Remote assessment of neurostimulation

A system (1) for remote assessment of a patient (P1), comprising:

• a first device (2) associated to a physician (P2),
• a second device (3) associated to the patient (P1), wherein the second device (3) comprises or is connected to a camera (30) that is configured to acquire an optical image or a sequence of optical images (S1) of at least a portion of the patient (P1),
• a medical device (4) associated to the patient (P1), wherein the second device (3) is configured to communicate with the medical device (4), and wherein the medical device (4) is configured to be programmed via the second device (3),
• wherein the first device (2) is further configured to communicate with the second device (3) and/or with a service center, and wherein the second device (3) is configured to be at least temporarily controlled via the first device (2),
• wherein the second device (3) is configured to acquire data (S1, S2) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P1), wherein said data comprises the optical image or the sequence of optical images (S1), and
• wherein the first device (2) and/or the second device (3) and/or the external server is configured to analyze said optical image or sequence of optical images (S1) to determine at least one or several of the following physiological parameters:
• a perspiration of the patient (P1);
• a degree of eye opening of the patient (P1);
• a dilation of the pupils of the patient (P1);
• a state of a focus of the eyes of the patient (P1);
• a posture (P) of the patient (P1);
• the number and/or length of wrinkle lines of the face of the patient (P1) or a quantity derived therefrom,
• wherein the first device (2) and/or the second device (3) and/or the external server is configured to calculate a score (PS, Δpain) using said at least one physiological parameter or said several physiological parameters (HR, F, P), and
• wherein a baseline pain score is used as a calibration for reporting all assessed pain levels relative to the baseline pain score.