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  Telemedicine : Details

 A telemedicine application consists of mainly 3  components:

The Central Control Unit

The communication link

The Peripheral Unit 

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The Central Control Unit:
The central control unit is the nerve center of the telemedicine application. Generally sited at a large tertiary hospital, it is manned 24 hours a day 7 days a week, is fully IT enabled and capable of  the following:

Replies by specialists to  queries  based on Electronic Medical Records (EMR) of patents, transmitted to them from the periphery.
Opinions on  ECGs, EEGs, CATs, MRIs, X-Rays, Ultrasounds, images of pathological specimens, histological slides, skin, ear, nose, throat, eyes, fundus, etc transmitted digitally.
Live chat with GPs on patient care.
Teleconferencing between patient-GP, GP-Specialist.
chat/teleconferencing between specialists.
Remotely monitored surgical procedures.
Monitoring chronic cases.
Counseling of selected psychiatric cases. 

In addition the center will also host an Intranet web site with medical updates, advisories, lecture series for patients, paramedics and medical personnel, etc.

The communication link:
  Depending upon various factors, communication between the Central and peripheral units could be by telephone lines (analog, ISDN), mobile phones, satellite phones, fibre-optic cables, wireless LANs, satellite links, WiFi, WiMAX, 3G, 4G, etc. These days web and browser based systems are in the vogue. The methodology adopted will depend on various factors like, necessity, finances, availability, legalities, commercial constraints, etc. 

The Peripheral Unit:
This  is the actual workhorse of the telemedicine application. Depending on requirements there could be any where from 50 to 500 (or more) of such units spread  over a geographic location in consonance with the aims and objectives of that telemedicine project. A single unit would consist of a computer terminal (or a LAN)  in communication (or capable of being in communication) round the clock with the central control unit. The software on this terminal (or LAN) would be capable of capturing and digitizing ECGs, EEGs, CATs, MRIs, X-Rays, Ultrasounds, images of pathological specimens, histological slides, skin, ear, nose, throat, eyes, fundus, etc. All of these images along with the patient data in the form of an EMR would be stored and/or transmitted, if necessary in real time, to the central control unit for necessary feedback. It would also be live chat and teleconference capable.

Further details  are beyond the  scope of this report.

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Updated on:
22 Mar 2016

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