The present invention proposes an
intelligent management system for chronic comorbidities in the elderly, including a comprehensive elderly assessment module, a multidisciplinary collaborative diagnosis and treatment module, a multiple
medication risk prediction management module, a
chronic disease intelligent follow-up management module, and a health science
knowledge base module. The comprehensive elderly assessment module inputs the patient's individual
chronic disease profile into a
risk factor prediction model for prediction and outputs a comprehensive assessment result. The multidisciplinary collaborative diagnosis and treatment module is used by the first-visit / admitting physician to coordinate multidisciplinary physicians for collaborative diagnosis and treatment. The multiple
medication risk prediction management module is used to provide patients with comprehensive diagnosis, multiple medication management, and risk prediction through the collaborative diagnosis and treatment. The
chronic disease intelligent follow-up management module performs follow-up tracking,
health risk prediction, and review prompts for patients. The health science
knowledge base module matches and pushes corresponding
health education knowledge. The present invention improves the accuracy and timeliness of
risk assessment, prediction, and management of chronic comorbidities in the elderly, and plays a good auxiliary role in improving the
quality of life of patients.