WO2008103811A2

WO2008103811A2 - Transglobal md health care information exchange system

Info

Publication number: WO2008103811A2
Application number: PCT/US2008/054558
Authority: WO
Inventors: Kjell Hovik; Nancy Hovik
Original assignee: Kjell Hovik; Nancy Hovik
Priority date: 2007-02-24
Filing date: 2008-02-21
Publication date: 2008-08-28
Also published as: WO2008103811A3

Abstract

The remote medical evaluation and suggested treatment system is directed to a unique system that permits subscribing members to receive real time personalized professional telemedicine treatment using Internet video teleconferencing through a central database, administration, and finance hub having detailed medical information generated by the patient. The online physician, in most cases is able to prescribe medical treatment while the patient is at home, office, or while traveling worldwide. This highly secure service can be accessed using any Internet enabled appliance: PC, Laptop, PDA, cell phone or dedicated lifePOD™ unit. These revolutionary new wireless appliances are responsible for the development in the field of remote wireless mobile telemedicine. The medical information gathered and dispersed is immediate and thorough and in many instances better than what physicians in a remote location can assemble in their offices at a short notice.

Description

TRANSGLOBAL MD HEALTH CARE INFORMATION EXCHANGE SYSTEM

FIELD OF THE INVENTION The remote medical evaluation and suggested treatment system permits subscribing members to receive real time personalized professional telemedicine treatment using Internet video teleconferencing through a central database, administration, and finance location having detailed medical information generated by the patient. The online physician, in most cases is able to prescribe medical treatment while the patient is at home, office, or while traveling worldwide. This highly secure service can be accessed using any Internet enabled appliance: PC, Laptop, PDA, cell phone or dedicated lifePOD™ unit. These revolutionary new wireless appliances are responsible for the development in the field of remote wireless mobile telemedicine. The medical information gathered and dispersed is immediate and thorough and in many instances better than what physicians in a remote location can assemble in their offices at a short notice.

BACKGROUND OF THE INVENTION

As the entire world struggles through the transition from the industrial to the information age, the need for information and document management is felt throughout the world. When individuals travel, especially in foreign countries, they risk the problems involved when an accident occurs or they have a medical emergency, their medical records are with the attending physician near their home. These records are not readily accessible to emergency personnel or local physicians. In some locations, additional language and translation problems will accrue.

Additionally, at the time the individual may be in no condition to easily provide the information required. Often these situations require only a simple recommended treatment or drug prescription filled that could be accomplished by the means of the Remote medical evaluation and suggested treatment system using its Internet telemedicine capabilities.

The use of the Internet to supply a persons' medical record along with capability of teleconferencing where the physician and the patient can see each other is unique. At this time, the physician can make a cursory examination, and using the current medical records also make general recommendations. In extreme cases, the physician would tell the patient to get to an emergency treatment facility as soon as possible. This procedure will relieve the pressure on emergency room facilities where in a vast majority of the occurrences the patients do not need this type of treatment.

A vast number of innovations of prior art exist concerning the documentation and handling of individuals medical records using computer generated programs but they are not linked with a worldwide system that include medical evaluation and suggested treatment by the means of video conferencing. This will require a third part)' entity, which the remote medical evaluation and suggested treatment system is capable of providing. Even though these innovations may be suitable for the specific individual purposes to which they address, they differ from the present system as hereinafter contrasted. The following is a summary of those prior art patents most relevant to the system at hand, as well as a description outlining the difference between the features of the remote medical evaluation and suggested treatment system and those of the prior art. Patent No. US 7,321,861 Bl of Yeong Kuang Oon describes a medical record management system administrator comprising: (a) a data receiver to selectively receive one or more medical files pertaining to a first patient, each file represented in a medical scripting language having predetermined syntactical and semantic constructs; (b) a recorder to record and store each medical file of the patient in terms of the predetermined syntactical and semantic constructs; and (c) a query module to receive a query from a predefined source which has been assigned selective access to the recorded material in terms of the predetermined syntactical and semantic constructs, and to transmit relevant recorded material to that source.

This patent describes the use of a medical record management system but does link it through the Internet and does not provide it to be available the patient or provide the capability of video conferencing with a physician at remote locations.

Patent No. US2004/0249667 Al of Yeong Kuang Oon describes an invention that relates to the field of patient health care. In particular, it relates to medical informatics systems and methods for recording medical transactions comprising distinct and multi-linguistic representation layers, allowing the de novo composition and construction of medical transaction codes; including a user interface including means for inputting medical transactions in a semiotic form one, the semiotic form one input being a free form-type, abbreviation-oriented natural language textual input, a transaction parser-coder configured to parse said semiotic form one input and to convert it into coded medical transactions in a semiotic form two output, the transaction codes composed and constructed de novo, the semiotic form two output embodying high level machine-parseable computer language statements comprehensible to a high certainty level by human users, means for evoking a display of system reflection in the form of coded medical transactions in said semiotic form two and system-rated confidence levels representing the match between a code and correspondence with perceived user intent, means for receiving user selection input for verifying a selected coded medical transaction, and a transaction mapper configured to convert a semiotic form two input into a semiotic form three transaction by mapping the selected coded transaction into data row in a relational database to render the transaction data amenable to structured query language processing. There is further disclosed a computer-based method for the management of medical transactions, including storing each medical transaction as a transaction code in a data row in a database table, each transaction code including a genre key relating to the nature of the transaction, and including providing storage ledgers for each genre, such that each transaction can be retrieved and displayed as an entry in a storage ledger in accordance with its genre key. This allows medical transactions to be treated akin to accounting transactions, signifying credits and debits in defined transaction ledgers. This patent describes a describes the use of a medical informatics systems and methods for recording medical transactions but does link it through the Internet and does not provide it to be available the patient or provide the capability of video conferencing with a physician at remote locations.

Patent No. 7,321 ,862 B2 of Brian A. Rosenfield et al. describes a patient-worn monitoring system and method for geographically dispersed health care locations. A patient-worn monitoring system comprises a network, a body-worn monitoring station, a monitoring station server, a remote command center, and a rules engine. The network comprises a first sub-network and a second sub-network. The body-wom monitoring station comprises monitoring equipment. The body worn monitoring station monitors data elements from a patient assigned to a health care location and sends monitored data elements to a monitoring station server via the first subnetwork. The monitoring station server receives the monitored data elements from the body worn monitoring station and relays the monitored data elements to the remote command center via the second sub-network. The remote command center receives the monitored data elements from the monitoring station server, associates the monitored data elements with the patient assigned to the health care location, accesses patient data elements indicative of a medical condition associated with the patient, and establishes a patient-specific rule associated with the patient. The rules engine selects data elements from the monitored data elements and the patient data elements associated with the patient and applies the patient-specific rule to the selected data elements continuously and simultaneously. A determination is made whether the patient-specific rule for the patient has been contravened. An alert is issued from the remote command center in the event the patient-specific rule for the patient has been contravened. This patent describes a patient-worn monitoring system and method for geographically dispersed health care locations but does link it through the Internet and does not provide it to be available the patient or provide the capability of video conferencing with a physician at remote locations.

Patent No. US 6,684,188 Bl of Geoffrey C. Mitchell describes a computer implemented system for the production of medical records, legal documents and other frequently produced semi-technical documents. This is accomplished by generating an intelligent computer-guided interview and the use of serialized scriptable objects. Major program elements include a knowledge base text file, a parse engine, and an execution module. The knowledge base uses a unique rule syntax. The parse engine converts the textual knowledge base file to a compiled binary representation which can then be interpreted by the execution module. The execution module leads the user through the interview by generating a series of questions and presents possible answers in the form of pick lists. The data is recorded with a computer pen and collated into a document file. This file is coded in binary format and can be written to and recalled from disk. If the file is recalled from disk the user can continue to answer questions or change answers previously given. The result is a mobile computing system whereby data is input in a structured format. When the program is executed the user is prompted for answers to questions and, based upon the user's response, the final document can change considerably. Depending upon each answer, the program may change the subsequent questions being asked, change the list associated witfi a question, change the text being generated, or change the entire structure of the document. The data collected may also be stored in a database for analysis at a later date. Finally, the data collected is output in a narrative text format which can be tailored according to the traditions and expectations of the user's profession. The program will output the text via a printer or it can be transmitted via electronic means.

This patent describes a computer implemented system for the production of medical records, legal documents and other frequently produced semi-technical documents. This is accomplished by generating an intelligent computer-guided interview and the use of serialized scriptable objects but does link it through the Internet and does not provide it to be available to the patient or provide the capability of video conferencing with a physician at remote locations.

None of these previous efforts, however, provides the benefits attendant with the present remote medical evaluation and suggested treatment system. The present remote medical evaluation and suggested treatment system achieves its intended purposes, objects and advantages over the prior art systems through a new, useful and unobvious combination of method steps and component elements and by employing readily available materials and devices. In this respect, before explaining at least one embodiment of the remote medical evaluation and suggested treatment system in detail it is to be understood that this system is not limited in its application to the details of construction and to the arrangement, of the components set forth in the following description or illustrated in the drawings. The remote medical evaluation and suggested treatment system is capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purpose of description and should not be regarded as limiting. As such, those skilled in the art will appreciate that the conception, upon which this disclosure is based, may readily be utilized as a basis for designing of other methods and systems for carrying out the several purposes of the present system. It is important, therefore, that the claims be regarded as including such equivalent construction insofar as they do not depart from the spirit and scope of the present application.

SUMMARY OF THE INVENTION

The remote medical evaluation and suggested treatment system is advantageous in that it involves the creation of a secure and reliable system that allows for global login and management of medical records by both patients and physicians.

Another advantage is that the present system will allow the availability of medical records to have changes and updates made. Another advantage is that the present system will allow the ability to send emergency medical data via the Internet to paramedic crews and physicians all over the world.

And still another advantage is that the present system will allow the ability to hold teleconferences between the patient and physician using the Internet. A further advantage is that the present system will allow the ability to handle online client support using third party support software.

Another advantage is that the present system will allow the availability of the application via mobile devices.

Another advantage is that the present system can relieve some of the great pressures incurred in the emergency rooms.

And yet a further advantage is that the present system can give people a more secure feeling regarding their medical care when they are traveling.

The foregoing has outlined some of the more pertinent advantages of the remote medical evaluation and suggested treatment system. These advantages should be construed to be merely illustrative of some of the features that are more prominent and applications of the intended system. Many other beneficial results can be attained by applying the disclosed remote medical evaluation and suggested treatment system in a different manner or by modifying the system within the scope of the disclosure. Accordingly, other advantages and a fuller understanding of the system may be had by referring to the summary of the design and the detailed description of the preferred embodiment in addition to the scope of the system defined by the claims taken in conjunction with the accompanying drawings.

The Remote medical evaluation and suggested treatment system permits members to receive real time personalized professional telemedicine treatment using Internet video teleconferencing through a central location housing the database, administration and finance services using the detailed medical information generated by the patient. The online physician, in most cases is able to prescribe medical treatment while the patient is at home, office, of while traveling worldwide. This highly secure service can be accessed using a variety of Internet enabled appliances: PC, Laptop, PDA, cell phone or dedicated lifePOD™ unit. Each patient can receive a full range of services from emergency care to clinical advice, remote interaction with health professionals and outpatient services. This enables more people in the community to be treated at their place of living, with potentially fewer unnecessary trips to the hospital nationally, thus, providing efficient use of existing resources for improved patient care and significant cost savings.

The lifePOD™ unit is a wireless, handheld processing and communication terminal with associated Bio-signal monitors such as blood pressure monitors, oxymeters, digital thermometers, scales, ECG monitors, electronic stethoscopes, and digital camera. It is available in two models: a hand held tablet with a 12-inch touch screen, LS 120, and an enlarged PDA size unit, LS 220. The PDA model is also available in a military specified rugged version, LS 220-MS. These dedicated appliances give patients the convenience of receiving medical care from any location when seeking medical treatment or advice. It provides secure access to their medical files and the ability to video tele-conference with a physician from any location in the world that offers Internet accessibility. The lifePOD™ also features a bar code scanner, 1.3 megapixel camera, touch screen, fingerprint touch screen sensor, GPS, hand writing recognition, and video recording capabilities.

The remote medical evaluation and suggested treatment system is divided into three categories available to the participating members:

The first is the redcrossCircle™, when purchased, the remote medical evaluation and suggested treatment system gives access to the messaging system and emergency medical details, which are sent via e-mail when a user dials into the system. The second is the MedID™ that gives access to full medical record input and disease records and treatment records, which can be sent via e-mail to a doctor or medical personnel, or printed out in hard copy for personal keeping.

The third is the TransglobalMD™, which is a process that allows a patient to be booked on an online teleconference with a physician, follow a systematic diagnosis program (MedElert), have a medical aide take their vitals signs or take their own, and then start the teleconference. The system ensures that the physician has all the necessary medical data before the consultation starts. This system also includes MedID™. The healthBANK™Us what the remote medical evaluation and suggested treatment system designates the medical record database. Personal and medical data is stored using Firewall protected database. Each member is assigned their own healthVAULT™ where personal and medical data is kept with optimum privacy protection and only accessible with user ID and password. Members may add fingerprint identification and one-time access code to access from a pocket code generator. Any entry into member data file will generate an automatic transaction activity report.

For physicians to utilize transglobalMD™, there is a software subscription fee and they will be certified to participate in the program, and added to the list of physicians that members can refer to. The remote medical evaluation and suggested treatment system will provide physicians treatment software consisting of two components. One is software that allows a physician's Internet enabled appliance, PC, Laptops, PDAs, or our lifePOD™ to open up the remote medical evaluation and suggested treatment systems Internet communication protocol. The software system allows access and management of patient's personal data and records. The other is a video-conference component, which allows the physician to interact with their patients in remote locations. During each encounter, notes can be recorded with subjective objective assessment reports (SOAP reports) keeping a simple easily accessible medical record system.

User roles will consist of five main categories:

(1) Registered Users - Free members with access to input their medical summary, but no products purchased.

(2) Patients - Registered members who have purchased the redcrossCircle™ subscription.

(3) Patients - Registered members who have purchased the MedID™ subscription.

(4) Patients - Registered members who have purchased the Transglobal MD¹⁷¹¹ subscription. (5) Physicians - Doctors and medical staff with access to patient's records.

It will be possible for a user to have multiple roles if they have purchased multiple products

The Sign up and Ordering Process: The sign up process works on the basis that all users who sign up get access to the members area of the site and are automatically assigned as a registered user using the default DNN sign up process. Once they are signed in, they are then required to upgrade their membership using the ecommerce system. The sign up process will be set out in the following manner:

A public user clicks on the sign up button on any part of the website.

The user is asked to fill out a sign up form (standard DNN sign up).

User completes the form, an email confirming subscription is sent to them and the administrator of the site, they are then forwarded to a common page (viewable only by logged users) giving them the option to complete their personal profile or upgrade their membership by ordering product pages as a logged in Registered user.

The system offers a choice of product subscriptions:

User chooses the product and available options. This can be a single product or a combination of products. User enters billing and shipping address if necessary and then is prompted to enter a discount voucher code and or serial number.

User is redirected to PayPal™ after confirming the order, and makes payment.

Once payment is made PayPal™ will return the user to prospliving.com and ask them to complete their personal profile. Once the personal profile is completed they will be taken to the account management page.

Successful knowledge management requires collecting information from every patient contact including location, time, reason for call, care provided, resources used and care outcomes. In addition to this, using this system makes it possible to additionally collect information regarding the patient's health status such as past and present conditions, medications, surgeries, adverse drug reactions, etc., to build a Patient Data Base that can be used for reference for future medical care.

Building a patient data base will also improve patient care. Should a patient have a long-term medical condition, for example diabetes or a coronary care condition, pertinent patient information from the database can be used when they call for help at a future time.

The generation of an outpatient assessment center will provide patients, caregivers and health professionals with a single point to call, where a patient's condition can be assessed and the appropriate care organized in a seamless and efficient way.

The system is devised to interact between ambulance service staff, EOP personnel, and practicing physicians in the service area to providing diagnosis of medical problems and treatments thereof.

It is based on the principle that physician's diagnostic and treatment decisions are only as good as their patient information. Until now, patient information has been assembled at a physician's offices while a patient is there for treatment. The remote medical evaluation and suggested treatment system makes it possible for patients with a portable diagnostic kit to assemble and provide this information themselves or with the help from ambulance staff, at their home, office or while travelling and send the information over secure privacy protected communication lines to a physician's office.

The foregoing is considered as illustrative only of the principles of the remote medical evaluation and suggested treatment system. Further, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the system to the exact construction and operation shown and described, and accordingly, all suitable modifications and equivalents may be resorted to, falling within the scope of the remote medical evaluation and suggested treatment system.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and form a part of this specification, illustrate embodiments of the remote medical evaluation and suggested treatment system and together with the detailed description, serve to explain the principles of this system.

Fig. 1 depicts a block diagram of brief summary of the activation of the remote medical evaluation and suggested treatment system and the preceding and succeeding procedures involved with a medical event. Fig. 2 depicts a perspective view of two different kinds of lifePOD's™, a smart information card and a pencil type of activator.

Fig. 3 depicts is an illustration of the insignia used for the redcrossCircle™ section of the remote medical evaluation and suggested treatment system. Fig. 4 depicts a block diagram of the personal disaster recovery portion of the remote medical evaluation and suggested treatment system.

Fig. 5 depicts a block diagram depicting the interaction between the TransglobalMD™ facility, the patient diagnostic hub and the physician treatment hub. Fig. 6 depicts a block diagram of the typical TransglobalMD™ patient procedures.

Fig. 7 depicts a diagram of a typical medlD™ medical information chart.

Fig. 8 depicts a diagram of a typical medlD™ medical immunization chart.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

As required, detailed embodiments of the present remote medical evaluation and suggested treatment system are disclosed herein, however, it is to be understood that the disclosed embodiments are merely exemplary of the system that may be embodied in various forms. Therefore, specific functional and structural details disclosed herein are not to be interpreted as limiting, but merely as basic for the claims and as a representative basis for teaching one skilled in the art to variously employ the present system in virtually any appropriately detailed structure.

Referring now to the drawings, wherein similar parts of the remote medical evaluation and suggested treatment system 10 are identified by like reference numerals, there is seen in FIG. 1 a block diagram of brief summary of the activation of the remote medical evaluation and suggested treatment system 10, with the preceding and succeeding procedures involved with a medical event.

The membership application process 12 works on the basis that all users who sign up get access to the members area of the site and are automatically assigned as a registered user using the default DNN sign up process. The applicant then proceeds by submitting their medical profile 14 consisting of their basic medical and immunization information. Once they are signed in, they are then required to upgrade their membership using the ecommerce system to either the medlD™ or the TransglobalMD™. After the application has been completed, the customer receives the redcrossCircle™ installed on their cell phone 16.

Upon the occurrence of an unforeseen medical event 18 anywhere in the world, the cell phone gives access to medical information and next of kin 20. A first response team can get critical medical data 22 to stabilize the patient Emergency care limits are established, a local hospital or clinic is located, and the needed information to start treatment 24 is available.

Fig. 2 depicts a perspective view of two different kinds of lifePOD's™ 26A and 26B along with a smart information card 28 and a pencil type of activator 30. Fig. 3 depicts is an illustration of the insignia used for the redcrossCircle™ 32 section of the remote medical evaluation and suggested treatment system 10. When purchased, the remote medical evaluation and suggested treatment system 10 gives access to the messaging system and emergency medical details, which are sent via e- mail when a user dials into the system. Fig. 4 depicts a block diagram of the personal disaster recovery portion 34 of the remote medical evaluation and suggested treatment system 10 where a lifePOD™, 26A or 26B is connected to the fully secured firewall protected database/servers 36 by the means of the mobile cell phone network or Internet connection 38. Cell phones 40 equipped with the redcrossCircle™ 32 will also be able to connect to the to the fully secured firewall protected database/servers 36 by the means of the mobile cell phone network or internet connection 38. In addition, a smart information card 28 can also be used to connect to the fully secured firewall protected database/servers 36 by the means of the mobile cell phone network or Internet connection 38.

Fig. 5 depicts a block diagram depicting the interaction between the TransglobalMD™ facility 40, the patient diagnostic hub 42 and the physician treatment hub 44 where the Internet and cellular phone system 46 is a means for interconnection with the medical record database 48 providing video teleconferencing capabilities. The medical record database 48 will provide access to the laboratory/Radiology facilities 50, the hospitals 52 and the pharmacies 54. Fig. 6 depicts a block diagram of the typical TransglobalMD™ patient procedures 56. This flow chart indicates a series of steps as follows: Patient selects a physician, Patient reviews medical history through using medID™, Patient fills out questionnaire- MedElert™ (see described in greater detail below), vital signs are taken by patient or by medical aide using the lifePOD™ or other computer connections, and the physician will review information and set-up video- teleconference, then recommend treatment.

MedElert™, is an instant Medical History, patient interview software, interviews patients to begin gathering the subjective history prior to an encounter with ones physician. Branching logic enables patients to progress quickly through adjustable questionnaires from an extensive medical knowledgebase, and then provides a summary report of the questionnaire in medical terminology to be sent electronically to physician for review. Physician productivity increases because a significant amount of the medical data necessary to complete the visit note can be provided by patients and automatically documented in medical terminology through the Internet.

Fig. 7 depicts a diagram of a typical medID™ medical information chart 58. Here are illustrated examples of medical information available, including, but not limited to blood type, current medical condition, previous medical history, previous surgical history, current medications and past medications.

Fig. 8 depicts a diagram of a typical medID™ medical immunization chart 60. Here it is illustrated which immunizations are current for the patient, including but not limited to Influenza, Pneumococcal Pneumonia (Bacteria). Hepatitis A, Hepatitis B, BCG 1, PPD, DPT, MMR (Measles, Mumps, Rubella), Polio and Varicella. The remote medical evaluation and suggested treatment system 10 shown in the drawings and described in detail herein disclose arrangements of elements of particular construction and configuration for illustrating preferred embodiments of structure and method of operation of the present system. It is to be understood, however, that elements of different construction and configuration and other arrangements thereof, other than those illustrated and described may be employed for providing a remote medical evaluation and suggested treatment system 10 in accordance with the spirit of this system, and such changes, alternations and modifications as would occur to those skilled in the art are considered to be within the scope of this system as broadly defined in the appended claims. Further, the purpose of the foregoing abstract is to enable the U.S.

Patent and Trademark Office and the public generally, and especially the scientists, engineers and practitioners in the art who are not familiar with patent or legal terms or phraseology, to determine quickly from a cursory inspection the nature and essence of the technical disclosure of the application. The abstract is neither intended to define the medical evaluation and suggested treatment system of the present application, which is measured by the claims, nor is it intended to be limiting as to the scope of the invention in any way.

Claims

We claim: Claims:

1. A transglobal MD health care information exchange system comprising:

(a) a remote medical evaluation and suggested treatment system which permits members to receive real time personalized professional telemedicine treatment using Internet video teleconferencing through a central location housing the database;

(b) administration and finance services using detailed medical information generated by the patient; (c) access to an online physician, capable of prescribing medical treatment while the patient is at home, at the workplace or office, or while traveling worldwide; further wherein said remote medical evaluation and suggested treatment system is a highly secure service which can be accessed using a variety of Internet enabled appliances, including but not limited to a PC, Laptop, PDA, cell phone or a dedicated lifePOD™ unit; and whereby each patient can receive a fiill range of services from emergency care to clinical advice, remote interaction with health professionals and outpatient services, enabling more people in the community to be treated at their place of living or current location worldwide, with potentially fewer unnecessary trips to the hospital nationally, thus, providing efficient use of existing resources for improved patient care and significant cost savings.

2. The transglobal MD health care information exchange system, according to claim 1 , wherein said lifePOD™ unit comprises a wireless, handheld processing and communication terminal with associated bio-signal monitors including, but not limited to blood pressure monitors, oxymeters, digital thermometers, scales, ECG monitors, electronic stethoscopes, and digital camera capability, having a touch screen interface, whereby these dedicated appliances give patients the convenience of receiving medical care from any location when seeking medical treatment or advice, as well as providing secure access to the patient's medical files and the ability to video tele-conference with a physician from any location in the world that offers Internet accessibility.

3. The transglobal MD health care information exchange system, according to claim 2, wherein said lifePOD™ unit further includes a bar code scanner, a 1.3 to 10 megapixel camera, a fingerprint touch screen sensor, a GPS, hand writing recognition, and video recording capabilities.

4. The transglobal MD health care information exchange system, according to claim 2, wherein said lifePOD™ unit is also available in a military specified rugged version, for durability in extreme filed use situations.

5. The transglobal MD health care information exchange system, according to claim I , wherein said remote medical evaluation and suggested treatment system further comprises:

(a) a redcrossCircle™ subscription service, which when purchased, the remote medical evaluation and suggested treatment system gives access to a messaging system and emergency medical detail reports, which are sent via e-mail when a user accesses the system;

(b) a MedID™ subscription service which gives access to full medical record input and disease records and treatment records, which can be sent via e-mail to a doctor or medical personnel, or printed out in hard copy for personal keeping; and (c) a Transglobal M D™ subscription service, which allows a patient to be booked on an online teleconference with a physician, follow a systematic diagnosis program, have a medical aide take their vitals signs or take their own, and then start the teleconference whereby said remote medical evaluation and suggested treatment system ensures that the physician has all the necessary medical data before the consultation starts.

6. The transglobal MD health care information exchange system, according to claim 5, wherein said remote medical evaluation and suggested treatment system further includes a TransglobalMD™ subscription service capable of utilizing the McdElcrt™ system to allow a physician to follow a systematic diagnosis program.

7. The transglobal MD heath care information exchange system, according to claim 5, wherein said remote medical evaluation and suggested treatment system further includes said redcrossCircle subscription service comprising a software program which is installed on a user's cell phone following a user signing in and upgrading their membership using the ecommerce system to either the medID™ or the TransglobalMD™, said installation being indicated by the redcrossCircle™ logo appearing on the user's cell phone interface screen.

8. The transglobal MD health care information exchange system, according to claim 5, wherein said remote medical evaluation and suggested treatment system further includes said MedID™ subscription service comprising a healthBANK™ a firewall protected medical record database, and a health VAULT™ firewall protected medical record database where personal and medical data is kept with optimum privacy protection and only accessible with user ID and password.

9. A method for providing a transglobal MD health care information exchange system, comprising the steps of:

(a) providing a membership application process for applicant's on the basis that all applicant's which sign up get access to a members only area of a remote medical evaluation and suggested treatment system web site, and are automatically assigned as a registered user using a default DNN sign up process; (b) submitting the applicant's medical profile including the applicant's basic medical and immunization information;

(c) requiring applicant's to upgrade their membership using the ecommerce system to either the medID™ or the TransglobalMD™ subscription service; and

(d) installing the redcrossCircle™ on the applicant's cell phone after the application has been completed; whereby upon the occurrence of an unforeseen medical event anywhere in the world, the cell phone gives access to medical information and next of kin, enabling a first response medical team to get critical medical data to stabilize the patient, and further wherein emergency care limits are established, a local hospital or clinic is located, and the needed information to start treatment is immediately available.

10. The method of providing a transglobal MD health care information exchange system, according to claim 9, wherein said TransglobalMD™ subscription service further comprises the patient procedure steps of: (a) a member patient selects a physician who is a member of said TransglobalMD™ subscription service;

(b) said member patient reviews his or her medical history and medical records utilizing the medlD™ subscription service; (c) said member patient fills out a questionnaire indicating current symptoms;

(d) vital signs are taken and recorded by said patient or other medical aide utilizing a dedicated lifePOD™ unit or similar unit having computer and Internet connection capability; and

(e) transmitting all medical information to said member physician for review; whereby said physician can then set up a video-teleconference from a remote location to recommend treatment.

1 1. The method of providing a transglobal MD health care information exchange system, according to claim 10, wherein said medlD™ subscription service further comprises a remotely accessible database of patient medical information including but not limited to patient's blood type, current medical condition, previous medical history, previous surgical history, current medications taken, and past medications taken.

12. The method of providing a transglobal MD health care information exchange system, according to claim 10, wherein said medlD™ subscription service further comprises a remotely accessible database of patient immunization information including but not limited to patient immunization information relating to Tetanus, Influenza, Pneumococcal pneumonia, Hepatitis A, Hepatitis B, BCG 1 , PPD, DPT, MMR (measles, mumps and rubella), Polio, and Varicella.