Mobile and multi-stream tele-consultation system for homecare assistance

远程保健的定义是利用信息和通信技术（信通技术）扩大远距离保健服务的提供。家庭远程保健利用信息通信技术在病人家中提供保健服务。远程生命体征监测是一个常见的例子，也是一个有前景的市场，但缺乏面对面评估的丰富性、舒适性和微妙性，面对面评估通常是让病人去诊所或临床医生去家里看病人。为了进行更加生动和互动的会诊，虚拟就诊包括使用视频和音频在临床医生和患者之间进行实时和远程会诊。这些咨询是通过固定工作站或使用网络视频会议系统的移动设备完成的，不适合临床医生的实践。为了提供通常在面对面咨询中进行的互动的移动性，该项目旨在为由Vigilent telessystems公司开发的多流视频/音频/数据电信平台添加移动和无线平移变焦相机和无线通信徽章。该系统将能够提供多个视点和音频输入源（固定和/或移动）以及生命体征（血氧仪、血糖仪）。以视频为中心的用户界面将自动实现移动摄像头的一些倾斜变焦功能（如人员跟踪和重新定位），使远程临床医生能够专注于现场，而不是控制摄像头。简单的语音指令将通过通信徽章识别，使患者的双手保持自由。将实施云服务器，用于数据共享和存储（包括小规模健康记录）。项目资助硕士生2名，实习生1名，科研人员2名，技术人员1名。系统的设计将根据舍布鲁克大学老龄研究所研究中心远程康复研究主席获得的经验，根据具体需要和临床实践进行设计，并与5名患者和舍布鲁克医学中心进行验证。

Telehealth is defined as the use of information and communication technologies (ICT) to extend health care service delivery across distance. Home telehealth uses ICT to provide health care services into a patient's home. Remote vital signs monitoring is a common example and one promising market, but lacks the richness, comforting and subtleties of face-to-face assessments usually done by having either the patient go to the clinic or the clinician going to see the patient at home. To conduct more lively and interactive consultations, virtual visits involve the use of video and audio for live and remote consultations between clinicians and patients. These consultations are done through fixed workstations or mobile devices using web videoconferencing systems not adapted to the practice of clincians. To provide mobility to the interactions that would normally take place in face-to-face consultations, this project aims at adding a mobile and wireless pan-tilt-zoom camera and a wireless communication badge to a multi-streams video/audio/data telecommunication platform developed by Vigilent Telesystems inc. The system will be able to provide multiple viewpoints and audio input sources (fixed and/or mobile) and vital signs (oximeter, glucometer). The video-centric user interface will automate some of the pan-tilt-zoom functions (such as people tracking and re positioning) of the mobile camera to allow the remote clinician to concentrate on the scene rather than on controlling the camera. Simple voice commands will be recognizable through the communication badge, allowing the hands of the patient to remain free. A cloud server will be implemented for data sharing and storing (including a small-scale health record). The project funds 2 Master's students, 1 coop trainee, 2 research professionals and 1 technician. The design of the system will be made in accordance with the specific needs and clinical practices, based on the experience acquired by the Telerehabilitation Research Chair at the Research Center for Aging Institute of the Université de Sherbrooke, validated with 5 patients and the Clinique de physiothérapie Physio Altas of Sherbrooke.