Telemedicine for patient in residence, in particular remote monitoring of vital patients data – also called in France for last years “Télévigilance” – are one of the IST axes the most inclined to be developed in the next years. It concerns elderly persons, people with cardiac pathologies and persons in convalescence after hospitalisation, all needing a close medical supervision. A televigilance system for patients at home also allows a more reactive medicalisation remotely released by Urgency units (diagnosis, intervention). It corresponds to major concerns of hospital emergency bodies. Our proposed system is composed of three main components: (1) a terminal placed on the patient, continuously recording his physiological data, (2) an in-door reception base-station, processing physiological signals to detect emergency situation and create an alarm, which is retransmitted to the 3^rd component corresponding to a remote medical monitoring server hosted in the televigilance centre exploiting all these data to decide any intervention. This system can also be coupled to a fixed sensors system, coupled to the mobile patient's terminal, aiming at decreasing the risk of alarm identification error, namely in case of patient's falls. TelePat system has been technically validated from end-to-end, through its sensors, terminal and remote server parts.