The population ageing is a demographical phenomenon that will intensify in the upcoming decades, leading to an increased number of older persons that live independently. These elderly prefer to stay at home rather than going to special health care association. Thus, new tele-health smart home care systems (TSHCS) are needed in order to provide health services for older persons and to remotely monitor them. These systems help to keep patients safe and to inform their relatives and the medical staff about their status. Although various types of TSHCS already exist, they are environment dependent and scenario specific. Therefore, the aim of this paper is to propose sensors and scenarios independent flexible context aware and distributed TSHCS based on standardized e-Health ontologies and multi-agent architecture