Telemedicine system

1. A method for remote medical interaction, comprising:

sending and receiving medical data over a wireless communication link using a wireless device of a local communicator;

determining, at the local communicator, a beginning of a breathing interval using at least a portion of the medical data;

determining, at the local communicator, an end of the breathing interval using the at least a portion of the medical data;

determining, at a timer of the local communicator, a time interval between the beginning of the breathing interval and the end of the breathing interval;

assigning, at a processor of the local communicator, a level of importance out of a plurality of levels of importance to the time interval;

determining, at the processor of the local communicator, a recommendation based on the level of importance; and

sending at least the recommendation over the wireless communication link.

2. The method of claim 1 , wherein the medical data comprises data about a heart of a patient.

3. The method of claim 1 , wherein the medical data comprises blood pressure data.

4. The method of claim 1 , wherein assigning the level of importance out of the plurality of levels of importance to the time interval comprises:

determining at least one time-interval threshold; and

determining the level of importance based on the at least one time-interval threshold.

5. The method of claim 1 , wherein assigning the level of importance comprises comparing the time interval with one or more predefined thresholds.

6. The method of claim 1 , further comprising:

sending a request based on the recommendation over the wireless communication link.

7. The method of claim 1 , further comprising:

determining a medical history of a patient; and wherein determining the recommendation based on the level of importance comprises:

determining the recommendation based on the level of importance and the medical history.

8. The method of claim 1 , further comprising:

determining an alert threshold;

responsive to the level of importance equaling or exceeding the alert threshold, communicating an alert.

9. The method of claim 8 , wherein communicating the alert comprises:

communicating the alert via a first communication technology in response to determining the level of importance equals a first level of importance, wherein the first level of importance equals or exceeds the alert threshold; and

communicating the alert via a second communication technology in response to determining the level of importance equals a second level of importance, wherein the second level of importance exceeds the first level of importance.

10. A local communicator, comprising:

a wireless device, configured to send and receive medical data over a wireless communication link;

a breathing interval beginning determinator, configured to determine a beginning of a breathing interval using at least a portion of the medical data;

a breathing interval end determinator, configured to determine an end of the breathing interval using the at least a portion of the medical data;

a timer, configured to measure a time interval between the beginning of the breathing interval and the end of the breathing interval; and

a processor, configured to:

assign a level of importance out of a plurality of levels of importance to the time interval;

determine a recommendation based on the level of importance; and

send at least the recommendation over the wireless communication link.

11. The local communicator of claim 10 , wherein the plurality of levels of importance comprises a red level, an amber level, and a green level.

12. The local communicator of claim 10 , wherein the processor is configured to assign the level of importance by comparing the time interval with one or more predefined thresholds.

13. The local communicator of claim 10 , wherein the local communicator further comprises a software downloading capability.

14. The local communicator of claim 10 , wherein the processor is further configured to:

determine one or more rules associating the plurality of levels of importance and a range of output recommendations;

select the recommendation from the range of output recommendations applying the one or more rules to the level of importance.

15. The local communicator of claim 10 , wherein the processor is further configured to:

send a request based on the recommendation over the wireless communication link.

16. The local communicator of claim 10 , wherein the processor is further configured to determine a medical history of a patient; and

wherein the processor is configured to determine the recommendation by:

determining the recommendation based on the level of importance and the medical history.

17. The local communicator of claim 10 , wherein the processor is further configured to:

determine a first recommendation based on the level of importance;

receive a measurement over the wireless communication link;

determine a second recommendation by combining the first recommendation with the measurement; and

send the second recommendation over the wireless communication link.

18. The local communicator of claim 10 , further comprising an audio interface, and wherein the processor is further configured to output one or more questions related to the recommendation via the audio interface.

19. The local communicator of claim 10 , wherein the processor configured to send at least the recommendation over the wireless communication link is further configured to send the medical data over the wireless communication link.

20. The local communicator of claim 16 , wherein the processor is configured to determine the recommendation based on the level of importance and the medical history by:

determining one or more thresholds;

determining a set of deltas;

applying the set of deltas to the one or more thresholds; and

determining the recommendation based on the applied one or more thresholds.

21. The local communicator of claim 20 , wherein the processor is configured to determine the set of deltas by:

determining a condition based on the medical history; and

determine the set of deltas based on the condition.

22. An apparatus, comprising:

means for sending and receiving medical data;

means for determining a beginning of a breathing interval using at least a portion of the medical data;

means for determining an end of the breathing interval using the at least a portion of the medical data;

means for determining a time interval between the beginning of the breathing interval and the end of the breathing interval; and

means for processing, configured for:

assigning a level of importance out of a plurality of levels of importance to the time interval;

determining a recommendation based on the level of importance; and

sending at least the recommendation.

23. The apparatus of claim 22 , wherein assigning the level of importance to the time interval comprises:

determining at least one time-interval threshold; and

determining the level of importance based on the at least one time-interval threshold.

24. The apparatus of claim 22 , further comprising means for outputting the recommendation.

25. The apparatus of claim 22 , wherein the means for processing are further configured for sending a request based on the recommendation.

26. The apparatus of claim 22 , wherein the means for processing are further configured for:

determining an alert threshold;

communicating an alert, in response to determining the level of importance equals or exceeds the alert threshold.

27. The apparatus of claim 22 , wherein the plurality of levels of importance comprises a red level, an amber level, and a green level.

28. The apparatus of claim 22 , further comprising means for determining a medical history of a patient; and

wherein determining the recommendation based on the level of importance comprises determining the recommendation based on the level of importance and the medical history.

29. The apparatus of claim 28 , wherein determining the recommendation based on the level of importance and the medical history comprises:

determining one or more thresholds;

determining a set of deltas, comprising:

determining a condition based on the medical history;

determining the set of deltas based on the condition;

applying the set of deltas to the one or more thresholds; and

determining the recommendation based on the applied thresholds.