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(ICT)将保健服务的提供延伸到远距离。家庭远程保健使用ICT向患者家中提供医疗保健服务。远程生命体征监测是一个常见的例子，也是一个前景看好的市场，但缺乏面对面评估的丰富性、舒适性和微妙之处，面对面评估通常是让患者去诊所或临床医生在家看患者。为了进行更生动、更互动的会诊，虚拟会诊涉及使用视频和音频在临床医生和患者之间进行现场和远程会诊。这些会诊是通过固定的工作站或移动设备进行的，使用的网络视频会议系统不适合临床医生的做法。为了提供通常在面对面协商中进行的互动的机动性，该项目旨在为Vigilent TeleSystems Inc.开发的多流视频/音频/数据电信平台增加一个移动和无线平移-倾斜-变焦摄像头和无线通信徽章。该系统将能够提供多个视点和音频输入源(固定和/或移动)和生命体征(血氧仪、血糖仪)。以视频为中心的用户界面将使移动摄像机的一些平移-倾斜-变焦功能(如人的跟踪和重新定位)自动化，从而允许远程临床医生将注意力集中在场景上，而不是控制摄像机。通过通信徽章可以识别简单的语音命令，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)。该项目资助2名硕士研究生、1名合作社实习生、2名研究人员和1名技术人员。该系统的设计将根据具体需求和临床实践，基于舍布鲁克大学老龄研究所远程康复研究主席获得的经验，并通过5名患者和舍布鲁克的Clinique de PhysiotéRapie Physio Altas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.