FORM 2
THE PATENT ACT 1970
(39 of 1970)
&
The Patents Rules, 2003
COMFLETE SPECIFICATION
(See section 10 and rule13)
1. TITLE OF THE INVENTION
A Method of remote Patient Monitoring
2. APPLICANT (S) Cognota Healthcare Private Limited (a) NAME:
b) NATIONALITY Indian
FIat No 5/6,3rd Floor, Hoshbanoo Mansion Near Old Ice Factory Naupada (c) ADDRESS; Thane 400602 email: rajendrah.pati1@itshastra.com T: 9699576634

3. PREAMBLE TO THE DESCRIPTION
PROVISIONAL
The following specification describes the Invention. COMPLETE
The following specification particularly describes the invention end the manner in which it is to be e
The present incention relates to patient information systtems
4, DESCRIPTION (Description shall start from next page.)
5. CLAIMS (not applicable for provisional specification. Claims should start with the preamble — I/we claim" on separate page)
6* DATE AND SIGNATURE (to be given at the end of last page of specification)
7. ABSTRACT OF THE INVENTION (to be given along with complete specification on separate page)
Note: •
•Repeat boxes in case of more than one entry. *To be signed by the applieant(i) or by authorized registered patent agent 'Name of the applicant should be given in full, family name in the beginning. *Con.plete eddies* ot the applicant should be given stating the postal index no/code, state and country. 'Strike out the column which is/are not applicable

2. FIELD OF INVENTION
The present invention relates generally to home health care systems, and more particularly to a remote health-monitoring system and method. This invention relates generally to remote health monitoring systems, as applied to the field of public health surveillance. In particular, it relates to a multi-user remote health monitoring system that is capable of reliably identifying and collecting data from frontline healthcare providers, laboratory and hospital information systems, patients and healthy individuals in a number of ways, with a view to aid in the field of public health. The system can also be used to query and collect additional information regarding specifics pertaining to the health of the individuals, and for patient tracking, monitoring, and the collection of individual data.
The concept of home health care began as early as the 18th century, when traveling health care professionals would provide in-home visits to patients in need of health care, yet unable to seek such care on their own. From the outset, however, the home health care provision suffered from the problem of "time lapses''from having to travel to a patient's home to deliver the neededservice. Today, this

problem has been compounded by the shortage of health care professionals providing home health care and by rising medical costs. In fact today it is often difficult, if not impossible, for a health care professional to justify the costs of performing home health care visits.
Ironically, while physicians now commonly monitor a patient's well being via health parameter measurements made during regularly
scheduled office visits, the relentless pressure to reduce costs in the health care industry has required the more efficient use of a health care professional's services. During recent years, steadily increasing healthcare costs and outpatient populations have created a need to maximize time intervals between office visits. As a result, a number of vital health supervising functions, traditionally performed by nurses and physicians, are now more often prescribed as a patient self-care responsibility. Large numbers of physicians now regularly prescribe home supervising of such health parameters as blood pressure, heart rate, blood glucose level, clotting factor, body sounds produced by a stethoscope, ECG (electrocardiogram) signals, blood pressure, and artificial heart valve clicks as done in the present invention

Home health care systems have been proposed that allow the transmission of a patient's physiological data from their home to a health care professional at a distance location over a communications network. One common method involves the use of videoconferencing in which two or more people are connected audio-visually over a telephone line or other suitable two-way communications channel
The problem is that these systems are often inconvenient and/or inefficient. The home medical sensors are typically attached to the outside of a host unit, and either dangle there or are wrapped around the device with no integrated cable management offered. Medical sensors are typically wired to the circuit boards that read or drive them. Their wires are easily tangled, especially on monitors with multiple sensors. This tangled mess of cables is not user friendly, is obtrusive, and lacks discretion and privacy. As well, the sensors are generally fixed elements and therefore cannot be tailored to individual patients and their changing medical conditions. What is needed is a system where sensors can be quickly and easily interchanged or customized
In addition, in existing distance patient supervising systems, the vital sign-supervising component of the system is required to be hard-

wired to the host. This limits where it can be positioned in relationship to the host. As well, existing systems are not battery powered, generally requiring them to be plugged into the wall to provide a power source. This is less desirable since it again limits the unit's portability.
For the foregoing reasons, there is a need for an improved method and system for the provision of home health care

3. SUMM ARY OF INVENTION
The present invention is directed to a remote health-monitoring system and method. The system Includes a management site, at least
one medical professional site, a patient site, and a computer program operative to facilitate communications between the management site, the medical professional site, and the patient site to provide remote health monitoring.
Thus the present invention is directed to a distance health-supervising system and method. The system includes a management site, at least one medical professional site, a patient site, and a computer program operative to facilitate communications between the management site, the medical professional site, and the patient site to provide distance health supervising.
The management site has a distance health-supervising application server and a database accessible by the application server. The medical professional site has a client computer and a first videoconference camera in communication with the client computer. The patient site has a gateway computer, a second videoconference
camera in communication with the gateway computer for relaying

images of a patient, a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays. In an aspect of the invention, the mdical device is in wireless communication with the gateway computer
The method includes the steps of managing distance health-supervising using a distance health-supervising application server; and a database accessible by the application server, visiting a patient distancely using a client computer and a first videoconference camera in communication with the client computer, receiving a distance visit using a gateway computer, a second videoconference camera in communication with the gateway computer for relaying images of a patient, a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays, and facilitating communications between all elements to provide distance health-supervising using a computer program.

Thus the present invention is a distance health-supervising system comprising: a management site having: a distance health-supervising application server; and a database accessible by the application server; at least one medical professional site-having: a client computer; and a first videoconference camera in communication with the client computer; a patient site having: a gateway computer; a second videoconference camera in communication with the gateway computer for relaying images of a patient; a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements; and a television for viewing informational displays; and a computer program operative to facilitate communications between the management site, the medical professional site, and the patient site to provide distance health supervising
Thus the invention relates to a method for supervising a plurality of individuals with a server comprising: receiving data corresponding to one or more conditions from said individuals measured from a plurality of devices, wherein said devices are distancely located from said server
and in communications with said server via a communications network; modifying said data to highlight a population at risk of exposure to a disease by analyzing said data; generating one or more reports based
on said data; generating one or more surveys inresponse to said data

suggesting a link between said disease and at least one of said conditions among said individuals; and transmitting said surveys to said devices.
The invention also helps in the visualisation of the data in response to the different locations received from the devices.
The invention also comprises of the following
■» A distance health-supervising method comprising the steps of (a)
managing distance health-supervising using a distance health-supervising application server; and a database accessible by the application server; (b) visiting a patient distancely using a client computer and a first videoconference camera in communication with the client computer; (c) receiving a distance visit using a gateway computer, a second videoconference camera in communication with the gateway computer for relaying images of a patient, a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays; and (d) facilitating communications between all elements to provide distance health supervising using a computer program.

Thus in a nutshell the present invention is a distance health-supervising system comprising of a means for managing distance health-supervising using a distance health-supervising application server and a database accessible by the application server and a means for visiting a patient distancely using a client computer and a first videoconference camera in communication with the client computer as also a means for receiving a distance visit using a gateway computer, a second ^videoconference camera in communication with the gateway computer for relaying images of a patient, a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays; and means for facilitating communications between all elements to provide distance health supervising using a computer program.
Further the invention also describes a method of receiving patient information for purposes of security and medical confidentiality, analysing the patient information to identify a condition for the patient formatting a report based on the patient information and the patient condition and contacting the patient when the patient

condition satisfies a predetermined threshold condition. Repeated reminders if any and if needed are sent to patients and to doctors, either or as the case may be.
A remote visit is a convenience to the patient, especially for those
patients who would have difficulty traveling to the doctor's office
or hospital. A videoconference visit, connecting a nurse station to a patient station via a communications link, is more economical than a home visit, thereby providing both convenience and cost savings.
Other aspects and features of the present invention will become apparent to those ordinarily skilled in the art upon review of the following description of specific embodiments of the invention in conjunction with the accompanying figures.
DESCRIPTION OF THE DRAWINGS:
FIG. 1 is an overview of a remote health-monitoring system in accordance with the present invention;
FIG. 2 is an overview of a Patient Profile Base settingin accordance with the present invention

FIG. 3 illustrates the device allocation;
FIG. 4 illustrates a the device list consists of having physiological data measuring devices;
FIG. 5 illustrates blood pressure monitor is a medical kit;
FIG. 6 illustrates a patient linking to family members;
FIG. 7 illustrates involves secure chatting and communication;
FIG. 8 illustrates and consists of doctor dashboard
FIG 9. Illustrates the issues of doctor monitoring and doctor device allocation
DETAILED DESCRIPTION OF DRAWINGS
The present invention is aimed to provide for distantly monitoring health of individuals and a system for monitoring that thereof. As illustrated in Figl, the system includes a Patient management site A, to provide patient details relating to account creation, patient details. The same is carried out upon account ceation, followed by an OTP generation, patient verification ultimately

followed by patient details allowing for new patient registration. The Patient management site A has a remote health-monitoring application server. As illustrated in Fig 2, the Patient Profile Base setting B has a database B-l accessible by the application server. Similarly the Patient Profile Base setting B has a B-2, B-3 B-4 to analyse acceptable and normal readings, reading of vitals and analyising the upper and lower threshold of patient readings.
As illustrated in Fig -3, the device allocation has C- a device allocation ability, each having its C-l call reminder facility, C-2 reading of schedules, C-3 and C-4 that involves the adding or assigning of a new device.
As illustrated in Fig 4, D, the device list consists of having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays. Such devices could range from D-l, D-2, D-3 and D-4 to Sugar monitoring, to Spo2, weighing scales and Blood Pressure monitoring. The vital sign monitoring circuitry typically performs three standard vital sign measurement functions: Body temperature through a temperature probe, blood oxygen saturation level through an Sp02 sensor (D-l), Ssugar level

monitoring (D-2), weight monitoring (D-3) through a potable weighing scale and blood pressure through a blood pressure cuff that is automatically inflated through an on board pump (D-4)
As illustrated in Fig 5, E the blood pressure monitor is a medical kit which is rugged, portable and in a preferred embodiment supports a configurations. This medical kit includes several vital sign monitoring capabilitießs in a rugged and portable enclosure. Vital sign monitoring capabilities typically will includ, blood pressure cuff, , and stethoscope, and can be expanded to include other medical sensors. In one embodiment of the present invention, the system supports modular vital sign monitoring capabilities to enable the unit to be configured according to a particular patient's needs by including the specific medical sensors required for their health monitoring needs configured as required, such as E-l, E-2, E-3, E-4 and E-5 such as updating the arm and cuff position, notes colour codes for upper and lower thresholds, patient reading as also graphical representation of patient health, colour coding for upper and data wise patient analysis.
As illustrated in Fig 6, F involves patient linking to family members so as to allow for F-l,F-2,F-3,F-4for reminders, linking

of fitness goals, linking of vital parameters to health status and sharing of vital signs among members
As illustrated in Fig 7,G involves secure chatting such as G-1,G-2,G-3 and G-4 that mentions notification alerts, sharing of medical documents patient doctor conversation that can "be through video conference and alerts. Video conferencing doctor patient communication has a camera. The use of a camera in the home can raise user concerns over privacy and discretion. Having an exposed video camera, even when turned off, may raise the concern that the user is being monitored continuously. By providing a shutter, in the form of a picture holder, the user can raise or lower the shutter to control when the camera can be used, providing an added element of control for the user. When the shutter is closed, the unit looks like a picture frame and completely hides the camera enclosed within, enabling the camera to Vanish" when not in use without having to physically move the unit. To visitors in the home, it is virtually undetectable as a camera
As illustrated in Pig 8, H consists of doctor dashboard. H-l,H-2, H-3, H-4, H-5 consist of patient summary details, list of patients

who missed the reading, patient reading details, number of allocated devices to patient and number of registered patients.
As illustrated in Fig 8 AND 9, I and J highlight the issues of doctor monitoring and doctor device allocation. During remote visits, a doctor can control the progress of measurements based on visual cues and verbal confirmations from the client/patient. During what is called an "unassisted measurement", measurements can be taken without involvement. With instructions typically given on the screen, the client/ patient follows a sequence prescribed by a remote application driven through the gateway, and is guided step-by-step using key presses on the device. The medical kit provides transmission of vital sign data and audio, such as stethoscope or integrated microphone input to a computer.
Vital sign measurements can be triggered remotely from a host through an RF Data Transceiver that receives commands to initiate or terminate measurements and transmits data back to the host to report on the status of measurements in progress and the results of the vital sign measurements once completed.

In an embodiment of the present invention, the kit includes configurable physiological data measurement options such as an interchangeable blood glucose meter, spirometer, and ECG module shown along with fixed stethoscope, blood oxygen, and blood pressure measurement capabilities.
The management site provides a repository of all visit and client data, as well as an administration and management. It enables clients to interact with the system by serving up web pages that constitute the various client applications that it must support.
Inventory management includes the management of both new and existing inventory, maintaining maintenance records, tracking equipment location, designating whether a gateway computer and medical kit can support multiple user dwellings. As well, inventory management includes assigning equipment to any patient in a branch. If a gateway computer is designated as multiple user dwelling capable, the branch administrator can assign and un-assign as many clients as appropriate to the gateway computer.

Doctor/ Patient management includes managing client accounts, reviewing and updating client medical records, maintaining current status of clients (active or inactive), A branch administrator would render a client account inactive if that client is not to receive further care. Even though appropriate staff can still review this medical record, no one will be permitted to modify the record in any way. While upcoming visits scheduled with inactive clients won't be removed from a nurse's schedule, any further visits will be disallowed. The nurse will also be prevented from scheduling new appointments with inactive patients. Client management further includes archives patient records, purging patient records, transferring patients to other branches, and managing client training account.
Client management involves creating new patient records, reviewing and updating patient medical records, and maintaining current status of patients, as well as archiving patient records, purging patient records, and transferring patients to other branches. Branch staff are typically the ones providing direct or indirect care to patients, staff and nurse are used interchangeably. Their responsibilities mainly gravitate towards providing patient care and maintaining medical records. A complete list of their responsibilities follow

A collaborator, typically a referring physician or a specialist, can be given temporary access to a patients medical records. It is the branch administrator who creates the account. Collaborators will have permanent accounts in the system, and will be given access by nurses to particular clients as required. Access to any given client's medical records will automatically expire after a period specified when the nurse gives access to the client record. Collaborators only have limited access to client records. Specifically, they cannot view any notes marked as 'restricted unless they are the authors of the restricted note. Collaborators can add notes of their own to a patient's medical record.
A patient is the actual client receiving medical care. The patient may or may not be given direct access to the system, such as for patient education, or the self-review of vital measurements. All patient medical data is logically considered as a single unit. That is, whether transferring a client to another branch, or archiving or purging a client from the system, all data associated with this client is affected. To ensure data integrity, confidentiality and availability, it is important to limit access to health information to those employees who have a business need to access it. The type
of access control implemented in the system is a combination of

role-based access and user-based access. As described earlier, an application user is first assigned a role by an administrator; it then, if necessary, further access to individual client medical records can be granted.
The invention can prove beneficial on aircraft and ships where the medical diagnosis of a passenger is carried out remotely for a variety of reasons, including the decision as to whether to continue on the planned route or divert to a closer airport or sea port. A teleconference visit is a convenience to the patient, especially for those patients who would have difficulty traveling to the doctor's office or hospital. A videoconference visit, connecting a nurse station to a patient station via a communications link, is more economical than a home visit, thereby providing both convenience and cost savings.
For applications where portability of vital sign monitoring capabilities is desirable, the invention provides a rugged, compact, and portable unit that allows vital sign monitoring capabilities to be carried around and deployed quickly and efficiently. As well, for the home health care market, this is particularly important as the devices are transported from one patient to the next after a

term of care has been completed. For the home health care market, it is desirable that when the device is not in use, that its intended purpose is not evident when the medical kit is closed. This is provided in the design through an enclosure that looks like a conventional brief case or travel case. The medical kit provides integrated storage for both the sensors and their leads, providing enhanced device usability by avoiding tangled leads and providing clear indications to non-medical users which sensor corresponds to a desired vital sign measurement.
The management site manages connections efficiently by keeping a record of the current IP addresses for patient gateway computer. When a video conferencing connection or other network connection is required between a nurse and a patient or a nurse and another healthcare practitioner, the application server looks up the endpoints IP addresses from this table to initiate the connection. By providing this IP address lookup table, the system can support users with dynamically assigned IP addresses, or users accessing the system from different locations

Although the present invention has been de scribed in considerable detail with reference to certain preferred embodiments thereof, other versions are possible. Therefore, the spirit and scope of the appended claims should not be limited to the description of the preferred embodiments contained herein

4. CLAIMS
We Claim;
1. A remote health-monitoring system comprising:
a patient and or doctor management site having a remote health-monitoring application server; and a database accessible by the application server; at least one medical professional site-having: a client computer; and a first videoconference camera in communication with the client computer; a patient site having; a gateway computer; a second videoconference camera in communication with the gateway computer for relaying images of a patient; a medical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements; and a television for viewing informational displays; and a computer program
operative to facilitate communications between the

management site, the medical professional site, and the patient site to provide remote health monitoring.
2. The system as claimed in Claim 1,in which the medical device
has a wireless communication ability with gateway computer.
3. The system as claimed in Claim 1, having an enclosed space for
housing a camera used for conferencing to shield the camera
when not in use, the shield comprising - a box with one side being
adjustable in order for camera pointing.
4. The system according to Claim 1, having a client computer capable of being movable and having the ability to connect to the gateway access to a medical device and the management site to ensure the way to conduct personal visits in a way that is parallel to distant visits.
5. The system according the claim 1, in which the medical device can also measure and analyse physiological data measuring devices.
6. A remote health-monitoring method comprising the steps of:

(i) managing remote health-monitoring using a remote health-monitoring application server; and a database accessible by the application server; (ii) visiting a patient remotely using a client computer and a first videoconference camera in communication with the client computer; (iii) receiving a~ remote visit using a gateway computer, a second videoconference camera in communication with the gateway computer for relaying images of a patient, a mdical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays; and (iv) facilitating communications between all elements to provide remote health monitoring using a computer program.
7. A remote health-monitoring system comprising:
means for managing remote health-monitoring using a remote health-monitoring application server; and a database accessible by the application server; means for visiting a patient remotely using a client computer and a first videoconference camera in communication with the client computer; means for receiving a

remote visit using a gateway computer, a second videoconference camera in communication with the gateway computer for relaying images of a patient, a medical device having physiological data measuring devices in communication with the gateway computer for relaying a patient's physiological measurements, and a television for viewing informational displays; and means' for facilitating communications between all elements to provide remote health monitoring using a computer program.