Portable digital integrated health record process

Abstract

The present invention relates to the creation and development of a process for recording health information in the form of a portable and integrated health record implemented by means of multiple interconnected software modules. This solution contrasts with the current hospital-based data recording model by granting patients, or those responsible for them, autonomy over the recording and viewing of their health information. Furthermore, individuals can more easily integrate various aspects of their dietary routines, physical exercise, habits, and dependencies directly into the monitoring and recording of their health status. The patient is considered to have the greatest interest in their health and can actively participate in their care, and the process described is a way of making it easier for individuals to record, retrieve and provide feedback on healthcare services.

Description

PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS Field of invention

[0001] The technical sector involved is responsible for collecting, recording, and transmitting health-related data, as well as planning, monitoring, evaluating, and verifying performance. These records include care provided by healthcare professionals, dietary and school records, medication use, poisoning, physical or psychological trauma, habit records, addictions, and current and future planning of goals and activities related to the individual's organization.

[0002] The health sector is broadly involved, involving doctors, dentists, nurses, nursing technicians and assistants, physiotherapists, speech therapists, psychologists, pharmacists, acupuncturists, massage therapists, pilates professionals, laboratory professionals such as biochemists, biomedical scientists and laboratory technicians, care professionals, chiropractors, personal trainers, physical education professionals, veterinary professionals, researchers, teachers and coaches.

[0003] The registry also involves the documentation of complementary, laboratory and imaging exams, procedures, hospitalizations, prescriptions, forms, guidelines and recommendations, forms and reports and summaries, as well as tools for checking, reminding and recording the completion of treatment and following guidelines.

[0004] The technical sectors related to the data flow involved are the recording of information on portable devices, such as cell phones and tablets, the use of vital sign and physical performance sensors for data input, data analysis by artificial intelligence, computers, the cloud, data transmission via Bluetooth, Wi-Fi and QR Code, and user authentication. Fundamentals of the invention 2.1 State of the art

[0005] Currently, patient records and information are limited to the services that provide care, without interconnection with other services and when it is necessary to seek another service, a lot of information is lost or too much time is spent re-registering essential information about the patient with the remembered details.

[0006] Each hospital has its own information recording system, with several options available on the market for exclusive use by professional services.

[0007] Information such as medication administration times, antibiotics used, and procedures performed are sometimes lost even within the same service network, due to differences in operating hours and even communication with the departments responsible for the information.

[0008] Information from exams and medical records is essential for proper patient monitoring, and a lot of time is spent gathering information and physically searching through often disorganized documents for signs that other problems may be occurring with the patient.

[0009] Emergency and outpatient physicians do not have easy means of following up on subsequent information regarding the success or failure of the treatment instituted and often have difficulty accessing the guidance and recommendations of the patient's primary care professionals.

[0010] Even in medical services, most of the time, information is recorded statically and is camouflaged among a series of text documents that are repeated or even ignored amidst a vast amount of duplicate information.

[0011] The amount of data saved due to the need for repetitions ends up increasing greatly, without any quantifiable improvement in the quality of care.

[0012] By spending time on repetitions, the professional's attention is often consumed by identifying details and nuances that could have already been detailed previously.

[0013] Information such as the criteria that led to the diagnosis of the disease in question, the reason for cardiac arrest and how it was identified, and the neurological evolution of a patient with a thrombolyzed ischemic stroke or head trauma are simply lost in disjointed records.

[0014] When a patient's primary physician loses follow-up, a lot of information is lost or it even becomes difficult to retrieve information from physical documents.

[0015] It's completely pointless if every time we need to perform an activity or acquire an object or service, we have to search for the same information again, with little or no memory or learning. Information like where to find the product or service, which actions are correct or incorrect, which product is best suited for my situation and why.

[0016] This is how our health monitoring has been handled, with significant information mismatches and memory lapses. It's a counterproductive process that consumes much of the professionals' energy with repetitive and arduous tasks, while the necessary information could be easily recorded and made available.

[0017] The detailed representation of physical changes and previous sequelae, devices and prostheses, scars and injuries ends up getting lost amidst papers and records possessed mostly only by the attendants.

[0018] Hospital, outpatient and emergency care forms are completed by professionals with new data collection that has already been entered into medical records or that will need to be entered again at a later date.

[0019] There is no automated way to utilize each piece of data in an optimized way for use in these forms, even in hospital records in general.

[0020] Physical examination data, symptoms and vital signs must be completed again exhaustively during the various appointments carried out by professionals.

[0021] The comparison of vital signs, physical examination and laboratory test data is restricted to repeating their recording in text documents.

[0022] Within health services, it is difficult to verify and record evasion, and there are often no mechanisms to check whether an individual leaving the service is a companion, visitor or even a patient who evades without the proper recording of such information in the medical record.

[0023] Patients' retention of basic information when leaving healthcare services is often well below expectations, and information from previous appointments is lost amid the wide variety of services available.

[0024] Many patients who undergo emergency care or evaluation do not know or remember who treated them or the recommendations or guidance they received.

[0025] Patients who change continuous medications often do not remember exactly why they changed their medication or how long ago the prescription was changed, especially when the changes are only in dosage.

[0026] Elderly patients, who often have multiple pathologies and medication needs, are prone to forgetting or confusing medications and their schedules, which makes treatment difficult.

[0027] People who need treatment on a one-off basis end up forgetting the times to take their medication, and this impacts the outcome of the treatment.

[0028] A change of city, trip or simply changing health services or even sectors of the same service often leads to a new odyssey of reacquiring the same basic patient data, which is a completely inefficient process.

[0029] Previously autonomous and independent patients are subject to sudden, temporarily or permanently incapacitating impairments. In cases of memory and / or communication loss, they often have no family member or friend who knows the details of their previous care routine.

[0030] When this happens in a location where no one knows the affected person, it becomes difficult to collect essential data and identify a known person who can provide more information or even monitor the care to assist in decision-making and clarification.

[0031] People have difficulty formalizing their personal choices in a valid and documented way. Especially when a sudden, debilitating illness occurs, or even diseases that rapidly or gradually impair decision-making, this information can be lost or disregarded due to the lack of a valid official record.

[0032] Information such as being a Jehovah's Witness and not accepting blood transfusions, not accepting cardiopulmonary resuscitation, intubation and other invasive measures, even with the wishes clearly defined by the patient and their family, are not taken into consideration because there is no valid record accepted.

[0033] Dietary choices, such as vegetarianism, veganism, and not eating pork, can also easily get lost among other data in the medical record, when they are recorded at all.

[0034] In the fast-paced daily routine that the interconnected world has brought, many people do not organize their diet, daily planning, physical activity routine, or study routine. Consequently, they end up suffering from anxiety, depression, obesity, uncontrolled blood pressure and blood sugar levels, and experience frustrations that could be avoided with well-applied discipline.

[0035] People go to the supermarket and end up forgetting the products necessary for their diets or even taking home prohibitive items that hinder their efforts.

[0036] Some applications currently assist with specific activities, such as cardiac arrest management for healthcare professionals, distance trackers, with heart rate sensor interconnection, and financial organization applications, but none of them work in an integrated manner to automatically record data in medical records.

[0037] There is a trend towards a preference for healthy eating nowadays, but even in services and restaurants that provide such options, it is difficult to access the composition of carbohydrates, fats and seasonings used (such as the amount of salt and other ingredients).

[0038] With the difficulty many have in preparing their own food, they become increasingly susceptible to unfamiliar foods, with options that are unsuitable for proper nutrition.

[0039] Physical activity professionals often have difficulty accessing official medical indications or contraindications regarding possible exercises, and patients with sequelae of some pathology end up feeling lost in this regard, stopping physical activity and increasing the chances of comorbidities.

[0040] Pets are often overlooked as part of an individual's daily life. Some animal diseases are transmissible to humans, and their joint care influences both the success or failure of treatment and the mood of a pet owner experiencing a serious illness.

[0041] Stress and tension levels during the day are often not valued or remembered, but they greatly influence and impact sleep, anxiety control, depression, blood pressure, blood sugar, irregular eating, or even the use of legal or illegal drugs as part of the stress compensation and relief mechanism.

[0042] Factors such as water intake, menstrual cycle, addictions and habits are often over- or underestimated when not adequately quantified.

[0043] Parents often become disoriented or forget the correct vaccination dates or even lose track of their children's proper growth and development.

[0044] Completing growth and development charts for monitoring ends up being restricted to assessments during medical appointments, without checking them in between.

[0045] This makes it difficult to check the correct progression of growth and weight gain, especially as age advances and appointments become more spaced out.

[0046] Medical researchers and researchers from other fields have difficulty following patients in longitudinal studies due to distances, adaptation of routines and even scheduling to physically attend during the stipulated periods.

[0047] Conducting scientific research is difficult for many healthcare professionals due to the need to be linked to a Medical Ethics Committee that is not always accessible to analyze their proposal.

[0048] Data collection itself is extremely costly, requiring review of medical records or incomplete service forms, or even travel expenses and the need to fill out data collection forms with people who have a full schedule at the time of the approach.

[0049] Linguistic and spatial barriers end up hindering larger sampling in scientific works and the analysis of data by professionals of other languages ​​after the works are published.

[0050] The wide variety of platforms ends up expanding the possibilities of publishing environments, but ends up restricting publications to the languages ​​used in the publications.

[0051] Systematic review articles involve exhaustive and costly recollections of the data tabulated in the articles used, and are often difficult to reanalyze because the sampling data tables are not available.

[0052] People who speak different languages ​​have difficulty exchanging information related to care, comorbidities, and previous or current health treatment.

[0053] This means that migrations or even travel pose a significant risk of difficulty in passing on essential information for adequate care due to language barriers and communication failures, compromising patient safety. 2.2 Innovations

[0054] The main innovation brought about by the process is the portable record, accessible to those responsible and independent of the institution or professional, of health-related information. Therefore, the physical, mental, and social well-being of individuals and their pets is returned to the individual.

[0055] The availability of information is a prerogative of the individual or their legal guardian, and may be transmitted to professionals according to their needs, within the competences of each professional.

[0056] Chronic and multifactorial diseases require a comprehensive and comprehensive approach for adequate control, and this is often the difference between a patient with controlled comorbidity and one who does not adhere to treatment and has uncontrolled disease.

[0057] The concentration, attention and efforts expended in retrieving necessary basic information can be saved and repetitions mitigated or eliminated so that the service becomes less tiring and attention is given to what really matters, which is clinical and organizational reasoning and welcoming the service user.

[0058] Time is often wasted with repetitions and efforts to identify other, no less important, inadequacies are hampered, such as whether the patient is actually taking medications, their understanding of the importance of carrying out the proposed treatment, whether they are experiencing many stressful situations, what causes them the most distress, and whether they are receiving adequate follow-up or not.

[0059] The exercise and development of empathy and the creation of bonds in human relationships are left aside.

[0060] Sensitive information is protected by the process described here. Facts such as HIV status, a disease status, or prior sexual assault are not even offered as data transmission options to personal trainers, teachers, and coaches, for example.

[0061] If the individual finds it necessary or wishes to share information of this type, he or she is responsible for transmitting the information in a manner completely separate from the application.

[0062] Another innovation is the recording of data in a cataloged manner, with text elements representing the names of symptoms, changes in physical examinations, laboratory tests, imaging tests, diseases, medications, and procedures, each associated with a numerical code, which is then recorded.

[0063] With this form of registration, data consumption decreases drastically from several bytes to just 4 bytes per item, increasing search speed and data filtering for visualization, therefore, since less data has to be compared to arrive at the results.

[0064] Another important innovation of the invention is the integration between information and activities, since the data is recorded not statically, but as elements with clinical significance.

[0065] In this way, a prescription is not recorded as just a text document, but as a set of medications with specific times of use and which are easily converted into alarms for correct medication use.

[0066] Data is recorded on the correct or irregular use of medications, as well as the usual time of use in the case of continuous medications, and these records can be transmitted to professionals who assist the patient in their care.

[0067] Recommendations for water intake or restriction, goals for total or progressive cessation of smoking or alcoholism are integrated directly into the water, tobacco or alcohol consumption recorder, respectively.

[0068] Data collected on a form for a scale used to classify the severity, follow-up, or even diagnose a disease are incorporated directly into the patient's medical record, and formal instructions provided during a consultation can be consulted later to clarify any doubts.

[0069] Data present in medical records, whether recent or old, can be automatically collected for fully or partially automated filling of forms, facilitating service.

[0070] Food and diet are largely related to what we bring home from the supermarket, other food stores, and restaurants. It's only natural to integrate the shopping list, information about the foods we eat, and the diet prescribed by a nutritionist.

[0071] Aerobic and / or anaerobic exercise guidelines provided by physical education professionals and personal trainers are transformed into checkable activities and exercises in the digital goal-setting calendar.

[0072] Goals set by the individual themselves, or even with the help of coaches or teachers, become checkable items. Records related to these achievements can be more easily documented to the appropriate professionals for joint analysis of discipline and performance.

[0073] Oral health is also related to general health, self-image, and self-esteem of individuals, and teeth in poor condition can be sources of infection or even influence the individual's physical or mental illnesses.

[0074] Habits related to oral hygiene and the state of conservation of teeth can be recorded by both the user and professionals in this context.

[0075] Laboratory and imaging tests and vital signs, in this integrative approach, can be viewed in a more accessible and organized way, with selection of which ones are most important to be viewed and / or compared in an evolutionary way with more ease, thus not needing to be repeated in the texts of the medical record or searched exhaustively.

[0076] A third innovation is the facilitation of feedback regarding the services received, treatment performed, improvement or worsening, and evaluation of the service received from the professional and the behavior of the person being treated.

[0077] Doctors and other professionals now have another direct feedback channel to determine whether patients' expectations were met, whether recommendations and treatments were followed, and whether they were effective. This aspect of the registration process integrates the patient and the professional treating them, enabling a closer bond between them.

[0078] Another important point of innovation in the process is its characterization as an environmentally sustainable mechanism for recording health information, as it makes it possible to reduce the amount of paper used to record information.

[0079] Papers are prone to loss and damage and end up being reprinted several times with the same information in an unnecessary and environmentally harmful way.

[0080] Even hospitals that have computerized systems generate a large amount of printed paper for documentation and analysis, or even to be given to the patient upon discharge.

[0081] With the digital registration process, all data is digital, without the need for printouts.

[0082] As a fourth innovative part, a mechanism is implemented so that the patient participates in their health care in a more active way, a fact that facilitates the monitoring and control of chronic problems that depend greatly on collaboration and discipline on the part of the individual.

[0083] The patient ceases to be a mere “object of study” for the doctor or other professional and has a more practical and applied understanding of his / her illness and the importance of following and recording recommendations and prescriptions.

[0084] The patient now has tools to analyze factors that are detrimental to both their health and their goals and objectives, to better align their expectations and better organize their precious time.

[0085] There is also a fifth innovation, the creation of a mechanism for temporary or permanent access to an individual's information in sudden, reversible or irreversible incapacitating cases.

[0086] The individual preselects the information to be transmitted in these cases and restricts the transmission or viewing of information considered sensitive. This mechanism preserves essential information for the individual's assessment and treatment and makes it easier to acquire it.

[0087] In cases of loss of consciousness, other individuals can use the user's device to alert a designated trusted person who will provide the necessary health data through their control tools.

[0088] Scientific research is severely hampered by monitoring failures or even by having data collection restricted by the researcher's financial limitations or even mobility difficulties of those being studied.

[0089] In this context, the innovation of facilitating the provision of complete information and the definition of factors to be studied facilitates scientific production for the benefit of patients themselves.

[0090] The establishment of a designated Medical Ethics Committee, a platform for analyzing, publishing and disseminating accepted work carried out through this process, makes scientific research more accessible.

[0091] Any professional, regardless of whether they are linked to an institution with research support or not, as long as they have interest and support from superiors place where you work (if there are superiors), can contribute to increasing health knowledge.

[0092] Organizing data records in a cataloged manner using numerical codes facilitates the interpretation of results data in other languages, as the data is read based on the local language.

[0093] This innovation of translating data directly into the language chosen by the professional or user represents important progress in reducing barriers to adequate and safe healthcare.

[0094] This translation can occur either by viewing the documents sent from one person to another on their own device or in real time by implementing a medical chat for instant translation of the data used in the exchange of information.

[0095] This mechanism is inherent to the way the process is established, with cataloged data records instead of text documents, with each module containing interpretation packages of codes recorded directly in its language.

[0096] The possibility of generating a patient's urgency summary, containing essential emergency information (such as allergies, previous comorbidities that do not contain sensitive information, and authorization or refusal of blood transfusion or invasive measures), constitutes another innovation and is essential for safer pre-hospital life support treatment.

[0097] The information in this emergency summary will be accessible to anyone with access to the individual's cell phone, even in locked mode, if so chosen by the individual, to help ensure the safety of life support in sudden incapacitating illnesses, whether predictable or not.

[0098] In our increasingly connected world, it is surprising that a more appropriate process for preserving and accessing data and utilizing technology for the benefit of patients as individuals has not been developed previously.

[0099] It is in this action that this process has its greatest focus and greatest asset, offering the possibility of dynamism and reducing avoidable time losses in our intense daily routine. Brief description of the diagrams Figure 1 represents an overview of how the general user works and their interaction with professionals. Figure 2 demonstrates the possibility of selecting standard information for each professional. Figure 3 shows user-controlled information management. Figure 4 shows the structure of the Digital Integrative Medical Record, with its interaction with professionals. Figure 5 shows the structure of the professional module and its interaction with the general user. Figure 6 shows the contribution of food services. Figure 7 shows how an assessment with an indication for hospital admission works. Figure 8 shows how an assessment with indication for hospital observation works. Figure 9 shows the solutions in case of sudden incapacitating illness. Figure 10 shows the management of the supervised user's medical record. Figure 11 shows the schematic of the daily agenda of checkable goals, with integration of planned goals with health goals. Figure 12 represents a simplified form of the graphical visualization of lifeline data, which can be for a specific period or for the patient's entire life. Description of the invention 4.1 Overview

[0100] The invention process applies broadly to the health sector, with implications related to recording information on medical care or care provided by other health professionals, food records, physical activity, habits and addictions, and planning and achieving personal goals and time management.

[0101] The basic idea of ​​implementing the process is based on two assumptions:

[0102] - Health is a broad term

[0103] - Accessible medical records and information are a patient's right

[0104] The concept of health is physical and mental well-being and depends not only on the tests we undergo, the illnesses we have and the medications we take or stop taking.

[0105] Health is closely related to what we eat or don't eat, the physical activity we do, the types of environments we frequent, how we organize our time and plan.

[0106] In the rush of everyday life, many people end up not organizing their health care and end up losing a lot of information when we seek care for a more serious problem.

[0107] The medical record, in turn, with exams, diagnoses, guidelines and recommendations, is a patient's right and an indispensable necessity to ensure correct care in a comprehensive manner.

[0108] Patients with chronic and / or serious problems are often left at the mercy of the services that treat them because they are unable to report in full detail the treatment they are undergoing and what happened to them.

[0109] When they become ill and the same service is far away or is not available to assist them, either due to the time or the lack of availability of appointment slots or slots, they are left with incomplete information about their underlying illness and treatment at another institution.

[0110] The care provided in another service, in turn, is not accessible at the monitoring hospital and each service the patient goes to knows just a part of what happens to the user, plus the information that the user can report. [0011 1 ] Health includes seeing the patient as a whole, knowing their history and not just gathering some information and making a superficial follow-up assessment.

[0112] Tensions and stress, as well as the fragility of patients, cause them to forget important information about their condition, which hinders a more comprehensive approach. 4.2 Definition of medical record

[0113] A medical record refers to the permanent, tamper-proof recording of information in a physical or digital format. In the case of a health record, the information refers to complaints, clinical history, social and family data, habits and addictions, treatments, exams, prescriptions, and medical certificates.

[0114] Much of the important information is related to data that the user can organize themselves, such as medication use, physical activity, water intake, menstrual cycle, family history of diseases, etc.

[0115] All this potential is underutilized, as there are currently no tools to organize this information for medical records. The diet itself is neglected and not properly and accurately recorded. 4.3 Standardization of terms used

[0116] As a standard, throughout this descriptive text, some terms should be further clarified. The term "user," while generally quite broad, is used in this text to refer to people who use the main, general module of the information system.

[0117] Users of secondary and tertiary modules are referred to as “professionals”, with secondary modules being “care professionals” and those of tertiary modules being “adjuvant professionals”.

[0118] Guidelines are explanations about the disease itself and recommendations are indications of actions to be adopted for better recovery or performance.

[0119] Modules and profiles are used synonymously throughout the text and represent different versions specific to the monitoring and data recording activities of those who use them.

[0120] Guardian or supervisor are terms that refer to the person responsible for supervising the care of more fragile patients who are unable to take responsibility for their own health.

[0121] Sensitive data is data that is potentially embarrassing or exposes the user's privacy in an inappropriate manner. The options for declaration are provided, but the user can either confirm or deny their choice. 4.4 Structuring into modules or profiles

[0122] The system presented is structured in profiles or modules, which, as already mentioned, are versions of data inclusion in the system, and submodules can be added that add data registration and management functionalities to the modules used.

[0123] These modules and submodules can be classified into four levels, according to the form of interaction they generate for the user. 4.4.1 Primary module

[0124] The main profile, or primary module, constitutes the user's most comprehensive record. The general user manages their own health and activity records through this general profile. It also has tools to monitor and verify the guidance and recommendations received.

[0125] All other modules revolve around different ways of feeding data to this module to assist you in your healthcare. Some of them may request necessary information from the general user in this process, but it is the user who selects which information is transmitted to the professionals who assist him.

[0126] The primary module comprises both users who are fully capable of managing their own information and records, as well as users who are not and require supervision by a responsible person.

[0127] The reasons for this need may be either because users are minors or because of some physical, neurological or mental disability that incapacitates them.

[0128] This differentiation of users opens space for the need for differentiation within the main profile, with the use of a profile supervised by a supervisory submodule by the guardian.

[0129] This profile has limited functionality and is supervised by the tutor, particularly with regard to the inclusion of medical information by the user himself and the sending of system information to non-medical professionals without the supervisor's consent. 4.4.2 Secondary modules

[0130] Used by care professionals to request information, carry out appointments and assessments, send forms, guidelines, recommendations, prescriptions, goals, reports and certificates.

[0131] It can also be used to apply medical diagnostic tools, such as tables of diagnostic criteria for a given disease or even medical scales for classifying risk or degree of involvement by the disease in question.

[0132] Data that require frequent evaluation, such as the NIHSS neurological assessment in stroke patients and the Glasgow scale in head trauma patients, can be objectively evaluated using secondary profile forms.

[0133] This module opens the possibility of recording data on users served and monitored, as well as feedback related to treatment.

[0134] It also opens up the possibility of generating standard documents and prescriptions that will be used for patient guidance and treatment, without having to generate all the files from scratch, thus facilitating care.

[0135] The profile in question may also be used to facilitate the collection of monitoring information and scientific research and reports, with the patient's due consent. 4.4.3 Tertiary module

[0136] The tertiary module does not make any requests, but it is important to facilitate the detailing of the calorie, carbohydrate and lipid composition of dishes and products produced by restaurants and other food services.

[0137] The calculation is estimated based on the ingredients used in the preparation of the dishes and constitutes additional data to bring the recommended diet closer to what is actually being ingested.

[0138] Documents are generated and can be distributed electronically to customers who intend to visit the establishment, those currently visiting, and those who have visited. The data can be converted into QR Codes or stored in tables. 4.4.4 Quaternary module

[0139] The quaternary module can be used by anyone to validate certificates against the database and record the certificates provided. Validation is performed via a QR code scanned from the user's certified app or a file received with the certificate data.

[0140] It can also validate current hospitalization or observation conditions through a generated QR code or document generated and sent in a targeted manner.

[0141] It also has a specific profile that can be used by authorized access controllers of health services, being able to recognize whether a patient has been discharged or formally withdrawn from treatment or needs to have formally recorded dropout. 4.5 Potential solution

[0142] Considering the deficiencies of current health monitoring, the process developed presents two interrelated concepts for innovatively solving the problems presented. The two major potential solutions of the system in question are:

[0143] - Complete and portable medical record with health information

[0144] - The ability to integrate the different aspects of care.

[0145] Medical records and health information, as already mentioned, are a right of the patient and not of hospitals in isolation, and in many cases there is difficulty in requesting copies and information, which often cannot wait.

[0146] The difficulty arises because the time of the incident is not the same as the time of service operation or because the latency between the request and the provision of the copy is long and the need for information is more immediate.

[0147] Often the patient even has copies of the exams and prescriptions, but in a rush to leave the house or because they are in another environment, they end up not having the papers at hand.

[0148] Another problem is when exams are very frequent, due to the demands of the health condition itself, and it becomes difficult to carry them all or even keep them organized by type and date for easy analysis.

[0149] Within the same network or agreement, information on outpatient and hospital consultations is often not interconnected, and information about them is lost when we switch from one service to another, simply because the system is not interconnected or is not the same.

[0150] As a way to meet the needs of comprehensive health care, the pillars of the system emerge, structuring the service in an integrated and comprehensive manner. 4.5.1 Pillars of the system

[0151] The first pillar of the system is the creation of a record of information on health care, comorbidities, laboratory and imaging tests, reports, recommendations and guidelines, prescriptions, and certificates.

[0152] A second pillar includes recording the patient's habits, addictions, physical activity, planning, and treatments. These factors are intrinsically linked to the patient's own participation in their own health care and should not be overlooked.

[0153] The third pillar of the system is the integration between types of care. Through the app or desktop version, users can check the fulfillment of prescriptions, recommendations, and medical guidance.

[0154] Guidance, recommendations, or prescriptions received through the app aren't static documents to be ignored. Whenever one of these functions is included, the system provides the option to add each item to the daily schedule, with the option to set an alarm and record whether the care was implemented or not.

[0155] A prescribed antibiotic goes directly into the user's daily activities schedule, according to the user's wishes, with the possibility of an automatic alarm at specified times so that the treatment does not fail.

[0156] At the same time as it alerts you to the need to use the medication, the use of medication following the application records the times when the medication is used.

[0157] This checks whether use is regular or not, as well as helping to identify whether blood pressure is fluctuating due to irregular use of the medication or failure of the current regimen to control blood pressure levels.

[0158] As part of this integration, a nutritionist's prescription more easily integrates the ingredients used in the diet and recipes with a supermarket shopping list, so that the diet does not fail due to forgetting one or another ingredient.

[0159] Personal trainers and physical education teachers can request medical information related to the locomotor, respiratory, and cardiovascular systems, that is, about pathologies that influence their professional activity and exercise prescription.

[0160] Laboratories and radiologists can enter laboratory and imaging test information in a more streamlined and easily viewable format, both by the main module and by the professionals to whom it is made available.

[0161] Routines for consuming sweets and sugars, as well as smoking and tooth brushing and flossing habits, can be data requested by dentists and analyzed to guide treatment and follow-up.

[0162] Restaurants can also, in turn, participate in the nutritional care of patients, generating tables containing the amount of carbohydrates, calories, sodium and fat present in the portions offered in their dishes.

[0163] To do this, they use the restaurant profile to include data in the system, which has a calculation method based on the ingredients used and their amount of calories, carbohydrates and lipids.

[0164] Unlike the secondary profile in which patient data can be requested, in the restaurant (tertiary) profile only informative files can be generated, which will then be made available on the website or even in the restaurant so that it can be included in the application by the user as a meal completed.

[0165] The fourth pillar is information confidentiality. The system does not have a fully automated way of sending data from one person to another, and the transmission of information relevant to service requires prior verification by the user of the information to be sent for authorization.

[0166] The general application itself has several security levels that can be selected by the user according to their information protection needs and system performance.

[0167] These levels range from encrypted transmission and coded data recording, with a password or authentication request each time the application returns to the screen, for fully functional people, to an application that remains open without a password, so that a vulnerable person can more easily record the medications they take and their routines.

[0168] The fifth and final pillar, but no less important, is the possibility of facilitating feedback to those involved in the care. Whenever receiving care, whether from a doctor or another professional, the patient chooses whether to authorize it. request for feedback regarding the service provided, and you may change your mind about this during the treatment.

[0169] If you authorize feedback, a document is generated at the end of the treatment on the proper use of the medication and whether there was an improvement or worsening of the condition, undergoing pre-authorization from the user before being sent to the professional.

[0170] One thing that is sorely lacking in emergency rooms in general is precisely this feedback, since in many places patients are seen by on-call doctors and not by the doctors or professionals who regularly see them (if they have any).

[0171] Even if it is the professional who is accompanying the patient, it is easier to follow the process in question, since there is no need to wait for the next appointment to find out about improvement or worsening. 4.6 Main profile in practical terms

[0172] Primary module, main profile, or user profile are all synonyms and reflect the system's main innovative focus. It consists of both records and tools for data integration and selection of data to be transferred.

[0173] The primary is the medical record itself with the information that the general user records and accesses from their cell phone or computer, with information saved on the device and / or updated in the cloud according to the data saving and updating options defined by the user.

[0174] The user always chooses which information will be transmitted before sending. Consultations and evaluations are not all the same, and the level of detail in a random one-off consultation is often not the same as in a follow-up consultation with the same doctor or another professional.

[0175] For a patient with a sore throat, for example, information about a current separation process may be considered irrelevant and undesirable. For a psychologist or coach, this information may be essential for setting goals and organizing activities.

[0176] The user also defines the level of detail they want to give to each segment of their profile according to the importance each area has for the For example, you can decide whether your daily planner includes information about each step of your day or just data about the type of activity more broadly, such as "study" or "work" or "physical activity."

[0177] They can include only the name of the active ingredient of the medication they are using or also include the pharmaceutical name and the laboratory that manufactures it, following this same line of reasoning.

[0178] All information that is included in the user's medical record in the system when receiving the service files goes through a preview before adding the information to the medical record.

[0179] In the case of a medical evaluation, data on the patient's complaints, diagnosis, and recommended treatment are displayed. When recommendations and prescriptions are present, the option to include them in the daily goals schedule is available, whether in the form of medications at the adjusted times, daily water intake, or even the gradual reduction of cigarette use to quit, for example.

[0180] Physical examination data, because they are full of technical terms that can be confused or misinterpreted by patients, cannot be viewed by patients, despite being stored in the medical record and transmitted in data to medical profiles that are authorized to view the care.

[0181] As a medical record, once the information has been entered, it cannot be deleted, only reservations made or records of subsequent corrections regarding the content previously presented.

[0182] The profile also features tools to help you more effectively record situations, habits, and events. These tools include features such as menstrual period, physical activity, water intake, alcohol consumption, cigarettes smoked, medication use, dental flossing, tooth brushing, and sexual activity.

[0183] The user also has options for pre-defining information to be transmitted in documents. The most important of these is the patient's emergency summary, a document containing basic information necessary for the user's emergency care.

[0184] This document contains essential information for pre-hospital care, such as allergies, use of anticoagulants, comorbidities such as epilepsy, hypertension, diabetes and previous stroke, as well as its sequelae.

[0185] Another tool is the designation of a trusted person, capable of taking control of the user's application on a temporary or permanent basis in the event of a disabling incident, such as a stroke or severe multiple trauma, which leaves the patient unconscious.

[0186] The information viewed by the trusted person can also be pre-restricted in the app's settings. However, in emergency situations, sensitive clinically relevant data can be transmitted in a medical record to the healthcare professional without the person in control having to know the information.

[0187] The diet log tool also plays an important role in the records, facilitating nutritional assessment and identifying hyperglycemia and hypoglycemia and their causes. Relationships between salt intake and blood pressure control can also be analyzed more easily if the user records this data. 4.7 Professionals and their profiles

[0188] The professionals involved in the care will be doctors, psychologists, dentists, nurses, nursing technicians and assistants, paramedics, nutritionists, physiotherapists, speech therapists, pharmacists, acupuncturists, pilates professionals, laboratory professionals, caregivers, chiropractors, personal trainers, physical education professionals and coaches.

[0189] Each of them will have a differentiated secondary module of the system, which will be a mobile application with its own computer program version so that it can generate user information requests, enter information and generate documents according to the scope of its capabilities.

[0190] The profile of the module used by doctors is the most comprehensive, with the possibility of providing information on the various areas of the individual and their activities, generation of prescriptions, recommendations and guidelines, reports, reports, description of surgeries and procedures and certificates.

[0191] The one used by psychologists is also quite comprehensive in terms of access to information, but it does not generate medication prescriptions, although it can generate guidance and recommendations.

[0192] The dentists' profile enables access to medical, dietary, and habit and addiction information, as well as the generation of prescriptions, descriptions of procedures and surgeries, recommendations, guidance, and certificates.

[0193] The profile of nursing, nursing technicians and assistants will enable the insertion of vital signs and description of care, such as catheterization and dressings, venous access and data on resuscitation measures performed during cardiorespiratory arrest.

[0194] The pre-hospital care profile is among the most restrictive and can only receive emergency information selected by the user for emergency situations in a pre-hospital environment.

[0195] However, it has tools for checking and reporting the incident, gathering information about the situation, which may be important for subsequent hospital care. This information is accessible both by the general medical record and by the physician providing hospital care.

[0196] This emergency information constitutes information on comorbidities that do not contain sensitive information and also contain previous sequelae, allergies and general medications, anticoagulants and controlled medications used.

[0197] This profile can be used by technicians, nurses, doctors and paramedics and includes tools for including vital signs, medications administered, time of start of care and cardiopulmonary resuscitation measures, subsequently assigned to the patient through a data transfer file.

[0198] Caregivers can feed information to the modules for fragile patients who need their assistance, but cannot request information other than emergency summaries or ongoing medications for checking.

[0199] Acupuncturists, massage therapists, chiropractors, and Pilates practitioners can enter information related to the treatment points used and correlate it with patient data regarding their health status. However, use of this submodule presupposes a degree in a higher education health program, such as medicine, physical education, or physiotherapy.

[0200] The veterinary profile allows the acquisition of information about the pet's data and the existence of infectious diseases transmissible to the animal.

[0201] It feeds the owners' system with general health information and the presence of diseases transmissible to humans or other animals, as well as recommendations, guidelines, and treatment prescriptions. It can also provide easy-to-use feedback on treatments performed and recommendations made.

[0202] Biochemists, biomedical scientists, and laboratory technicians can use the laboratory profile to provide organized test information for absorption by the user module.

[0203] Imaging exams can be made available by radiologists through a radiology submodule to include information in a form that can be absorbed by the user module and made available to their care professional.

[0204] The coaching profile involves contributing to the analysis and provision of data related to the individual's planning and goals, their expectations, and may include requests for information associated with the individual's psychological and psychiatric aspects.

[0205] The teacher profile may involve requesting information about cognitive disorders or illnesses that could interfere with teaching activities. This feeds the main module with grades, behavioral assessments, assignments, and recommendations. 4.8 Tertiary profile or supplementary dietary information profile

[0206] The tertiary profile is a tool for calculating dietary information based on dietary information about substances present in the ingredients used in the preparation, divided according to the portion of the total prepared.

[0207] The module allows the generation of information with a QR Code, with the possibility of digital signature of the restaurant or service in question so that the information is more easily assimilated into individuals' diets and calorie calculations.

[0208] Restaurants that use such a module or profile for calculation can associate their image with that of the program as a way of making it easier for users to acquire information. 4.9 The process itself 4.9.1 Data storage

[0209] The data will be stored on the device used by the individual, be it a cell phone, tablet or computer, with storage extended to a cloud server and the possibility of making backups of the information presented, to recover the information in the event of a disaster.

[0210] Server storage is useful both for facilitating portability between devices, with their synchronization, and for monitoring anonymous medical data of general interest, such as that needed to identify possible outbreaks, epidemics or even pandemics in progress, as well as for controlling security information and information retrieval by the individual. 4.9.2 Saving memory and time [0021 1 ] Data is stored in the form of numerical codes, established from the cataloging of names of symptoms, laboratory tests, descriptors of possible changes in imaging tests, diseases, procedures, possible changes in physical examination, medications.

[0212] With this form of registration, data consumption occurs more leanly, with significant savings in device memory usage.

[0213] Instead of recording, therefore, the items in these catalogued categories in the form of an entire sequence of bytes representing text characters to characterize the nominations of the items in these lists, assigned numerical codes are used.

[0214] The number of bytes for each item varies according to the number of items in the list, ranging from 2 to 4 bytes per registered item and represents a significant saving in storage resources.

[0215] As an example, we can mention a "Computerized tomography of the skull with intravenous contrast" exam, if recorded as a set of characters, it would total 61 characters to be recorded.

[0216] Recording this data according to the 8-bit ASCII standard would use 61 bytes and according to the UNICODE standard or other international character recording standards would use an even greater number of bytes.

[0217] As part of the cataloged form of registration, the name of the exam cited would be recorded by a sequence of only 4 specified bytes, that is, with a reduction of 15x or more in data consumption.

[0218] A search to find out whether the exam matches a search criterion would also be much more dynamic, since the number of bytes compared would be much smaller, with a process that is therefore faster and consumes less processing capacity.

[0219] A cough is not saved as a string of "cough" characters, but as a single number recorded as a 4-byte string, making it easier for both doctors and researchers to search for specific symptoms.

[0220] This code storage also facilitates translations. If the number 1247, for example, means cough, when translation is needed, the code is simply interpreted as "cough" in English.

[0221] This differentiation occurs in the form of language packs, which consist of tables associating codes with their respective names in text form, for viewing data according to the language chosen by the user or professional accompanying them.

[0222] With this cataloged and more easily translatable organization, language barriers can be greatly reduced, so that service is continuous and complete anywhere in the world.

[0223] Comparisons between searches can be made language-independently, as storage uses the same codes regardless of language.

[0224] Scientific research can involve professionals of various nationalities and languages, without the need for costly translation efforts to read and interpret the data.

[0225] Scientific papers published through this process can be read in different countries with automatic translation of the data using the language pack already used by the user. 4.9.3 Electrocardiogram digitization The electrocardiogram tracing can be digitized through the image of the printed exam by an artificial intelligence algorithm associated with the image acquisition by the camera of the device associated with the main module or professionals, so that it can be saved economically and without data loss. The line is recognized on the graph paper and saved as coordinate points plotted on a continuous graph. This technique is much less memory-intensive than storing the countless pixels of an image on devices. 4.9.4 Data analysis by artificial intelligence

[0226] Data recorded on the server is analyzed anonymously by artificial intelligence to identify patterns of symptoms, signs and diagnoses, with the potential to identify new outbreaks, epidemics or even pandemics.

[0227] The main focus is the detection of potentially serious infectious diseases that spread rapidly through the population.

[0228] Data entered into prescriptions and medical records are compared to generate automatic alerts for allergies, drug interactions, maximum dose, food interactions, risks of use during pregnancy, breastfeeding, childhood, decreased effects of contraceptives and other potential inadequacies.

[0229] These alerts seek to increase patient safety, potentially improving care and reducing harm associated with healthcare. 4.9.5 General user

[0230] The process includes several tools, as previously highlighted, which work together to record information on smartphones, tablets, computers and in the service provider's own database.

[0231] The user makes an initial registration with their personal data and a supporting image of their identity document, chooses a login and password authentication method and becomes part of the system's general user group after the registration is approved.

[0232] Personal identification data, physical characteristics, habits, preferences, residence, planning, health, school, dietary, financial, professional and pet monitoring data are added directly by the user or absorbed through a file generated by a professional or food service.

[0233] When following up with a professional, a request for specific data can be made through a file generated by the secondary module or by the professional, and the user defines whether to approve the sending of all requested information, generating a file or QR code in response to the professional.

[0234] The generated file or QR code contains the necessary data directed to the requesting professional, encoded with a cryptographic mechanism specified in the request, so that only the professional's application can see the message.

[0235] After the consultation, service or evaluation, another file is generated, according to the encryption mechanism specified in the user's response, so that only the user's application can read the returned file.

[0236] Care data may include history, physical examination, diagnosis, guidelines, reports, certificates, recommendations, and prescriptions. This data is then viewed by the user, with the exception of the physical examination, and then added to the user's health data after viewing.

[0237] Various tools are available to facilitate the collection of user data including:

[0238] - Data stream selection:

[0239] -- Tool for pre-selecting information to be transmitted and for creating emergency medical information, information for teachers, personal trainers, coaches and other professionals.

[0240] -- Trusted person linking tool for rapid warning in case of emergency and assumption of control in case of sudden incapacitating emergency.

[0241] -- Easy feedback tool regarding the success or failure of treatment or professional monitoring.

[0242] -- Tool for controlling and supervising records and activities of individuals under your responsibility.

[0243] -- Tool for monitoring domestic animals, their vaccination, behavioral and health status.

[0244] -- Preview data submission for approval.

[0245] -- Backup generator.

[0246] -- Synchronizer with database.

[0247] - Data insertion and checking:

[0248] -- Personal data modifier.

[0249] -- Vaccine registrar.

[0250] -- “Medicômetro”, a tool that transforms prescriptions and recommendations into scheduled alarms and checks for medication use and adherence to recommendations.

[0251] -- Recorders of water intake, alcohol consumption, cigarette smoking, other drug use, dental flossing, and tooth brushing

[0252] -- Daily food recorder, which imports dietary recommendations made by a nutritionist.

[0253] -- Physical activity recorder, adjustable and as stipulated by the user or personal trainer, with the possibility of monitoring vital signs and distance covered through attached sensors, such as bracelets and watches.

[0254] -- Smart graphs for tracking growth and development.

[0255] -- Automatically generated and adjustable shopping list, based on nutritional recommendations made by a nutritionist.

[0256] -- Daily goals agenda, including studies, physical activity, leisure and work.

[0257] -- Carb counting tool for diabetics and dietary purposes.

[0258] -- Menstrual recorder, for entering data and checking cycle details.

[0259] -- Tool for documenting sleep quality and quantity and quantifying daily and periodic stress.

[0260] -- Tool for documenting life choices and personal preferences

[0261] - Viewing and inserting data:

[0262] -- Lifeline viewer.

[0263] -- Viewer in textual data.

[0264] -- Visual map viewer of the human body (2D or 3D representation of the human body, with visualization of selected factors).

[0265] -- Growth and development charts.

[0266] -- School performance recorder, with grades and subjects.

[0267] -- Viewer of information such as training and resume.

[0268] -- Evaluator of professionals involved in care.

[0269] -- Symptom descriptor, for organizing symptoms presented before medical care

[0270] - Real-time medical translation chat

[0271] -- Viewer of prescribed medications during hospitalization, with potential correction of times to others closer to the usual ones

[0272] -- View daily medical bulletin for hospitalized patients, with the ability to select who has access to view it among their family members, partners and friends.

[0273] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[0274] -- QR Code reader for checking another individual's emergency medical summary.

[0275] - Emergency button linked to the medical record to alert a trusted person.

[0276] As a medical record, information cannot be deleted, only rectified, as it constitutes a collection of an individual's documents. Data such as preferences and religious beliefs can be updated, but old data from before the update remains recorded as outdated information. 4.9.5.1 Supervisor submodule

[0277] In the supervision module, an extension of the general user module, the supervisor has access to the supervised user's information inclusion and data submission tools, and can modify them as needed, as well as the supervised user's degree of access to information records.

[0278] Additional care management tools are:

[0279] - Transfer of ownership.

[0280] - Share care.

[0281] - Temporary care

[0282] - Report disappearance or death

[0283] - Control restrictions and access permissions to registration and data flow tools 4.9.5.2 Pet Friend Submodule

[0284] In the Pet Friend submodule, also an extension of the main user, the general user controls all data insertion and flow tools in an isolated or shared way.

[0285] With this module, animal data can be characterized, such as species, appearance, size, weight, date of birth, illnesses, hospitalizations, activities, and behaviors.

[0286] The care control tools are:

[0287] - Transfer of ownership

[0288] - Share care

[0289] - Temporary care

[0290] - Report disappearance or death

[0291] Basic functionality tools include:

[0292] - Data stream selection:

[0293] -- Easy feedback tool regarding the success or failure of treatment or professional monitoring.

[0294] -- Preview data submission for approval.

[0295] - Data insertion and checking:

[0296] -- Personal data modifier.

[0297] -- Vaccine and deworming registrar

[0298] -- “Medicômetro”, a tool that transforms prescriptions and recommendations into scheduled alarms and checks for medication use and adherence to recommendations.

[0299] -- Water intake recorders.

[0300] -- Heat, castration and mating recorder.

[0301] -- Daily feeding recorder, which imports dietary recommendations made by a veterinary professional.

[0302] -- Record physical activity, such as walks and energetic games.

[0303] -- Growth and development tracking charts

[0304] -- Automatically generated and adjustable shopping list, based on nutritional recommendations made by a veterinarian, attachable to the user's own.

[0305] -- Daily schedule of physical activity, attention to the pet, time alone, feeding.

[0306] - Viewing and inserting data:

[0307] -- Lifeline viewer.

[0308] -- Viewer in textual data.

[0309] -- Visual map viewer of the animal body.

[0310] -- Evaluator of professionals involved in care. [0031 1 ] -- Symptom descriptor, for organizing symptoms presented before veterinary care

[0312] -- Viewer of prescribed medications during hospitalization

[0313] -- View daily medical bulletin for hospitalized animals 4.9.6 Professional modules

[0314] In the case of professional or secondary modules, registration can be carried out to begin use, however, proof with diploma documentation and registration with a professional council is required for security purposes and to limit the available functionalities of the modules.

[0315] Once the documentation is verified, the account is activated and the professional has access to the features they are responsible for, including requesting information, generating standard documents and forms, sending documents, and analyzing and recording data about their clients.

[0316] After completing registration, professionals also receive digital signatures associated with their registrations, and the document information entered by them is identified and confirmed electronically. 4.9.6.1 Medical module

[0317] It's one of the main sources and trackers of health information. It's comprised of tools that include:

[0318] - Data request:

[0319] --Wi-Fi data request file sender.

[0320] -- Bluetooth data request file sender.

[0321] -- QR Code generator for data request.

[0322] - Data visualization:

[0323] -- Lifeline Viewer

[0324] -- Textual data viewer, with differentiation between data entered by the user or by another professional

[0325] -- Visual map viewer of the human body

[0326] -- Growth and development charts

[0327] -- School performance viewer, with grades and subjects

[0328] -- Viewer of users served / accompanied

[0329] -- Filtered custom viewer of reported physical exam, diagnostic, laboratory, and imaging information

[0330] -- Medical Bulletin Viewer

[0331] -- Medical, dental and nursing prescriptions

[0332] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood, and decreased effect of contraceptives.

[0333] -- QR Code reader for checking emergency medical summary

[0334] - Data insertion:

[0335] -- Scales, indexes, diagnostic criteria, forms already created

[0336] -- Care protocols such as sepsis, chest pain, TBI, stroke, PCR, prenatal

[0337] - Visual map recording physical injuries, sequelae, scars and deformities.

[0338] -- Service record with the sessions main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, diagnosis, additional tests, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0339] -- Medical prescription.

[0340] -- Vital signs entry.

[0341] -- Screening and risk classification.

[0342] -- Indication for surgical procedure.

[0343] -- Description of procedure.

[0344] - Creation of standard documents:

[0345] -- Form generator.

[0346] -- Orientation generator.

[0347] -- Recommendation generator.

[0348] -- Standard prescription generator.

[0349] -- Standard certificate generator.

[0350] -- Standard report generator.

[0351] -- Standard report generator.

[0352] -- Generator of terms of knowledge and consent.

[0353] -- Default goal generator.

[0354] -- Standard medical report generator.

[0355] -- Standard exam request generator.

[0356] - Data organization and filtering.

[0357] -- Appointment schedule, which details appointment times but also displays patient file information for direct access, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, or first appointment, for example.

[0358] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0359] -- Patient statistics analyzer, which can graphically display selected information about monitoring, such as how many users follow recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0360] - Sending data

[0361] -- Data sender via Wi-Fi

[0362] -- Bluetooth data sender

[0363] -- QR code generator for sending data 4.9.6.2 Dentistry module

[0364] It consists of contributing to the recording of information associated with the assessment of problems and natural events related to chewing, teeth, dentures, and the face. It consists of tools that include:

[0365] - Data request:

[0366] --Wi-Fi data request file sender.

[0367] -- Bluetooth data request file sender.

[0368] -- QR Code generator for data request.

[0369] - Data visualization:

[0370] -- Lifeline viewer.

[0371] -- Textual data viewer, with differentiation between data entered by the user or by another professional.

[0372] -- Visual map viewer of the human body, mainly odontogram.

[0373] -- Growth and development charts.

[0374] -- School performance viewer, with grades and subjects.

[0375] -- Viewer of users served / accompanied.

[0376] -- Filtered personalized viewer of reported information from physical examination, diagnosis, laboratory and imaging tests.

[0377] -- Medical bulletin viewer.

[0378] -- Medical and nursing prescription.

[0379] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[0380] -- QR Code reader for checking emergency medical summary

[0381] - Data insertion

[0382] -- Scales, indexes, diagnostic criteria, forms already created

[0383] -- Care protocols such as trauma, exposed fracture

[0384] -- Visual map recording physical injuries, sequelae, scars and deformities, sepsis

[0385] -- Service record with the sessions main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, diagnosis, additional tests, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0386] -- Dental prescription.

[0387] -- Vital signs entry.

[0388] -- Indication for surgical procedure.

[0389] -- Description of procedure.

[0390] - Creation of standard documents:

[0391] -- Form generator.

[0392] -- Orientation generator.

[0393] -- Recommendation generator.

[0394] -- Standard prescription generator.

[0395] -- Standard certificate generator.

[0396] -- Standard report generator.

[0397] -- Standard report generator.

[0398] -- Generator of terms of knowledge and consent.

[0399] -- Default goal generator.

[0400] -- Standard medical report generator.

[0401] -- Standard exam request generator.

[0402] - Data organization and filtering:

[0403] -- Appointment schedule, which details appointment times but also displays patient file information for direct access, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, or first appointment, for example.

[0404] -- Served Users Viewer, which displays the list of all users followed for viewing and requests

[0405] -- Patient statistics analyzer, with which selected information about the follow-up can be displayed graphically, such as how many users follow the recommendations, how many follow them irregularly, for example, how many gave feedback, how many liked them, among other characteristics of the service.

[0406] - Sending data

[0407] -- Data sender via Wi-Fi

[0408] -- Bluetooth data sender

[0409] -- QR code generator for sending data 4.9.6.3 Nursing module

[0410] It can be used by nurses, nursing technicians, and nursing assistants, depending on their professional capabilities. Its information and visualizations are based on the essential complement these professionals provide to the services provided by other evaluators. [0041 1 ] Its tools include:

[0412] - Data request:

[0413] --Wi-Fi data request file sender.

[0414] -- Bluetooth data request file sender.

[0415] - QR Code generator to request data.

[0416] - Data visualization:

[0417] -- Lifeline viewer.

[0418] -- Textual data viewer, with differentiation between data entered by the user or by another professional.

[0419] -- Visual map viewer of the human body.

[0420] -- Growth and development charts.

[0421] -- School performance viewer, with grades and subjects.

[0422] -- Viewer of users served / accompanied.

[0423] - Filtered personalized viewer of reported information, physical examination, diagnostics, laboratory and imaging tests.

[0424] -- Medical bulletin viewer.

[0425] -- Medical, dental and nursing prescriptions.

[0426] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[0427] -- QR Code reader for checking emergency medical summary.

[0428] - Data insertion:

[0429] -- Scales, indexes, diagnostic criteria, forms already created.

[0430] -- Care protocols such as sepsis, chest pain, TBI, stroke, PCR, prenatal.

[0431] -- Visual map recording physical injuries, sequelae, scars and deformities.

[0432] -- Service record with the main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, nursing diagnosis, additional tests, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0433] -- Nursing prescription.

[0434] -- Vital signs entry.

[0435] -- Screening and risk classification.

[0436] -- Description of procedure.

[0437] - Creation of standard documents:

[0438] -- Form generator.

[0439] - Orientation generator.

[0440] - Recommendation generator.

[0441] -- Standard prescription generator.

[0442] -- Generator of terms of knowledge and consent.

[0443] - Default goal generator.

[0444] - Data organization and filtering:

[0445] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0446] - Patient statistics analyzer, which can be used to graphically display selected information about monitoring, such as how many users follow the recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0447] - Sending data:

[0448] -- Data sender via Wi-Fi.

[0449] -- Data sender via Bluetooth.

[0450] -- QR code generator for sending data. 4.9.6.4 Physiotherapy module

[0451] Contributes to the facilitation of your individual's physical and functional aspects, recording data and activities related to these physical functions. It consists of tools that include:

[0452] - Data request:

[0453] --Wi-Fi data request file sender.

[0454] - Bluetooth data request file sender.

[0455] - QR Code generator to request data.

[0456] - Data visualization:

[0457] -- Lifeline viewer.

[0458] - Textual data viewer, with differentiation between data entered by the user or by another professional.

[0459] -- Visual map viewer of the human body.

[0460] -- Growth and development charts.

[0461] -- School performance viewer, with grades and subjects.

[0462] -- Viewer of users served / accompanied.

[0463] - Filtered personalized viewer of reported information, physical examination, diagnostics, laboratory and imaging tests.

[0464] -- Medical bulletin viewer.

[0465] -- Medical and nursing prescription.

[0466] - QR Code reader to check the emergency medical summary.

[0467] - Data insertion:

[0468] -- Scales, indexes, diagnostic criteria, forms already created.

[0469] -- Care protocols such as mechanical ventilation, prevention of ventilator-associated pneumonia, functional rehabilitation of limbs affected by trauma.

[0470] -- Visual map recording physical injuries, sequelae, scars and deformities.

[0471] -- Care record with the sessions, main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, physiotherapy diagnosis, prescription, guidelines, recommendations or goals and reports.

[0472] -- Exercise prescription.

[0473] -- Vital signs entry.

[0474] -- Description of procedure.

[0475] - Creation of standard documents:

[0476] -- Form generator.

[0477] -- Orientation generator.

[0478] -- Recommendation generator.

[0479] -- Standard prescription generator.

[0480] -- Standard report generator.

[0481] -- Generator of terms of knowledge and consent.

[0482] -- Default goal generator.

[0483] - Data organization and filtering:

[0484] -- Appointment schedule, which details appointment times but also displays patient file information for direct access, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, or first appointment, for example.

[0485] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0486] -- Patient statistics analyzer, which can graphically display selected information about monitoring, such as how many users follow recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0487] - Sending data:

[0488] -- Data sender via Wi-Fi

[0489] -- Bluetooth data sender

[0490] -- QR code generator for sending data 4.9.6.5 Speech therapy module

[0491] It provides records and assessments related to speech, hearing, swallowing, and articulation. It consists of tools that include:

[0492] - Data request:

[0493] --Wi-Fi data request file sender.

[0494] - Bluetooth data request file sender.

[0495] - QR Code generator to request data.

[0496] - Data visualization:

[0497] -- Lifeline viewer.

[0498] - Textual data viewer, with differentiation between data entered by the user or by another professional.

[0499] -- Visual map viewer of the human body.

[0500] -- Growth and development charts.

[0501] -- School performance viewer, with grades and subjects.

[0502] -- Viewer of users served / accompanied.

[0503] - Filtered personalized viewer of reported information, physical examination, diagnostics, laboratory and imaging tests.

[0504] -- Medical bulletin viewer.

[0505] -- Medical and nursing prescription.

[0506] - QR Code reader to check the emergency medical summary.

[0507] - Data insertion:

[0508] -- Scales, indexes, diagnostic criteria, forms already created.

[0509] -- Care protocols such as sepsis, chest pain, TBI, ACLS, PCR, prenatal.

[0510] -- Visual map recording physical injuries, sequelae, scars and deformities [0051 1 ] -- Service record with the sections main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, diagnosis, additional examinations, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0512] -- Exercise prescription.

[0513] -- Vital signs entry.

[0514] -- Description of procedure.

[0515] - Creation of standard documents:

[0516] -- Form generator.

[0517] -- Orientation generator.

[0518] -- Recommendation generator.

[0519] -- Standard prescription generator.

[0520] -- Standard certificate generator.

[0521] -- Standard report generator.

[0522] -- Standard report generator.

[0523] -- Generator of terms of knowledge and consent.

[0524] -- Default goal generator.

[0525] -- Standard medical report generator.

[0526] -- Standard exam request generator.

[0527] - Data organization and filtering:

[0528] -- Appointment schedule, which details appointment times but also displays patient file information for direct access, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, or first appointment, for example.

[0529] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0530] -- Patient statistics analyzer, which can be used to graphically display selected information about monitoring, such as how many users follow the recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0531] - Sending data:

[0532] -- Data sender via Wi-Fi.

[0533] -- Data sender via Bluetooth.

[0534] -- QR code generator for sending data 4.9.6.6 Psychology Module

[0535] It's one of the main sources and trackers of health information. It's comprised of tools that include:

[0536] - Data request

[0537] --Wi-Fi data request file sender.

[0538] -- Bluetooth data request file sender.

[0539] - QR Code generator to request data.

[0540] - Data visualization:

[0541] -- Lifeline viewer.

[0542] - Textual data viewer, with differentiation between data entered by the user or by another professional.

[0543] -- Visual map viewer of the human body.

[0544] -- Growth and development charts.

[0545] -- School performance viewer, with grades and subjects.

[0546] -- Viewer of users served / accompanied.

[0547] -- Filtered personalized viewer of reported information from clinical examination, diagnosis, laboratory and imaging tests.

[0548] -- Medical bulletin viewer.

[0549] -- Medical and nursing prescription.

[0550] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[0551] -- QR Code reader for checking emergency medical summary.

[0552] - Data insertion:

[0553] -- Scales, indexes, diagnostic criteria, forms already created

[0554] -- Care protocols such as sepsis, chest pain, TBI, stroke, PCR, prenatal

[0555] - Visual map recording physical injuries, sequelae, scars and deformities.

[0556] -- Service record with the sessions, main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, psychological diagnosis, additional tests, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0557] - Prescription of goals and strategies.

[0558] -- Vital signs entry.

[0559] - Session description.

[0560] - Creation of standard documents:

[0561] -- Form generator.

[0562] - Orientation generator.

[0563] - Recommendation generator.

[0564] - Standard prescription generator.

[0565] - Standard certificate generator.

[0566] - Standard report generator.

[0567] - Standard report generator.

[0568] -- Generator of terms of knowledge and consent.

[0569] - Default goal generator.

[0570] -- Standard medical report generator.

[0571] -- Standard exam request generator.

[0572] - Data organization and filtering:

[0573] -- Appointment schedule, which details appointment times but also displays patient file information for direct access, with pre-specified color coding according to the characteristics to be filtered. Specific colors can be selected to designate irregular treatment, irregular follow-up, or first appointment, for example.

[0574] -- Served Users Viewer, which displays the list of all users followed for viewing and requests

[0575] -- Patient statistics analyzer, which can graphically display selected information about monitoring, such as how many users follow recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0576] - Sending data:

[0577] -- Data sender via Wi-Fi

[0578] -- Bluetooth data sender

[0579] -- QR code generator for sending data 4.9.6.7 Pharmacy module

[0580] It has tools that enable authentication of medical prescriptions, as well as whether the professional authorizes the replacement of the prescribed medication with another with the same active ingredient in case of shortage.

[0581] Once the medication is dispensed, the prescription authentication record is updated in the database, with the dispensing information, ensuring there are no duplicates in the dispensing.

[0582] In the case of continuous prescriptions or those intended for treatment lasting more than one month, the dispensing of medication for the next month will only be available after 20 days from the previous withdrawal.

[0583] In continuous revenues, however, validation of three consecutive withdrawals within an interval of less than 50 days will not be permitted.

[0584] The module tools are:

[0585] - Prescription identifier by QR code.

[0586] - Prescription validator against the database.

[0587] - Dispensing recorder, informing the pharmaceutical name of the product, classification as generic, reference or similar, laboratory, quantity dispensed and date.

[0588] - Cancellation is possible within 30 minutes of registering the dispensing, in cases where the purchase could not be completed.

[0589] - QR Code reader to check the emergency medical summary. 4.9.6.8 Emergency module

[0590] It's a tool for inputting pre-hospital care data. It consists of tools that include:

[0591] - Data acquisition:

[0592] -- QR Code reader for checking emergency medical summary.

[0593] - Data visualization:

[0594] -- Viewer of users served.

[0595] -- Filtered personalized viewer of reported information from physical examination, diagnosis, laboratory and imaging tests.

[0596] -- Automatic tool for analyzing drug and food interactions, as well as contraindications in situations such as pregnancy, breastfeeding and childhood.

[0597] - Data insertion:

[0598] -- Scales, indexes, diagnostic criteria, forms already created.

[0599] -- Care protocols such as sepsis, chest pain, TBI, stroke, CPA, trauma.

[0600] -- Visual map recording physical injuries, sequelae, scars and deformities.

[0601] -- Care record with the main complaint or reason for care, symptoms, physical examination or problems identified, mechanism of the accident (when applicable), diagnosis, additional tests.

[0602] -- Measurements taken.

[0603] -- Vital signs entry.

[0604] -- Screening and risk classification.

[0605] -- Description of procedure.

[0606] - Creation of standard documents:

[0607] -- Form generator.

[0608] -- Standard measurements generator.

[0609] -- Standard report generator.

[0610] - Data organization and filtering: [0061 1 ] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0612] -- Patient statistics analyzer, which can graphically display selected information about monitoring, such as how many users follow recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other characteristics of the service.

[0613] - Sending data:

[0614] -- Data sender via Wi-Fi.

[0615] -- Data sender via Bluetooth.

[0616] -- QR code generator for sending data. 4.9.6.9 Caregiver Module

[0617] Caregivers may be accepted upon presentation of certificates from courses related to the care of frail patients, and may only absorb information on medications in use, with their respective usual times of use, recommendations, guidelines, and enter vital signs and general care reports.

[0618] The information needed for your service is selected and sent by the user's supervisor. The tools are:

[0619] - Data insertion and checking:

[0620] -- “Medicômetro”, a tool that transforms prescriptions and recommendations into scheduled alarms and checks for medication use and adherence to recommendations.

[0621] -- Vital signs recorder.

[0622] -- Water intake, urine output and bowel movements recorders.

[0623] -- Daily food recorder, which imports dietary recommendations made by a doctor or nutritionist.

[0624] -- Menstrual recorder, in case of patient of childbearing age.

[0625] -- Tool for documenting sleep and wakefulness, agitation, confusion and lucidity.

[0626] - Viewing and inserting data:

[0627] -- Lifeline viewer.

[0628] -- Viewer in textual data.

[0629] -- Visual map viewer of the human body, for describing and monitoring pressure sores, bruises and other changes noticed during care, catheters, probes and other devices.

[0630] -- Symptom descriptor, for organizing symptoms presented before medical care.

[0631] -- View prescription medications and care recommendations.

[0632] -- Viewer of monitored patients, with recorded data on previous appointments. 4.9.6.10 Veterinary module

[0633] Through the veterinary module, both the animal's health and routines can be monitored, absorbing information sent by the supervisor and generating prescriptions, recommendations, and guidance, as well as information on evaluations and exams.

[0634] The tools are:

[0635] - Data request:

[0636] --Wi-Fi data request file sender.

[0637] -- Bluetooth data request file sender.

[0638] -- QR Code generator for data request.

[0639] - Data visualization:

[0640] -- Online animal life viewer.

[0641] -- Textual data viewer, with differentiation between data entered by the user or by another professional.

[0642] -- Visual map viewer of the animal's body.

[0643] -- Evolutionary growth charts.

[0644] -- Usual daily routine recorder.

[0645] -- Viewer of patients attended / monitored.

[0646] -- Filtered personalized viewer of reported information from physical examination, diagnosis, laboratory and imaging tests.

[0647] -- Veterinary bulletin viewer.

[0648] -- Veterinary prescription.

[0649] -- Automatic tool for analyzing drug and food interactions.

[0650] - Data insertion:

[0651] -- Scales, indexes, diagnostic criteria, forms already created.

[0652] -- Care protocols such as sepsis, trauma.

[0653] -- Visual map recording physical injuries, sequelae, scars and deformities.

[0654] -- Service record with the sessions main complaint or reason for seeking treatment, symptoms, physical examination or problems identified, diagnosis, additional tests, prescription, guidelines, recommendations or goals, certificates, reports and reports.

[0655] -- Veterinary prescription.

[0656] -- Vital signs entry.

[0657] -- Indication for surgical procedure.

[0658] -- Description of procedure.

[0659] -- Behavior recorder.

[0660] - Creation of standard documents:

[0661] -- Form generator.

[0662] -- Orientation generator.

[0663] -- Recommendation generator.

[0664] -- Standard prescription generator.

[0665] -- Standard report generator.

[0666] -- Standard report generator.

[0667] -- Generator of terms of knowledge and consent.

[0668] -- Default goal generator.

[0669] -- Standard veterinary report generator.

[0670] -- Standard exam request generator.

[0671] - Data organization and filtering:

[0672] --A consultation schedule, which details appointment times and also displays directly accessible animal file information, color-coded according to the characteristics to be filtered. Specific colors can be selected to indicate irregular treatment, irregular follow-up, or first appointment, for example.

[0673] -- Viewer of attended animals, which displays the list of all users followed for viewing and requests.

[0674] -- Animal statistics analyzer, which can graphically display selected information about monitoring, such as how many supervisors follow the recommendations, how many follow irregularly, for example, how many provided feedback, how many liked the service, among other characteristics of the service.

[0675] - Sending data:

[0676] -- Data sender via Wi-Fi.

[0677] -- Data sender via Bluetooth.

[0678] -- QR code generator for sending data. 4.9.6.11 Radiology submodule

[0679] The radiology submodule consists of a tool for generating medical and veterinary reports of medical examinations and is linked to the presence of a functioning secondary doctor or veterinarian module.

[0680] Information on changes or normality in the report is included in a cataloged form and associated with numerical codes instead of sets of text characters, and is therefore recorded in an economical and more easily searchable and translatable manner.

[0681] A file is generated and then made available to the user for viewing, saving and later making the information available to professionals who evaluate it. 4.9.6.12 Laboratory module

[0682] The laboratory module is a tool for recording data associated with laboratory tests in the form of numerical codes that symbolize the names of the parameters analyzed.

[0683] The parameters are cataloged, eliminating the need for costly character string recording. Reference values ​​for the tests and the date they were performed are also recorded.

[0684] In the event of hospitalization, observation and evaluation at the hospital level, critical altered test results can be reported directly to the requesting physician or the doctor on duty at the time in question in their module. 4.9.6.13 Search module

[0685] It constitutes a professional module that can be used by various healthcare professionals, after approval of a specific registration, linked to the professional council registration number.

[0686] It presents data collection that preserves the identity of individuals, while at the same time differentiating between studied individuals in the system, not accepting duplicate data entry.

[0687] Each survey also generates a log file containing the sampling data, so that in the case of systematic reviews it is possible to eliminate overlapping information about the same individuals.

[0688] Differentiation occurs through the generation of a unique identification number for each individual who is registered in a specific database that associates the individual with their unique registration number in the system.

[0689] It has tools for:

[0690] - Data creation:

[0691] -- Generation of a standard data collection form for research, containing the deadlines for resubmitting data.

[0692] -- Generation of standard guidance on the reason for the survey.

[0693] -- Generation of standard research participation consent form.

[0694] -- Generation of research standard prescription or recommendation.

[0695] -- QR code generator for accessing information and participating in the survey.

[0696] - Data organization and analysis:

[0697] -- Tool for grouping collected data, for organizing data visualization, in the form of tables or graphs of sample distribution.

[0698] -- Filter displayed information, selecting between specific information for independent viewing.

[0699] -- Map visualization of the distribution of the studied characteristics.

[0700] -- Statistical significance checker for selected associations 4.9.6.14 Personal trainer module

[0701] Used by physical education professionals to contribute to the organization and progression of physical activity, tailored to the user's capabilities and limitations. It consists of tools that include:

[0702] - Data request:

[0703] --Wi-Fi data request file sender.

[0704] -- Bluetooth data request file sender.

[0705] -- QR Code generator for data request.

[0706] - Data visualization:

[0707] -- Lifeline viewer.

[0708] -- Textual data viewer, with differentiation between data entered by the user or by another professional.

[0709] -- Visual map viewer of the human body.

[0710] -- Growth and development charts. [0071 1 ] -- Viewer of users served / accompanied.

[0712] -- Filtered personalized viewer of reported information, physical aspects, diagnoses, and laboratory and imaging exams.

[0713] -- QR Code reader for checking emergency medical summary.

[0714] - Data insertion:

[0715] -- Visual map recording physical injuries, sequelae, scars and deformities.

[0716] -- Service record with the reason for the visit, physical characteristics, problems identified, physical diagnosis, exercise prescription, guidelines, recommendations or goals.

[0717] - Creation of standard documents:

[0718] -- Form generator.

[0719] -- Orientation generator.

[0720] -- Recommendation generator.

[0721] -- Standard exercise prescription generator.

[0722] -- Generator of terms of knowledge and consent.

[0723] -- Default goal generator.

[0724] - Data organization and filtering:

[0725] -- Appointment schedule, which details appointment times and also displays directly accessible patient file information, color-coded according to the characteristics to be filtered. Specific colors can be selected to indicate irregular follow-up, first assessment, for example.

[0726] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0727] -- Analyzer of customer statistics, which can be used to graphically display selected information about the monitoring, such as how many users follow the recommendations, how many follow irregularly, for example, how many gave feedback, how many liked the service, among other service characteristics.

[0728] - Sending data:

[0729] -- Data sender via Wi-Fi.

[0730] -- Data sender via Bluetooth.

[0731] -- QR code generator for sending data. 4.9.6.15 Teacher Module

[0732] Teachers also absorb data intended for them selected by the supervisor, with the ability to send grades, warnings and praise through their registration tool.

[0733] Your tools are therefore:

[0734] - Viewer of monitored students.

[0735] - Basic medical data viewer related to learning.

[0736] - Recorder of grades, behaviors, praise and school warnings, for use by teachers. 4.9.6.16 Coaching module

[0737] This module's contributions involve the individual's planning and organization of their schedule, expectations, and goals based on their interests and time resources spent on their priorities. Its tools include:

[0738] - Data request:

[0739] --Wi-Fi data request file sender.

[0740] -- Bluetooth data request file sender.

[0741] - QR Code generator to request data.

[0742] - Data visualization:

[0743] -- Lifeline viewer.

[0744] - Textual data viewer, with differentiation between data entered by the user or by another professional.

[0745] -- Visual map viewer of the human body.

[0746] -- School performance viewer, with grades and subjects.

[0747] -- Viewer of users served / accompanied.

[0748] -- Filtered custom viewer of reported information, identified issues.

[0749] - Data insertion:

[0750] -- Forms already created.

[0751] -- Service record with the sessions main complaint or reason for seeking treatment, problems identified, organizational diagnosis, prescription of strategies, guidelines, recommendations or goals.

[0752] -- Prescription of goals.

[0753] - Creation of standard documents:

[0754] -- Form generator.

[0755] -- Orientation generator.

[0756] -- Recommendation generator.

[0757] -- Standard prescription generator.

[0758] -- Generator of terms of knowledge and consent.

[0759] -- Default goal generator.

[0760] - Data organization and filtering:

[0761] --A service schedule that details appointment times and also displays user file information for direct access, color-coded according to the characteristics to be filtered. Specific colors can be selected to indicate irregular attendance, irregular follow-up, or first evaluation, for example.

[0762] -- Viewer of users served, which displays the list of all users followed for viewing and requests.

[0763] -- User statistics analyzer, which can graphically display selected information about monitoring, such as how many users follow recommendations, how many follow irregularly, for example, how many gave feedback, how many liked it, among other service characteristics.

[0764] - Sending data:

[0765] -- Data sender via Wi-Fi.

[0766] -- Data sender via Bluetooth.

[0767] -- QR code generator for sending data. 4.9.6.17 Chiropractic, massage therapy, acupuncture and pilates submodule

[0768] They are actually complementary service extensions, which can be added to the modules of other health professionals, such as doctors, physiotherapists and physical education professionals.

[0769] Its tools involve the addition of visual maps containing action points for recording and monitoring treatments performed, in addition to the tools already present in the modules of the professionals who provide the service. 4.9.7 Tertiary module or food module

[0770] Restaurant modules and the like are modules that only contribute to the main module by creating data for customers to absorb about their nutritional characteristics.

[0771] This information will be made available through a table generated by the program or through a QR Code.

[0772] Despite this unique and important contribution to the main module, it can be useful to food services when planning healthier dishes, better planning the reduction of fats, sugars and salt in their preparation. 4.9.8 Quaternary module It does not require documentation in professional registration, but it has very limited functions, such as checking the validity of certificates issued by the process in the general quaternary module or controlling the record of evasions in medical records in the access control quaternary module. In this access control module, hospital access controllers can access confirmation of release documented in the medical record or not. user who tries to leave the service, being able to inform the need to register evasion if he tries to leave without authorization. 4.9.9 Provisional observation or hospitalization record It is a tool for storing and manipulating data entered by different professionals in the health service where the user spends a long time. It allows the service to control who has access to the information in the medical record, through the registration of the release of each professional on duty and groups the information related to the total care provided for easy incorporation into the medical record upon discharge. 4.9.10 Platform for submission and analysis of scientific papers

[0773] The process includes providing a platform for registering, submitting, analyzing, and publishing scientific papers, with global visibility because the data is more easily analyzed and easily interpreted in the local language.

[0774] The platform consists of a website linked to a server and a database recording publications and the respective sampling matrix files used.

[0775] The sampling matrix is ​​not accessible for viewing by those using the platform, but it represents an important record for later use in sampling reanalysis in systematic reviews or even in the search for data not published in the results, but collected during the process.

[0776] The generation and recording of this matrix eliminates the chance of sampling overlap in cases of future analyses and allows the inclusion of analysis of other factors or associations, if access to the matrix file is authorized by the platform and by researchers involved in the research that generated it.

[0777] The results data can be read in the language selected by the user, so it can be more easily applied to their clinical needs.

[0778] Works can be submitted to three categories: registration, ethical analysis and publication.

[0779] Works submitted for registration appear in the list of works officially registered on the platform, providing greater security for users participating in the research.

[0780] Through the platform's website, data such as research motivators, types of data to be collected, approval status by a medical ethics committee, and current updated sampling can be viewed.

[0781] When the user submits a work for ethical analysis, the work is analyzed by the Medical Ethics Committee linked to the platform, and data collection can continue after this approval.

[0782] The final step is submission for analysis and approval of publication on the platform, with the data already organized in the form of an article or scientific report, thus gaining international visibility with the accepted publication. 4.10 Viewing methods

[0783] Data visualization methods encompass various styles of data organization and presentation. These include textual data, visual maps, lifelines, graphs, agendas, checklists, and protocols.

[0784] Textual data consists of a simple yet organized representation of data, in the form of a visualization of textual elements. Checklists, on the other hand, are a means of inserting and editing data.

[0785] Visual maps are figures in 2D or 3D representation with their respective perspective representation so that they can be displayed on device screens.

[0786] The human or animal body is represented, with its parts integrated or represented in a more individualized way, so that they are More specific details are demonstrated. Any data involving physical aspects of illness or trauma can be related to these maps.

[0787] Examples of individualized representations of the body include odontogram, visual map of the head or brain, visual map of the thorax, visual map of the coronary arteries.

[0788] The online representation of life involves a visual representation on two axes of the selected events, which can be complete, from birth to the present moment and even with future expectations, or punctual, representing a chosen period of time in life.

[0789] Graphing is useful for comparing an individual's own progress or that of individuals within a selected group. It helps establish patterns of normality or abnormality to monitor normal processes and expectations.

[0790] The agenda helps integrate the various aspects of the individual's activity planning and review. It includes topics to be completed, which can be created or imported from recommendations or prescriptions from healthcare professionals.

[0791] The protocols do not have a rigid organization, varying according to the type of problem to be solved or monitored and subject to variations defined by professionals and services. 4.11 Treatment and monitoring of diseases

[0792] The integration between the system's modules and data aims to streamline treatments and evaluations by doctors and other professionals, with this integration being essential for the treatment of multifactorial problems, such as hypertension, diabetes, anxiety and depression.

[0793] Understanding personal events and the organization and planning that people have and their discipline in taking the necessary steps to achieve their goals makes it easier to understand and analyze frustrations and other predisposing reasons for anxiety and depression.

[0794] The abuse of legal and illegal drugs is also related to this disruption of the individual's social organization, and for treatment to be effective, this restructuring must be established.

[0795] Information about the success or failure of regular or irregular treatments is important so that professionals can reinforce effective recommendations and refute ineffective definitions, as part of offering the best treatment to users.

[0796] Once digitalized, prescriptions, recommendations and recommendations received can be consulted again, with a much lower chance of loss or forgetting, making their fulfillment more easily incorporated into the daily routine. 4.12 Quantification and recording of natural body events

[0797] The app provides tools for recording natural bodily events, such as menstruation, growth, development, pregnancy, and water intake.

[0798] Added to this is the information recorded for more accurate analysis of the regularity of the menstrual cycle, adequate growth for the age group, adequate development, adequate water intake, among others.

[0799] With this monitoring, the individual becomes more aware of their attitudes and the functioning of their body and that of their supervised person, further encouraging self-care. 4.13 Goals and Planning

[0800] Establishing feasible and healthy goals and routines helps individuals in their quest for constant improvement and organization as a productive being.

[0801] This organization favors the alignment of expectations and priorities regarding available resources and time. Problems such as anxiety and depression commonly arise in the midst of a disorganized and unfulfilled life. 4.14 Patient safety

[0802] The process described prioritizes patient safety and the correct recording of data, therefore an attempt to send a file with information intended for another patient will not be accepted by the main module.

[0803] There is the presence of more complete information accessible and available from the medical record at any time, associated with the emergency medical summary and emergency control mechanisms that preserve the transmission of information, thus maintaining medical confidentiality even in emergency cases.

[0804] With increased information availability and reduced losses, errors or inappropriate behavior can be avoided and the best treatment for each case can be chosen with greater peace of mind.

[0805] One of the fundamental elements of patient treatment is to avoid causing harm to the patient, and insufficient recording information in any situation can lead to irreversible and fatal consequences.

[0806] If a patient loses consciousness, for example, and is given a medication to which he or she has a known allergy, such as a simple dipyrone or an antibiotic, the consequences could be disastrous.

[0807] The possibility of later viewing the instructions provided improves the absorption of information and understanding about the treatment, with potential improvement in adherence.

[0808] Other safety barriers include allergy alerts, exceeding the maximum dose, drug interactions, food interactions, risks during pregnancy, breastfeeding, and childhood, the need for renal dose adjustment, and decreased contraceptive effect, which alert both professionals and primary users.

[0809] These automated mechanisms help reduce harm and complications associated with healthcare, facilitating the work of professionals and potentially improving user care. 4.15 Environmentally sustainable

[0810] One aspect of the process described is the search for digitalization of information, to avoid having to use paper to record it in a repetitive and environmentally harmful way. [0081 1 ] With this trend towards reducing the use of paper to record information, environmentally sustainable conduct is notable. 4.16 Scientific contribution

[0812] By facilitating the acquisition of information, scientific research and data analysis become more productive, reducing the effect of barriers related to mobility and financial resources associated with the research carried out.

[0813] The mechanisms developed by the process in question are, therefore, more productive and constitute an important tool that contributes to scientific research.

[0814] The provision of a dedicated Medical Ethics Committee serves to promote scientific research, thus enabling professionals not linked to institutions with a well-defined research structure to carry out their work and contribute scientific knowledge in health.

[0815] The provision of an environment for analyzing, publishing and consulting the work carried out through this process increases the visibility of professionals involved in research.

[0816] The work carried out and published through this platform has the potential for global viewing, with data interpretation in local languages, facilitating comparisons and the dissemination of scientific knowledge. 4.17 Effort with what really matters

[0817] With more accessible records of prior information and data from exams and procedures, the focus can be given to what really matters, such as discovering new factors to be guided and maintaining a good professional-user relationship.

[0818] Assessments become less tedious and painful and there is a potential relative increase in the time available to check whether the guidelines have been assimilated and to provide means for subsequent consultation on key points of the guidelines received. 4.18 Reducing information loss along the way

[0819] Important information can be recorded at any time and the process in question provides the possibility of cloud synchronization storage, to overcome cases where there is a defect in the device used that makes it impossible to recover information.

[0820] Backup files can be generated and saved in secure locations for timely restoration of information. 4.19 More productive assessments

[0821] Professional assessments and consultations become more productive when the availability of information is no longer a limiting factor.

[0822] Patients and individuals with high attention needs no longer compete for professional attention with incomplete, damaged, or even numerous papers and documents, but rather receive the attention of a professional who is less tired of searching for essential information.

[0823] The focus is no longer on whether or not the patient will remember to bring their prescriptions or exams, but rather on what can be done to improve the patient's care and improve their habits for a healthier routine. 4.20 Potential improvement in professional-user relationships

[0824] With the reduction in time spent on repetitions and greater availability of time for explanations and identification of additional factors to be corrected, the bond tends to become more important, with greater potential for adherence to treatment.

[0825] Facilitated feedback also strengthens this professional-user relationship. Doctors and patients have the potential to become more connected, as do users with other professionals. Examples of implementations of the invention

[0826] Innovation is achieved by generating independence of health-related information from a specific service or professional, with information saved directly on the user's device.

[0827] There is the possibility of synchronizing data in the cloud and transmitting information in an accessible manner supervised by the user or their guardian in the event of an inability to independently use the services offered by the application.

[0828] General users can track their daily activities and habits while feeding the app data with important aspects of their day-to-day lives.

[0829] They can record the amount of water they drink throughout the day, the amount of alcohol consumed, the time spent working, studying, or doing physical activity, while following prior planning, recommendations, or guidance provided by professionals.

[0830] Consultations can become less tedious and repetitive by facilitating the transmission, recording, and integration of information, allowing time to be spent on other important details such as the patient's expectations, frustrations, and anxieties.

[0831] The treatment and monitoring of patients with chronic diseases is facilitated, both by the additional ease of feedback and by the ease of checking the completion of treatments and guidance received.

[0832] It is not enough to think of blood pressure control as just taking medication; dietary adjustments and efforts to lose weight must also occur in a supervised and safe manner.

[0833] Professionals can easily receive information about the success or failure of treatments and whether they were performed appropriately or not, thus enabling them to expand their clinical experience and information analysis capacity.

[0834] Restaurants and food suppliers can become facilitators of the health care process by providing more easily usable information about their dishes.

[0835] Data such as calorie, carbohydrate, lipid, and salt composition are pre-calculated. Generating this information can be facilitated through a specific application module for quantifying calorie or salt components based on the ingredients used in preparation and portioning.

[0836] Diabetics can now more easily track the amount of carbohydrates, lipids and calories they consume to better follow their dietary recommendations, as well as adjust the dosage of ultra-fast-acting insulin used after meals.

[0837] Blood tests related to blood glucose and serum lipids can be better interpreted by knowing the eating habits in the days before or after the test.

[0838] Diseases such as migraines may have triggering factors that are not easily correlated in daily analysis, present in diet or daily stress, whether physical or emotional.

[0839] The app's processes are dynamic and comprehensive, and can be customized to each user's needs. No data is mandatory, except for registration data, although much of it is highly recommended.

[0840] Each user can choose the level of detail of information they provide in each of the areas covered by the program / application, thus managing the data consumption they deem necessary.

[0841] The information provided by the user is subject to prior approval by the user, either before approving an automatic submission or before the specific submission of information or a data response form.

[0842] In incapacitating emergency situations where the affected individual is unable to communicate all necessary information or is too anxious to remember it, basic information essential for pre-hospital life support can be guaranteed through the patient's emergency summary approved by the patient.

[0843] Non-medical professionals end up having easier access to relevant health information and can more easily align their expectations and conduct with overall patient care.

[0844] Doctors themselves can access the recommendations and guidance of these professionals and generate recommendations directed at them to adapt care.

[0845] Electrocardiogram exams and imaging exam reports can be scanned for inclusion in the application, since their representation in printed form, the most common, is susceptible to damage and loss of information over time.

[0846] The development of scientific research is facilitated by providing information in a more dynamic way and facilitating the monitoring and availability of data.

[0847] The use of the invention can, therefore, contribute to the acquisition of scientific knowledge and the treatment of various known and unknown pathologies.

[0848] Care for fragile or dependent people is facilitated through the ease of data recording and checking tools regarding the expected and actual evolution of physiological or pathological processes.

[0849] With these tools, family members and other caregivers have the potential to play a more significant role in care, providing more dynamic information about a decline in the general condition of a bedridden patient, food intake, or loss of previously present abilities or functions.

[0850] Another possibility for implementation is the collection of information on outbreaks of communicable diseases, with the possibility of anonymous alerts of their occurrence. occurrence and diagnosis in a specific geographic area, without revealing the identity of the affected individuals.

[0851] Patients with frequent opioid use can have their situation documented more easily, raising suspicions regarding tolerance and addiction, even in cases of patients who alternate between health services, thus facilitating the monitoring of this important problem associated with medical care.

[0852] Physical exercises can be monitored using vital signs or distance traveled sensors, so that the data can be fed into the user's general monitoring.

[0853] The described process of recording and integrating information thus characterizes an important tool for recording, treating, monitoring and even planning activities and issues related to the user's health.

[0854] It demonstrates a new way of promoting health, with the user as the center of attention and addressing them in a comprehensive manner and with potential knowledge of the details applicable and necessary for the treatment and evaluation of each professional.

Claims

CLAIMS 1. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, characterized by representing a mechanism for recording information related to the various areas of health care, including consultations, evaluations, guidelines, recommendations, prescriptions, certificates, reports, descriptions of procedures, laboratory tests and reports and imaging exams, pending and completed vaccinations, habits, addictions, routines, daily goals, pets and their care, in the form of medical records, on mobile devices, computers, cloud and server; contain a module for insertion, rectification, storage of this information and control of data flow by the user; mechanism for supervising data insertion in the medical records of minors and fragile individuals; symptom descriptor with specification of their chronological order; tool for documenting personal options and preferences;tool for designating a trusted person and selecting their level of access to the medical record in the event of an emergency; a mechanism for temporary or total control of data by a trusted person in the event of an accident; a user-generated emergency medical summary; an emergency alarm button linked to the medical record, with notification to the trusted person; modules and submodules for care and transmission of health information by care professionals to the main module, including information on medical, dental, nursing, physiotherapy, speech therapy, psychology, caregivers, personal trainers and physical education professionals, acupuncturists, chiropractors, massage therapists, Pilates professionals, biochemists, biomedical and laboratory technicians, teachers, coaches, and veterinarians;feedback tool for professionals regarding treatment information and follow-up of recommendations and their effectiveness, with reports of improvement, non-resolution, or worsening; care record with cataloged items; provisional observation or hospitalization records; tool for automatically or semi-automatically filling out forms and health charts based on information recorded in medical records; tool for including grades and school behaviors in medical records; calculation module; Nutritional information for artisanal dishes; modules for viewing and verifying medical certificates and discharge records; a checkable daily goals schedule integrating information on recommendations and medications, with the possibility of an audible alarm at the correct times, with information on study, work, physical activity, and nutrition that integrates nutritional recommendations made by a professional; vaccinations according to professional guidelines and the vaccination schedule; and daily goals resulting from the individual's planning; an automatic shopping list generated from nutritional menu guidelines; data storage encoding resulting from cataloging of textual elements; an automatic data analysis tool using artificial intelligence compatible with data encoding, with detection of medication inadequacies related to allergies, diet, risks to pregnancy, breastfeeding, childhood, and decreased effectiveness of contraceptives;Anonymous data collection and pattern detection of outbreaks, epidemics, and pandemics; a scientific research tool module compatible with cataloged codes; a sampling matrix file of the scientific research conducted; a package for textual interpretation of cataloged data from medical records in the user's chosen language; a medical chat for translating cataloged information into the chosen language in case of language differences between the attendant and the user; a data visualization tool in the Lifeline, a visual tool for grouping selected information in chronological order, demonstrating onset, cessation, intensity, and duration; a tool for visualizing data in a 2D or 3D visual map of the human or animal body, recording scars, injuries, deformities, disease changes, and physical aspects of the user and their pet;tool for simultaneous filtered visualization of vital signs, laboratory tests, and professional consultations, with chronological order specified; tools for quantifying and recording water intake, flossing, tooth brushing, menstrual cycle, urine output and bowel movements, sleep, stress, alcohol and drug use, and sexual activity in medical records; 2. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing a designated Ethics Committee and providing analysis of research projects and free and informed consent terms.

3. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing a platform for publishing scientific research as part of the support for the secondary researcher module.

4. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing a schedule of daily professional appointments, capable of integrating the professionals' appointment schedules with the visualization of patient data, with the possibility of selecting criteria for prioritizing rescheduling based on the information provided by the patients and prior review of information about those attended.

5. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing a record of complete services performed in the secondary modules, capable of representing to professionals all information related to previous services of each user, with the possibility of automatic inclusion of feedback and updates authorized by and prioritization of rescheduling and returns.

6. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing standard evaluation and classification forms, such as scales, indexes, diagnostic criteria, care protocols.

7. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing a standard document generator for collecting and sending data.

8. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized by containing growth and development graphs, presenting information in a visual format on the monitoring of the growth and development of the child and adolescent, according to weight, height and other information already entered in the medical record.

9. PORTABLE DIGITAL INTEGRATIVE MEDICAL RECORD PROCESS, according to claim 1, characterized in that it can contain records integrated with the medical record of vital sign sensors, related or not to the execution of physical activity.

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