BR102022020811A2 - PORTABLE DIGITAL INTEGRATIVE RECORD PROCESS - Google Patents

Abstract

The innovation presented consists of the creation and development of a process for recording health information in the form of a portable and integrative medical record, through various interconnected software in the form of modules. The solution is innovative because it gives the patient or their guardian autonomy in relation to recording and viewing their health information and by integrating different aspects of their eating routines, physical exercise, habits and addictions directly into the care and recording of what happens with Your health. The patient is truly considered to be most interested in their health and can actively participate in care. Several software modules are responsible for implementing the functionalities of this broad process, which involves health records that are easily accessible and available by the patient to the professionals responsible for their care, as well as the integration of information, using technology to support treatments and follow-ups. The technical sector involved is tools for collecting, recording, transmitting health data, planning, monitoring and evaluating discipline and user adherence to agreed definitions. The organization of health information today, extremely focused on health services and static, makes it difficult to provide care to the user, facilitates loss of information, generates repetition of data collection and potentially avoidable loss of time in care. The individual is held hostage by hospitals and other health services and does not have complete information about their health status for adequate treatment. Information is recorded statically on paper or text documents and data is not easily consulted. Feedback regarding treatment and the creation of a professional bond with the user are made difficult. The availability of prescriptions and recommendations that can be easily integrated into the daily routine as well as easy recording tools are an important differentiator for more comprehensive treatment of the individual.

Description

1. Field of invention

[001] The technical sector involved refers to the collection, recording and transmission of data related to health, planning, monitoring, evaluation and performance checking. These records include care provided by health professionals, food and school records, medication use, poisoning, physical or psychological trauma, records of habits, addictions and present and future planning of goals and activities related to the individual's organization.

[002] The health sector is widely involved, involving doctors, dentists, nurses, nursing technicians and assistants, physiotherapists, speech therapists, psychologists, pharmacists, acupuncturists, massage therapists, pilates professionals , laboratory professionals, such as biochemists, biomedical scientists and laboratory technicians, professional caregivers, chiropractors, personal trainers, physical education professionals, veterinary professionals, researchers, teachers and coaches.

[003] The record also involves the documentation of complementary, laboratory and imaging exams, procedures, hospitalizations, prescriptions, forms, guidelines and recommendations, forms and reports and summaries, as well as tools for checking, reminding and recording treatment and following guidelines.

[004] The technical sectors related to the data flow involved are the recording of information on portable devices, such as cell phones and tablets, the use of vital signs and physical performance sensors for data feeding, data analysis by artificial intelligence, computers, cloud , data transmission via Bluetooth, Wi-Fi and QR Code and user authentication.

2. Fundamentals of the invention 3. 1 State of the art

[005] Currently, medical records and information about patients are limited to the services that provide care to them, without interconnection with other services and in the need to search for another service, a lot of information is lost or too much time is spent recording again with the details remembered. essential information about the patient.

[006] Each hospital has its own information recording system, with several options available on the market for the exclusive use of professional services.

[007] Information such as medication times, antibiotics used and procedures performed are sometimes lost even within the same service network, due to differences in opening hours and even communication with the sectors responsible for the information.

[008] Information from exams and medical records is essential for the correct monitoring of the patient and a lot of time is spent collecting information and physically searching documents that are often disorganized for signs that other problems may be happening to the patient.

[009] Emergency and outpatient doctors do not have easy means of following up subsequent information regarding the success or failure of the treatment instituted and most of the time they have difficulty accessing the guidance and recommendations of the patient's primary professionals.

[0010] Even in medical services, most of the time, information is recorded statically and is camouflaged among a series of text documents that are repeated or even ignored amidst a vast amount of duplicate information.

[0011] The amount of data saved due to the need for repetitions ends up increasing greatly, without quantifiable improvement in the quality of assistance.

[0012] By spending time on repetitions, the professional's attention is often consumed with identifying details and nuances that could have already been detailed previously.

[0013] Information such as what were the criteria that led to diagnosing the disease in question, what was the reason for a cardiac arrest and how it was identified, what was the neurological evolution of a patient with a thrombolyzed ischemic stroke or head trauma are simply lost among non-integrated records.

[0014] When a patient's primary doctor is lost to follow-up, a lot of information is lost or it even becomes difficult to collect information using physical documents.

[0015] It is a total lack of reason if every time we had to perform an activity or acquire an object or service we had to search for the same information again, without little or no memory or learning record. Information such as where to find the product or service, which attitudes are correct or not, which product is the most suitable for my case and why.

[0016] This is how our health monitoring has been handled, with great mismatches in information and memory lapses. It constitutes a counter-productive process that consumes a large part of professionals' energy with repetitions and painful tasks, while the necessary information could be easily recorded and made available.

[0017] The detailed representation of physical changes and previous sequelae, devices and prostheses, scars and injuries ends up getting lost among papers and records held most of the time only by attendants.

[0018] Hospital, outpatient and emergency care forms are filled out by professionals with new collection of data that has already been entered into the medical record or that will have to be entered again at a later time.

[0019] There is no automated way to use each data in an optimized way for use in these forms, even in hospital records in general.

[0020] Physical examination data, symptoms and vital signs must be filled out again in an exhaustive manner during the various services carried out by professionals.

[0021] The comparison of data on vital signs, physical examination and laboratory tests is restricted to repetitions of their recording in text documents.

[0022] Within health services, it is difficult to verify and record evasion, and, in most cases, there are no mechanisms for checking whether an individual who leaves the service is a companion, visitor or even a patient who evades without proper registration of such information in the medical record.

[0023] Patients' retention of basic information when they leave health services is often well below expectations and information from previous care is lost among the wide variety of services available.

[0024] Many patients who undergo emergency care or evaluation do not know or remember who attended to them or about the recommendations or guidance received.

[0025] Patients who change continuous medications often do not remember exactly the reason for the change and how long ago the prescription was changed, especially when the changes are only in dosage.

[0026] Elderly patients, who often have various pathologies and medication needs, are prone to forgetting or confusing medications and their schedules, which makes treatment difficult.

[0027] People who need treatment on an occasional basis end up forgetting the times they take their medication and this impacts the outcome of the treatment.

[0028] A change of city, trip or simply of health services or even sectors of the same service often leads to a new odyssey of reacquisition of the same basic patient data, being a totally inefficient process.

[0029] Previously autonomous and independent patients are subject to sudden disabling disorders, temporarily or permanently. In cases of loss of memory and/or communication capacity, they often do not have a family member or friend who knows the details of their previous monitoring routine.

[0030] When this happens in a place where no one knows the person affected, it becomes difficult to collect essential data and identify a known person who can provide more data or even monitor the care to assist in decision-making and clarifications.

[0031] People have difficulty formalizing their personal choices in a valid and documented way. Especially when a sudden incapacitating illness occurs or even in illnesses that quickly or gradually hinder decision-making capacity, this information can be lost or disregarded due to the absence of a valid official record.

[0032] Information such as being a Jehovah's Witness and not accepting blood transfusions, not accepting cardiopulmonary resuscitation, intubation and other invasive measures, even with a well-defined desire by the patient and their family members, are not taken into consideration because there is no valid registration accepted.

[0033] Dietary options, such as vegetarianism, veganism, non-consumption of pork, are also easily lost among other data in the medical record, when they are recorded.

[0034] In the fast daily routine that brought the world interconnected, many people do not organize their diet, daily planning, physical activity and study routine and, therefore, end up presenting anxiety, depression, obesity, lack of blood pressure and glycemic control and experience frustrations that could be avoided with well-applied discipline.

[0035] People go to the market and end up forgetting the products necessary for their diet or even taking prohibitive items home that hinder their efforts.

[0036] Some applications currently help to carry out specific activities, such as conducting cardiac arrest for healthcare professionals, distance tracker, with heartbeat sensor interconnection, financial organization applications, but none of them act in an integrated way for recording data automatically in medical records.

[0037] There is a tendency towards a preference for healthy eating nowadays, but even in services and restaurants that provide such options, it is difficult to access the composition of carbohydrates, fats and seasonings used (such as the amount of salt and other ingredients).

[0038] With the difficulty that many have in preparing their own food, they become increasingly susceptible to unknown foods, with inadequate options for correct nutrition.

[0039] Physical activity professionals commonly have difficulty accessing official medical indications or contraindications about the exercises that can be performed and patients themselves suffering from some pathology end up being lost in this regard, ceasing to do physical activity and increasing the chances of comorbidities .

[0040] Pets are often not remembered as part of an individual's daily life. Some animal pathologies are transmissible to humans and joint care influences both the success and failure of treatment and the state of mind of an animal owner who is experiencing a serious illness.

[0041] Levels of stress and tension during the day are often not valued or remembered, but they influence and greatly impact sleep, control of anxiety, depression, blood pressure, glycemic levels, disordered eating or even the use of legal or illicit drugs as part of the stress compensation and relief mechanism.

[0042] Factors such as water intake, menstrual cycle, addictions and habits are often over or underestimated, when not adequately quantified.

[0043] Parents are often disoriented or forget correct vaccination dates or even lose references regarding the adequate growth and development of their children.

[0044] Completing growth and development charts for monitoring ends up being restricted to assessments during medical appointments, without checking them in between.

[0045] This hinders checking the correct progression of growth and weight gain, especially as age advances and appointments become more spaced out.

[0046] Medical researchers and researchers from other areas have difficulty following up patients in longitudinal research, due to distances, adequacy of routines and even the schedule to physically appear during the stipulated periods.

[0047] Carrying out scientific research is made difficult for most health professionals, due to the need to be linked to a Medical Ethics Committee that is not always accessible to carry out the analysis of their proposal.

[0048] Data collection itself is extremely expensive, with the need to review medical records or incomplete service records or even travel costs and filling out data collection forms with people who have a full schedule at the time of the approach.

[0049] Linguistic and spatial barriers end up hindering larger samples in scientific works and data analysis by professionals from other languages after the works are published.

[0050] The great diversity of platforms ends up expanding the possibilities of publishing environments, but ends up restricting publications to the languages used in the publications.

[0051] Systematic review articles involve exhaustive and expensive collection of data tabulated in the articles used, often presenting difficult reanalysis due to sampling data tables not being available.

[0052] People with different languages have difficulty exchanging information related to care, comorbidities and previous or current health treatment.

[0053] This means that migrations or even travel represent a great risk of difficulty in transmitting essential information for adequate care due to language barriers and communication failures, compromising patient safety.

4. 2 Innovations

[0054] The main innovation brought by the process is the portable record, accessible to those responsible and independent of institution or professional of health information. Therefore, the physical, psychological and social well-being of individuals and their pets is returned to the individual.

[0055] The availability of information is the prerogative of the individual or their legal guardian, and can be transmitted to professionals according to their needs, within the competencies of each professional.

[0056] Chronic and multifactorial diseases need a complete and broad approach for adequate control and this is often the difference between a patient with controlled comorbidity and another who does not adhere to treatment and with uncontrolled disease.

[0057] The concentration, attention and efforts spent on retrieving necessary basic information can be saved and repetitions mitigated or eliminated so that the service becomes less tiring and attention is given to what really matters, which is clinical and organizational reasoning and reception of the service user.

[0058] Time often runs out with repetitions and efforts are hampered in identifying other, no less important, inadequacies, such as whether the patient is actually using medications, their understanding of the importance of carrying out what is proposed, whether they are going through many stressful situations, what distresses you most and whether or not adequate monitoring is provided.

[0059] The exercise and development of empathy and creation of bonds in human relationships are left aside.

[0060] Sensitive information is protected by the process described here. Facts such as having HIV or previous sexual illness or assault are not even offered as data transmission options for personal trainers, teachers and coaches, for example.

[0061] If the individual finds it necessary or wishes to share information of this type, they are responsible for transmitting the information in a manner completely disconnected from the application.

[0062] Another innovation is the recording of data in a cataloged form, with text elements that represent names of symptoms, physical examination changes, laboratory tests, imaging tests, diseases, medications, procedures each being associated with a numeric code and this is registered.

[0063] With this form of recording, data consumption decreases drastically from several bytes to 4 bytes per item alone, increasing the speed of searching and filtering data for visualization, therefore, as less data has to be compared to reach to the results.

[0064] Another important innovation of the invention is the integration between information and activities, as data are recorded not statically, but as elements that carry clinical significance.

[0065] In this way, a prescription is not recorded as just a text document, but as a set of medications with specific times of use and which are easily converted into alarms for correct medication use.

[0066] Data are recorded on the correct or irregular use of medications, as well as the usual time of use in the case of continuous medications and these records can be transmitted to professionals who assist the patient in their care.

[0067] Recommendations for water intake or restriction, goals for total or progressive cessation of smoking or alcohol consumption are integrated directly into the water, tobacco or alcohol consumption recorder respectively.

[0068] Data collected on a scale form for classifying the severity, follow-up or even diagnosis of a disease are incorporated directly into the patient's medical record and the formal instructions provided during a consultation can be consulted later to resolve doubts.

[0069] Data present in medical records, whether recent or old, can be collected automatically to fill in fully or partially automated forms, facilitating service.

[0070] Food and diet are largely related to what we bring home from the supermarket or other food stores and restaurants. There is nothing more natural than generating integration between the shopping list and information about food eaten and the diet prescription made by a nutritionist.

[0071] Aerobic and/or anaerobic exercise guidelines carried out by physical education professionals and personal trainers become checkable activities and exercises in the digital agenda of checkable goals.

[0072] Goals defined by the individual themselves or even with the help of coaching or teachers become checkable items. Records related to these achievements can be more easily documented to competent professionals for joint analysis of discipline and performance.

[0073] Oral health is also related to general health, self-image, self-esteem of individuals and teeth in poor condition can be foci of infection or even influence the individual's physical or psychological illnesses.

[0074] Habits related to oral hygiene and the state of tooth conservation can be recorded by both the user and professionals, in this context.

[0075] Laboratory and imaging exams and vital signs, in this integrative approach, can be viewed in a more accessible and organized way, with selection of which of them are most important to be viewed and/or compared in an evolutionary way more easily, in this way not needing to be repeated in the medical record texts or searched exhaustively.

[0076] A third innovation is the facilitation of feedback regarding the care received, treatment performed, improvement or worsening and evaluation of the care received from the professional and the behavior of the person served.

[0077] Doctors and other professionals now present another direct path of feedback to find out whether they met patients' expectations and whether recommendations and treatments were followed and whether or not they are being effective. This aspect of the registration process consists of integration between the patient and the professional who accompanies them and enables a closer bond between them.

[0078] Another important point of innovation in the process is its characterization as an environmentally sustainable mechanism for recording health information, as it makes it possible to reduce the amount of paper used to record information.

[0079] Papers are prone to loss and damage and end up being reprinted sometimes with the same information in an unnecessary and environmentally harmful way.

[0080] Even hospitals that have computerized systems generate a large amount of printed paper for documentation and analysis, or even to hand over to the patient upon discharge.

[0081] With the digital registration process, all data is digital, without the need for printed documents.

[0082] As a fourth innovative part, a mechanism is implemented for the patient to participate in the care of their health in a more active way, a fact that facilitates the monitoring and control of chronic problems and which largely depend on collaboration and discipline on the part of the individual.

[0083] The patient is no longer a mere “object of study” for the doctor or other professional to have a more practical and applied understanding of their illness and the importance of following and recording recommendations and prescriptions.

[0084] The patient now has tools for analyzing factors that are harmful to both their health and their goals and objectives, to better align their expectations and better organize their precious time.

[0085] There is also a fifth innovation, the creation of a mechanism for temporary or definitive access to the individual's information in sudden reversible or irreversible incapacitating cases.

[0086] The individual himself previously selects the information to be transmitted in these cases and restricts the transmission or viewing of information considered sensitive. With this mechanism, essential information for the assessment and treatment of the individual is preserved and acquired more easily.

[0087] In cases of loss of consciousness, other individuals can use the user's device to notify the designated trusted person who will provide the necessary health data through their control tools.

[0088] Scientific research is greatly hampered by failures in monitoring or even having to have information collection restricted due to financial limitations of the researcher or even mobility difficulties for those studied.

[0089] In this context, the innovation of facilitating the provision of complete information and definition of the factors to be studied facilitates scientific production for the benefit of the patients themselves.

[0090] The establishment of a designated Medical Ethics Committee, a platform for analysis, publication and dissemination of accepted work carried out through this process makes carrying out scientific research more accessible.

[0091] Any professional, regardless of whether they are linked to an institution that supports research or not, as long as they have interest and support from superiors in the place where they work (if there are superiors), can contribute to increasing health knowledge.

[0092] The organization of data recording in a cataloged manner in numerical codes facilitates the interpretation of result data in other languages, as the data is read based on the local language.

[0093] This innovation of translating data directly into the language chosen by the professional or user constitutes important progress in reducing barriers to adequate and safe healthcare.

[0094] This translation can happen both by viewing documents sent from one to another by your own device or in real time by implementing a medical chat for instant translation of the data used in the exchange of information.

[0095] This mechanism is inherent to the way the process is established, with cataloged data recording instead of in text documents, with each module containing interpretation packages for the codes recorded directly in its language.

[0096] The possibility of generating a patient urgency summary, containing essential emergency information (such as allergies, previous comorbidities not containing sensitive information and authorization or refutation of blood transfusion or invasive measures), constitutes another innovation and proves essential to safer pre-hospital life-sustaining treatment.

[0097] The information in this emergency summary will be accessible to any individual who has access to the individual's cell phone, even in locked mode, if so chosen by the individual, to help ensure the safety of life support in sudden, predictable or disabling illnesses. no.

[0098] In our increasingly connected world, it is surprising that a more appropriate process for preservation, accessibility of data and use of technology in favor of patients as individuals has not previously been developed.

[0099] It is in this role that this process has its greatest focus and greatest asset, offering the possibility of dynamism and reducing avoidable waste of time in our intense daily routine. 5. Brief description of the diagrams Figure 1 represents the overview of the general user's operation and their interaction with professionals. Figure 2 demonstrates the possibility of selecting standard information for each professional. Figure 3 shows user-controlled information management. Figure 4 shows the structuring of the Digital Integrative Medical Record, with its interaction with professionals. Figure 5 shows the structuring of the professionals module and its interaction with the general user. Figure 6 shows the contribution of food services. Figure 7 shows how an assessment works with an indication of hospital admission. Figure 8 shows how an assessment works with an indication of hospital observation. Figure 9 shows the solutions in the case of a sudden disabling illness. Figure 10 shows the management of the supervised user's medical record. Figure 11 shows the schematization of the daily agenda of checkable goals, with integration of planned goals and health goals. Figure 12 represents a simplified form of graphical visualization of lifeline data, which can be from a specific period or the patient's entire life.

6. Description of the invention 6.1 Overview

[00100] The process of the invention applies to the health sector in a broad way, with its implications related to the recording of information from medical care or by other health professionals, dietary records, physical activity records, habits and addictions and planning and carrying out personal goals and time organization.

[00101] The basic idea of implementing the process is based on two assumptions:

[00102] - Health is a broad term

[00103] - The medical record and accessible information are the patient's right

[00104] The concept of health is that physical and mental well-being depends not only on the exams we take, illnesses we have and medications we take or stop taking.

[00105] Health is closely related to what we eat or don't eat, the physical activity we do, the types of environments we frequent, how we organize our time and plan.

[00106] In the rush of day-to-day life, many end up not organizing their health care and end up losing a lot of information when we seek care for a more important problem.

[00107] The medical record, in turn, with exams, diagnoses, guidelines and recommendations, is a patient's right and an indispensable necessity to ensure correct care in a comprehensive manner.

[00108] Patients with chronic and/or serious problems are often at the mercy of the services that accompany them because they do not know how to report in full detail the treatment they undergo and what happened to them.

[00109] When they feel unwell and the same service is far away or is not available to help them, either due to the time of day or the lack of availability of appointment or slot spaces, they are left with incomplete information about their underlying illness and treatment elsewhere. institution.

[00110] The care provided in another service, in turn, is not accessible in the follow-up hospital and each service the patient goes to only knows part of what happens to the user, plus the information they know how to report.

[00111] Health includes seeing the patient as a whole, knowing their history and not just gathering some information and doing a superficial follow-up assessment.

[00112] Tensions and stress, as well as the fragility of patients, cause them to forget important data about their conditions and this hinders a more complete approach.

6.2 Definition of medical records

[00113] Medical record refers to the recording of information in a permanent and untamperable form in a physical or digital medium. In the case of health records, the information refers to complaints, clinical history, social and family data, habits and addictions, treatment, exams, prescriptions and certificates.

[00114] Much of the important information is related to data that the user is able to organize, such as medication use, physical activity, water intake, menstrual cycle, family history of illnesses, etc.

[00115] All this potential is underutilized, as there are currently no tools for organizing this information for recording medical records. The diet itself is left aside and is not recorded properly and in detail.

6.3 Standardization of terms used

[00116] As a standard, during this descriptive text, some terms should be further clarified. The term “user”, despite generally having a very broad meaning, in this text is used to refer to people who use the main and general module of the information system.

[00117] Users of the secondary and tertiary modules are referred to as “professionals”, with the secondary ones being “care professionals” and those in the tertiary modules “adjunctive professionals”.

[00118] Guidelines are explanations about the disease itself and recommendations are indications of attitudes to be adopted for better recovery or performance.

[00119] Modules and profiles are used synonymously throughout the text and mean different versions specific to the monitoring and data recording activities of those who use them.

[00120] Guardian or supervisor are terms that refer to the person responsible for supervising care for patients who are more fragile and unable to be responsible for their health alone.

[00121] Sensitive data is data that is possibly embarrassing or exposes the user's privacy in an inappropriate way. Declaration options are given, but the user reaffirms or not their choice as such.

6.4 Structuring into modules or profiles

[00122] The presented system is structured into profiles or modules, which, as already mentioned, are versions of data inclusion in the system, with submodules being able to be added that add data registration and management functionalities to the modules used.

[00123] These modules and submodules can be classified into four levels, according to the form of interaction they generate for the user.

4.4.1 Primary module

[00124] The main profile, or primary or main module, constitutes the user's record more completely. The general user manages their own health and activity records through this general profile. It also has tools to monitor and check the guidance and recommendations received.

[00125] All other modules revolve around different ways of feeding data to this module to assist you in your healthcare. Some of them may request necessary information from the general user in this process, but it is the user who selects which information is transmitted to the professionals who assist him.

[00126] The primary module comprises both users who are fully capable of managing information and records themselves, and users who are not and require the supervision of a person in charge.

[00127] The reasons for this need may be either because the users are minors or due to some physical, neurological or mental disability that incapacitates them.

[00128] This differentiation of users makes room for the need for differentiation within the main profile, with the use of a profile supervised by a supervising submodule by the guardian.

[00129] This profile has limited functionalities and is supervised by the guardian, mainly with regard to the inclusion of medical information by the user and the sending of system information to non-medical professionals without the supervisor's consent.

4.4.2 Secondary modules

[00130] Used by care professionals to request information, carry out consultations and evaluations, send forms, guidelines, recommendations, prescriptions, goals, reports and certificates.

[00131] It can also be used to apply medical diagnostic tools, such as tables of diagnostic criteria for a given disease or even medical risk classification scales or degree of involvement by the disease in question.

[00132] Data that require frequent evaluation, such as the NIHSS neurological assessment in stroke patients and the Glasgow in head trauma patients, can be evaluated objectively facilitated by secondary profile forms.

[00133] This module opens up the possibility of recording data about users served and monitored, as well as feedback related to treatment.

[00134] It also opens up the possibility of generating documents and standard prescriptions that will be used for the guidance and treatment of patients, without having to generate all the files from scratch, thus facilitating care.

[00135] The profile in question may also be used to facilitate the collection of monitoring information and research and scientific reports, with the patient's consent to do so.

4.4.3 Tertiary module

[00136] The tertiary module does not make any requests, however it is important for facilitating the detailing of the composition of calories, carbohydrates and lipids of dishes and products produced by restaurants and other food services.

[00137] The calculation is estimated based on the ingredients used in preparing the dishes and constitutes additional data to bring the recommended diet closer to what is actually being ingested.

[00138] Documents are generated that can be disseminated electronically to customers who intend to attend the environment, to those who are attending and to those who have already attended. Data can be converted into QR Codes or remain in the form of tables.

.4.4 Quaternary module

[00139] The quaternary module can be used by anyone to validate attestations against the database and register the attestations provided. Validation takes place through a QR code read from the attested user's application or a file received with the attestation data.

[00140] It can also validate current hospitalization conditions or hospital observation through a generated QR code or document generated and sent in a targeted manner.

[00141] It also has a specific profile that can be used by authorized health services access controllers, being able to recognize whether a patient has been discharged or formally withdrawn from treatment or needs to have an evasion formally registered.

6.5 Potential solution

[00142] Thinking about the deficient aspects of current health monitoring, the process developed presents two interrelated concepts for solving the problems presented in an innovative way. The two great resolving potentials of the system in question are:

[00143] - Complete and portable medical record with health information

[00144] - The ability to integrate the different aspects of care.

[00145] Medical records and health information, as already mentioned, are the right of the patient and not of hospitals in isolation and in many cases there is difficulty in requesting a copy and information, which often cannot wait.

[00146] The difficulty occurs because the time of the incident is not the same as the service's operating time or because the latency between the request and the provision of the copy is long and the need for information is more immediate.

[00147] Often the patient even has copies of exams and prescriptions, but in a rush to leave the house or because they are in another environment, they end up not having the papers on hand.

[00148] Another problem is when exams are very frequent, due to the demands of the health condition itself, and it is difficult to carry them all or even keep them organized by type and date for easy analysis.

[00149] Within the same network or agreement, information about outpatient and hospital consultations is often not interconnected, and information about them is lost when we switch from one service to another, simply because the system is not interconnected or not be the same.

[00150] As a way of meeting the needs of comprehensive health care, the pillars of the system emerge, which structure the service in an integrated and comprehensive way.

4.5.1 System pillars

[00151] The first of the system's pillars is the creation of a record of information on health care, comorbidities, laboratory and imaging tests, reports, recommendations and guidance, prescriptions, certificates.

[00152] A second pillar includes recording habits, addictions, physical activity, planning and treatments carried out by the patient. These factors are intrinsically related to the patient's own participation in their health care and should not be forgotten.

[00153] The third of the system's pillars constitutes the integration between types of care. Through the application or the computer version, the user can check whether prescriptions, recommendations and medical advice have been completed.

[00154] Guidance, recommendation or prescription received through the application are not static documents to be ignored. Whenever one of these functions is included, the system gives the option of including each item in the daily agenda, with the possibility of setting an alarm and recording whether that care was carried out or not.

[00155] A prescribed antibiotic goes, according to the user's desire, directly into their daily activity schedule, with the possibility of automatic alarm at specified times so that the treatment does not fail.

[00156] At the same time as notifying you of the need to use medication, the use of medication following the application records the times of medication use.

[00157] This checks whether the use is regular or not, as well as helping to identify whether the pressure is fluctuating due to irregular use of the medication or due to the failure of the current regimen to control blood pressure levels.

[00158] As part of this integration, a nutritionist's prescription more easily integrates the ingredients used in the diet and recipes with a supermarket shopping list, so that the diet does not fail due to forgetting one or another ingredient.

[00159] Personal trainers and physical education teachers can request medical information related to the locomotor, respiratory and cardiovascular system, that is, about pathologies that influence their professional activity and exercise prescription.

[00160] Laboratories and radiologists are able to release information from laboratory and imaging tests in a more streamlined and easily viewable form both by the main module and by the professionals for whom it makes it available.

[00161] Sweet and sugar consumption routines, as well as smoking and tooth brushing and flossing habits can be data requested by dentists and analyzed to guide treatment and monitor it.

[00162] Restaurants can also, in turn, participate in patients' nutritional care, generating tables containing the amount of carbohydrates, calories, sodium and fat present in the portions offered on their dishes.

[00163] To do this, they use the restaurant profile to include data in the system, which has a calculation method based on the ingredients used and their amount of calories, carbohydrates and lipids.

[00164] Unlike the secondary profile in which patient data can be requested, in the restaurant profile (tertiary) only informative files can be generated, which will then be made available on the website or even at the restaurant so that it can be included in the application by the user as a meal.

[00165] The fourth pillar is the confidentiality of information. The system does not have a fully automated way of sending data from one person to another and the transmission of information relevant to the service requires a prior check by the user of the information that will be sent for authorization of sending.

[00166] The general application itself has several security levels that can be selected by the user according to their information protection needs and system performance.

[00167] These levels range from encrypted transmission and coded recording of data, with a password or authentication request each time the application returns to the screen, for fully functional people, to an application that remains open without a password, so that a weakened person be able to more easily record the medications you use and your routines.

[00168] The fifth and final pillar, but no less important, is the possibility of facilitated feedback to those involved in care. Whenever receiving care, whether from a doctor or another professional, the patient chooses whether to authorize a request for feedback regarding the service provided, and may change their opinion about this during treatment.

[00169] If you authorize feedback, a document is generated at the end of the treatment on the appropriate use of the medication and whether there has been an improvement or worsening of the condition, subject to pre-authorization by the user before sending it to the professional.

[00170] One thing that is sorely missed in emergency care in general is precisely this feedback, since in many places patients are attended to by on-call staff and not by the doctors or professionals who regularly monitor them (if they have one).

[00171] Even if you are the professional accompanying you, it is easier to follow the process in question, as you do not need to wait for the next appointment to find out about improvement or worsening. 6.6 Main profile in practical terms

[00172] Primary module, main or user profile are all synonymous and reflect the main innovative focus of the system. It consists of both records and tools for data integration and selection of data to be transferred.

[00173] The primary one is the medical record itself with the information that the general user records and accesses from their cell phone or computer, with information saved on the device and/or updated in the cloud according to the data saving and updating option defined by the user.

[00174] The user always chooses before sending which information will be transmitted. Consultations and assessments are not all the same and the level of detail of a random one-off consultation is most of the time not the same as that of a follow-up consultation with the same doctor or another professional.

[00175] In a patient with a sore throat, for example, information about a separation process currently in effect may be considered irrelevant and undesirable to be transmitted. For a psychologist or coach, this information can be essential for defining goals and organizing activities.

[00176] The user also defines the degree of detail they want to give to each segment of their profile according to the importance that each area has for them. For example, you can decide whether your daily schedule includes information about each step of your day or just data about the type of activity more broadly, such as “study” or “work” or “physical activity”.

[00177] They can only include the name of the active ingredient of the medicine they are using or also include the pharmaceutical name and laboratory that manufactures it, following this same line of reasoning.

[00178] All information that is included in the user's medical record in the system when receiving the service files is previewed before adding the information to the medical record.

[00179] In the case of medical evaluation, data on the patient's complaints, diagnosis and recommended treatment are displayed. When recommendations and prescriptions are present, the option is available to include these in the daily goals agenda, whether in the form of medications at adjusted times, amount of water ingested per day or even the gradual reduction of cigarette use to quit, for example.

[00180] Physical examination data, as it is full of technical terms, which can be confused or misinterpreted by patients, cannot be viewed by patients, despite being stored in the medical record and transmitted in data to medical profiles that are authorized to view the service.

[00181] As a medical record, once the information has been entered, it cannot be deleted, only reservations made or records of subsequent rectifications regarding the content previously presented.

[00182] The profile also has tools to help with more optimized recording of situations, habits and events. These tools include features such as recording menstrual periods, physical activity, water intake, alcoholic beverages, smoked cigarettes and also the use of medications, dental floss, tooth brushing and sexual activity.

[00183] The user also presents options for prior definition of information to be transmitted in documents. Of these definitions, the main one is the patient urgency summary, a document of basic information necessary for the user's emergency care.

[00184] This document contains essential information for pre-hospital care, such as allergies, use of anticoagulants, comorbidities such as epilepsy, hypertension, diabetes and previous stroke, as well as its sequelae.

[00185] Another tool is the designation of a trusted person, capable of taking control of the user's application on a punctual or permanent basis if an incapacitating event occurs, such as a stroke or severe polytrauma, which leaves the patient unconscious.

[00186] The information viewed by the trusted person can also be limited in advance in the settings available in the application. Sensitive data of clinical relevance can, however, in emergency situations, be transmitted in a medical record to the professional providing care without the person taking control having to know the information.

[00187] The diet recording tool also plays an important role, among records, facilitating nutritional assessment and identification of hyperglycemia and hypoglycemia and their causes. Relationships between the amount of salt ingested and blood pressure control can also be analyzed more easily if the user records this data.

6.7 Professionals and their profiles

[00188] The professionals involved in the care will be doctors, psychologists, dentists, nurses, nursing technicians and assistants, paramedics, nutritionists, physiotherapists, speech therapists, pharmacists, acupuncturists, pilates professionals, laboratory professionals, caregivers , chiropractors, personal trainers, physical education professionals and coaches.

[00189] Each of them will have a different secondary module of the system, which will be a cell phone application with its version of a computer program so that it can generate requests for user information, enter information and generate documents according to the scope of its capabilities.

[00190] The module profile used by doctors is the most comprehensive, with the possibility of providing information about the different areas of the individual and their activities, generation of prescriptions, recommendations and guidance, reports, reports, description of surgeries and procedures and certificates .

[00191] The one used by psychologists is also quite comprehensive in terms of access to information, but it does not generate medication prescriptions, although it can generate guidance and recommendations.

[00192] The dentists' profile enables access to medical, dietary and habits and addictions information, as well as generating prescriptions, descriptions of procedures and surgeries, recommendations, guidance and certificates.

[00193] The nursing, technicians and nursing assistants profile will enable the insertion of vital signs and description of care, such as probing and dressings, venous access and data on resuscitation measures carried out during cardiorespiratory arrest.

[00194] The pre-hospital care profile is among the most restrictive and can only receive emergency information selected by the user for emergency situations in a pre-hospital environment.

[00195] However, it has tools for checking and directing what happened so that information can be gathered about the situation of the incident that may be important for subsequent hospital care. This information can be assimilated both by the general medical record and by the doctor providing hospital care to the patient.

[00196] This emergency information constitutes information on comorbidities that do not contain sensitive information and also contains previous sequelae, allergies and general medications, anticoagulants and prescription drugs used.

[00197] This profile can be used by technicians, nurses, doctors and paramedics and includes tools for including vital signs, medications taken, start time of care and cardiopulmonary resuscitation measures, subsequently assigned to the patient through a data file. data transfer.

[00198] Caregivers can feed information to the modules of frail patients who need their help, but cannot request information other than an emergency summary or continuous-use medications for checking.

[00199] Acupuncturists, massage therapists, chiropractors and pilates professionals can enter information related to the treatment points used and correlate it with the data provided by the patient in relation to their health status. The use of this submodule, however, presupposes that there is training in some higher education course in health, such as medicine, physical education or physiotherapy.

[00200] The veterinary profile makes it possible to acquire information about the pet's data and the existence of infectious diseases transmissible to the animal.

[00201] Feeds the owners' system with general health information and the existence of diseases transmissible to humans or other animals and recommendations, guidance and treatment prescriptions. They can also provide easy feedback on treatments performed and defined recommendations.

[00202] Biochemists and biomedical scientists and laboratory technicians can use the laboratory profile to provide organized exam information for absorption by the user module.

[00203] Imaging exams can be made available by radiologists through a radiology submodule to include information in a form that can be absorbed by the user's module and made available to their care professional.

[00204] The coaching profile involves contributing to the analysis and feeding of data related to the individual's planning and goals, their expectations, and may include requests for information that are associated with the individual's psychological and psychiatric aspects.

[00205] The teacher profile may involve requesting information about cognitive disorders or illnesses that could disrupt your teaching activities. It feeds the main module with notes, behavior assessments, tasks and recommendations.

6.8 Tertiary profile or supplementary dietary information profile

[00206] The tertiary profile constitutes a tool for calculating dietary information based on dietary information of the substances present in the ingredients used in the preparation, divided according to the portion of the total prepared.

[00207] The module allows the generation of information with QR Code, with the possibility of digital signature of the restaurant or service in question so that the information is more easily assimilated into individuals' diets and calorie calculations.

[00208] Restaurants that use such a module or profile for calculation can associate their image with that of the program as a way of explaining this facilitation of information acquisition by users.

6.9 The process itself 4.9.1 Data storage

[00209] The data will be stored on the device used by the individual, be it a cell phone, tablet or computer, with storage extended to a cloud server and the possibility of making backups of the information presented, to recover the information in the event of an accident.

[00210] Server storage lends itself both to facilitating portability between devices, with their synchronization, and for monitoring anonymous medical data of general interest, such as those necessary to identify possible outbreaks, epidemics or even pandemics in progress, as well as for control of security information and information retrieval by the individual.

4.9.2 Saving memory and time

[00211] The data is stored in the form of numeric codes, established from the cataloging of symptom names, laboratory tests, descriptors of possible changes in imaging tests, diseases, procedures, possible changes in physical examination, medications.

[00212] With this form of recording, data consumption occurs in a leaner manner, with great savings in device memory usage.

[00213] Therefore, instead of recording the items of these cataloged categories in the form of an entire sequence of bytes representing text characters to characterize the names of the items in these lists, assigned numeric codes are used.

[00214] The number of bytes for each item varies according to the number of items in the list, ranging from 2 to 4 bytes per registered item and represents a great saving of storage resources.

[00215] As an example, we can cite a "Computed tomography of the skull with intravenous contrast" exam, if registered as a set of characters, there would be a total of 61 characters to be registered.

[00216] Recording this data according to the 8-bit ASCII standard would use 61 bytes and according to the UNICODE standard or other international character registration standards it would use an even greater number of bytes.

[00217] As part of the cataloged form of registration, the name of the mentioned exam would be registered by a sequence of just 4 specified bytes, that is, with a reduction of 15x or more in data consumption.

[00218] A search to find out whether the exam matches a search criterion would also happen in a much more dynamic way, since the number of bytes compared would be much smaller, with a process that is therefore faster and consumes less processing capacity .

[00219] A cough is not saved as a string of "cough" characters, but as a single number recorded as a 4-byte sequence, making it easier for doctors and researchers to search for specific symptoms.

[00220] This storage in a code also facilitates translations. If a number 1247, for example, means cough, when there is a need for translation the code is simply interpreted as “cough” in English.

[00221] This differentiation takes place in the form of language packages, which consist of tables associating codes with their respective denominations in text form, for viewing data according to the language chosen by the user or accompanying professional.

[00222] With this cataloged and more easily translatable organization, language barriers can be greatly reduced, so that service can be continued and complete anywhere in the world.

[00223] Comparisons between searches can be made in a language-independent manner, as the storage uses the same codes regardless of the language.

[00224] Scientific research can involve professionals of various nationalities and languages, without the need for expensive translation efforts to read and interpret the data.

[00225] Scientific works published by this process can be read in different countries with an automatic translation of the data by the language package already used by the user. 4.9.3 Digitization of electrocardiogram The electrocardiogram tracing can be digitized using an image of the exam printed by an artificial intelligence algorithm associated with image acquisition by a camera of the device associated with the main module or professionals, so that it can be saved in an economical and efficient way. no data loss. The trace is recognized on the graph paper and saved in the form of coordinate points plotted on a continuous graph. This technique is much less taxing on memory than saving the countless pixels of an image on devices.

4.9.4 Data analysis by artificial intelligence

[00226] Data recorded on the server is analyzed anonymously by artificial intelligence to identify patterns of symptoms, signs and diagnoses, with the potential identification of new outbreaks, epidemics or even pandemics.

[00227] The main focus is the detection of potentially serious infectious diseases that spread rapidly throughout the population.

[00228] Data entered into prescriptions and medical records are compared to generate automatic alerts on allergies, drug interactions, maximum dose, food interactions, risks of use during pregnancy, breastfeeding, childhood, reduced effects of contraceptives and other potential inadequacies.

[00229] These alerts seek to increase patient safety, with potential improvement in care and reduction of harm associated with healthcare.

4.9.5 General user

[00230] The process includes several tools, as previously highlighted, that work together to record information on the smartphone, tablet, computer and in the company providing the service's own database.

[00231] The user initially registers with their personal data and image proving their identity document, chooses a login and password authentication method and becomes part of the system's general user group after registration is approved.

[00232] Personal identification data, physical characteristics, habits, preferences, residence, planning, health, school, food, financial, professional and pet monitoring data are added directly by the user or absorbed through a file generated by a professional or service food.

[00233] When following up with a professional, a request for specific data can be made through a file generated by the secondary or professional module and the user defines whether to approve the sending of all requested information, generating a response file or QR code to the professional.

[00234] The file or QR code generated has the necessary data directed to the requesting professional, encoded with a cryptographic mechanism specified in the request, so that only the professional's application can see the message.

[00235] After the consultation, service or evaluation, another file is generated, according to the encryption mechanism specified by the user's response, so that only the user's application can read the returned file.

[00236] Care data may include history, physical examination, diagnosis, instructions, reports, certificates, reports, recommendations and prescriptions. This data is then viewed by the user, with the exception of the physical examination, and then included in the user's health data after viewing.

[00237] Various tools are available to facilitate user data collection including:

[00238] - Data flow selection:

[00239] -- Tool for prior selection of information to be transmitted and for creating emergency medical information, information for teachers, personal trainers, coaches and other professionals.

[00240] -- Trusted person linking tool for quick warning in case of emergency and taking control in case of sudden disabling emergency.

[00241] -- Facilitated feedback tool regarding the success or failure of treatment or professional monitoring.

[00242] -- Tool for controlling and supervising records and activity of individuals under your responsibility.

[00243] -- Tool for monitoring domestic animals, their vaccination, behavioral and health status.

[00244] Preview of data submission for approval.

[00245] - - Backup generator.

[00246] - - Synchronizer with database.

[00247] - Data insertion and checking:

[00248] - - Personal data modifier.

[00249] - - Vaccination recorder.

[00250] - - “Medicometer”, a tool that transforms prescriptions into alarms for scheduled times and checks for the use of medications and following recommendations.

[00251] -- Recorders of water intake, alcohol intake and use of cigarettes or other drugs, use of dental floss and tooth brushing

[00252] -- Daily food recorder, which imports dietary recommendations made by a nutritionist.

[00253] -- Physical activity recorder, adjustable and as stipulated by the user or personal trainer, with the possibility of monitoring vital signs and distance traveled through attached sensors, such as bracelets and watches.

[00254] -- Intelligent graphs for monitoring growth and development.

[00255] -- Automatically generated and adjustable shopping list, based on nutritional recommendations made by a nutritionist.

[00256] -- Agenda of daily goals, including studies, physical activity, leisure and work.

[00257] -- Carbohydrate counting tool for diabetics and dietary purposes.

[00258] -- Menstrual recorder, for entering data and checking cycle details.

[00259] -- Tool for documenting sleep quality and quantity and quantifying daily and periodic stress.

[00260] -- Life choices and personal preferences documentation tool

[00261] - Viewing and inserting data:

[00262] -- Lifeline viewer.

[00263] -- Textual data viewer.

[00264] -- Visual map viewer of the human body (2D or 3D representation of the human body, with visualization of selected factors).

[00265] -- Growth and development graphs.

[00266] -- School performance recorder, with grades and subjects.

[00267] -- Viewer of information such as training and CV.

[00268] -- Evaluator of professionals involved in care.

[00269] -- Symptom descriptor, to organize symptoms presented before medical care

[00270] - Real-time translation doctor chat

[00271] -- Viewer of prescribed medications, during hospitalization, with potential correction of times to ones closer to usual times

[00272] -- Viewing a daily medical report for hospitalized patients, with the possibility of selecting who has access to viewing it among their family, partners and friends.

[00273] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[00274] -- QR Code reader for checking another individual's emergency medical summary.

[00275] - Emergency button linked to the medical record to alert a trusted person.

[00276] As a medical record, the information cannot be erased, only rectified, as it constitutes a collection of the individual's documents. Data such as preferences and religious options can be updated, but old data from before the update continues to be recorded as old information.

4.9.5.1 Supervisor submodule

[00277] In the supervision module, an extension of the general user module, the supervisor has access to the supervised user's information inclusion and data sending tools, being able to modify them as necessary, as well as the user's level of access supervised information records.

[00278] Additional care control tools are:

[00279] - Transfer of ownership.

[00280] - Share care.

[00281] - Temporary care

[00282] - Report disappearance or death

[00283] - Control of access restrictions and permissions to registration and data flow tools

4.9.5.2 Pet-friendly submodule

[00284] In the Pet Friend submodule, also an extension of the main user, the general user controls all insertion and data flow tools in an isolated or shared manner.

[00285] With this module, the animal's data can be characterized, such as species, appearance, size, weight, date of birth, illnesses, hospitalizations, activities, behaviors.

[00286] The care control tools are:

[00287] - Transfer of ownership

[00288] - Share care

[00289] - Temporary care

[00290] - Report disappearance or death

[00291] Basic functionality tools include:

[00292] - Data flow selection:

[00293] -- Facilitated feedback tool regarding the success or failure of treatment or professional monitoring.

[00294] -- Preview of data submission for approval.

[00295] - Data insertion and checking:

[00296] -- Personal data modifier.

[00297] -- Vaccination and deworming recorder

[00298] -- “Medicometer”, a tool that transforms prescriptions and recommendations into alarms for scheduled times and checks for the use of medications and following recommendations.

[00299] -- Water intake recorders.

[00300] -- Heat, castration and mating recorder.

[00301] -- Daily food recorder, which imports food recommendations made by a veterinary professional.

[00302] -- Physical activity recorder, such as walks and energetic games.

[00303] -- Growth and development monitoring graphs

[00304] -- Automatically generated and adjustable shopping list, based on nutritional recommendations made by a veterinarian, attachable to the user's.

[00305] -- Schedule of daily physical activity, pet attention, alone time, nutrition.

[00306] - Viewing and inserting data:

[00307] -- Lifeline viewer.

[00308] -- Textual data viewer.

[00309] -- Visual map viewer of the animal body.

[00310] -- Evaluator of professionals involved in care.

[00311] -- Symptom descriptor, to organize symptoms presented before veterinary care

[00312] -- Viewer of prescribed medications, during hospitalization

[00313] -- Viewing daily medical report for hospitalized animals

4.9.6 Professional modules

[00314] In the case of professional, or secondary, modules, registration can be carried out to begin use, however, proof of documentation of diploma and registration with a professional council is necessary for security purposes and limitation of the available functionalities of the modules.

[00315] Once the documentation is verified, the account is activated and the professional has access to the functionalities that are their responsibility, being able to request information, generate documents and standard forms, send documents and analyze and record data about those they serve.

[00316] Professionals, after registration is completed, also receive digital signatures associated with their registrations and the document information entered by them is identified and confirmed electronically.

4.9.6.1 Medical module

[00317] It constitutes one of the main feeders and monitors of health information. It consists of tools, which involve:

[00318] - Data request:

[00319] - Data request file sender via Wi-Fi.

[00320] -- Bluetooth data request file sender.

[00321] -- QR Code generator to request data.

[00322] - Data visualization:

[00323] -- Lifeline Viewer

[00324] - - Data request file sender via Wi-Fi. - - Bluetooth data request file sender. - - QR Code generator to request data. - Data visualization: - - Lifeline viewer - - Textual data viewer, with differentiation between data entered by the user or another professional

[00325] -- Visual map viewer of the human body

[00326] -- Growth and development graphs

[00327] -- School performance viewer, with grades and subjects

[00328] -- Viewer of attended/followed users

[00329] - - Visual map viewer of the human body - - Growth and development graphs - - School performance viewer, with grades and subjects - - Viewer of attended/monitored users - - Filtered personalized viewer of reported information, physical examination , diagnosis and laboratory and imaging tests

[00330] -- Medical report viewer

[00331] -- Medical, dental and nursing prescription

[00332] -- Medical bulletin viewer -- Medical, dental and nursing prescriptions -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood, decreased effect of contraceptives.

[00333] -- QR Code reader for checking emergency medical summary

[00334] - Data entry:

[00335] -- Scales, indices, diagnostic criteria, forms already created

[00336] -- Care protocols such as sepsis, chest pain, TBI, stroke, cardiac arrest, prenatal care

[00337] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00338] -- Service sheet with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00339] -- Medical prescription.

[00340] -- Insertion of vital signs.

[00341] -- Screening and risk classification.

[00342] -- Indication of surgical procedure.

[00343] -- Description of procedure.

[00344] - Creation of standard documents:

[00345] -- Form generator.

[00346] -- Orientation generator.

[00347] -- Recommendation generator.

[00348] -- Standard prescription generator.

[00349] -- Standard attestation generator.

[00350] -- Standard report generator.

[00351] -- Standard report generator.

[00352] -- Generator of acknowledgment and consent terms.

[00353] -- Standard goal generator.

[00354] -- Standard medical report generator.

[00355] -- Standard exam request generator.

[00356] - Organization and filtering of data.

[00357] -- Appointment schedule, which details the times, but also presents information from directly accessible patient records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00358] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00359] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00360] - Sending data

[00361] -- Data sender via Wi-Fi

[00362] -- Data sender via Bluetooth

[00363] -- QR code generator for sending data

4.9.6.2 Dentistry module

[00364] It consists of contributing to the recording of information associated with the assessment of problems and natural events related to chewing, teeth, dentures and the face. It consists of tools, which involve:

[00365] - Data request:

[00366] -- Data request file sender via Wi-Fi.

[00367] -- Bluetooth data request file sender.

[00368] -- QR Code generator to request data.

[00369] - Data visualization:

[00370] -- Lifeline viewer.

[00371] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00372] - - Visual map viewer of the human body, mainly

[00373] - - Growth and development graphs.

[00374] - - School performance viewer, with grades and subjects.

[00375] - - Viewer of attended/followed users.

[00376] - - Filtered personalized viewer of reported information, physical examination, diagnosis and laboratory and imaging tests.

[00377] -- Medical report viewer.

[00378] -- Medical and nursing prescription.

[00379] -- Medical report viewer.

[00380] -- Medical and nursing prescription.

[00381] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood. - - QR Code reader for checking the medical summary - Data entry

[00382] - - Scales, indices, diagnostic criteria, forms already created

[00383] - - Care protocols such as trauma, open fracture

[00384] -- Visual map recording physical injuries, sequelae, scars and deformities, sepsis

[00385] -- Service sheet with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00386] -- Dentistry prescription.

[00387] -- Insertion of vital signs.

[00388] -- Indication of surgical procedure.

[00389] -- Description of procedure.

[00390] - Creation of standard documents:

[00391] -- Form generator.

[00392] -- Orientation generator.

[00393] -- Recommendation generator.

[00394] -- Standard prescription generator.

[00395] -- Standard attestation generator.

[00396] -- Standard report generator.

[00397] -- Standard report generator.

[00398] -- Generator of acknowledgment and consent terms.

[00399] -- Standard goal generator.

[00400] -- Standard medical report generator.

[00401] -- Standard exam request generator.

[00402] - Data organization and filtering:

[00403] -- Appointment schedule, which details the times, but also presents information from directly accessible patient records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00404] -- Viewer of attended users, which displays the list of all users followed for viewing and requests

[00405] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00406] - Sending data

[00407] -- Data sender via Wi-Fi

[00408] -- Data sender via Bluetooth

[00409] -- QR code generator for sending data

4.9.6.3 Nursing module

[00410] It can be used by nurses, technicians and nursing assistants, depending on the restrictions of their professional capabilities. Their information and visualizations are based on the fundamental complement that these professionals provide to the services of other evaluators.

[00411] Its tools include:

[00412] - Data request:

[00413] -- Data request file sender via Wi-Fi.

[00414] -- Bluetooth data request file sender.

[00415] -- QR Code generator to request data.

[00416] - Data visualization:

[00417] -- Lifeline viewer.

[00418] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00419] -- Visual map viewer of the human body.

[00420] -- Growth and development graphs.

[00421] -- School performance viewer, with grades and subjects.

[00422] -- Viewer of attended/followed users.

[00423] -- Filtered personalized viewer of reported information, physical examination, diagnosis, and laboratory and imaging tests.

[00424] -- Medical report viewer.

[00425] -- Medical, dental and nursing prescription.

[00426] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[00427] -- QR Code reader for checking the emergency medical summary.

[00428] - Data entry:

[00429] -- Scales, indices, diagnostic criteria, forms already created.

[00430] -- Care protocols such as sepsis, chest pain, TBI, stroke, cardiac arrest, prenatal care.

[00431] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00432] -- Service record with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, nursing diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00433] -- Nursing prescription.

[00434] -- Insertion of vital signs.

[00435] -- Screening and risk classification.

[00436] -- Description of procedure.

[00437] - Creation of standard documents:

[00438] -- Form generator.

[00439] -- Guidance generator.

[00440] -- Recommendation generator.

[00441] -- Standard prescription generator.

[00442] -- Generator of acknowledgment and consent terms.

[00443] -- Standard goal generator.

[00444] - Data organization and filtering:

[00445] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00446] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00447] - Sending data:

[00448] -- Data sender via Wi-Fi.

[00449] -- Data sender via Bluetooth.

[00450] -- QR code generator for sending data.

4.9.6.4 Physiotherapy module

[00451] Contribution to facilitating the physical and functional aspects of your individual, with recording of data and activities related to these physical functionalities. It consists of tools, which involve:

[00452] - Data request:

[00453] -- Data request file sender via Wi-Fi.

[00454] -- Bluetooth data request file sender.

[00455] -- QR Code generator to request data.

[00456] - Data visualization:

[00457] -- Lifeline Viewer.

[00458] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00459] -- Visual map viewer of the human body.

[00460] -- Growth and development graphs.

[00461] -- School performance viewer, with grades and subjects.

[00462] -- Viewer of attended/followed users.

[00463] -- Filtered personalized viewer of reported information, physical examination, diagnosis, and laboratory and imaging tests.

[00464] -- Medical report viewer.

[00465] -- Medical and nursing prescription.

[00466] -- QR Code reader for checking the emergency medical summary.

[00467] - Data entry:

[00468] -- Scales, indices, diagnostic criteria, forms already created.

[00469] -- Care protocols such as mechanical ventilation, prevention of pneumonia associated with mechanical ventilation, functional rehabilitation of limbs affected by trauma.

[00470] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00471] -- Service record with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, physiotherapy diagnosis, prescription, guidelines, recommendations or goals and reports.

[00472] -- Exercise prescription.

[00473] -- Insertion of vital signs.

[00474] -- Description of procedure.

[00475] - Creation of standard documents:

[00476] -- Form generator.

[00477] -- Guidance generator.

[00478] -- Recommendation generator.

[00479] -- Standard prescription generator.

[00480] -- Standard report generator.

[00481] -- Generator of acknowledgment and consent terms.

[00482] -- Standard goal generator.

[00483] - Data organization and filtering:

[00484] -- Appointment schedule, which details the times, but also presents information from directly accessible patient records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00485] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00486] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00487] - Sending data:

[00488] -- Data sender via Wi-Fi

[00489] -- Data sender via Bluetooth

[00490] -- QR code generator for sending data

4.9.6.5 Speech therapy module

[00491] Contributes to records and assessments related to speech, hearing, swallowing and articulation of words. It consists of tools, which involve:

[00492] - Data request:

[00493] -- Data request file sender via Wi-Fi.

[00494] -- Bluetooth data request file sender.

[00495] -- QR Code generator to request data.

[00496] - Data visualization:

[00497] -- Lifeline Viewer.

[00498] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00499] -- Visual map viewer of the human body.

[00500] -- Growth and development graphs.

[00501] -- School performance viewer, with grades and subjects.

[00502] -- Viewer of attended/followed users.

[00503] -- Filtered personalized viewer of reported information, physical examination, diagnosis, and laboratory and imaging tests.

[00504] -- Viewer of medical reports.

[00505] -- Medical and nursing prescription.

[00506] -- QR Code reader for checking the emergency medical summary.

[00507] - Data entry:

[00508] -- Scales, indices, diagnostic criteria, forms already created.

[00509] -- Care protocols such as sepsis, chest pain, TBI, ACLS, PCR, prenatal care.

[00510] -- Visual map recording physical injuries, sequelae, scars and deformities

[00511] -- Service sheet with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00512] -- Exercise prescription.

[00513] -- Insertion of vital signs.

[00514] -- Description of procedure.

[00515] - Creation of standard documents:

[00516] -- Form generator.

[00517] -- Orientation generator.

[00518] -- Recommendation generator.

[00519] -- Standard prescription generator.

[00520] -- Standard attestation generator.

[00521] -- Standard report generator.

[00522] -- Standard report generator.

[00523] -- Generator of acknowledgment and consent terms.

[00524] -- Standard goal generator.

[00525] -- Standard medical report generator.

[00526] -- Standard exam request generator.

[00527] - Data organization and filtering:

[00528] -- Appointment schedule, which details the times, but also presents information from directly accessible patient records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00529] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00530] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00531] - Sending data:

[00532] -- Data sender via Wi-Fi.

[00533] -- Data sender via Bluetooth.

[00534] -- QR code generator for sending data

4.9.6.6 Psychology module

[00535] It constitutes one of the main feeders and monitors of health information. It consists of tools, which involve:

[00536] - Data request

[00537] -- Data request file sender via Wi-Fi.

[00538] -- Bluetooth data request file sender.

[00539] -- QR Code generator to request data.

[00540] - Data visualization:

[00541] -- Lifeline viewer.

[00542] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00543] -- Visual map viewer of the human body.

[00544] -- Growth and development graphs.

[00545] -- School performance viewer, with grades and subjects.

[00546] -- Viewer of attended/followed users.

[00547] -- Filtered personalized viewer of reported, Medical Prescription and Nursing information. clinical examination, diagnosis and laboratory and imaging tests.

[00548] -- Medical report viewer.

[00549] -- Medical and nursing prescription.

[00550] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[00551] -- QR Code reader for checking the emergency medical summary.

[00552] - Data entry:

[00553] -- Scales, indices, diagnostic criteria, forms already created

[00554] -- Care protocols such as sepsis, chest pain, TBI, stroke, cardiac arrest, prenatal care

[00555] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00556] -- Service sheet with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, psychic diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00557] -- Prescription of goals and strategies.

[00558] -- Insertion of vital signs.

[00559] -- Session description.

[00560] - Creation of standard documents:

[00561] -- Form generator.

[00562] -- Guidance generator.

[00563] -- Recommendation generator.

[00564] -- Standard prescription generator.

[00565] -- Standard attestation generator.

[00566] -- Standard report generator.

[00567] -- Standard report generator.

[00568] -- Generator of acknowledgment and consent terms.

[00569] -- Standard goal generator.

[00570] -- Standard medical report generator.

[00571] -- Standard exam request generator.

[00572] - Data organization and filtering:

[00573] -- Appointment schedule, which details the times, but also presents information from directly accessible patient records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00574] -- Viewer of attended users, which displays the list of all users followed for viewing and requests

[00575] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00576] - Sending data:

[00577] -- Data sender via Wi-Fi

[00578] -- Data sender via Bluetooth

[00579] -- QR code generator for sending data.

4.9.6.7 Pharmacy module

[00580] It has tools that enable authentication of medical prescriptions, as well as whether the professional authorizes replacement of the prescribed medication with another with the same active ingredient in case of shortage.

[00581] Once the medicine is dispensed, the prescription authentication record is updated in the database, with the dispensing information, with no duplicates being dispensed.

[00582] In the case of continuous prescriptions or those that are used for treatments for more than one month, dispensing of the medication for the other month will only be available 20 days after the previous withdrawal.

[00583] In continuous prescriptions, however, the validation of three consecutive withdrawals at an interval of less than 50 days will not be allowed.

[00584] The module tools are:

[00585] - Prescription identifier by QR code.

[00586] - Prescription validator with the database.

[00587] - Dispensing recorder, informing the pharmaceutical name of the product, classification as generic, reference or similar, laboratory quantity dispensed and date.

[00588] - It is possible to cancel within 30 minutes of registering the dispensation, in cases where the purchase could not be made.

[00589] - QR Code reader for checking the emergency medical summary.

4.9.6.8 Emergency module

[00590] It constitutes a tool for feeding pre-hospital care data. It consists of tools, which involve:

[00591] - Data acquisition:

[00592] -- QR Code reader for checking the emergency medical summary.

[00593] - Data visualization:

[00594] -- Viewer of attended users.

[00595] -- Filtered personalized viewer of reported information, physical examination, diagnosis and laboratory and imaging tests.

[00596] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[00597]

[00598]

[00599] PCR, trauma. - Data entry: - - Scales, indexes, diagnostic criteria, forms already created. - - Care protocols such as sepsis, chest pain, TBI, stroke,

[00600] deformities. -- Visual map recording physical injuries, sequelae, scars and

[00601] of the service, -- Service sheet with the sessions main complaint or reason for symptoms, physical examination or identified problems, mechanism of the accident (if applicable), diagnosis, complementary exams.

[00602]

[00603]

[00604]

[00605] - - Measurements taken. - - Insertion of vital signs. - - Screening and risk classification. - - Description of procedure.

[00606] - Creation of standard documents:

[00607] -- Form generator.

[00608] -- Generator of standard measurements taken.

[00609] -- Standard report generator.

[00610] - Data organization and filtering:

[00611] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00612] -- Patient statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00613] - Sending data:

[00614] -- Data sender via Wi-Fi.

[00615] -- Data sender via Bluetooth.

[00616] -- QR code generator for sending data. 4.9.6.9 Caregiver module

[00617] Caregivers can be accepted upon presentation of certificates from courses associated with the care of fragile patients, and can only absorb information about medications in use, with their respective usual times of use, recommendations, guidelines and enter vital signs and reports of general care.

[00618] The information necessary for your service is selected and sent by the user's supervisor. The tools are:

[00619] - Data insertion and checking:

[00620] -- “Medicometer”, a tool that transforms prescriptions and recommendations into alarms for scheduled times and checks for the use of medications and following recommendations.

[00621] -- Vital signs recorder.

[00622] -- Water intake, diuresis and bowel movements recorders.

[00623] -- Daily food recorder, which imports dietary recommendations made by a doctor or nutritionist.

[00624] -- Menstrual recorder, if a patient is of childbearing age.

[00625] -- Tool for documenting sleep and wakefulness, agitation, confusion and lucidity.

[00626] - Viewing and inserting data:

[00627] -- Lifeline Viewer.

[00628] -- Textual data viewer.

[00629] -- Visual map viewer of the human body, for describing and monitoring pressure sores, bruises and other changes noticed during care, catheters, probes and other devices.

[00630] -- Symptom descriptor, to organize symptoms presented before medical care.

[00631] -- Viewer of prescribed medications and care recommendations.

[00632] -- Viewer of monitored patients, with recorded data on previous care.

4.9.6.10 Veterinary module

[00633] Through the veterinary module, both the animal's health and routines can be monitored, absorbing the information sent by the supervisor and generating prescriptions, recommendations and guidance, as well as information on evaluations and exams.

[00634] The tools are:

[00635] - Data request:

[00636] -- Data request file sender via Wi-Fi.

[00637] -- Bluetooth data request file sender.

[00638] -- QR Code generator to request data.

[00639] - Data visualization:

[00640] -- Online viewer of the animal's life.

[00641] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00642] -- Visual map viewer of the animal's body.

[00643] -- Evolutionary growth graphs.

[00644] -- Usual daily routine recorder.

[00645] -- Viewer of attended/monitored patients.

[00646] -- Filtered personalized viewer of reported information, physical examination, diagnosis, and laboratory and imaging tests.

[00647] -- Veterinary bulletin viewer.

[00648] -- Veterinary prescription.

[00649] -- Automatic tool for analyzing drug and food interactions.

[00650] - Data entry:

[00651] -- Scales, indices, diagnostic criteria, forms already created.

[00652] -- Care protocols such as sepsis, trauma.

[00653] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00654] -- Service sheet with sessions main complaint or reason for seeking, symptoms, physical examination or identified problems, diagnosis, complementary exams, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[00655] -- Veterinary prescription.

[00656] -- Insertion of vital signs.

[00657] -- Indication of surgical procedure.

[00658] -- Description of procedure.

[00659] -- Behavior recorder.

[00660] - Creation of standard documents:

[00661] -- Form generator.

[00662] -- Guidance generator.

[00663] -- Recommendation generator.

[00664] -- Standard prescription generator.

[00665] -- Standard report generator.

[00666] -- Standard report generator.

[00667] -- Generator of acknowledgment and consent terms.

[00668] -- Standard goal generator.

[00669] -- Standard veterinary report generator.

[00670] -- Standard exam request generator.

[00671] - Data organization and filtering:

[00672] -- Appointment schedule, which details the times, but also presents information from directly accessible animal records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, first consultation, for example.

[00673] -- Viewer of attended animals, which displays the list of all users followed for viewing and requests.

[00674] -- Animal statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many supervisors follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00675] - Sending data:

[00676] -- Data sender via Wi-Fi.

[00677] -- Data sender via Bluetooth.

[00678] -- QR code generator for sending data.

4.9.6.11 Radiology submodule

[00679] The radiology submodule consists of a tool for generating medical and veterinary reports of medical examinations and linked to the presence of a secondary module of a functioning doctor or veterinarian.

[00680] Information about changes or normality in the report is included in a cataloged form and associated with numeric codes instead of sets of text characters, therefore being recorded in an economical and more easily searchable and translatable way.

[00681] A file is generated which is then made available to the user for viewing, saving and subsequently making the information available to professionals who evaluate it.

4.9.6.12 Laboratory module

[00682] The laboratory module constitutes a tool for recording data associated with laboratory tests in the form of numeric codes that symbolize the names of the analyzed parameters.

[00683] The parameters are catalogued, without the need for their expensive registration in the form of a character sequence. The reference values for the exams and the date of completion are also recorded.

[00684] In the case of hospitalization, observation and evaluation at hospital level, critical results of altered exams can be alerted directly to the requesting doctor or the person on duty at the time in question in their module.

4.9.6.13 Search module

[00685] It constitutes a professional module that can be used by various health professionals, after approval of specific registration, linked to the professional council registration number.

[00686] It presents data collection that preserves the identity of individuals, while at the same time differentiating in the system between studied individuals, not accepting duplicate data insertion.

[00687] Each search also generates a registry file, containing the sampling data, so that in the case of systematic reviews it is possible to eliminate overlapping information about the same individuals.

[00688] Differentiation occurs through the generation of a unique identification number for each individual that is registered in a specific database that associates the individual with their unique registration number in the system.

[00689] It has tools for:

[00690] - Data creation:

[00691] -- Generation of a standard data collection form for research, containing deadlines for resubmission.

[00692] -- Generation of standard guidance on the reason for the search.

[00693] -- Generation of consent form for participation in standard research.

[00694] -- Generation of research standard prescription or recommendation.

[00695] -- QR code generator for accessing information and participating in the survey.

[00696] - Data organization and analysis:

[00697] -- Tool for grouping collected data, for organizing data visualization, in the form of tables or sample distribution graphs.

[00698] -- Filter displayed information, selecting between specific information for independent viewing.

[00699] -- Map visualization of the distribution of the studied characteristics.

[00700] -- Statistical significance checker of selected associations

4.9.6.14 Personal trainer module

[00701] Used by physical education professionals for contributions associated with the organization and progression of physical activity, in line with the user's possibilities and limitations. It consists of tools, which involve:

[00702] - Data request:

[00703] -- Data request file sender via Wi-Fi.

[00704] -- Bluetooth data request file sender.

[00705] -- QR Code generator to request data.

[00706] - Data visualization:

[00707] -- Lifeline Viewer.

[00708] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00709] -- Visual map viewer of the human body.

[00710] -- Growth and development graphs.

[00711] -- Viewer of attended/followed users.

[00712] -- Personalized filtered viewer of reported information, physical aspects, diagnoses and laboratory and imaging tests.

[00713] -- QR Code reader for checking the emergency medical summary.

[00714] - Data entry:

[00715] -- Visual map recording physical injuries, sequelae, scars and deformities.

[00716] -- Service sheet with session reasons for seeking, physical characteristics, identified problems, physical diagnosis, exercise prescription, guidance, recommendations or goals.

[00717] - Creation of standard documents:

[00718] -- Form generator.

[00719] -- Guidance generator.

[00720] -- Recommendation generator.

[00721] -- Standard exercise prescription generator.

[00722] -- Generator of acknowledgment and consent terms.

[00723] -- Standard goal generator.

[00724] - Data organization and filtering:

[00725] -- Service schedule, which details the times, but also presents information from directly accessible user records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular follow-up, first assessment, for example.

[00726] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00727] -- Customer service statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00728] - Sending data:

[00729] -- Data sender via Wi-Fi.

[00730] -- Data sender via Bluetooth.

[00731] -- QR code generator for sending data. 4.9.6.15 Teacher module

[00732] Teachers also absorb the data intended for them selected by the supervisor, with the possibility of sending notes, warnings and praise through their recording tool.

[00733] Your tools are therefore:

[00734] - Monitored student viewer.

[00735] - Viewer of basic medical data related to learning.

[00736] - Recorder of grades, behavior, praise and school warnings, for use by teachers.

4.9.6.16 Coaching module

[00737] The contributions of this module involve the planning and organization of the individual, their agenda, their expectations and goals based on the interests and time resources spent on their priorities. Its tools involve:

[00738] - Data request:

[00739] -- Data request file sender via Wi-Fi.

[00740] -- Bluetooth data request file sender.

[00741] -- QR Code generator to request data.

[00742] - Data visualization:

[00743] -- Lifeline Viewer.

[00744] -- Textual data viewer, with differentiation between data entered by the user or another professional.

[00745] -- Visual map viewer of the human body.

[00746] -- School performance viewer, with grades and subjects.

[00747] -- Viewer of attended/followed users.

[00748] -- Filtered custom viewer of reported information, identified issues.

[00749] - Data entry:

[00750] -- Forms already created.

[00751] -- Service sheet with sessions main complaint or reason for seeking, identified problems, organizational diagnosis, prescription of strategies, guidelines, recommendations or goals.

[00752] -- Goal prescription.

[00753] - Creation of standard documents:

[00754] -- Form generator.

[00755] -- Guidance generator.

[00756] -- Recommendation generator.

[00757] -- Standard prescription generator.

[00758] -- Generator of acknowledgment and consent terms.

[00759] -- Standard goal generator.

[00760] - Data organization and filtering:

[00761] -- Service schedule, which details the times, but also presents information from directly accessible user records, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular commitment, irregular follow-up, first evaluation, for example.

[00762] -- Viewer of attended users, which displays the list of all users followed for viewing and requests.

[00763] -- User statistics analyzer, with which selected information about monitoring can be displayed graphically, such as how many users follow recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, etc. other characteristics of care.

[00764] - Sending data:

[00765] -- Data sender via Wi-Fi.

[00766] -- Data sender via Bluetooth.

[00767] -- QR code generator for sending data.

4.9.6.17 Chiropractic, massage therapy, acupuncture and pilates submodule

[00768] They are actually service complement extensions, which can be added to the modules of other health professionals, such as doctors, physiotherapists and physical education professionals.

[00769] Its tools involve the addition of visual maps containing action points for recording and monitoring treatments carried out, in addition to the tools already present in the modules of professionals who carry out the service.

4.9.7 Tertiary module or food module

[00770] Restaurant and similar modules are modules that only contribute to the main module by creating data to be absorbed by customers about their nutritional characteristics.

[00771] This information will be made available through a table generated by the program or through a QR Code.

[00772] Despite this unique and important contribution role to the main module, it can be useful to food services when planning healthier dishes, better planning the reduction of fats, sugars and salt in their preparation. 4.9.8 Quaternary module Does not require documentation in professional registration, but has largely limited functions, such as checking the validity of certificates issued by the process in the general quaternary module or controlling the record of evasions in medical records in the quaternary access control module. In this access control module, hospital access controllers can have access to confirmation of the release documented in the medical record or not of the user who tries to leave the service, being able to inform the need for an evasion record if he tries to leave without authorization. 4.9.9 Provisional observation or hospitalization record It constitutes a tool for storing and manipulating data entered by different professionals of the health service in which the user has a prolonged stay. It allows the service to control who has access to the information in the medical record, through a release register for each professional on duty and groups the information related to the total care provided for easy incorporation into the medical record upon discharge. 4.9.10 Platform for submission and analysis of scientific works

[00773] The process includes the provision of a platform for registering, submitting, analyzing and publishing scientific works, with worldwide visibility due to the data being more easily analyzed for easy interpretation according to the local language.

[00774] The platform consists of a website linked to a server and database recording publications and the respective sampling matrix files used.

[00775] The sampling matrix is not accessible for viewing by those using the platform, but it represents an important record for later use in sampling reanalysis in systematic reviews or even in the search for data not published in the results, but collected during the process.

[00776] The generation and recording of this matrix eliminates the chance of sampling overlap in cases of future analysis and allows the inclusion of analysis of other factors or associations, if access to the matrix file is authorized by the platform and by researchers involved in the research that generated it.

[00777] Reading of results data can be performed in the language selected by the user, therefore it can be more easily applied to their clinical needs.

[00778] Works can be submitted to three categories, namely registration, ethical analysis and publication.

[00779] The works submitted for registration appear in the list of works officially registered on the platform, bringing more security to users participating in the research.

[00780] Through the platform's website, data such as the research motivators, types of data to be collected, approval status by the medical ethics committee and current updated sampling can be viewed.

[00781] When the user submits for ethical analysis, the work is analyzed by the Medical Ethics Committee linked to the platform, and data collection can continue after this approval.

[00782] The final step is the submission for analysis and approval of publication on the platform, with the data already organized in the form of an article or scientific report, then gaining international visibility with the accepted publication. 4.10 Views

[00783] Data visualization forms comprise various styles of data organization and presentation. They include textual data, visual maps, lifelines, graphs, agendas, checklists and protocols.

[00784] Textual data consists of a simple but organized representation of the data, in visualization mode of textual elements. Checklists are the way to insert and edit data.

[00785] Visual maps are figures in 2D or 3D representation with their respective perspective representation to be shown on device screens.

[00786] The human or animal body is represented, with its parts integrated or represented in a more individualized way, so that more specific details are demonstrated. Any data involving physical aspects of illnesses or traumas can be related to these maps.

[00787] Examples of individualized representations of the body include odontogram, visual map of the head or brain, visual map of the chest, visual map of the coronaries.

[00788] The lifeline representation involves a visual representation on two axes of selected events, which can be complete, from birth to the current moment and even with future expectations, or punctual, representing a chosen period of time in life.

[00789] Graph representation lends itself to comparing the evolution of the individual himself or between individuals in a selected group. It helps in establishing standards of normality or abnormality to keep pace with normal processes and expectations.

[00790] Agenda representation helps to integrate the most varied aspects of planning and checking activities by the individual. Includes topics to be performed, which can be created or imported from recommendations or prescriptions from care professionals.

[00791] The protocols do not present a rigid organization, varying according to the type of problem to be solved or monitored and subject to variations defined by professionals and services.

4.11 Treatment and monitoring of diseases

[00792] The integration between the system's modules and data aims to streamline treatments and assessments by doctors and other professionals, this integration being fundamental for the treatment of multifactorial problems, such as hypertension, diabetes, anxiety and depression.

[00793] The understanding that personal events and the organization and planning that people have and their discipline in taking the necessary steps to achieve their goals makes it easier to understand and analyze frustrations and other predisposing reasons for anxiety and depression.

[00794] The abuse of legal and illegal drugs itself is also related to this disruption of the individual's social organization and for treatment to be effective, this restructuring must be established.

[00795] Information about the success or failure of regular or irregular treatments is important so that professionals can reinforce effective recommendations and refute ineffective definitions, as part of offering the best treatment to users.

[00796] The recipes, recommendations and prescriptions received, when digitized, can be consulted again, with a much lower chance of loss or forgetfulness, with compliance being more easily incorporated into the scheduled routine of the day.

4.12 Quantification and recording of natural events in the body

[00797] With the application, tools are available for recording natural body events, such as menstruation, growth, development, pregnancy, water intake.

[00798] Added to this is the information recorded for a more accurate analysis of the regularity of the menstrual cycle, adequate growth for the age group, adequate development, adequate water intake, among others.

[00799] With this monitoring, the individual understands more about their attitudes and the functioning of their body and that of their supervisee, being another stimulator of self-care.

4.13 Goals and planning

[00800] The establishment of feasible and healthy goals and routines helps the individual in their search for constant improvement and organization while being productive.

[00801] This organization favors the alignment of expectations and priorities in relation to available resources and time. Problems such as anxiety and depression commonly arise in the midst of a disorganized and unfulfilled life.

4.14 Patient safety

[00802] The described process values patient safety and recording data correctly, therefore an attempt to send a file with information intended for another patient will not be accepted by the main module.

[00803] There is more complete information accessible and available from the medical record at any time, associated with emergency medical summary and emergency control mechanisms that preserve the transmission of information, whilst maintaining medical confidentiality even in cases of emergency.

[00804] With the increased availability of information and reduced losses, errors or inappropriate conduct can be avoided and the best treatment for each case can be chosen with greater peace of mind.

[00805] One of the fundamental elements of patient treatment is not to cause harm to the patient and insufficient registration information in any situation can generate irreversible and fatal consequences.

[00806] If a patient loses consciousness, for example, and is given a medication to which he or she has a previously known allergy, such as a simple dipyrone or an antibiotic, the consequences can be disastrous.

[00807] The possibility of later viewing the instructions provided improves the absorption of information and understanding about the treatment, with a potential improvement in adherence.

[00808] Other safety barriers are allergy alerts, exceeded maximum dose, drug interaction, food interaction, risk in pregnancy, breastfeeding and childhood, need for renal dose adjustment and decreased effect of contraceptives, which alert both professionals and main users.

[00809] These automated mechanisms help to reduce damages and complications associated with healthcare, facilitating the service of professionals and potentially improving user care.

4.15 Environmentally sustainable

[00810] One of the aspects of the described process is the fact of seeking to digitize information, to prevent paper from having to be used to record it, in a repetitive and harmful way to the environment.

[00811] With this tendency to reduce the use of paper for recording information, environmentally sustainable conduct is notable.

4.16 Scientific contribution

[00812] By facilitating the acquisition of information, scientific research and data analysis becomes more productive, with a reduction in the effect of barriers related to transportation and financial associated with the research carried out.

[00813] The mechanisms developed by the process in question are, therefore, more productive and constitute an important tool that contributes to scientific research.

[00814] The provision of its own Medical Ethics committee serves to encourage scientific research, thus enabling professionals not linked to institutions with a well-defined research structure to carry out their work and contribute scientific knowledge in health.

[00815] The provision of an environment for analysis, publication and consultation of work carried out through this process increases the visibility of professionals involved in research.

[00816] The work carried out and published through this platform has the potential for worldwide visualization, with data interpretation according to local languages, facilitating comparisons and propagation of scientific knowledge.

4.17 Effort with what really matters

[00817] With the more accessible record of previous information and data from exams and procedures, the focus can be given to what really matters, such as discovering new factors to be guided by and a good professional-user relationship.

[00818] Assessments become less tedious and painful and there is a potential relative increase in the time available to check whether the guidance has been assimilated and to provide means of subsequent consultation on key points of the guidance received.

4.18 Reducing information losses along the way

[00819] Important information can be recorded at any time and the process in question provides the possibility of cloud synchronization storage, to overcome cases in which there is a defect in the device used that makes it impossible to retrieve information.

[00820] Backup files can be generated and saved in secure locations to restore information in a timely manner.

4.19 More productive assessments

[00821] Professional assessments and consultations become more productive from the moment the availability of information is no longer a limiting factor.

[00822] Patients and individuals with high attention needs stop competing for professional attention with incomplete or damaged or even numerous papers and documents to get the attention of a professional who is less tired with activities searching for essential information.

[00823] The focus is no longer on whether or not the patient will remember to bring prescriptions or exams, but rather on what can be done in relation to improving the care of the patient and in relation to improving their habits towards a more routine healthy.

4.20 Potential improvement in professional-user relationships

[00824] With the reduction in time spent on repetitions and greater availability of time for explanations and identification of additional factors to be corrected, the bond tends to become more important, with greater potential for adherence to treatment.

[00825] The facilitated feedback itself also strengthens this professional-user relationship. Doctor and patient have the potential to remain more connected, as do users with other professionals.

5. Examples of embodiments of the invention

[00826] The innovation is achieved through the generation of independence of health-related information from a specific service or professional, with information saved directly on the user's device.

[00827] There is the possibility of synchronizing data in the cloud and transmitting information in an accessible way supervised by the user or their guardian in case of inability to independently use the services offered by the application.

[00828] General users can track their daily activities and habits while feeding the application data with important aspects of their daily lives.

[00829] They can mark the amount of water they are drinking throughout the day, amount of alcohol consumed, time spent working, studying, physical activity, while following prior planning, recommendations or guidance provided by professionals.

[00830] Consultations can become less tedious and repetitive, by facilitating the transmission, recording and integration of information, with the possibility of spending time on other important details such as the patient's expectations, frustrations and anxieties.

[00831] The treatment and monitoring of patients with chronic diseases is facilitated, both by the additional ease of feedback and by the facilitation of checking the performance of treatments and guidance received.

[00832] It is not enough to think of blood pressure control only as medication intake, but dietary adjustment and efforts to lose weight must also occur in a accompanied and safe way.

[00833] Professionals can receive information easily about the success or failure of treatments and whether they were carried out properly or not, with the possibility of expanding their clinical experience and ability to analyze information.

[00834] Restaurants and food suppliers can become facilitators of the health care process, by providing more easily usable information about their dishes.

[00835] Data such as caloric, carbohydrate, lipid and salt composition are pre-calculated. The generation of such information can be facilitated through the application's specific module for quantifying caloric or salt components based on the ingredients used in the preparation and portioning used.

[00836] Diabetics can more easily, in this way, count the amount of carbohydrates, lipids and calories ingested to better follow their dietary recommendations, as well as adapting the dosage of ultra-fast-acting insulin used after meals.

[00837] Blood tests related to blood glucose and serum lipids can be better interpreted by knowing eating habits in the days before or after the test.

[00838] Diseases such as migraines may have triggering factors that are not so easily correlated in daily analysis, present in diet or daily stress routine, physical or emotional.

[00839] The application's processes are dynamic and broad, and can be customizable according to the needs of each user. No data is mandatory, except for registration data, of course, although much of it is highly recommended.

[00840] Each user can choose the degree of detail of information they provide in each of the areas covered by the program/application, thus managing the data consumption they deem necessary.

[00841] The information provided by the user is subject to prior approval by the user, either before approving an automatic submission or before sending an information or data response form on time.

[00842] In disabling emergency situations in which the affected individual is unable to communicate all the necessary information or is too anxious to remember it, basic information essential to pre-hospital life support can be guaranteed through the patient's emergency summary by he approved.

[00843] Non-medical professionals end up having easier access to health information that is relevant to them and can more easily align their expectations and conduct with the patient's overall care.

[00844] Doctors themselves can have access to recommendations and guidance from these professionals and generate recommendations aimed at them to adapt care.

[00845] Electrocardiogram exams and imaging exam reports can be digitized for inclusion in the application, as their representation in printed form, the most common, is susceptible to damage and loss of information over time.

[00846] Development of scientific research is facilitated by providing information in a more dynamic way and facilitating the monitoring and availability of data.

[00847] The use of the invention can, therefore, contribute to the acquisition of scientific knowledge and treatment of various known and unknown pathologies.

[00848] Care for frail or dependent people is facilitated through the ease of recording data and checking tools regarding the expected and real evolution of physiological or pathological processes.

[00849] With these tools, family members and others responsible for care have the potential to play a more significant role in care, providing information in a more dynamic way about the decline in the bedridden patient's general condition, food intake or loss of skills or functionalities previously present .

[00850] Another possibility of implementation is the collection of information about outbreaks of communicable diseases, with the possibility of anonymous alert of their occurrence and diagnosis in a specific geographic area, without exposing the identity of the affected individuals.

[00851] Patients with frequent use of opioids can have their situation documented more easily, raising suspicions regarding tolerance and addiction, even in cases of patients who alternate between health services, thus facilitating the monitoring of this important problem associated with medical care .

[00852] Physical exercises can be monitored using vital signs or distance traveled sensors, so that the data can be fed into the user's general monitoring.

[00853] The described process of recording and integrating information thus characterizes an important tool for recording, treating, monitoring and even planning activities and issues related to the user's health.

[00854] Demonstrates a new form of health promotion, with the user as the center of attention and viewing them comprehensively and with potential knowledge of the applicable details necessary for the treatment and evaluation of each professional.

Claims (9)

1. PORTABLE DIGITAL INTEGRATIVE RECORD PROCESS, characterized by representing a mechanism for recording information relating to the various areas of health care, including consultations, evaluations, guidelines, recommendations, prescriptions, certificates, reports, reports, description of procedures, laboratory tests and reports and imaging exams, pending and completed vaccinations, habits, addictions, routines, daily goals, pets and their care, in the form of medical records, on mobile devices, computers, cloud and server; contain a module for insertion, rectification, storage of this information and control of data flow by the user; mechanism for supervising the insertion of data into medical records of minors and those who are fragile; symptom descriptor with specification of their chronological order; tool for documenting personal options and preferences; tool for designating a trusted person and selecting their level of access to medical records in the event of emergency control; temporary or total control mechanism by a trusted person over the data in the event of an accident; user-generated emergency medical summary; emergency alarm button linked to the medical record, with notification to the person of trust; modules and submodules for care and transmission of health information by care professionals to the main module, including information on medical, dental, nursing, physiotherapy, speech therapy, psychology, caregivers, personal trainers and physical education professionals, acupuncturists, chiropractors, massage therapists, pilates professionals, biochemists, biomedical and laboratory technicians, teachers, coaches and veterinarians; feedback tool for professionals providing treatment information and following recommendations and their effectiveness, with reports of improvement, non-resolution or worsening; service sheet with cataloged items; provisional observation or hospitalization record; automatic or semi-automatic filling tool for forms and health charts based on information recorded in medical records; tool for including grades and school behaviors in medical records; module for calculating nutritional information for artisanal dishes; modules for viewing and verifying certificates and discharge records; agenda of checkable daily goals integrating information on recommendations and medications with the possibility of sound alarms at the correct times, with information on study, work, physical activity, nutrition that integrates nutritional recommendations made by a professional, vaccination according to professional guidelines and vaccination calendar and goals for the day resulting from the individual's planning; automatic shopping list generated from menu nutritional guidelines; coding of data storage resulting from cataloging textual elements; automatic data analysis tool using artificial intelligence compatible with data coding, with detection of medication inadequacies related to allergies, nutrition, risks to pregnancy, breastfeeding, childhood, reduced effect of contraceptives; anonymous data collection and detection of patterns of outbreaks, epidemics and pandemics; scientific research tools module compatible with cataloged code; sampling matrix file of the scientific research carried out; textual interpretation package of cataloged data from the medical record in the language chosen by the user, medical chat for translating cataloged information into the chosen language, in case of linguistic difference between attendant and user; lifeline data visualization tool, a visual tool for grouping selected information in chronological order, demonstrating beginning, cessation, intensity and duration; data visualization tool in a 2D or 3D visual map of the human or animal body, with registration of scars, injuries, deformities, disease changes and physical aspects of the user and their pet; tool for simultaneous filtered visualization of vital signs, laboratory tests and professional care, with specification in chronological order; tools for quantifying and recording water intake, dental flossing, tooth brushing, menstrual cycle, diuresis and evacuation, sleep, stress, alcohol and drugs and sexual activity in medical records. 2. INTEGRATIVE DIGITAL PORTABLE RECORD PROCESS, according to claim 1, characterized by containing a designated Ethics Committee and providing analysis of research projects and terms of free and informed consent. 3. PORTABLE DIGITAL INTEGRATIVE RECORD PROCESS, according to claim 1, characterized by containing a platform for publishing scientific research as part of the support for the secondary researcher module. 4. INTEGRATIVE DIGITAL PORTABLE RECORD PROCESS, according to claim 1, characterized by containing an agenda of daily professional care, capable of integrating professionals' care schedules with the visualization of patient data, with the possibility of selecting prioritization criteria rescheduling based on their information and prior review of information about those served. 5. INTEGRATIVE DIGITAL PORTABLE RECORD PROCESS, according to claim 1, characterized by containing a record of complete care provided in the secondary modules, capable of representing for professionals all the information related to previous care for each user, with the possibility of automatic inclusion of feedback and updates authorized by and prioritization of rescheduling and returns. 6. PORTABLE DIGITAL INTEGRATIVE RECORD PROCESS, according to claim 1, characterized by containing standard evaluation and classification forms, such as scales, indexes, diagnostic criteria, care protocols. 7. INTEGRATIVE DIGITAL PORTABLE RECORD PROCESS, according to claim 1, characterized by containing a standard document generator, data collection and sending. 8. PORTABLE DIGITAL INTEGRATIVE HEALTH RECORD PROCESS, according to claim 1, characterized by containing growth and development graphs, presenting information visually on monitoring the growth and development of children and adolescents, according to weight and height data and other information already included in the medical record. 9. INTEGRATIVE DIGITAL PORTABLE RECORD PROCESS, according to claim 1, characterized in that it can contain records integrated into the medical record of vital signs sensors, whether or not related to the performance of physical activity.