The present invention relates to an integrated tele health system/device for the monitoring and reporting of medical information for the evidence based management of patients with chronic respiratory disease. The device comprises substantially a central unit which measures and collects information related to the state of health of the patient and it is provided with means for wireless or cable transmission of the collected data using a microprocessor based system with a touch screen display USB communication port and Bluetooth. According to the invention the device further comprises: a removable sensor for the measurement of respiratory air flow and volume a removable pulse oximetry sensor and a motion sensor. Stored data can be then delivered through landline broadband wireless and cell phone technology to be received by a web server and can then be accessed by medical staff. Being completely portable the device according to the invention is provided with a battery of known type which can be substituted by the user or it can be rechargeable.