Chronic Disease Management Platform
Designed around chronic disease management guidelines and care pathways, this regional platform combines data, IoT and AI to support prevention, diagnosis, treatment and rehabilitation. Vital-sign monitoring, health assessment, care management and lifestyle interventions connect ongoing records, routine monitoring, education and analysis.
Product Highlights
Professional Tools for Ongoing Health Management
Bring together collected resident information with role-based access. Import data through dedicated interfaces or enter it manually to create individual electronic health records.
Maintain family relationships and link household members to support health management at family level.
Manage compliments, suggestions and concerns in one place, respond promptly and notify patients when a reply is available.
Transfer resident health records between managing institutions, with records of transfer requests and acceptance reviews.
Assessment Management
0101 · Risk Screening
- Identify people at high risk of disease
0202 · Lifestyle Assessment
- Assess lifestyle factors
0303 · TCM Assessment
- Traditional Chinese medicine constitution assessment
Health Records
Patient Health Records
Bring together collected resident information with role-based access. Import data through dedicated interfaces or enter it manually to create individual electronic health records.
Risk Stratification
Connect to hospital information systems to view a patient's clinical history on a timeline, including admissions, discharge summaries, outpatient visits, tests, procedures and medication records.
Follow-up Planning
Maintain out-of-hospital clinical records through manual entry, including outpatient visits, admissions, tests and medication history.
Intervention Records
Import examination data from connected systems or enter external checkup results using templates and batch imports.
Outcome Tracking
Collect supplementary health information through customizable questionnaires across devices. Review responses and scores, with abnormal results flagged for attention.
Platform Architecture
01Connected Devices
- Blood pressure
- Blood glucose
- Uric acid
- Blood oxygen
- Body composition
- Fetal heart rate
- ECG monitoring
02Real-time Monitoring
- Vital-sign data
- At-home monitoring
- In-hospital monitoring
03Chronic Disease Platform
- Automated online management
- Rules & processing engines
- Abnormality analysis
- Offline clinical services
04Clinical Intervention
- Healthcare professionals
- Care plan adjustment
- Health guidance
05Feedback & Review
- Alerts
- Analysis
- Prediction
- Ongoing monitoring