JP2016157199A - Remote health management system, method, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a remote health management system capable of avoiding the centralization of a processing load on a server, and surely determining a vital data value without causing processing delay or determination omission.SOLUTION: Vital data measured by measurement equipment AT1 to ATn are transmitted to user terminals MT1 to MTn, and the vital data are determined by threshold information in the user terminals MT1 to MTn, and when the value of the vital data is included in a range between an upper limit value and a lower limit value designated by the threshold information, only the vital data are transmitted to a watching management server SV, and otherwise, the vital data and alarm data are transmitted to the watching management server SV, and stored therein, and alarm corresponding processing is executed thereby.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a remote health management system, method and program for remotely monitoring the health status of a subject.

  In recent years, systems have been proposed for remotely monitoring the health status of elderly people and people with a medical history. For example, in the remote health system disclosed in Non-Patent Document 1, in a facility, data measured by a wireless biosensor is received by a receiver arranged in the facility, and the received measurement data is sent to an information processing server. Acquired and analyzed by the installed triage engine. And based on the analysis result, a to-be-measured person is divided into a highest priority treatment group, a waiting treatment group, or a holding group, and it is constituted so that a doctor may respond to each of these groups.

Yusuke Hara et al., Osaka City University Graduate School of Engineering / Graduate School of Medicine, “Research and Development on Clinical Sensor Data Acquisition and Its Application to Ubiquitous Health Monitoring”, Regional ICT Promotion-type Research and Development (Project Number: 092307004) SCOPE 7th Results Presentation, October 4, 2011, p20,21, Internet <URL: http // www.soumu.go.jp / main_sosiki / joho_tsusin / scope / ecent / s7photo.html>

  However, in the system described in Non-Patent Document 1, the measurement data acquisition / accumulation process transmitted from the receiver in the facility, and the measurement data analysis process of each acquired measurement data are performed. , All of the information processing server is doing at once. For this reason, when the number of occupants increases, the load on the information processing server becomes very high, and there is a risk that processing of vital data values cannot catch up and processing delays or omissions occur.

  The present invention has been made paying attention to the above circumstances, and its purpose is to avoid the concentration of processing load on the information processing server and to reliably determine vital data values without causing processing delays or omissions. The object is to provide a remote health management system, method and program that can be used.

  In order to achieve the above object, according to a first aspect of the present invention, communication is performed between a terminal that receives vital data measured from a measuring device that measures vital data of a monitoring target person and the terminal via a network. A remote health management system comprising an information processing apparatus capable of determining vital data received from the measuring device by the terminal based on threshold information stored in a memory in advance, and the determination Information representing the result is transmitted to the information processing apparatus together with the vital data to be determined. On the other hand, the information processing apparatus receives vital data and information representing a determination result transmitted from the terminal and stores the information in a storage unit, and also monitors the person to be monitored based on the information representing the stored determination result. Health support processing is executed for the child.

  According to a second aspect of the present invention, in the information processing apparatus, threshold information setting processing is performed for each monitoring target person, and the set threshold information is transmitted to the corresponding management target person terminal via the network. To do. On the other hand, the terminal receives threshold information transmitted from the information processing apparatus via the network, and stores the received threshold information in the memory or stores the threshold information stored in the memory. It is updated with the received threshold information.

  According to a third aspect of the present invention, the terminal acquires at least one of position information and weather information of a place where the monitoring target person exists, and the acquired additional information is information representing the vital data and a determination result. Is transmitted to the information processing apparatus via the network. In contrast, when the information processing apparatus receives additional information sent from the terminal together with the vital data and information representing the determination result, the threshold information is changed based on the received additional information. The changed threshold information is transmitted to the corresponding monitoring target person's terminal.

  According to the first aspect of the present invention, the information processing apparatus does not need to perform the vital data determination process, and only performs the vital data reception / accumulation process, thereby reducing the processing load. It is possible to avoid the occurrence of a delay in the determination process of vital data, omission of determination, and the like.

  According to the second aspect of the present invention, threshold information used by the terminal for determination processing is set for each person to be monitored in the information processing apparatus, and the threshold information is distributed from the information processing apparatus to each terminal and set. . For this reason, the threshold information can be centrally managed on the information processing apparatus side, thereby enabling accurate vital data value determination processing with appropriate threshold information for each person to be monitored.

  According to the third aspect of the present invention, in the information processing apparatus, the threshold information is changed based on the additional information sent together with the vital data and the information indicating the determination result from the terminal, and the changed threshold value Information is sent to the corresponding monitoring subject's terminal and updated. For this reason, it is possible to always perform appropriate vital data determination processing according to the geographical characteristics and environmental characteristics of the place where the monitoring target person exists.

  That is, according to the present invention, there is provided a remote health management system, method and program capable of avoiding concentration of processing load on the information processing server and reliably determining vital data values without causing processing delays or omissions. can do.

1 is a schematic configuration diagram of a remote health management system according to an embodiment of the present invention. The block diagram which shows the function structure of the user terminal used with the remote health management system shown in FIG. The block diagram which shows the function structure of the monitoring management server used with the remote health management system shown in FIG. The sequence diagram which shows the operation | movement at the time of the user terminal starting in the remote health management system shown in FIG. The sequence diagram which shows the operation | movement at the normal time in the remote health management system shown in FIG. The sequence diagram which shows the operation | movement at the time of the threshold value information change in the remote health management system shown in FIG.

Embodiments according to the present invention will be described below with reference to the drawings.
[One Embodiment]
(Constitution)
FIG. 1 is a schematic configuration diagram of a remote health management system according to an embodiment of the present invention.
In the remote health management system of this embodiment, each of a plurality of users US1 to USn to be managed possesses measuring devices AT1 to ATn and user terminals MT1 to MTn, and the user terminals MT1 to MTn and the monitoring management server SV Can communicate with each other via the communication network NW.

  The measuring devices AT1 to ATn include, for example, a thermometer that measures the body temperature of the users US1 to USn, and are attached to the measurement sites of the users US1 to USn. The measuring devices AT1 to ATn are provided with a sensor unit for measuring body temperature and a transmission unit, and electronically transmit vital data of the body temperature measured by the sensor unit by the transmission unit, either continuously or at a constant cycle. -Send to MTn. The measuring device may be a sphygmomanometer, an electrocardiograph, a respirometer, etc. in addition to a thermometer.

  User terminals MT1 to MTn use mobile terminals such as mobile phones and smartphones, and are configured as follows. FIG. 2 is a block diagram showing the functional configuration. That is, the user terminals MT1 to MTn include a control unit 1, a storage unit 2, and radio interface units 3 and 4.

  The wireless interface unit 3 receives vital data transmitted from the measuring devices AT1 to ATn, and uses a wireless interface adopting a low power wireless data communication standard such as Bluetooth (registered trademark) as a wireless interface. The wireless interface unit 4 communicates with the monitoring management server SV via the communication network NW. As a wireless interface, a wireless interface for a mobile communication system such as a mobile phone system or a wireless local area network (LAN) is used. use.

  The storage unit 2 uses a nonvolatile memory capable of writing and reading, such as SSD (Solid State Drive), and a RAM as a storage medium, and a vital data temporary storage unit 21 as a storage unit according to the present embodiment. A determination result temporary storage unit 22 and a threshold information storage unit 23 are provided.

  The vital data temporary storage unit 21 is used as a buffer memory for reception, and temporarily stores vital data sent from the measuring instruments AT1 to ATn. The determination result temporary storage unit 22 is used to temporarily store information representing the determination result of vital data. The threshold information storage unit 23 is used to store threshold information for vital data determination set for each of the users US1 to USn.

  The control unit 1 includes, for example, a central processing unit (CPU) using a microprocessor, and as a control function necessary for carrying out the present embodiment, a vital data reception control unit 11 and vital data determination Unit 12, data transmission control unit 13, and threshold information acquisition control unit 14. All of these control functions are realized by causing the CPU to execute a program stored in a program memory (not shown).

  The vital data reception control unit 11 receives transmission data transmitted continuously or at regular time intervals from the measuring devices AT1 to ATn. Then, the vital data is decoded from the received transmission data and temporarily stored in the vital data temporary storage unit 21.

  The vital data determination unit 12 compares the vital data value temporarily stored in the vital data temporary storage unit 21 with the threshold values (upper limit value and lower limit value) stored in the threshold value information storage unit 23, thereby obtaining vital data. It is determined whether or not the value is included in the range specified by the threshold value. And the process which preserve | saves the information showing the determination result in the determination result temporary storage part 22 is performed.

  The data transmission control unit 13 represents the received vital data and its measurement time when the vital data value is included in the range specified by the threshold based on the determination result by the vital data determination unit 12. Insert only the time stamp, and if the vital data value is not included in the range specified by the threshold, the received vital data and alarm data and the time stamp are inserted into the packet data together with the user ID, respectively. Processing to transmit to the watch management server SV is performed.

  The threshold information acquisition control unit 14 transmits a threshold information transmission request to the monitoring management server SV when the user terminals MT1 to MTn are activated or when a threshold information change notification is received from the monitoring management server SV. And the threshold information transmitted from the watching management server SV with respect to the transmission request is received and stored in the threshold information storage unit 23.

  On the other hand, the monitoring management server SV is composed of a server computer or a cloud computer provided on the Web or LAN, and is configured as follows. FIG. 3 is a block diagram showing the functional configuration. That is, the monitoring management server SV includes a control unit 5, a storage unit 6, a communication interface unit 7, an input unit 8, and a display unit 9.

  The communication interface unit 7 communicates with the user terminals MT1 to MTn and the terminals used by the monitoring staff and doctors via the communication network NW under the control of the control unit 5.

  The storage unit 6 has a large-capacity memory such as an HDD (Hard Disk Drive) as a storage medium, and a vital data storage unit 61 and an alarm data storage unit 62 are necessary storage units for carrying out the present embodiment. And a threshold value setting file storage unit 63.

  The vital data storage unit 61 is used to store vital data sent from the user terminals MT1 to MTn. The alarm data storage unit 62 is used to store information representing the determination results sent from the user terminals MT1 to MTn. The threshold setting file storage unit 63 is used to store the threshold information set for each of the users US1 to USn in the threshold setting files TF1 to TFn in association with the user identification information (user ID).

  The control unit 5 includes a central processing unit (CPU). As control functions necessary for carrying out the present embodiment, a data reception / storage control unit 51, an alarm response control unit 52, threshold information A setting control unit 53 is provided. These control functions are realized by causing the CPU to execute a program stored in a program memory (not shown).

  The data reception / storage control unit 51 receives the packet data transmitted from the user terminals MT1 to MTn via the communication interface unit 7, and extracts vital data and alarm data from the received packet data. The extracted vital data is stored in the vital data storage unit 61 together with the time stamp, and the alarm data is stored in the alarm data storage unit 62 together with the time stamp in association with the transmission source user ID.

  When the received packet data includes alarm data, the alarm response control unit 52 determines the degree of urgency according to a predetermined criterion based on the alarm data and the vital data that is the determination target. To do. And according to the determination result of the said urgency level, the process which transmits a rescue command to the notification destination set beforehand is performed.

  The threshold information setting control unit 53 stores the input threshold information in the threshold setting file storage unit 63 when the threshold information is newly set or changed for the user using the input unit 8 and the display unit 9. After storing, when the threshold information change notification is transmitted to the corresponding user terminal, and the threshold information transmission request is transmitted from the user terminals MT1 to MTn, the threshold setting file storage unit 63 sends A process of reading the threshold information and transmitting it to the user terminals MT1 to MTn is performed.

(Operation)
(1) Operation at User Terminal Activation FIG. 4 is a sequence diagram showing processing procedures and processing contents of the user terminals MT1 to MTn and the monitoring management server SV when the user terminals MT1 to MTn are activated. Note that the threshold setting file storage unit 63 of the watching management server SV will be described assuming that threshold information of each user US1 to USn is stored in advance.

  Now, for example, it is assumed that the user US1 wears the measuring device AT1 and activates an application for watching service of the user terminal MT1. In this case, when the control unit 1 of the user terminal MT1 detects the activation of the application in step S11, the control unit 1 first transmits a connection confirmation to the monitoring management server SV.

  On the other hand, the monitoring management server SV performs user authentication based on the user ID included in the connection confirmation and user information stored in advance, and determines whether or not the user is registered for use in the monitoring service. . As a result of this determination, if it is confirmed that the user has been registered for use, the monitoring management server SV returns a confirmation result to that effect to the user terminal MT1 that is the confirmation request source.

  When receiving the confirmation result indicating that the use registration has been completed, the user terminal MT1 transmits a threshold information transmission request to the monitoring management server SV under the control of the threshold information acquisition control unit 14. This threshold information transmission request includes a user ID. Note that, when a confirmation result indicating that it is not registered is returned, the user terminal MT1 displays the fact on the display unit, and then ends the operation.

  When the threshold information transmission request is sent from the user terminal MT1, the control unit 5 of the monitoring management server SV is included in the received threshold information transmission request in step S12 under the control of the threshold information setting control unit 53. The corresponding threshold setting file is read from the threshold setting file storage unit 63 based on the user ID. Then, threshold information including the threshold and vital data type described in the read threshold setting file and the received user ID is generated, and the generated threshold information is transmitted to the user terminal MT1 that is the transmission request source. Send.

  When the control unit 1 of the user terminal MT1 receives the threshold information, the user ID included in the received threshold information is the owner of the terminal in step S13 under the control of the threshold information acquisition control unit 14. After confirming that the user belongs, the threshold value and vital data type included in the threshold information are stored in the threshold information storage unit 23.

(2) Normal operation When the operation sequence at the start-up is completed, the user terminal MT1 thereafter executes the normal operation sequence. FIG. 5 is a sequence diagram showing the processing procedure and processing contents. Here, a case where “body temperature” is measured as vital data will be described as an example.

  In measuring device AT1, the body temperature of user US1 is measured at a predetermined time interval set in advance in step S21. In step S22, a message including the measured body temperature value and the user ID is created, and the message is transmitted to the user terminal MT1.

  The user terminal MT1 receives the electronic message via the wireless interface unit 3 in step S23 under the control of the vital data reception control unit 11. And the measured value of the body temperature contained in this received message | telegram is preserve | saved in the vital data temporary storage part 21. FIG.

  When receiving the vital data, the user terminal MT1 next reads the threshold value from the threshold value information storage unit 23 in step S24 under the control of the vital data determination unit 12. In step S25, the received vital data value (measured body temperature value) is compared with the read threshold value, and the measured body temperature value is included between the upper limit value and the lower limit value indicated by the threshold value. Determine whether or not.

  Next, in step S26, the user terminal MT1 creates a packetized message based on the determination result in step S25 under the control of the data transmission control unit 13. For example, when it is determined that the measured body temperature value is included between the upper limit value and the lower limit value indicated by the threshold value, the measured body temperature value is included in the packet together with a user ID and a time stamp indicating the measurement time. The packet is inserted, and the packet is transmitted from the wireless interface unit 4 to the watching management server SV. On the other hand, it is assumed that the measured value of body temperature is not included between the upper limit value and the lower limit value indicated by the threshold value. In this case, the measurement value and alarm data of the body temperature are inserted into a packet together with a user ID and a time stamp indicating the measurement time, and the packet is transmitted from the wireless interface unit 4 to the monitoring management server SV.

  On the other hand, when the packet data transmitted from the user terminal MT1 is received by the communication interface unit 7, the monitoring management server SV, under the control of the data reception storage control unit 51, measures the body temperature from the received packet data and the time stamp. Are stored in the vital data storage unit 61 in association with the user IDs extracted simultaneously as a set. If alarm data is included in the received packet data, the alarm data and time stamp are stored in the alarm data storage unit 62 in association with the user ID.

  If the packet data includes alarm data, the monitoring management server SV performs control based on the alarm data and the vital data that has been determined in step S27 under the control of the alarm response control unit 52. The urgency level is determined according to a predetermined criterion. And according to the determination result of the said urgency level, a rescue command is transmitted to the preset notification destination. For example, if the body temperature is not over the threshold value, the rescue command is sent to the mobile terminal of the family or rescue staff if the body temperature exceeds the threshold value. In addition to the portable terminal of the rescue staff, report to the terminal of the affected doctor or emergency.

(3) Threshold change operation When the service manager performs an operation for changing the threshold information of a certain user US1 in the watching management server SV, the following threshold change operation is performed. FIG. 6 is a sequence diagram showing the processing procedure and processing contents.

  That is, when the monitoring management server SV receives the change input of the threshold information in step S31, first, under the control of the threshold information setting control unit 53, the corresponding user stored in the threshold setting file storage unit 63 in step S32 first. The threshold setting file TF1 of US1 is changed to the input threshold information. If the threshold setting file for the corresponding user does not exist, a threshold setting file corresponding to the user is newly created, and the input threshold information is stored in the threshold setting file.

  Next, a threshold information change notification is transmitted from the communication interface unit 7 to the corresponding user terminal MT1. On the other hand, when receiving the threshold information change notification via the wireless interface unit 4, the user terminal MT1 first monitors the threshold information transmission request and transmits it to the management server SV under the control of the threshold information acquisition control unit.

  When the threshold information transmission request is received via the communication interface unit 7, the monitoring management server SV reads the changed threshold information from the threshold setting file TF1 in step S33 under the control of the threshold information setting control unit 53, and The read threshold information is transmitted from the communication interface unit 7 to the user terminal MT1 that is the transmission request source.

  When the threshold information is received via the wireless interface unit 4, the user terminal MT1 receives the threshold information stored in the auxiliary threshold information storage unit 23 in step S34 under the control of the threshold information acquisition control unit 14. Update to threshold information. If the threshold information is not registered in the threshold information supplementary storage unit 23, the received threshold information is newly registered in the threshold information supplementary storage unit 23.

(Effect of embodiment)
As described above in detail, in the present embodiment, vital data measured by the measuring devices AT1 to ATn is transmitted to the user terminals MT1 to MTn, and the vital data is determined by the threshold information in the user terminals MT1 to MTn. If the value of the vital data is included in the range between the upper limit value and the lower limit value specified by the threshold information, only the vital data is included. Otherwise, the vital data and the alarm are included. The data is transmitted to the monitoring management server SV and stored in the monitoring management server SV, and an alarm response process is executed.

  Therefore, the monitoring management server SV does not need to perform the vital data determination process, and only needs to perform the vital data reception / accumulation process, thereby reducing the processing load and delaying the vital data determination process. It is possible to avoid occurrence of omissions in determination.

  In the present embodiment, threshold information used by the user terminals MT1 to MTn for determination processing is set for each user US1 to USn in the monitoring management server SV, and the set threshold information is set from the monitoring management server SV to each user terminal MT1. To MTn, respectively. For this reason, the threshold information can be centrally managed by the service provider, thereby enabling accurate vital data value determination processing with appropriate threshold information for each of the users US1 to USn.

[Other Embodiments]
When the user terminals MT1 to MTn have a GPS (Global Positioning System) position measurement function, the user terminals MT1 to MTn transmit the position information of the own terminal measured by the GPS together with vital data to the monitoring management server SV. To do. Then, when the watch management server SV performs the alarm handling process by the alarm handling control unit 52, the location information of the user terminal may be included in the rescue report. If it does in this way, a rescuer can recognize the position of the user who is a relief object, and quick relief activity is attained.

  Further, based on the position information sent together with the vital data from the user terminals MT1 to MTn, the threshold management information is adaptively changed in the monitoring management server SV, and the changed threshold information is transmitted to the corresponding user terminals MT1 to MTn. Then, the threshold information may be updated. For example, when a user living in a warm region moves to a cold region, the range between the upper limit value and the lower limit value of the blood pressure and heart rate determination thresholds is reduced. Also, when a user living in a rural area moves to the city center, the threshold value is changed in consideration of an increase in psychological or physical burden on the user. In this way, it is possible to always perform an appropriate determination process according to the environmental characteristics of the place where the user exists. When the measuring devices AT1 to ATn or the user terminals MT1 to MTn are equipped with thermometers or barometers, the measurement data is also transmitted to the monitoring management server SV, and threshold values are based on these weather data. May be changed.

  Furthermore, in the above-described embodiment, the case where the vital data storage unit 61, the alarm data storage unit 62, and the threshold setting file storage unit 63 are provided in the watching management server SV has been described as an example, but the storage units 61 to 63 are watched and managed. You may make it provide in a database server etc. different from server SV.

  Further, in the above-described embodiment, the measurement devices AT1 to ATn and the user terminals MT1 to MTn are connected using a wireless interface such as Bluetooth (registered trademark), but may be connected using a signal cable. Good. Further, the measuring device may be externally installed or built in the user terminal.

  Furthermore, although the case where the user's watching operation is performed has been described as an example in the embodiment, the user's disease sign detection may be performed, and other configurations of the user terminal and the monitoring management server, the watching operation, and the threshold changing operation may be performed. The procedure and the contents thereof can be variously modified and implemented without departing from the gist of the present invention.

  In short, the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

  US1-USn ... user, AT1-ATn ... formulating device, MT1-MTn ... user terminal, TF1-TFn ... threshold setting file, SV ... watching management server, NW ... communication network, 1 ... user terminal control unit, 2 ... user Terminal storage unit, 3, 4 ... Wireless interface unit, 5 ... Monitoring management server control unit, 6 ... Monitoring management server storage unit, 7 ... Communication interface unit, 8 ... Input unit, 9 ... Display unit, 11 ... Vital Data reception control unit, 12 ... vital data determination unit, 13 ... data transmission control unit, 14 ... threshold information acquisition control unit, 21 ... vital data temporary storage unit, 22 ... determination result temporary storage unit, 23 ... threshold information storage unit, 51 ... Data reception / storage control unit, 52 ... Alarm response control unit, 53 ... Threshold information setting control unit, 61 ... Vita Data storage unit, 62 ... alarm data storage unit, 63 ... threshold setting file storage unit.

Claims (8)

Comprising a terminal that receives vital data measured from a measuring device that measures vital data of a monitored person, and an information processing device capable of communicating with the terminal via a network;
The terminal
Determination means for determining vital data received from the measuring device based on threshold information stored in advance in a memory;
Transmission means for transmitting information representing a determination result by the determination means to the information processing apparatus together with vital data subjected to the determination;
The information processing apparatus includes:
Receiving means for receiving the vital data transmitted from the terminal and information representing the determination result and storing the information in the storage means;
A remote health management system comprising: support execution means for executing health support processing for the monitoring subject based on the information representing the stored determination result. The information processing apparatus includes:
Setting means for performing threshold information setting processing for each monitoring target person;
Threshold information transmitting means for transmitting the threshold information set by the setting means to the terminal of the corresponding management target person via the network, and further comprising:
The terminal
Threshold information receiving means for receiving threshold information transmitted from the information processing apparatus via the network;
The update means for storing the received threshold information in the memory or updating the threshold information stored in the memory based on the received threshold information. The remote health management system according to 1. The terminal
Acquire at least one of location information and weather information of a place where the person to be monitored exists, add the acquired additional information to the vital data and information indicating a determination result, and transmit the information to the information processing apparatus via the network. Further comprising means for transmitting
The information processing apparatus includes:
The additional information sent together with the vital data and information representing the determination result is received from the terminal, the threshold information is changed based on the received additional information, and the changed threshold information is correspondingly monitored. The remote health management system according to claim 2, further comprising means for transmitting to the terminal of the subject. Remote health management executed by a system including a terminal that receives vital data measured from a measuring device that measures vital data of a monitored person, and an information processing apparatus that can communicate with the terminal via a network A method,
A process in which the terminal determines vital data received from the measuring device based on threshold information stored in advance in a memory;
A process in which the terminal transmits information representing the determined result to the information processing apparatus through the network together with the vital data that is the target of the determination;
The information processing apparatus receives the vital data transmitted from the terminal via the network and information representing the determination result and stores the information in a storage unit;
The information processing apparatus includes a step of executing a health support process for the monitoring target person based on the information representing the stored determination result. A process in which the information processing apparatus performs threshold information setting processing for each person to be monitored;
The information processing apparatus transmits the set threshold information to the corresponding management target person terminal via the network;
A process in which the terminal receives threshold information transmitted from the information processing apparatus via the network;
The terminal further comprising the step of storing the received threshold information in the memory or updating the threshold information stored in the memory based on the received threshold information. The remote health management method according to claim 4. A process in which the terminal acquires at least one of position information and weather information of a place where the monitoring target person exists;
A process in which the terminal adds the acquired additional information to the vital data and information indicating a determination result and transmits the information to the information processing apparatus via the network;
The information processing apparatus receives additional information sent together with the vital data and information representing a determination result from the terminal, and changes the threshold information based on the received additional information;
6. The remote health management method according to claim 5, further comprising a step in which the information processing apparatus transmits the changed threshold information to a terminal of a corresponding monitoring target person via the network. .   A program for causing a processor included in a terminal to execute processing of each unit included in the terminal of the remote health management system according to any one of claims 1 to 3.   The program which makes the computer with which the said information processing apparatus performs the process of each means with which the information processing apparatus of the remote health management system in any one of Claims 1 thru | or 3 is provided.

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