健康随访一体机的功能特色，原来还能这么便利

　　健康随访一体机是一套构建医防融合慢病管理的智能设备，能够实现预防、治疗、康复一体化管理。

　　The health follow-up all-in-one machine is an intelligent device that integrates medical prevention and chronic disease management, capable of achieving integrated management of prevention, treatment, and rehabilitation.

　　1、常规检测服务

　　1. Conventional testing services

　　健康随访一体机可进行身高、体重、BMI、脂肪、水分、基础代谢、血压、脉率、心电（12导）、血氧、体温、尿常规11项、血糖、尿酸、总胆固醇、肺功能、心肺康复评定与训练等项目。

　　The health follow-up all-in-one machine can monitor height, weight BMI、 11 items including fat, water, basal metabolism, blood pressure, pulse rate, electrocardiogram (12 lead), blood oxygen, body temperature, urine routine, blood glucose, uric acid, total cholesterol, lung function, cardiorespiratory rehabilitation assessment and training.

　　2、智能辅助诊断与报告分析

　　2. Intelligent assisted diagnosis and report analysis

　　健康随访一体机能够提供12导心电诊断报告、心率变异性分析报告、肺功能报告、动态血压监测报告、6分钟步行心肺功能试验分析报告，并针对检测数据提供智能辅助诊断分析，助力医生对冠心病、高血压及慢性呼吸系统疾病（慢阻肺）的诊断。

　　The health follow-up all-in-one machine can provide 12 channel electrocardiogram diagnostic reports, heart rate variability analysis reports, lung function reports, dynamic blood pressure monitoring reports, and 6-minute walking cardiopulmonary function test analysis reports. It also provides intelligent auxiliary diagnostic analysis for detection data, helping doctors diagnose coronary heart disease, hypertension, and chronic respiratory diseases (COPD).

　　3、智能健康管理评估服务

　　3. Intelligent Health Management Assessment Service

　　健康随访一体机能够基于公卫及家庭医生随访履约等基础体检随访数据、问询等基础数据进行高血压、糖尿病、缺血性心脑血管、慢性呼吸系统疾病（慢阻肺）等慢性病的健康管理智能风险评估功能，以丰富基本公卫服务和家庭医生签约服务的服务内涵。

　　The health follow-up all-in-one machine can carry out the health management intelligent risk assessment function for chronic diseases such as hypertension, diabetes, ischemic cardio cerebrovascular disease, chronic respiratory disease (chronic obstructive pulmonary disease) based on the basic physical examination follow-up data, inquiries and other basic data such as public health and family doctor follow-up performance, so as to enrich the service connotation of basic public health services and family doctor contract services.

　　智能健康管理评估融合互联网+健康医疗技术，遵循主流医学的原理和路径，提供精准的健康风险评估、专业的干预监测手段，针对高血压、糖尿病、缺血性心脑血管疾病、慢阻肺等慢病疾病进行智能健康管理评估，依据国家相关慢性病基层防治指南标准规范，形成科学准确的智能评估模型，结合先进的物联网医疗健康设备采集的常规检测数据和居家监测数据以及相关基础信息自动进行评估管理，为慢病的科学干预提供可靠依据。

　　Intelligent health management assessment integrates Internet plus health care technology, follows the principles and paths of mainstream medicine, provides accurate health risk assessment and professional intervention monitoring means, conducts intelligent health management assessment for chronic diseases such as hypertension, diabetes, ischemic cardio cerebrovascular disease, chronic obstructive pulmonary disease, and forms a scientific and accurate intelligent assessment model according to the relevant national guidelines and standards for the prevention and treatment of chronic diseases at the grass-roots level, and automatically carries out assessment management in combination with conventional detection data and home monitoring data collected by advanced Internet of Things medical health equipment and relevant basic information, providing a reliable basis for scientific intervention of chronic diseases.

　　4、院外物联网血压血糖监测服务

　　4. External IoT blood pressure and blood glucose monitoring service

　　健康随访一体机配备一定数量的物联网血压计构建基于物联网的血压慢病监测体系，实现从院内到院外直至居家的健康监测，通过慢病监测关口前移（健康监测），实现慢病重点人群的早期发现，从而早干预、早治疗、早康复。实现健康驿站+家庭监测+全科医生或专家远程干预指导有机结合，在此基础上可以在基层服务机构门诊开展动态血压、动态心电、睡眠呼吸的24小时动态监测及远程诊断，促进基本医疗、基本公卫和健康管理的统筹融合。

　　The health follow-up all-in-one machine is equipped with a certain number of IoT blood pressure monitors to build an IoT based blood pressure chronic disease monitoring system, realizing health monitoring from inside the hospital to outside the hospital and even at home. By moving the chronic disease monitoring gateway forward (health monitoring), early detection of key chronic disease populations can be achieved, thus enabling early intervention, treatment, and recovery. The organic combination of health stations, home monitoring, and remote intervention guidance from general practitioners or experts can be achieved. Based on this, 24-hour dynamic monitoring and remote diagnosis of dynamic blood pressure, dynamic electrocardiogram, and sleep breathing can be carried out in outpatient clinics of grassroots service institutions, promoting the overall integration of basic medical care, basic public health, and health management.

　　5、康复评估与康复过程管理功能

　　5. Rehabilitation assessment and rehabilitation process management functions

　　健康随访一体机支持心肺功能评估和慢病康复全过程管理，客户端系统能够支持建立康复记录管理并为家庭医生提供运动能力及危险分层评估、肌肉评估、生活质量评估、心理评估、营养评估、专病评估等，并出具评估报告，为家庭医生在基层机构开展康复医学活动提供必备智能评估工具，并支持向上延展建立基于心脏康复与呼吸康复的专科联盟，为医共体医联体的优质医疗资源下沉提供基础条件。

　　The health follow-up all-in-one machine supports the assessment of cardiovascular and pulmonary function and the management of the entire process of chronic disease rehabilitation. The client system can support the establishment of rehabilitation record management and provide family doctors with assessment of exercise ability and risk stratification, muscle assessment, quality of life assessment, psychological assessment, nutritional assessment, specialized disease assessment, etc., and issue assessment reports. It provides essential intelligent assessment tools for family doctors to carry out rehabilitation medical activities in grassroots institutions, and supports the upward extension of the establishment of specialized alliances based on cardiac rehabilitation and respiratory rehabilitation, providing basic conditions for the sinking of high-quality medical resources in medical consortia.

　　客户端系统提供慢性病干预及康复智能处方辅助功能，以运动处方、药物处方、营养处方、心理处方、睡眠指导、戒烟限酒五大处方为模型，提供智能化制订综合处方指导；

　　The client system provides intelligent prescription assistance functions for chronic disease intervention and rehabilitation, using five major prescriptions including exercise prescription, medication prescription, nutrition prescription, psychological prescription, sleep guidance, and smoking cessation and alcohol restriction as models, to provide intelligent comprehensive prescription guidance;

　　7、可视化数据分析

　　7. Visual data analysis

　　健康随访一体机支持向大屏输出展示可视化数据分析，集中展示辖区内慢病患者趋势分析与实时动态。

　　The health follow-up all-in-one machine supports outputting and displaying visual data analysis to the large screen, and centrally displays trend analysis and real-time dynamics of chronic disease patients in the jurisdiction.

　　健康随访一体机应该以“三高共管，六病同防”为业务切入点（三高：高血压、高血糖、高血脂，六病：指6个并发症，冠心病、脑卒中、周围神经病变、周围血管病变、糖尿病眼底病变、肾病综合症）构建医防融合慢病管理服务体系。

　　The all-in-one health follow-up machine should take "three highs in common management and six diseases in common prevention" as the business entry point (three highs: hypertension, hyperglycemia, hyperlipidemia, six diseases: six complications, coronary heart disease, stroke, peripheral neuropathy, peripheral vascular disease, diabetes fundus disease, nephrotic syndrome) to build a chronic disease management service system integrated with medicine and prevention.

　　健康随访一体机需要采用智能化设计，配备多种形式智能慢病管理配套设施与服务载体，助力基层医院实现医防融合的诊前诊后管理与服务，具备集常规健康体检数据采集存储、电子健康档案建立、基本公卫随访管理、智能健康管理评估、中医体质辨识、心肺功能评定、心肺康复管理等功能为一体，能够实现医防融合慢病管理服务。健康随访一体机

　　The integrated health follow-up machine needs to adopt intelligent design, equipped with various forms of intelligent chronic disease management supporting facilities and service carriers, to help grassroots hospitals achieve pre diagnosis and post diagnosis management and services of medical prevention integration. It has the functions of collecting and storing routine health examination data, establishing electronic health records, basic public health follow-up management, intelligent health management evaluation, traditional Chinese medicine constitution identification, cardiopulmonary function evaluation, cardiopulmonary rehabilitation management, etc. It can achieve the integration of medical prevention and chronic disease management services. Health follow-up all-in-one machine

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