CN106331052A - Distributed communication and information management system and method for care - Google Patents

Abstract

The present invention provides a communication and information management system and method for distributed care, the system comprising: a system information communication exchange center based on a session initialization agreement, connected to a first communication network, capable of receiving, transmitting and storing at least one message; at least one information gateway, wherein each of the at least one information gateway is connected to the first communication network; at least one subsystem, transmitting and receiving the at least one message with the system information communication exchange center via an information gateway among the at least one information gateway; and at least one user terminal device, wherein each of the at least one user terminal device transmits and receives at least one message with a subsystem among the at least one subsystem via a second communication network.

Description

Communication and information management systems and methods for decentralized care

technical field

The invention relates to the technical field of communication and information management, in particular to a communication and information management system and method for distributed care.

Background technique

At present, medical care institutions have established various communication networks, such as establishing a telephone switching system to provide voice calls, establishing an independent line to provide nursing staff to receive emergency calls from patients, and establishing a data communication network to transmit The patient's physiological data, such as X-ray images and case records are sent to the terminal device. In addition, medical care institutions have also built emergency signal facilities, such as smoke detectors, fire alarm protection facilities, and some medical care institutions even use hospital bed sensors to monitor the dynamic and physiological status of various patients.

The communication systems mentioned above are independent, and at least one information and data cannot be integrated to provide real-time communication, and various operations are required, and the maintenance is more complicated. The present invention proposes a nursing communication and information management technology based on the session initiation protocol (Session Initiation Protocol, SIP), which provides voice, text information, multimedia information, physiological data, alarms, emergency calls and other information for medical care personnel. transmission.

Contents of the invention

According to one aspect of the present invention, a decentralized care communication and information management system is provided, which includes: a system information communication switching center based on the initial agreement of the talks, connected to a first communication network, capable of receiving , transmitting and storing at least one information; at least one information gateway, wherein each information gateway of the at least one information gateway is connected to the first communication network; at least one subsystem, communicating with system information via an information gateway of the at least one information gateway The switching center transmits and receives at least one message; and at least one user terminal device, wherein each user terminal device of the at least one user terminal device transmits and receives at least one of the at least one subsystem via a second communication network. a message.

In an optional implementation manner of the present invention, the first communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network.

In an optional implementation manner of the present invention, the system information communication switching center further includes a telecommunication gateway and a communication gateway to connect to the first communication network.

In an optional embodiment of the present invention, the at least one information is one or any combination of voice, text information, multimedia information, biological data, alarm, emergency call.

In an optional embodiment of the present invention, the system information communication switching center further includes a database for storing the at least one piece of information, and recording the transmission and reception of the at least one piece of information.

In an optional implementation manner of the present invention, the second communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network.

In an optional implementation manner of the present invention, the subsystem further includes a telecommunications gateway and a communication gateway to connect to the second communication network.

In an optional embodiment of the present invention, the subsystem further includes a database for storing the at least one piece of information, and recording the transmission and reception of the at least one piece of information.

In an optional embodiment of the present invention, the user terminal equipment is an analog phone, a digital phone, an Internet phone, a mobile phone, a smart phone, a tablet, a computer, a measuring device, a data conversion and transmitter, a sensor, a smoke Detectors, fire detectors, sensors, fire alarm equipment.

In an optional implementation manner of the present invention, the second communication network and the first communication network are the same communication network.

According to another aspect of the present invention, there is provided a method of decentralized care communication and information management, the method comprising: using a Session Initiation Protocol (SIP) based system information communication exchange center connected to a first communication on the network to receive, transmit and store at least one information; each information gateway using at least one information gateway is connected to the first communication network; using at least one subsystem to communicate with the system information through an information gateway of at least one information gateway The communication switching center transmits and receives at least one message; and uses each of the at least one user terminal equipment to transmit and receive at least one message with a subsystem of the at least one subsystem via a second communication network.

In an optional implementation manner of the present invention, the first communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network.

In an optional implementation manner of the present invention, the system information communication switching center further includes a telecommunication gateway and a communication gateway to connect to the first communication network.

In an optional embodiment of the present invention, the at least one information is one or any combination of voice, text information, multimedia information, biological data, alarm, emergency call.

In an optional embodiment of the present invention, the system information communication switching center further includes a database for storing the at least one piece of information, and recording the transmission and reception of the at least one piece of information.

In an optional implementation manner of the present invention, the second communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network.

In an optional implementation manner of the present invention, the subsystem further includes a telecommunications gateway and a communication gateway to connect to the second communication network.

In an optional embodiment of the present invention, the subsystem further includes a database for storing the at least one piece of information, and recording the transmission and reception of the at least one piece of information.

In an optional embodiment of the present invention, the user terminal equipment is an analog phone, a digital phone, an Internet phone, a mobile phone, a smart phone, a tablet, a computer, a measuring device, a data conversion and transmitter, a sensor, a smoke Detectors, fire detectors, sensors, fire alarms and other equipment.

In an optional implementation manner of the present invention, the second communication network and the first communication network are the same communication network.

Description of drawings

FIG. 1 is a schematic diagram illustrating a decentralized care communication and information management system consistent with an exemplary embodiment of the present invention.

FIG. 2 is a schematic diagram consistent with an exemplary embodiment of the present invention, illustrating the system information communication switching center in FIG. 1 .

FIG. 3 is a schematic diagram illustrating the subsystem of FIG. 1 , consistent with an exemplary implementation of the present invention.

Figure 4 is a schematic diagram illustrating a method of communication and information management for decentralized care, consistent with an exemplary embodiment of the present invention.

Wherein, the reference signs are explained as follows:

100 Communication and Information Management Systems for Decentralized Care

110 system information communication switching center

120 The first communication network

130 information gateway

140 subsystems

150 user terminal equipment

190 Second communication network

210 controller

220 database

230 telecom gateway

240 communication gateway

310 Controller

320 database

330 telecom gateway

340 communication gateway

410 using a Session Initiation Protocol (SIP) based system information communication exchange center connected to a first communication network to receive, transmit and store at least one message

420 each information gateway using at least one information gateway is connected to the first communication network

430 Use at least one subsystem user terminal equipment to transmit and receive at least one information with the system information communication switching center via an information gateway of at least one information gateway

440 Using each of the at least one user terminal equipment to transmit and receive at least one piece of information with a subsystem of the at least one subsystem via a second communication network

detailed description

Hereinafter, embodiments according to the present invention will be described in detail with reference to accompanying drawings, so that those skilled in the art can easily understand. The described creation can be implemented in various variations, but should not be limited to these examples. The present invention omits the description of the well-known part, and the same reference numerals represent the same elements in the present invention.

The present invention proposes a technology for decentralized nursing communication and information management, which is a decentralized system architecture based on the initial protocol of talks (SIP), providing a communication and information exchange system in a full network environment; main functions It provides telephone communication, two-party or multi-party network conversation, and real-time multimedia information transmission under the whole network architecture; more importantly, it provides an integrated information transmission function in the environment of a medical care institution, and integrates medical care Various detection data on demand, various physiological signals, data, images, and monitoring signals are automatically collected, transmitted, and stored. FIG. 1 is a schematic diagram illustrating a communication and information management system for decentralized care, consistent with a disclosed exemplary embodiment.

As shown in Figure 1, the communication and information management system 100 for nursing care includes: a system information communication exchange center 110 based on the initial protocol of talks (SIP), connected on a first communication network 120, capable of receiving, transmitting and storing at least one information; at least one information gateway 130, wherein each information gateway in the at least one information gateway 130 is connected to the first communication network 120; at least one subsystem 140, via an information gateway in the at least one information gateway and The system information communication switching center 110 transmits and receives at least one message; and at least one user terminal device 150, wherein each user terminal device in the at least one user terminal device communicates with at least one subsystem 140 via a second communication network 190 One of the subsystems transmits and receives at least one message.

According to the embodiment of the decentralized nursing communication and information management system in Fig. 1, the system information communication exchange center 110 is a system based on the initial agreement of the meeting, connected to the first communication network 120, and receives and transmits the information based on the initial agreement of the meeting. and storing at least one piece of information. FIG. 2 is a schematic diagram consistent with a disclosed embodiment, illustrating the system information communication switching center 110 in FIG. 1 .

The service object 110 of the system information communication switching center is each subsystem 140, and its function is to provide storage and backup of complete data of multiple subsystems, including the data of user terminal equipment, the records of each service structure, and provide the information between multiple subsystems. Redundancy service can provide assistance in case of system component failure, excessive traffic or insufficient bandwidth.

As shown in FIG. 2 , the system information communication switching center 110 includes a controller 210 to provide functions such as proxy service, addressing service, transfer service and registration service. Among them, the proxy service of the system information communication switching center 110 can make the system have the dual roles of server and client at the same time, and have the role of routing function and intermediary, responsible for generating requests or forwarding received requests to target user terminal equipment on behalf of them. 150 to go. Through the proxy service of the subsystem 140, the service to the user terminal device 150 is provided, and the service is forwarded to the correct user terminal device 150, and the reply result of the user terminal device 150 is also the same, and the result is returned to the requesting user terminal through the opposite route. device 150.

Based on the above, the registration service of the system information communication exchange center 110 can provide the registration records of all user terminal devices 150 for management; provide specific services and accept registration requests; record the contact information of the users in the request, or update the addressing service The address database in .

The addressing service of the system information communication exchange center 110 can be responsible for storing the information of all user terminal equipment 150, the information of the user terminal equipment 150 that accepts the registration service, and providing it to the proxy service and transfer service, which can be regarded as an address database .

The switching service of the system information communication switching center 110 can record the logical address and the corresponding actual address of the user terminal equipment 150; separate the logical address and the actual address of the user terminal equipment 150, which allows the user terminal equipment 150 to define An unchanging logical address, and then map it to one or more different actual addresses; the switching service accepts the request from the system information communication switching center 110, and transmits the request and response to the target user terminal device 150.

As mentioned above, the service object 110 of the system information communication exchange center is each subsystem 140, and its function is to provide storage and backup of complete data of multiple subsystems, including the data of user terminal equipment and the records of each service structure. Referring to Fig. 2, the system information communication exchange center 110 also includes a database 220 to store information, including complete data and backups of all subsystems 140, and records the transmission and reception of information, including user terminal equipment 150 data and records of various services .

The first communication network 120 of FIG. 1 may be, for example, a local area network (Local Area Network, WAN), a wide area network (Wide Area Network, WAN), a public switched telephone network (PublicSwitched Telephone Network, PSTN) and a virtual private network (Virtual PrivateNetwork, VPN) one or any combination of them.

The system information communication switching center 110 may further include a Telecom Gateway 230 and a Communication Gateway 240 for connecting to the first communication network 120 . For example, the system information communication switching center 110 can be connected to the information gateway 130 on the traditional public switched telephone network through the telecommunication gateway 230; An information gateway 130 on the intranet (such as a virtual private network) and external network (such as a wide area network) of the care organization group. Therefore, the system information communication exchange center 110 is connected to the first communication network 120 and can receive, transmit and store information transmitted and received via the information gateway 130 .

According to the implementation example of the decentralized care communication and information management system in FIG. 1 , each information gateway of at least one information gateway 130 is connected to the first communication network 120 . In addition to the traditional gateway functions, the information gateway 130 also provides routing functions, information conversion, data filtering, and remote control functions; the gateway function of the gateway can convert different protocol signals through the gateway before transmission The routing function of the information gateway 130 gateway, according to the transmission bandwidth resource of the existing available channel, gives the information transmission path; the information conversion function of the information gateway 130 can provide heterogeneous user terminal equipment 150 signal conversion or transcoding of information content, To increase the security of information; the data filtering function of the information gateway 130 can judge inappropriate information in the transmitted information, and block its transmission on the network, reduce spam, and reduce traffic; the remote control function of the information gateway 130 can provide The system information communication switching center 110 remotely controls the user terminal equipment 150 connected to the subsystem 110 .

According to the implementation example of the decentralized nursing communication and information management system in FIG. 1 , the subsystem 140 transmits and receives at least one information via an information gateway of the at least one information gateway 130 and the system information communication switching center. FIG. 3 is a schematic diagram illustrating subsystem 140 of FIG. 1 , consistent with an example implementation of the present invention. The service object of the subsystem is the user terminal equipment on the network; referring to FIG. 3 , a subsystem 140 connected to the information gateway 130 includes a controller 310 to provide various service functions. The control unit 310 provides services in different combinations according to the characteristics of the user terminal equipment 150; it also provides proxy services, addressing services, transfer services, or registration services.

As the aforementioned system information communication switching center 110 provides various service functions, the proxy service of the subsystem 140 can have the dual roles of server and client at the same time, and have the role of routing function and intermediary, responsible for representing the user terminal equipment 150 or other with The proxy service device generates a request or forwards the received request to another target user terminal device 150 on its behalf. Through the proxy service of the subsystem 140, the service of locating the user terminal device 150 is provided to transfer to the correct location of the user terminal device 150, and the reply result of the user terminal device 150 is also the same, and the result will be replied to the request through the opposite route. End user terminal equipment 150.

The registration service of the subsystem 140 can provide the user terminal device 150 to register in advance for management and provide specific services; the server that accepts the registration request is to record the contact information of the user terminal device 150 in the request, or Update the address database in the addressing service.

The switching service of subsystem 140 can separate the user's logical address from the actual address, which allows the user to define a constant logical address and then map it to one or more different actual addresses. The transfer service accepts the request of the user terminal equipment 150, and maps the initial agreement address of the called party into one or more addresses and responds to the client. Unlike the proxy service, the relay service does not forward any requests to other subsystems 140 .

The service object of the subsystem 140 is the user terminal equipment 150 on the second communication network 190; the function of the subsystem 140 can provide the service of the respective subsystem 140, the communication between the user terminal equipment 150, information transmission, and the signal of the measuring equipment , data collection and transmission, sensing device signal collection and transmission, and remote control of the user terminal equipment 150 . Referring to FIG. 3 , the subsystem 140 also includes a database 320 to store information, and record the transmission and reception of information, including the information transmitted by the user terminal device 150. After proper identification and processing, the data of the user terminal device 150 and each Service records are stored in the database.

Referring to FIG. 3 , the subsystem 140 may further include a Telecom Gateway (Telecom Gateway) 330 and a Communication Gateway (Communication Gateway) 340 to connect to the second communication network 190 . For example, the subsystem 140 can be connected to the user terminal equipment 150 on the traditional public switched telephone network through the telecommunication gateway 330; User terminal equipment 150 on the group intranet (such as virtual private network) and external network (such as wide area network).

According to the implementation example of the decentralized care communication and information management system in FIG. 1 , each user terminal device 150 transmits and receives information with a subsystem of the at least one subsystem 140 via the second communication network 190 . The user terminal device 120 in FIG. 1 can be, for example, a terminal device used by the user personally or a sensing alarm device, that is, an analog phone, a digital phone, an Internet (Internet Protocol, IP) phone, a mobile phone, a smart phone, a tablet, a computer, and a measuring device. , Data conversion and transmission devices, sensors, smoke detectors, fire detectors, sensors, fire alarms and other equipment. The measurement equipment is, for example, various equipment for monitoring, measuring, and detecting physiological indices, ie, physiological detectors, X-ray imaging machines, and other equipment. The data conversion and transmission device organizes and converts the detection data of the measuring equipment, and transmits the data to the subsystem 140 by negotiating an initial agreement.

Based on the above, the second communication network 190 may be, for example, a local area network (Local Area Network, WAN), a wide area network (Wide Area Network, WAN), a public switched telephone network (PublicSwitched Telephone Network, PSTN) and a virtual private network (Virtual PrivateNetwork, VPN) one or any combination of them. And each user terminal device 150 can transmit and receive information with a subsystem 140 via the second communication network 190 . Information can be transmitted, received or stored by the subsystem 140 via the information gateway 130 and the system information communication switching center.

According to an implementation example, any user terminal equipment 150 (referred to as the requester) connected to the second communication network 190 requires a call to another user terminal equipment 150 (referred to as the called party) on the same communication network 190. party), you can directly dial the identification code of the called party, the registration service of the subsystem 140 will check whether the called party is registered, and the addressing service will check whether the called party has a registered user terminal device connected to the second communication network 190, if there is, then try to establish a connection, after the connection, various information packets can be sent on the network.

According to another implementation example, when the user terminal equipment 150 connected to the second communication network 190 (such as LAN) dials a recipient on a different network (such as a VPN), the server subsystem 140 will first check whether the recipient is registered, registered or not. The address is connected through the proxy service of the subsystem 140.

According to another exemplary embodiment, FIG. 4 is a schematic diagram consistent with an exemplary embodiment of the present invention, illustrating a method of communication and information management for decentralized care, the method comprising: using a session initiation protocol (Session Initiation Protocol, SIP ) based system information communication switching center, connected on a first communication network, to receive, transmit and store at least one information, as shown in step 410; each information gateway using at least one information gateway connected to the first communication network On the network, as shown in step 420; use at least one subsystem user terminal equipment to transmit and receive at least one information with the system information communication switching center via an information gateway of at least one information gateway, as shown in step 430; and use at least one Each user terminal equipment of a user terminal equipment transmits and receives at least one piece of information with a subsystem of at least one subsystem via a second communication network, as shown in step 440 .

As previously mentioned, the system information communication clearinghouse used by this distributed care communication and information management method can use a controller to provide functions such as proxy service, addressing service, forwarding service and registration service. Among them, the proxy service of the system information communication switching center 110 can make the system have the dual roles of server and client at the same time, and have the role of routing function and intermediary, responsible for generating requests or forwarding received requests to target user terminal equipment on behalf of them. . Through the proxy service of the subsystem, the service to the user terminal equipment is provided and forwarded to the correct user terminal equipment, and the reply result of the user terminal equipment will also be returned to the requesting end user terminal equipment through the opposite route.

As mentioned above, the registration service of the system information communication exchange center can provide registration records of all user terminal equipment for management; provide specific services, accept registration requests; record the contact information of users in the request, or update the addressing service The address database in .

As mentioned above, the addressing service of the system information communication exchange center can be responsible for storing the information of all user terminal equipment, the information of the user terminal equipment that accepts the registration service, and providing it to the proxy service and transfer service, which can be regarded as an address database.

As mentioned above, the switching service of the system information communication switching center can record the logical address and the corresponding actual address of the user terminal equipment; separate the logical address and the actual address of the user terminal equipment, which allows the user terminal equipment to Define an unchanging logical address, and then map it to one or more different actual addresses; the transfer service accepts the request from the system information communication switching center, and transmits the request and response to the target terminal device.

As mentioned earlier, the system information communication exchange center used in this decentralized care communication and information management method also includes a database to store information, including all subsystem complete data and backups, and records the transmission and reception of information, including user The data of the terminal equipment and the records of each service.

As mentioned earlier, the first communication network used by this distributed care communication and information management method can be, for example, a local area network (Local Area Network, WAN), a wide area network (Wide Area Network, WAN), a public switched telephone network (Public Switched Telephone Network, PSTN) and virtual private network (Virtual Private Network, VPN) one or any combination.

As mentioned above, the system information communication switching center used in this distributed care communication and information management method can also use a Telecom Gateway and a Communication Gateway to connect to the first communication network. For example, the system information communication exchange center can be connected to the information gateway on the traditional public switched telephone network through the telecommunication gateway; it can also be connected to the internal network (such as local area network) of the medical care institution and the internal network of the medical care institution through the communication gateway. Network (such as a virtual private network) and an information gateway on an external network (such as a wide area network). Therefore, the system information communication exchange center is connected to the first communication network, and can receive, transmit and store the information transmitted and received via the information gateway.

As mentioned above, in the implementation example of the distributed care communication and information management method, each information gateway is connected to the first communication network 120 . Among them, the information gateway can provide routing function, signal conversion function, data filtering function, and remote control function; the routing function of the information gateway can give information transmission paths according to the transmission bandwidth resources of the existing available channels; the signal conversion function of the information gateway It can convert the signal of heterogeneous user terminal equipment and integrate it into the system; the data filtering function of the information gateway can judge the inappropriate information in the transmitted information, and block it from being transmitted on the network, reducing spam and traffic; information The remote control function of the gateway 130 can provide the system information communication switching center to remotely control the user terminal equipment connected to the subsystem.

According to an implementation example of the communication and information management method for decentralized care, the subsystem transmits and receives information with the system information communication switching center via an information gateway. As mentioned above, a subsystem connected to the information gateway can use a controller to provide various service functions. The control unit provides services in different combinations according to the characteristics of the user terminal equipment; it also provides proxy services, addressing services, transfer services, or registration services.

As mentioned above, the system information communication exchange center used in the communication and information management method of distributed care provides various service functions, and the proxy service of the subsystem can have the dual roles of server and client at the same time, and has routing function, intermediary The role is responsible for generating requests on behalf of user terminal devices or other devices with proxy services or forwarding received requests to another target user terminal device. Through the proxy service of the subsystem 140, the service of locating the user terminal device is provided to transfer to the correct location of the user terminal device, and the reply result of the user terminal device 150 will also reply the result to the user at the requesting end via the opposite route. Terminal Equipment.

As mentioned above, the registration service of the sub-system used by the communication and information management method for distributed care can provide user terminal equipment with pre-registration for management and provide specific services; the server that accepts the registration request, its purpose It is to record the contact information of the user terminal equipment in the request, or to update the address database in the addressing service.

As mentioned earlier, the switch service of the subsystem used by the communication and information management method of decentralized care can separate the user's logical address from the physical address, which allows the user to define a constant logical address, and then assign the It maps to one or more different real addresses. The transfer service accepts the request of the user terminal equipment, and maps the initial agreement address of the called party into one or more addresses and responds to the client. Unlike proxy services, relay services do not forward any requests to other subsystems.

According to an implementation example of the communication and information management method for decentralized care, the subsystem can also use a database to store information, and record the transmission and reception of information, including information transmitted by user terminal equipment, after appropriate identification and processing, will be The data of the user terminal equipment and the records of each service are stored in the database. The subsystem can also use a Telecom Gateway and a Communication Gateway to connect to the second communication network. For example, the subsystem can be connected to the user terminal equipment on the traditional public switched telephone network through the telecommunication gateway; it can also be connected to the intranet of the medical care institution (such as a local area network) and the group intranet of the medical care institution ( Such as a virtual private network) and user terminal equipment on an external network (such as a wide area network).

According to an implementation example of the communication and information management method for decentralized care, each user terminal device transmits and receives information with the subsystem via the second communication network. The user terminal equipment can be, for example, the terminal equipment used by the user personally or the sensing alarm equipment, that is, analog telephones, digital telephones, Internet (Internet Protocol, IP) telephones, mobile phones, smart phones, tablets, computers, measuring equipment, data conversion And transmission devices, sensors, smoke detectors, fire detectors, sensors, fire alarms and other equipment. The measurement equipment is, for example, various equipment for monitoring, measuring, and detecting physiological indices, ie, physiological detectors, X-ray imaging machines, and other equipment. The data conversion and transmission device organizes and converts the detection data of the measuring equipment, and transmits the data to the subsystem by negotiating an initial agreement.

As mentioned above, the second communication network can be, for example, a local area network (Local Area Network, WAN), a wide area network (Wide Area Network, WAN), a public switched telephone network (PublicSwitched Telephone Network, PSTN) and a virtual private network (Virtual PrivateNetwork , VPN) one or any combination of them. And each user terminal equipment can transmit and receive information with a subsystem via the second communication network. The information can be transmitted, received or stored by the subsystem 140 via the information gateway and the system information communication switching center.

To sum up, the present invention proposes a communication and information management technology for nursing care based on the Session Initiation Protocol (SIP), which provides information transfer of personnel in medical care institutions.

The illustrations and descriptions disclosed above are only preferred embodiments of the present invention, and are not intended to limit the implementation of the present invention. Any changes or modifications made by those skilled in the art according to the spirit of the present invention are all It should be covered by the following claims in this case.

Claims (20)

1. A communication and information management system for decentralized care, said system comprising: a system information communication exchange center based on the initial agreement of the talks, connected to a first communication network, capable of receiving, transmitting and storing at least one information; at least one information gateway, wherein each information gateway of the at least one information gateway is connected to the first communication network; at least one subsystem, transmitting and receiving the at least one message with the system information communication switching center via one of the at least one message gateways; and At least one user terminal device, wherein each of the at least one user terminal device transmits and receives the at least one piece of information with a subsystem of the at least one subsystem via a second communication network. 2. The system of claim 1, wherein the first communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network. 3. The system according to claim 1, wherein said system information communication switching center further comprises a telecommunications gateway and a communication gateway to connect said first communication network. 4. The system of claim 1, wherein the at least one message is one of voice, text message, multimedia message, biological data, alarm, emergency call or any combination thereof. 5. The system as claimed in claim 1, wherein the system information communication switching center further comprises a database for storing the at least one message, and recording transmission and reception of the at least one message. 6. The system of claim 1, wherein the second communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network. 7. The system of claim 1, wherein the subsystem further comprises a telecommunications gateway and a communication gateway to connect to the second communication network. 8. The system as claimed in claim 1, wherein the subsystem further comprises a database for storing the at least one message and recording transmission and reception of the at least one message. 9. The system according to claim 1, wherein the user terminal equipment comprises at least one of the following equipment: analog phone, digital phone, Internet phone, mobile phone, smart phone, tablet, computer, measuring equipment, data conversion and transmission Detectors, sensors, smoke detectors, fire detectors, sensors, fire alarms. 10. The system of claim 1, wherein the second communication network and the first communication network are the same communication network. 11. A method of communication and information management for decentralized care, said method comprising: receiving, transmitting and storing at least one message using a system information and communication exchange center based on the initial agreement of the talks, connected to a first communication network; using each of at least one information gateway connected to said first communication network; using at least one subsystem to transmit and receive the at least one message via an information gateway of the at least one message gateway and the system message communication switching center; and Using each of the at least one user terminal equipment to transmit and receive the at least one information with a subsystem of the at least one subsystem via a second communication network. 12. The method of claim 11, wherein the first communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network. 13. The method according to claim 11, wherein said system information communication switching center further comprises a telecommunications gateway and a communication gateway to connect said first communication network. 14. The method of claim 11, wherein the at least one message is one of voice, text message, multimedia message, biological data, alarm, emergency call or any combination thereof. 15. The method of claim 11, wherein the system information communication switching center further comprises a database for storing the at least one message, and recording the transmission and reception of the at least one message. 16. The method of claim 11, wherein the second communication network is one or any combination of a local area network, a wide area network, a public switched telephone network, and a virtual private network. 17. The method of claim 11, wherein the subsystem further comprises a telecommunications gateway and a communication gateway to connect to the second communication network. 18. The method of claim 11, wherein the subsystem further comprises a database for storing the at least one message and recording transmission and reception of the at least one message. 19. The method according to claim 11, wherein the user terminal equipment includes at least one of the following equipment: analog phone, digital phone, Internet phone, mobile phone, smart phone, tablet, computer, measuring equipment, data conversion and transmission Detectors, sensors, smoke detectors, fire detectors, sensors, fire alarms. 20. The method of claim 11, wherein the second communication network and the first communication network are the same communication network.