ABSTRACT

Telemedicine (health-care delivery where physicians examine distant patients using mobile communications technologies) has been heralded as one of several possible solutions to some of the medical dilemmas that face many developing countries. Objective of this project is to propose a wireless stand-alone a novel approach to patient monitoring is introduced. The embedded system design that integrates the monitoring of three biomedical parameters into a single personal medical device. The three parameters are: body temperature, blood pressure and heart rate. The goal of this work is to build a compact and cost-effective monitoring system was developed and implemented based on the existing industry standard communication network and patient monitoring software, application are developed to store data that can be used for real time monitoring and later downloaded to a physicians workstation for analysis and diagnosis. It specifically targets assisted-living residents and others who may benefit from continuous and remote health monitoring and decision support system. The application shown here are GSM Communication Possibilities of different technologies use in telemedicine.

Apart from these applications it is also shows that robust application E-med software design. The functionalities shows here are, Real-time data transition Intelligent decision support system (DSS)

TABLE OF CONTENTS
Chapter 1: PREAMBLE
1.1 Introduction 1 1.2 Scope of the study 1 1.3 Problem Formulation 2 1.4 Methodology 2 1.5 Outcome and Limitations 2 1.6 Literature survey 3 1.7 Report organization 5 -1

Chapter 2: WIRELESS TELEMEDICINE

2.1 Introduction 6 7 2.3 Industry Standard-Based Monitoring Systems 8 2.3.1 Intelligent decision support system (DSS) 8 2.3.2 Homecare scenario 8 9 2.4.1 Mobile technology 10 ii 2.3.3 Real-time and always-on 2.2 Overview of Indias wireless telemedicine infrastructure

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2.4 State-of-the-art

2.4.2 The Internet 12

Chapter 3: SYSTEM ARCHITECTURE AND REQUIREMENTS

3.1 Overview of the implemented system 13 3.2 Wireless Technology 14 3.3 Clinical Data and Sensors 16 3.4 Embedded-system device design 17 3.4.1 Data acquisition 17 3.5 Software deign 18

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Chapter 4: DESIGN AND IMPLEMENTATION

4.1 System Architecture 19 4.2 Acquisition unit 4.2.1 AT89S8252 Hardware connection 22 4.2.2 Parallel ADC0816 24 4.2.3 Programmable Clock Out 24 4.2.4 Sensors 27 4.2.5 Measuring Body Temperature using LM35DZ 27 20

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4.2.6 Measuring Body Heart Rate (HR) and Blood Pressure (BP) 29 4.2.7 Data flow diagram of the acquisition unit 32

Chapter 5: MANAGEMENT AND MONITORING UNIT

5.1 Management Unit 33 5.1.1 GSM communication module 34 5.2 Central Monitoring Unit 36 5.3 Data flow diagram of the Management Unit 37

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Chapter 6: RESULTS AND SCREEN SNAPSHOTS

6.1 Verification and Test Plan

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Chapter 7: CONCLUSION AND SCOPE OF FUTURE WORK BIBLIOGRAPHY APPENDIX-A (GSM Technology)
52

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APPENDIX-B (AT Command specification)

56

APPENDIX-C (RS232 serial communication) APPENDIX-D (AT89S8252 and ADC) APPENDIX-E (Temperature sensor and Pot) APPENDIX-F (Presented Paper)

58 59 61 70

LIST OF TABLES
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Table Number 2.1 3.1 3.2 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9

Description Security and encryption for wireless technologies Wireless Technologies Mobile Technologies Port 1 Alternate functions Port 3 Alternate functions ADC0816 Analog channel selection Vref Relation to Vin range for ADC0816 LM35 temperature selection series selection guide Temperature vs. Vout for ADC0816 Pot Vout vs. ADC0816 output HB in bpm vs. ADC0816 output BP in mmHg vs. ADC0816 output

Page Number 11 15 16 23 23 25 26 27 28 30 30 31

LIST OF FIGURE

Figure Number 2.1 2.2 3.1 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5.1 5.2 5.3 5.4 5.5 6.1 6.2 6.3 6.4 6.5

Description Typical wireless telemedicine service setup in India Mobile telemedicine system. A principal sketch of telemedicine system Architecture of the patient monitoring system Figure vital-sign signal acquisition XTAL Connection to C Keil Vision3 main menu Selecting a channel and Read timing for ADC0816 LM35DZ Connection Diagrams AT89S8252 connection to ADC0816 and Temperature sensor Trimming Potentiometer Data flow diagram of the acquisition unit. Architecture of the management unit Visual Studio Main Menu Communication protocol designed to handle abnormal readings in monitored patients. Architecture of the management unit Data flow diagram of the management unit Welcome form. Login form for authorization. Message Box for create new user. Admin login form. New user form.

Page Number 7 10 14 20 21 22 24 26 27 29 30 32 33 34 35 36 38 41 41 41 42 42

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6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16

Hospital & Doctor contact details form communication and emergency alert. Message box (incorrect contact number i.e. it may be GSM modem or Phone number). Patient details form with monitoring parameters. Message box (incorrect contact number i.e. it may be GSM modem or Phone number). Main monitoring and communication with successful generation of alert signal by sending and receiving SMS. Patient monitoring parameter Database form. GSM Communication main form. Instant messages on cell phone. Layout of the GSM board. Layout of the acquisition board. For dynamic help form.

42 43 43 43 44 44 45 45 46 46 46

ACRONYMS
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Abbreviation GSM GPRS 3G PDA SMS PSTN LAN WAP WSN WLAN OTRI ISRO VSAT CCUs DSS IT RF AuC BT HR BP PC ADC IDE ROM TDMA MR

Expansion Global System for Mobile Communication. General Packet Radio Service Third-generations Personal digital assistant Short Message Service Public Switched Telephony Network. Local Area Network Wireless Application Protocol Wireless Sensor Network Wireless Local Area Network Online Telemedicine Research Institute Indian Space Research Organization very small aperture terminals critical care units Decision Support System Information Technology Radio Frequency Authentication Centre Body temperature Heart Rate Blood Pressure Personal Computer Analog to Digital Convertor Integrated Development Environment Read Only Memory viii Time Division Multiple Access Magnetic Resonance

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