Telemedicine uses telecommunications to provide medical services and information. It can involve simple discussions between providers or complex interactions using videoconferencing or robotics. There are two main types of telemedicine: synchronous uses real-time interactions while asynchronous uses store-and-forward of medical data. Common applications include teleradiology, telepathology, and telecardiology. Telemedicine improves access to specialty care for rural and underserved populations.

1. AJAY SINGH GAHLOT (0707001) D.C.R.U.S.T.

2. Telemedicine has been defined as the use of telecommunications to provide medical information and services. It may be as simple as two health professionals discussing a case over the telephone, or as sophisticated as using satellite technology to broadcast a consultation between providers at facilities in two countries, using videoconferencing equipment or robotic technology.

4. Real time telemedicine could be as simple as a telephone call or as complex as robotic surgery. It requires the presence of both parties at the same time and a communications link between them that allows a real-time interaction to take place. Video-conferencing equipment is one of the most common forms of technologies used in synchronous telemedicine.

17. Digital camera Referral Hospital Nodal Hospital PSTN/ISDN/VSAT link Scanner Printer Modem Modem Microscope and other medical instruments Video Conference Video Conference Telephone Telephone

18. Hardware o Telemedicine platform : This will include minimum standards for type of platform to be used, processor/minimum speed, memory requirements, interfaces, and peripherals. o Clinical devices This will include minimum standards for all the clinical devices to be interfaced or integrated with the telemedicine system, including performance specifications for devices measuring diagnostic parameters, imaging devices, compression, and their safety requirements.

19. o Video conferencing units This will include minimum standards for video conferencing system, including data rate, picture resolution, frame rate, type of camera, audio quality etc. o Communication hardware This will include minimum standards for various hardware used for interfacing the telemedicine system with the communication network, including all types of terrestrial and satellite based networks.

20. Software o An operating system o Licensed telemedicine S/W with appropriate User Interface(UI) o Data Base with the mandatory tables/ fields (if applicable)

21. Connectivity: Options for telemedicine services o VSAT o PSTN o ISDN o Leased Line o Wireless LAN /WAN