In 3 years, there are more than 2,800 data points inside and outside the hospital. This cancer follow-up company has accounted for over 80% of the market.

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“On average, 7 Chinese were diagnosed with cancer, and the cumulative cancer incidence was 01.58% for 0-74 years.” In February of this year, the National Cancer Center published this set of data is disturbing. Cancer has long been considered a "critical disease." The first problem of concern for cancer patients after diagnosis is often not the treatment plan, but the survival period. Therefore, the medical community uses the “5-year survival rate” indicator to measure the level of resistance to cancer. In January of this year, the top medical journal "Lancet" published the "2000-2014 Global Cancer Survival Trend Monitoring Research Report". The data show that the overall 5-year survival rate of cancer in China is 30.9%. In the United States, this figure is 81.6% and 66%, respectively.

Folks have always said that "cancer is not treated", lifelong follow-up is a standardized medical path to control recurrence and metastasis. In the 2011 edition of the “Detailed Implementation Details of the Third-Level Cancer Hospital Evaluation Standards”, the former Ministry of Health required an independent follow-up department and a suitable full-time staff to establish a follow-up mechanism and related database to strengthen the health of discharged patients. Education and follow-up appointment management.

It is in this context that easy follow-up is cut into the field of tumor follow-up, using familiar doctor-patient relationship to empower tumor hospitals and doctors. Recently, the arterial network interviewed Dr. You Jiangyun, the founder of the easy follow-up, to hear about the development history, data architecture and business closure of the easy follow-up.

Starting from Angel Engineering, precision docking medical short board

Earlier, the “Western Hospital Management Support Poverty Alleviation Project” (hereinafter referred to as “Angel Project”) was officially launched. The project sponsors were the former Ministry of Health, the State Administration of Traditional Chinese Medicine, the State Council Poverty Alleviation Office and the China Foundation for Poverty Alleviation. Easy follow-up as an executing unit to participate in the project. Angel Engineering promotes the transformation of hospital management to modernization by training the grassroots hospital management team. In the process of management training to advance in depth, the project team found a huge gap in the construction of oncology in hospitals in China.

"Many cancer patients simply do not get effective treatment." You Jiangyun is a medical doctor and clinical research methodology expert. She believes that to improve the level of cancer diagnosis and treatment, on the one hand to build in-hospital oncology, on the other hand to improve the out-of-hospital tumor follow-up. In the later stage of the poverty alleviation project, the project team strengthened the construction of oncology, and cooperated with the Cancer Hospital of the Chinese Academy of Medical Sciences and the 301 Hospital of the People's Liberation Army to build a special oncology for 197 primary hospitals. After the completion of the project, it is easy to follow up the work of the out-of-hospital link, focusing on the follow-up of the tumor.

In 2015, the easy-to-follow tumor mobile follow-up cloud platform was officially launched.

上线3年打通院内外2800多个数据点,这家肿瘤随诊企业已占据超8成市场份额

Easy follow-up doctor's app image provided by Yi Follow

Oncologists can use the mobile app to keep track of the patient's disease after discharge, arrange the patient's follow-up time, and answer patient questions remotely. Usually, once a tumor patient is discharged from the hospital, the doctor loses the accurate control of the patient's condition. It is easy to follow the clinic to establish a contact between the doctor and the patient anytime and anywhere, and solve the hospital, doctor, patient with a more unique perspective. The pain points of the three parties in post-tumor medical services make patients no longer anxious, making doctors more efficient in managing discharge services.

Build a “Trinity, Interconnection” follow-up platform to bring together the real world “full medical record”

You Jiangyun introduced the “Trinity, Interoperability” solution for easy follow-up.

The first "bit", follow-up and big data research platform. In order to follow-up platform docking hospital information system, dynamically collect patient personal information, medical treatment data, inspection report, etc., and use the core technology accumulated gradually to be placed into a full-time medical record, in a standard style for doctors to query and retrieve. Conduct a retrospective study. At the same time, the easy-to-follow platform supports custom clinical research observations for doctors to conduct prospective studies.

The second "bit", the doctor's app. After the doctor logs in to the APP, he can view all the medical records of all the patients who have visited the clinic, handle the daily consultation of the patients under his jurisdiction, arrange the diagnosis and treatment, and find new ideas for improving the level of diagnosis and treatment from the massive medical treatment data. In addition, the easy follow-up will organize a unified training of doctors with the support of the hospital to assist them in using the platform functions.

The third "bit", the patient's public number. There are two ways to log in to the patient's follow-up patient, that is, the patient's own login and family registration, thus maximizing patient coverage and accurate portraits. Through easy follow-up, the patient can always report the condition to the attending doctor, upload the information of the off-site visit, and make an appointment for follow-up.

上线3年打通院内外2800多个数据点,这家肿瘤随诊企业已占据超8成市场份额

Easy follow-up solution graphic picture provided by easy follow-up

Relying on the "three-in-one, interconnection and interoperability" solution, the easy follow-up has actually opened up the N times of patient visit data in N hospitals, forming a "full medical record." For a single patient, the data for the full-time medical record consists of more than 2,000 in-hospital data and nearly 800 out-of-hospital data. At present, it is easy to follow up with 53 domestic cancer hospitals, including 15 provincial-level oncology hospitals, more than 20,000 oncologists, accounting for nearly 81% of the 124 cancer hospitals nationwide, and operating more than 6.2 million patient data. .

Intelligent data cleaning and security protection

“The most difficult thing is data cleaning,” said You Jiangyun. “The biggest highlight is data cleaning.” The data collected by the follow-up includes text, image, audio and other formats. It must be cleaned and matched to be a platform. Used.

The huge volume puts high demands on the data processing ability of easy follow-up. Chief Architect Long Xiangming is a Ph.D. in Computer and Network Science at Beijing University of Posts and Telecommunications. He was the chief architect of the Internet and System Services Department of China Mobile Research Institute. Division, has accumulated rich experience in data processing. Long Xiangming's work in the easy follow-up is to design the database structure library structure, data errata, cleaning and standardization, which is not difficult for him.

The real challenge is to design new algorithms that use artificial intelligence to process the data. Technical director Liu Dongxu believes that with the help of AI, easy-to-follow data processing is more efficient and more accurate. At present, Yi Follow-up has already played an important role in data collection, data cleaning, data errata and standardization by virtue of the six core technology engines with independent intellectual property rights.

“We have been online and are developing some AI-based follow-up services. For example, follow-up through smart phones has greatly improved the follow-up efficiency of hospital follow-up centers. In addition, AI technology prompts doctors to take the initiative to pay attention to potential follow-up needs. The patient really assisted the doctor to complete the follow-up work more efficiently," Liu Dongxu said.

Another data-related job is security. The Medical Device Medical Record Management Regulations (2013 Edition) clearly stipulates that patients have ownership of medical records, and doctors can review and research medical records according to regulations. Easy follow-up empowers hospitals, building a follow-up big data platform for hospitals, and ensuring data security is crucial. To this end, it is easy to follow-up design of static routing, data security through the isolation card off-network access, etc., using "SLL channel + asymmetric key encryption" to ensure data communication security.

上线3年打通院内外2800多个数据点,这家肿瘤随诊企业已占据超8成市场份额

Easy follow-up data security program image provided by Yi Follow

At present, the easy follow-up has passed the safety certification of the National Information Center Software Testing Center. In January of this year, Yi Follow-up was based on the technological breakthrough in data processing, and was awarded the honorary title of “Tumor Big Data Research Base” jointly issued by China Health Information and Health Big Data Society and China Geriatric Health Medical Research Association.

Mature business model, try to cut directly from the provincial cancer center

Since the establishment of the company, Yi has experienced two financings, and is currently in the A+ round, ready for the B round of financing. Su Shuang, vice president of easy-to-use product operation, has been the head of wireless commercialization products on Sina Weibo. She said that Yibian has completed the closed-loop verification of business models in several provincial and municipal cancer hospitals.

Su Shuang believes that the development of the easy-to-subsequent business model is highly compatible with the follow-up needs of doctors and patients. On the one hand, it is aimed at hospitals, doctors, and patients, generating profit points in information construction, scientific research services, and patient value-added services. On the other hand, for pharmaceutical companies and insurance companies, they have also cooperated in marketing and insurance control fees and have been recognized by customers.

At present, the easy follow-up is in the 2.0 stage. In the 1.0 stage, Yi follow-up to the hospital, one by one, has been in 53 cancer hospitals. In the 2.0 stage, the easy follow-up choice is directly for the provincial cancer center, covering the provincial cancer hospital and oncology specialist from top to bottom. Currently, it has been explored in 2 provinces, and plans to be in 124 cancer hospitals and more than 2,000 general hospitals in the future. The oncology department has fully landed.

By the 3.0 stage, the Easy Follow-up Program has established strategic partnerships with cancer centers across the country to improve the algorithms for the diagnosis, recurrence, and metastasis of 153 cancers, and to provide intelligent medical records and cancer prevention platforms for 22 million cancer patients.

At the end of the interview, You Jiangyun mentioned that Yi follow-up may be the most relevant tumor follow-up platform in China. It is true that the easy follow-up has a solid source and walks through the practical road. Arterial Network believes that easy follow-up in the future can do more to improve the 5-year survival rate of cancer patients.

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