TWM467972U - Telemedicine information system - Google Patents

Abstract

Disclosure herein is related to a telemedicine information system. The telemedicine information system includes a monitoring end which receives the physiological signals generated by one or more physiological sensors disposed at the client end over a network. The medical staff uses monitoring terminal device at the monitoring end. The monitoring terminal device is connected with a monitoring server for acquiring the physiological signals since the server periodically retrieves and records the signals generated by the client end's sensors. The signals will be converted to the meaningful information allowing the medical staff to monitor the remote client's physiological condition. The claimed system achieves an efficient remote medical process since the person at the monitoring end may anytime acknowledge the client's condition.

Description

Telemedicine information system

The present invention is a telemedicine information system, and the system specifically includes a device having a monitoring terminal capable of grasping the physiological state of the user at any time, capable of issuing a warning according to an abnormal situation, and forming a telemedicine information system with a monitoring server.

With the network bandwidth and the maturity of network technology, related applications are also popularized to the general users. If applied to a telemedicine (or telemedicine) use, it can provide telemedicine services for home users. Includes a variety of assistance from medical personnel.

This type of telemedicine technology uses computer network technology, combining computer technology, communication technology and audio-visual processing technology to provide users with access to medical services from a distance, and also allows medical institutions to develop a wider range of services, and The use of traditional web technologies combined with the medical profession can provide better medical services, especially for those who have limited mobility, inconvenient transportation, and remote medical facilities.

General telemedicine services include voice or video consultation, remote care, television monitoring, and even doctors can obtain medical signals from the user's physiological monitoring equipment to make medical diagnosis.

A telemedicine information system proposed by this creation is for providing medical personnel. The hand-held device is used to monitor the patient's physiological chart and information generated by the user's physiological monitor, so as to grasp the physiological state of the patient from the far end, and timely issue a warning and provide medical assistance in the event of an emergency.

Observing the benefits that can be enjoyed by the monitored object, this method provides a remote, immediate, and effective solution to the previously difficult to resolve conditions: when the monitored object cannot obtain domestic physiological monitoring services when traveling abroad Rehabilitation patients who need long-term care for others; patients who need immediate care in case of emergency care at home;

The present disclosure describes a telemedicine information system that utilizes the technology of existing network communications to perform an effective telemedicine behavior.

The telemedicine information system described in the present invention cooperates with the physiological sensing device set by the user end, and the physiological sensing device is used to sense the physiological condition of the user, and the embodiment of the telemedicine information system proposed by the present invention is mainly set on the monitoring end. There is a monitoring server that obtains these physiological signals. According to an embodiment, the monitoring server is connected to the physiological sensing device provided at the user end via a network connection, and the monitoring server can periodically obtain the physiological condition generated by the physiological sensing device of the user end. Monitoring signal. In addition, the monitoring server is provided with a user database for storing physiological monitoring signals and associated user data, and can set the permission to view the signals therein.

The medical personnel on the monitoring side can hold a monitoring terminal device such as a tablet computer. The monitoring terminal device connects the monitoring server through the network connection to obtain the physiological monitoring signal therein. The monitoring terminal device is equipped with a monitoring program, and the signal can be transmitted. Turn it into a meaningful message as a basis for monitoring the user's physical condition.

The monitoring terminal device includes a data processing unit that processes the obtained physiological monitoring signal into monitoring information, a communication unit that establishes a network connection with the monitoring server, a display module for displaying monitoring information, and a temporary storage system. A memory unit that monitors the physiological monitoring signals obtained by the server and the monitoring information converted for display, and an input module that provides an input interface.

When the medical personnel use the monitoring terminal device to determine an abnormal situation, the monitoring terminal device is provided with a circuit that can communicate with the user terminal, including voice or video. Audio and video processing circuit. The user terminal can use the mobile communication device held by the user to receive the message of the monitoring terminal.

The communication between the medical personnel of the monitoring terminal and the user of the user end includes the medical advice provided by the medical personnel, and it is suggested that the advice to the hospital can be given according to the location obtained by the positioning function of the mobile communication device held by the user end user.

According to another embodiment, if the monitoring terminal wants to send a message to the UE, a push-pull technique can be used to forward the message to the client via a message server.

10‧‧‧Internet

101‧‧‧Monitor terminal device

103‧‧‧Physical sensing device

105‧‧‧Customer communication device

20‧‧‧Network

201‧‧‧Communication device

203‧‧‧Monitoring server

205‧‧‧Wireless base station

21, 22‧‧‧Monitor terminal device

31‧‧‧ Client

311‧‧‧Communication device

313, 315‧‧‧ physiological sensing device

32‧‧‧Monitor

321‧‧‧Communication device

323‧‧‧Monitoring server

325‧‧‧User Database

327, 329‧‧‧Monitor terminal devices

4‧‧‧Network

40‧‧‧Mobile communication devices

401‧‧‧Video Processing Unit

402‧‧‧ Positioning unit

403‧‧‧Communication unit

47, 48‧‧‧ physiological sensing device

49‧‧‧Monitoring server

42‧‧‧Monitor terminal device

421‧‧‧Data Processing Unit

422‧‧‧Communication unit

423‧‧‧Input module

424‧‧‧ display module

425‧‧‧ memory unit

426‧‧‧Video processing circuit

50‧‧‧Network

511‧‧‧Internet equipment

513‧‧‧Signal Receiver

515‧‧‧ Heart Rate Sensor

517‧‧‧Communication device

51‧‧‧Monitored objects

531‧‧‧Message Server

55‧‧‧Regional Network

551‧‧‧Monitoring server

553‧‧‧User Database

555‧‧‧Wireless base station

557‧‧‧Monitor terminal device

601‧‧‧ identification code

603‧‧‧Monitoring project

Figure 1 shows a schematic diagram of the user terminal and the monitoring terminal in the creation of the telemedicine information system; Figure 2 shows the facility diagram of the monitoring terminal in the creation of the telemedicine information system; Figure 3 shows the user terminal and the monitoring terminal in the creation of the telemedicine information system. Schematic diagram of each device; FIG. 4 is a schematic diagram showing the circuit function of the creation of the telemedicine information system; FIG. 5 is a schematic view showing an embodiment of the device of the user terminal and the monitoring terminal in the creation of the telemedicine information system; FIG. 6 is schematically shown on the monitoring terminal device. User Profile Screen; Figure 7 shows the monitor message screen on the monitor terminal device; Figure 8 shows the user profile screen on the monitor terminal device.

In order to provide an effective, immediate and convenient telemedicine environment, the present invention provides a telemedicine information system for medical personnel to monitor patient physiological charts and information generated by the user's physiological monitor using a handheld device. By means of a solution for monitoring the physiological condition of the user end, the medical staff can grasp the physiological state of the patient at the user from the remote monitoring terminal, and timely issue a warning and provide medical assistance in the event of an emergency.

The basic architecture of the telemedicine information system disclosed in the present application can be referred to the schematic diagram of the embodiment of FIG. 1, which shows the connection relationship between the client and the monitoring terminal in the telemedicine information system.

The system includes a monitoring terminal, and at least one client is connected through the network (such as the Internet 10), and the physiological monitoring information generated by the multiple clients can be obtained at any time and at the same time.

In this example, the monitoring terminal personnel, such as doctors, nurses, and the like, are equipped with a monitoring terminal device 101 having at least a display screen and communication capability, such as a tablet computer or a smart phone that can be operated by hand, or Other computer devices that can provide display and networking can obtain physiological monitoring information of the user terminal through the monitoring program executed in the monitoring terminal device 101, and can diagnose whether the physiological monitoring information is abnormal according to the judgment rule.

The user terminal is provided with a physiological sensing device 103 for sensing the physiological condition of the monitored object (human), for example, a rhythm of heart sensor, a blood pressure meter, a blood oxygen concentration measuring instrument, and a respiratory frequency measuring instrument. The thermometer or the like may be provided with one or more physiological sensing devices 103 as needed. In general, these physiological instruments have no communication capabilities or limited communication capabilities. Therefore, if applied to the telemedicine information system contained in the present embodiment, the physiological instrument should have the ability to connect to the network device, or communicate externally through the plug-in method, or at least use the illustrated user-side communication device 105. Transmitting signals externally.

If the monitoring terminal is located at the far end, the user terminal can be connected to the monitoring terminal through the Internet 10 to receive signals generated by various physiological sensing instruments. The monitoring terminal personnel can monitor through the monitoring terminal device 101, and can further communicate with the user terminal by using the communication function of the monitoring terminal device 101.

Figure 2 is a schematic diagram of the facilities of the monitoring terminal in the present telemedicine information system.

This figure shows a monitoring server 203, which can be a server implemented by a computer system, and has a database for recording the physiological monitoring information of the user end obtained through the network 20, and the database should store and record various physiological monitoring messages. Corresponding physiological sensing The hardware information of the instrument, and the basic data and pathological data of the patient, including the medical history of each monitored object, the diagnostic record of the physician, etc., the monitoring terminal is provided with an external network 20, in particular, a network can be connected through a communication device 201. 20. The monitoring medical personnel or related personnel can manually monitor the terminal devices 21 and 22, and connect the monitoring server 203 through the wireless base station 205 in the area to obtain the user data and the corresponding physiological monitoring information in the database, even from the user. The source of the signal gets instant physiological monitoring messages.

According to one of the embodiments, the monitoring terminal device 21, 22 is a handheld computer device, wherein the program includes a program applied to the remote monitoring of the author, and the program is executed after the operating system in the monitoring terminal device 21, 22 is executed. The communication circuit is connected to the monitoring server 203, and one or more pieces of user information are obtained according to the authority set by the operator or the device, and the one or more pieces of user information include each user terminal identification data and physiological monitoring information. The program can also have the function of automatically determining whether the physiological monitoring information is abnormal or normal, and can notify the medical personnel in various ways, such as: flashing lights, icons, vibrations, etc., or other forms through the chart.

The monitoring terminal device 21, 22 further provides a function of communicating with the monitored object of the user terminal, including a voice or video communication mode, and can provide medical advice immediately.

FIG. 3 further illustrates the connection relationship between the user terminal and the monitoring terminal in the creation telemedicine information system.

The system shown in the figure also includes a client terminal 31 and a monitoring terminal 32. The client 31 includes a communication device 311 and a connected physiological sensing device 313, 315. The communication device 311 can be a general network device, such as a network router, and does not exclude the signal generated by the user's mobile communication device (such as a mobile phone) to transmit the A physiological sensing device 313, 315. The physiological sensing devices 313, 315 are utilized or relayed to other terminal monitoring devices for display. According to the embodiment, the signals generated by the physiological sensing devices 313 and 315 themselves may be integrated and transmitted by other devices, and are not limited to the manner disclosed in the figure. Alternatively, each of the physiological sensing devices 313, 315 can also directly transmit a message to the monitoring terminal 32 by means of a built-in communication function.

The monitoring terminal 32 is provided with a monitoring server 323 that collects the messages of the clients 31. And this The monitoring server can also serve as a platform for the monitoring terminal 32 to communicate with the client 31, including as a platform for transmitting any video, audio and text messages. In this example, the monitoring server 323 is connected to the device of the client 31 through the communication device 321 of the monitoring terminal 32, and may establish an encrypted network channel for security reasons.

The monitoring terminal 32 is provided with a user database 325 for recording user information, including recording various physiological monitoring messages of each user terminal. The monitoring terminal devices 327, 329 can use the regional network access to obtain the user information in the database 325.

To implement the circuit function of the aforementioned monitoring terminal, refer to the telemedicine information system embodiment shown in FIG.

The figure includes the design of the relevant devices of the user end and the monitoring end, including functional modules that can be implemented by circuits, and some functions are not excluded from being implemented by software or firmware. For example, the monitoring terminal is provided with a monitoring server 49, such as a computer server, located in a regional network, through which the network communication function is connected to the network 4 (the first network connection); correspondingly, the user terminal has its own The physiological sensing devices 47, 48 having network communication functions or connected to the network 4 by other network devices (such as the communication device 311 of FIG. 3) and the monitoring server 49 can be traversed through a proprietary line or Network 4's specific secure channels are connected to avoid other information security or privacy issues. Network 4 can be the Internet.

The monitoring server 49 periodically receives the physiological monitoring signals from the plurality of physiological sensing devices 47 and 48 of the respective users. The signals can be stored in the user database according to the identification data of the user (not shown in the figure), and the user database stores the physiological monitoring signals. With the associated user data, the medical personnel of the monitoring terminal can be inquired after being authenticated, and the identification data input by each medical personnel can correspond to one or more data of the object to be monitored.

The monitoring terminal includes a portable device held by a medical or related personnel, and the monitoring terminal device 42 as shown in the figure does not exclude that it can be carried by a smart phone, a tablet computer, a notebook computer, and has an individual. The device with special features can still regulate the monitoring of the server 49 through the shared device when actually implemented. According to one of the embodiments, the monitoring terminal device 42 is a tablet computer, and the medical personnel can install the monitoring terminal through the monitoring terminal. The monitoring program is executed, and the user interface initiated by the monitoring program will guide the user to perform authentication input, message acquisition, and physiological signal monitoring.

The monitoring server 49 obtains the physiological monitoring signal through the first network connection to the at least one physiological sensing device provided at the user end, and when the monitoring server receives the access information of the medical personnel through the monitoring terminal device 42, According to the medical personnel's authority to provide corresponding user data, the monitoring program can convert the physiological monitoring signal into a meaningful monitoring message, and the user interface displayed by the program displays the monitoring information, including various audio and video, patterns, and lights. The way to remind you that an abnormal situation has occurred. In addition to the physiological monitoring signals already stored in the monitoring server 49, the program can instantly obtain the latest generated signals and can perform real-time monitoring.

The monitoring terminal device 42 can be in the same regional network as the monitoring server 49, but can also be located on different network domains, and the monitoring server 49 is connected through the network (second network connection), and the monitoring terminal device 42 is like a computer. The system includes a data processing unit 421 for processing the physiological monitoring signal obtained by the monitoring server 49 to become monitoring information. The data processing unit 421 is a main core circuit in the monitoring terminal device 42 and is responsible for data processing, including processing by the present authoring system. The generated circuit unit is electrically connected to the data processing unit 421. The main circuit includes a communication unit 422, an input module 423, a display module 424, a memory unit 425, and a video processing circuit 426.

The communication unit 422 is configured to establish a second network connection with the monitoring server 49. One of the embodiments can use the wireless network connection established by the ^WiFiTM wireless network technology to monitor the servo through a regional network connection. The device 49 can be connected to the remote device via the network 4. According to the present embodiment, the message can be transmitted to the user terminal through the network 4. The monitoring terminal device 42 includes a display. The embodiment can be a touch display that provides a touch input. The circuit is a display module 424. The generated image signal is displayed through the display, especially the aforementioned monitoring information.

The monitoring terminal device 42 includes a memory unit 425, which can be built in for the device 42 Or an external storage medium for temporarily storing the physiological monitoring signal obtained by the monitoring server 49 and the monitoring information converted for display. The monitoring terminal device 42 has an input module 423 for providing an input interface. The input module 423 includes a circuit for processing an input signal internally, and also includes an external input interface, such as the touch display, the physical keyboard, the mouse, and the gesture sensor. Wait.

In addition to the physiological sensing devices 47, 48, the user terminal can hold the mobile communication device 40, such as a mobile phone, a smart phone, a tablet computer, etc., in particular, when the user uses the physiological sensing worn by the user. During the device, the physiological monitoring signal can be transmitted through the mobile communication device 40, and the mobile communication device 40 can also communicate with the monitoring medical personnel.

Mobile communication device 40 having a communication function, comprising a communication unit 403, communication unit 403 to establish the connection through the network 4, particularly in the mobile communication network technology, WiFi ^TM technology network establish a connection, and whereby the monitoring terminal comprises The medical personnel performs voice or video communication, and the mobile communication device 40 includes a video processing unit 401 for processing audio and video signals, which can process the incoming and outgoing video signals. According to one of the embodiments, the medical personnel on the monitoring side can transmit the message to the mobile communication device 40 of the user terminal through the aforementioned monitoring terminal device 42 by using the push technology.

According to still another embodiment, the mobile communication device 42 is provided with a positioning unit 402 for obtaining the position of the mobile communication device 42. The positioning unit 402 is, for example, a global positioning system (GPS) circuit component, and the position of the mobile communication device 42 itself can be obtained. That is, the generated location information can be transmitted to the monitoring terminal, and the monitoring medical staff can obtain the user's location. If there is an emergency, medical assistance can be provided appropriately, including suggesting nearby medical institutions.

According to the actual implementation of the creation, when the monitoring terminal device provided by the monitoring system through the creation system wants to obtain the physiological signal of the user terminal, the monitoring program can be connected to the monitoring server through the monitoring program, and the monitoring server can generate the verification request. It is required to verify the identity of the person using the monitoring terminal device, and the identity user can access the user data. At the same time, the authority can be confirmed according to the identity of the medical staff, and the judgment can be made. Corresponding to the monitored user. Medical personnel can obtain multiple users at once while monitoring the possibility of multiple users.

Each user terminal data may include at least each client identification data and physiological monitoring information of each user end, including the monitoring information acquired immediately, and the physiological monitoring information for a period of time to facilitate diagnosis, and may also obtain past historical data. The data can be stored/updated to the user database set up or connected to the monitoring server. The medical staff can also modify the medical content or add the monitoring program recorded on the monitoring terminal device according to the setting. The alert threshold determines whether there are any abnormalities in various physiological signals. In addition to establishing a record, the monitoring program can send a message to the user terminal, such as the above-mentioned push mode, or the medical staff decides how to communicate with the user, and finally makes a physician diagnosis and diagnosis. Content can also be updated to the repository.

In other embodiments, if the monitored object of the aforementioned telemedicine information system is used, if the patient is in bed for a long time, the relevant physiological sensor should be worn for a long time, and the physiological sensor may pass through the network at any time. The device is connected to the network and periodically transmits physiological monitoring messages, so that the monitoring terminal can obtain the information at regular intervals, and when there is an abnormality, the medical judgment can be made immediately.

If the user does not wear the relevant physiological sensor for a long time, the physiological sensor may be connected when the body is unwell, and the physiological monitoring message generated is also transmitted to the monitoring terminal at this time, and then through other communication methods and the remote end. Medical staff communication. At this time, the medical personnel on the monitoring side can clearly view the medical data compared with various physiological monitoring messages through the monitoring terminal device provided by the creation, and provide medical advice immediately according to their professional judgment. For example, through monitoring the terminal device and communication with the user, the implementation includes measures such as how to dispose of it on the spot, medication, etc.; or it can be judged that multiple medical personnel are required to perform consultation at the same time, and the medical treatment can be performed through video or multi-party communication. If the monitoring terminal can locate the monitored object, it can provide more appropriate advice for the neighboring medical institution.

For an embodiment, reference may be made to the schematic diagram of the user end and the monitoring end in the telemedicine information system shown in FIG. 5.

According to the drawing, there is a monitored object 51 on the user side, which is equipped with a physiological sensing device. The heart rate sensor 515 is connected to a heart rate sensor 515. The heart rate sensor 515 is connected to a signal receiver 513. The function of the signal receiver 513 is to collect physiological signals generated by various sensors connected to the line. The device can be connected to the network 50 through the Internet device 511 for transmitting physiological monitoring messages via the network 50 through the Internet device.

In this example, the monitored object 51 can hold a communication device 517 such as a mobile phone. When the monitoring terminal determines that there is an abnormality, the communication device 517 can perform a call, video, or text with the remote medical personnel. According to another embodiment, if the monitored person is a person who can walk or go out at random, the monitoring terminal can obtain the position of the monitored person through the positioning function of the communication device 517, and the medical personnel can grasp the whereabouts of the monitored person at any time, so that When an abnormality is sent, the staff will go to the treatment or provide medical advice based on the location, including recommending a nearby medical institution.

According to still another embodiment, if the communication device held by the client is a smart phone or a tablet computer, the monitoring terminal program can transmit a navigation map to the communication device through the positioning information to provide a more complete telemedicine service.

On the monitoring side, a regional network 55 is connected to various servers and devices, such as a monitoring server 551 for obtaining physiological monitoring information of the user terminal, and a user database 553 for storing and recording information of the client. In addition, a wireless base station 555 can be provided to provide a wireless communication service for monitoring the terminal device 557, including accessing the monitoring server 551 and the user database 553 by wireless communication means.

Under the framework of the telemedicine monitoring system, if the monitoring terminal wants to communicate with the user terminal, in addition to using the traditional telecommunication method, the message can be transmitted through the network 50, voice or video can be performed, and when it is determined that there is an abnormal situation, The message is transmitted to the client using a notification that spreads the message over the network. The program executed on the monitoring terminal device 557 can start a user interface and display on the screen of the monitoring terminal device 557, so that the user (such as a medical staff) can be guided to operate, connect, obtain physiological monitoring information, Work with the client to communicate. In addition to being installed as a soft body in a communication device, the program cannot be implemented by a program carried in a web browser or a service of a specific website.

In one embodiment, the system may be provided with a message server 531, which is used to provide the work of forwarding messages. For example, the foregoing service using the push service, the message server 531 can provide a service forwarded to the corresponding client; if viewed by the email service, the message server 531 can be a mail server; if the message is transmitted in the newsletter service ( On SMS, the message server 531 can be a text message server.

Fig. 6 is a view schematically showing a user profile screen on the monitoring terminal device.

This figure shows the user interface on the monitoring terminal device. When the monitoring terminal device obtains one or more pieces of client information from the monitoring server, one or more monitoring items 603 of each client may be displayed according to the identification code 601. For example, the monitoring item of the user providing the identification code 1 has a heart rate and blood pressure; the monitoring item providing the identification code 2 has blood pressure, blood oxygen concentration, and the like; and the monitoring item of the user providing the identification code 3 has only one breath, and the like. The rest will not go into details.

Figure 7 then shows the monitor message screen on the monitoring terminal device. A user interface can display a rich monitoring message for a user. For example, Electrocardiography (ECG), the physiological monitoring message received by the heart sensor of the user end, can be expressed by the waveform of the electrocardiogram. The program also provides the ability to generate an alarm when a specific threshold is exceeded. Other charts show brain wave (CAS), respiratory fluctuation (RESP, Respiratory), blood vessel volume (Pleth, plethysmography), and blood oxygen concentration (SpO2), respiratory rate (RR), per minute. Heart rate (HR), systolic blood pressure (SYS), diastolic blood pressure (DIA), mean pressure (MAP), etc.

Figure 8 shows a screen of the client information applied to a computer display indicating the name, medical history and medication record of the relevant user.

In summary, the telemedicine information system disclosed in the present invention provides the monitoring medical personnel to obtain the physiological monitoring information transmitted by each user terminal by using the handheld monitoring terminal device. The device contains a device that can determine whether the physiological monitoring message displays an abnormal condition to automatically send a warning message, and the medical personnel can immediately judge and communicate with the user to provide medical advice in a timely manner.

However, the above description is only a preferred embodiment of the present invention, and thus the scope of the present invention is not limited thereto, and therefore equivalent structural changes made by using the present specification and the illustrated contents are equally included in the present invention. Within the scope, it is combined with Chen Ming.

4‧‧‧Network

40‧‧‧Mobile communication devices

401‧‧‧Video Processing Unit

402‧‧‧ Positioning unit

403‧‧‧Communication unit

47, 48‧‧‧ physiological sensing device

49‧‧‧Monitoring server

42‧‧‧Monitor terminal device

421‧‧‧Data Processing Unit

422‧‧‧Communication unit

423‧‧‧Input module

424‧‧‧ display module

425‧‧‧ memory unit

426‧‧‧Video processing circuit

Claims (10)

A telemedicine information system, comprising: a monitoring server, connected to at least one physiological sensing device provided at the user end via a first network connection, for obtaining a physiological monitoring signal generated by the at least one physiological sensing device, The monitoring server is provided with a user database for storing the physiological monitoring signal and associated user data; at least one monitoring terminal device is connected to the monitoring server via a second network connection, which includes: one for processing by the monitoring The physiological monitoring signal obtained by the server becomes a data processing unit for monitoring information; a communication unit is electrically connected to the data processing unit for establishing the second network connection with the monitoring server; a display module Electrically connecting the data processing unit to display the monitoring information through a display of the monitoring terminal device; a memory unit electrically connected to the data processing unit for temporarily storing the physiological monitoring signal obtained by the monitoring server and Converting monitoring information for display; and an input module providing an input interface electrically connected to the data processing unit. The telemedicine information system of claim 1, wherein the first network connection is a connection via the Internet. The telemedicine information system of claim 2, wherein each physiological sensing device of the user terminal establishes a connection with the first network of the monitoring server through a communication device. The telemedicine information system of claim 1, wherein the second network connection is a connection via a wireless local area network. The telemedicine information system of claim 1, wherein the user terminal is provided with a mobile communication device that receives the message transmitted by the monitoring terminal device. The telemedicine information system of claim 5, wherein the mobile communication device is provided with a positioning unit that obtains the location of the mobile communication device. The telemedicine information system of claim 5, wherein the mobile communication device is provided with a video processing unit for performing voice or video with the monitoring terminal device. The telemedicine information system of claim 5, wherein the monitoring terminal device is a portable device having a video processing circuit for performing voice or video with the user mobile communication device. The telemedicine information system of claim 1, wherein the monitoring terminal device is a portable device having a touch display. The telemedicine information system of claim 5 or claim 9, further comprising a message server for transferring a message between the mobile communication device of the client and the portable device.