The invention discloses a specific
disease intelligent follow-up visit
management system based on multi-model fusion and a patient grading method, and belongs to the technical field of medical
informatization. The
system comprises a
data integration layer, an intelligent
patient classification and grading module, a model fusion layer, a personalized follow-up visit
content generation module, a follow-up visit
state management module, a
data synchronization and integration module and a
statistical analysis layer, high / medium / low risk grading is achieved, and the model fusion layer comprises recurrence, re-admission, bleeding and compliance prediction models. The intelligent patient classifying and grading module is used for classifying and judging based on rules of diagnosis sets, operation markers, bedridden duration, tumor markers and heart and
cerebral vessel markers, and calculating a total
score by adopting a category adaptive weight and a multi-dimensional
score; patient grading accuracy is improved by more than or equal to 90%, VTE
recurrence prediction accuracy is improved by more than or equal to 85%, recurrence rate is remarkably reduced by 27%, and follow-up visit efficiency is improved by more than 20%.