appointment memos are generated and archived in the user profile, thus enabling online-to-offline formal consultations to be directed to the user. The cloud-based data storage server encrypts and stores session, parsing metrics, archives, settlement, and reservation data, enabling long-term retention and compliant traceability.
2. The system according to claim 1, characterized in that, The time-slot control module has a backend parameter configuration unit, which supports visual modification of consultation open time slots and maximum effective session duration in the backend without the need for code refactoring.
3. The system according to claim 1, characterized in that, The asynchronous consultation interaction module is set to a maximum effective duration of 3 hours for a single consultation, which can be configured and adjusted in the background within the range of 2-24 hours; the session supports manual early termination by doctors and patients or automatic closure after timeout.
4. The system according to claim 1, characterized in that, When the doctor-side compliance risk control interception module detects illegal content, it pops up a risk warning, intercepts the message, and retains the risk control log. Doctors are only allowed to modify the content to be compliant and then resend it.
5. The system according to claim 1, characterized in that, The doctor tiered pricing and tiered revenue-sharing settlement module has preset doctor pricing levels: 30 yuan for attending physicians, 40 yuan for associate chief physicians, and 60 yuan for chief physicians. Renowned doctors and experts can customize pricing levels from 100 to 300 yuan.
6. The system according to claim 5, characterized in that, The tiered revenue sharing configuration is as follows: for orders priced at 30 yuan, the platform takes 6 yuan and the doctor receives 24 yuan; for orders priced at 40 yuan, the platform takes 8 yuan and the doctor receives 32 yuan. For every 60 yuan order, the platform takes 10 yuan and the doctor receives 50 yuan. For orders over 100 yuan, the platform takes 15 yuan and the doctor gets 85 yuan; for orders over 200 yuan, the platform takes 30 yuan and the doctor gets 170 yuan; for orders over 300 yuan, the platform takes 60 yuan and the doctor gets 240 yuan. The revenue sharing ratio can be configured and fine-tuned in the backend.
7. The system according to claim 1, characterized in that, The consultation service closed-loop verification module sets two types of valid closed-loop judgment criteria: the first type is the general health consultation closed loop, which completes symptom analysis, indicator interpretation, Q&A and offline medical guidance; the second type is the high-risk indicator consultation closed loop, which completes risk stratification warning and emergency medical reminder; conversations that do not meet either criterion or only provide fragmented and perfunctory responses are judged as invalid closed loops, and the system will automatically issue a full refund.
8. The system according to claim 1, characterized in that, The permission logic of the dynamic Western medicine health record management module is as follows: During the period when a user subscribes to the record hosting service, the attending physician can view the complete record; if the subscription expires and is not renewed, the user retains the permissions to view, upload, and export the record, but closes the doctor's access permission, and the user's original data is permanently retained without being deleted.
9. The system according to claim 1, characterized in that, The appointment record generated by the offline intention appointment face-to-face consultation referral module includes a compliance reminder: This appointment is an online intention agreement between the doctor and the patient, not an official hospital registration, and does not occupy official appointment slots; public hospitals follow their internal registration rules, while private clinics are subject to the doctor's appointment schedule.
10. A method for Western medicine health consultation and dynamic health record management, applied to the system described in any one of claims 1-9, characterized in that, Includes the following steps: S1: The system uses a time-slot control module to lock the period from 08:00 to 20:00 each day as the open time for new consultations. Doctors can control their new order receiving permissions through an independent order acceptance switch. S2: When a patient initiates a paid consultation during open hours, an asynchronous session with a maximum validity of 3 hours is generated; Upload the inspection report, and the inspection report structured parsing submodule will extract the inspection information to obtain structured indicator data; S3: Doctors and patients communicate in segments through an asynchronous consultation and interaction module; The Western medicine indicator risk stratification and early warning submodule outputs graded risk alerts. All patient questions are approved, and the content output by doctors undergoes risk control verification. S4: Consultation interaction data, structured indicators, and original reports are collected in real time to the dynamic Western medicine health record management module to complete time-series archiving; S5: Confirm the validity of the consultation loop. If the loop is valid, tiered billing will be settled. If the loop expires or is not valid, a full refund will be issued automatically. S6: After the consultation loop is completed, the doctor can initiate an offline consultation appointment, and the appointment record will be archived in the user's lifelong file. S7: The system switches doctor file viewing permissions based on file subscription status, and all data is encrypted, stored long-term, and traceable.