Telemedicine is the main direction for the development of the medical industry in the future, but its development must be supported by information technology. As the new force of the next generation of information technology, the Internet of Things will inevitably enable information technology to be more fully integrated into daily life. China's health care industry should actively use the Internet of Things technology to promote the development of personalized medical services, so that residents can enjoy the benefits of the joint development of the IT industry and the medical industry [2]. Therefore, this paper builds an intelligent telemedicine system with intelligent acquisition, intelligent remote monitoring and intelligent remote medical care based on the Internet of Things technology, so as to realize the informationization, personalization and intelligence of telemedicine. 1 Development status and trend of telemedicine system in China China's telemedicine system started late, but its development speed is relatively fast and it is highly valued. The first report of telemedicine in China was the remote medical record discussion of the General Hospital of the People's Liberation Army in 1988 and a hospital in Germany. In 1997, China Jinwei Medical Network was officially opened. In September of the same year, the China Medical Foundation established the International Medical China Internet Committee, which mainly develops Chinese medicine. Information and telemedicine work. In 2001, the General Logistics Department of the People's Liberation Army and the Ministry of Health launched the "Jianwei No. 2 Project" (the whole military telemedicine information network), mainly providing medical services for the remote resident officers and soldiers in China. In China's "Twelfth Five-Year Plan for Health Care Development", it is clearly stated that it is necessary to "develop remote medical treatment systems for rural and remote areas, and improve the level and fairness of medical and health services at the grassroots level, especially in remote areas." although China's telemedicine has achieved certain results, but there are still many problems, mainly in the following: 1 The information sharing between medical institutions is low, there are information islands, resulting in low utilization rate of telemedicine systems; 2 The depth of application of telemedicine systems is not enough. Some functions were not used; 3 the telemedicine system was not built enough, and a good basic environment was not formed; 4 the laws and regulations of telemedicine were not perfect; 5 telemedicine failed to establish a relatively complete standard system. With the continuous development of the social economy and the continuous improvement of medical standards and living standards of residents, the demand for telemedicine will continue to expand. The development of telemedicine systems presents the following trends: 1 lightweight, portable terminal equipment; 2 increased personalization requirements; 3 omnidirectional, three-dimensional development; 4 more intelligent and automated; 5 expanded functional requirements, remote monitoring, remote Counseling and personal health records will be the focus of development. At the same time, telemedicine will become an important tool and means for flood prevention and rescue, natural disasters such as extreme snowstorms and earthquakes. The reach of telemedicine will gradually extend to towns, communities and families. 2 Intelligent telemedicine system based on Internet of Things technology 2.1 The impact of Internet of Things technology on smart telemedicine 2.1.1 Intelligent remote acquisition The development of Internet of Things technology has made data collection of medical devices , materials and patients more convenient, faster and more accurate. The intelligent remote monitoring system based on the Internet of Things technology will be able to collect and save all the images, texts, pictures and other data generated remotely, and also collect the medical actions taken by doctors during the telemedicine process. At the same time, it is possible to intelligently compare and analyze the physiological responses generated by the body of patients before and after telemedicine. Patients can view all data from telemedicine to visualize and intelligentize telemedicine processes. 2.1.2 Intelligent remote monitoring Telemedicine based on Internet of Things technology can realize all-round, all-weather intelligent monitoring of patients, and collect real-time data of patients' physiological data. Once an abnormal phenomenon occurs, an alarm will be issued immediately. At the same time, this intelligent monitoring does not strictly limit the patient's freedom of movement. Patients can move freely within the effective monitoring range. Once they leave the monitoring range, they will be alerted [11], and the relevant data will be sent to doctors, nurses and guardians. Take emergency measures in the first place to avoid accidents. 2.1.3 Intelligent collaborative work The emergence of Internet of Things technology will improve the level of informationization, automation and intelligence in the process of coordination, so as to achieve the ultimate intelligent collaboration, reduce the error rate, and improve the collaborative work capacity between hospitals and hospitals, and within hospitals. The hospital's response speed and efficiency are important to save the lives of patients. Sweeteners are Food Additives that impart sweetness to soft drinks. Sweeteners can be divided into nutritive sweeteners and non-nutritive sweeteners according to their nutritional value. According to its sweetness, it can be divided into low-sweetness sweet agent and high-sweetness sweet I flavor agent. 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