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Design of a Portable Tele-homecare Monitoring System
for the Elderly
Yeh-Liang Hsu
Secretary General
Professor, Dept. of Mechanical Engineering
Director, Gerontechnology Research Center
Yuan Ze University
3/29/2006
Gerontechnology Research Center, Yuan Ze University (I)
 Started preparation in 2000/10.
 Started a 3-year research project “Establishing an Intelligent Maintenance
System for the Quality of Life of the Elderly” in 2001/08, funded by the
National Science Council, Taiwan.
 Was invited to exhibit the tele-homecare concept in a demo house in “IT
Month for the Elderly” (長青資訊月) at Taipei, in 2001/10.
 YZU GRC was officially established in 2003/01.
 YZU GRC held the first “Elderly Care and Gerontechnology Conference” at
Tauyuan in 2003/09.
GRC, YZU (II)
 YZU GRC was invited to exhibit its tele-homecare robot as one of the main
themes in “2003 IT Month”, at Taipei, Taichung, Tainan, and Koushiung, from
2003/11 ~ 2004/01
 YZU GRC was invited to exhibit its telepresence robot in 2004 “Taipei
International Industrial Automation Exhibition” at Taipei in 2004/07.
GRC, YZU (III)
 YZU GRC was the only academic institute in Taiwan invited to present its
research in “Continuous Care Giving for Elders and its Novel Solution through
Innovative Information and Communication Technologies” International
Conference, held by the Ministry of Economic Affairs in 2004/10.
 YZU GRC was invited to exhibit the
smart home concept in the first IT Month
in Kinmen in 2005/4.
Medical
Treatment
Health Care
Support of Daily Living
Tele-homecare
 Tele-homecare can be defined as the use of information and communication
technologies to enable effective delivery and management of health services at
a patient’s residence. [Office of Health and Information Highway, Canada,
1998]
 Tele-homecare differs from tele-medicine in the sense that people who
transmit and receive medical information are not medical doctors but the
patients themselves and their families, nurses, care-givers, home-helpers and
medical technical experts, etc. [Masatsugu, 2002]
Characteristics of a Typical Tele-homecare System
The “health welfare
center” partnering with
a medical institution
play the central role
A centralized
database is often
used for data storage
and analysis
Telephone line and
the Internet are
commonly used for
data transmission
Users subscribe to a
service from the
health welfare center
To “mobilize” the measuring devices, wireless
communication technologies are been
implemented into the measuring devices
Tele-homecare Systems in Taiwan (I)
MEDCAN Health Management Inc.  Asia Pacific Telehealth Technologies
亞太健康遠距科技股份有限公司
 Tele-homecare systems has not been well accepted in Taiwan.
 The infrastructure required is large and the cost of such tele-homecare service is
too high. This cost is not covered by medical health insurance.
Tele-homecare Systems in Taiwan (II)
遠距居家健康照護$4999專案
II.服務內容
* 每週專業照護人員到府照護服務
* 資深護理師提供遠距健康諮詢
* 每月提供健康報告書
* 每年一次的血液分析及檢測
* 特約醫院的掛號、轉診及領藥服務
* 健康資料保存全球使用
* 提供最新的健康保健資訊
II.收費標準
加入會員入會費$2000及第一個月服務費$4999於申請
加入時繳交,採現金或信用卡刷卡付款。於每月第一週
到府照護服務時同時收取,採現金付款,收費同時開立
收據。
Developing a Portable Tele-homecare Monitoring System (PTMS)
A single household is the fundamental unit for sensing,
data transmission, storage and analysis in the PTMS
The core of the PTMS is the
Distributed Data Server (DDS)
Sensor
DDS
Event recognition
algorithm
Centralized
database
Data request
Application
server
IE
browser
VB program
RF wireless
transmitter
RF wireless
receiver
PIC Server
MMC
GSM phone message
E-mail
Smart house applications
Event-driven capabilities
4 functions of the DDS: receiving sensing data,
computation, storage, and communication
Cost of the DDS
Application board
PIC Server
Application board
PIC Server 3
Price
PIC18F6722 (MCU)
350
RTL8019AS (Net control unit)
120
24LC512 (RAM)
50
Oscillator
20
Capacitor and resistor
18
LED, RJ-45, Connector, PCB
Total
144
702
Price
VoltREG
145
Power switch, DIODE
100
DS1302 (Real time clock)
130
Capacitor, resistor, inductance
59
Battery seat and battery
50
MMC, RS232, Beeper
125
LCD
350
Oscillator
10
LED, Connectors, RJ11, PCB
Total
190
1159
Advantages of the PTMS’ Distributed Structure
 The PTMS is a product-oriented system instead of a service-oriented system.
 The PTMS can be easily adapted and implemented in a home environment at
very low cost.
 Health monitoring data are stored within the household. Only authorized
caregivers can access the data. Privacy is better protected.
 The route from the sensor to server is much shorter. Data transmission is
easier and more reliable. Data integrity will be better preserved.
 The distributed structure of the PTMS can be adapted if a centralized database
is needed.
Applications: Environment Monitoring System
Applications: Monitoring of Activities of Daily Living (ADL)
Applications: RFID-Based PTMS
An entrance guard system designed for kindergartens
Applications: Sleep Quality Monitoring System
Applications: Vital Sign Sensing
Body weight
scale
PIC
microcontroller
RF wireless
transmitter
DDS
Centralized
database
Data request
Application
server
IE browser
Event recognition
algorithm
VB software
RF wireless
receiver
Blood glucose
meter
Blood pressure
meter
GSM phone
message or
Serial cable
Distributed
Data Server
GSM phone message
E-mail
MMC
Smart house applications
ECG
Event-driven capabilities
Applications: Physical Activity Assessment
Wearable data acquisition unit
Body movement
algorithm
Tri-axial
accelerometer
PIC
microcontroller
data acquisition
RF wireless
transmitter
Centralized
database
Data request
Application
server
IE browser
Household DDS
Event recognition
algorithm
VB software
Distributed
Data Server
RF wireless
receiver
GSM phone message
E-mail
MMC
Acceleration patterns of stand-to-sit posture transition
Smart house applications
0.5
Event-driven capabilities
0.4
Vertical
Acceleration (g)
0.3
Antero-posterior
0.2
0.1
0
0
0.5
1
1.5
-0.1
-0.2
-0.3
Time (sec.)
2
2.5
3
Applications: Telepresence Robot – A Mobile DDS
Dr.Robot Tested at Hopkins
PTMS Patent Portfolio
NSC Project – Goals and Schedule
將過去元智大學老人福祉科技研究中心研發團隊在PTMS的研究成果
進一步商品化,期能創造遠距居家照護全新之商業模式,成為一套以
產品為主體、能夠普及化的高齡者遠距居家健康監測系統。
本計畫規劃之監測項目主要包含兩類,一是與心血管疾病相關之生理
訊號監測,另一類則為與高齡者安養相關之「日常生活活動(activities
of daily living, ADL)」的監測。
計畫準備
商品化原型建立
第一年
Research
臨場長期測試
第二年
Product
營運模式建立
第三年
Business
NSC Project -- Partners
Medical
institutions
Mobile phone service provider
• Communication platform
• Innovative business model
遠傳電信
• Clinical and ambulatory tests
• Professional healthcare consulting
亞東紀念醫院
Far Eastern Memorial
Hospital
Far Eastone
Telecommunication
署立桃園醫院
Taoyuan General Hospital
PTMS
Electronic manufacturer
Academic institution
先豐電子
BoradTek
Electronics Corp.
• Technical consulting
• Electronic device production
元智大學 • System integration
Gerontechnology • Technical R&D
Research Center
PTMS Demo
Environmental Temperature and Humidity Monitoring – Fundamental
functions of the PTMS
Remote monitoring via the internet
Access historical data and tendency analysis
Vital Sign Sensing – Integrating with commercial sensors
Record the daily health-related information
Sending data or emergency alarm via the GSM module in the short message
format
Wireless Alarm Button – Fundamental functions of the ADL
monitoring system
Accessing the DDS or the application server using a mobile phone
Thank You!
Yeh-Liang Hsu
[email protected]
http://GRC.mech.yzu.edu.tw/
http://designer.mech.yzu.edu.tw/