What is Telemedicine?

Patient while measuring blood pressure at the morning

Patient while measuring blood pressure at the morning

This figure illustrates how telemedicine is working. A patient measures his blood pressure at the morning breakfast. The blood pressure measuring device is equipped with a “sender”, which automatically and wireless transmits the measurements to a database. Thereby innovative transmission techniques in the telecommunications are used (thus: telemedicine).

In a telemedical centre the telemedical personal diagnosing in time the blood pressure values and similar health parameters (such as weight or ECG). If something has changed, they contact the patient – in this way abnormal findings can be detected early and a medical treatment can be initiated in time. In focus: In contrast to the presence medicine, the spatial distance between patient and therapist will be overcome by using telecommunications (e.g. mobile or internet) in telemedicine.

In focus: In contrast to the presence medicine, the spatial distance between patient and therapist will be overcome by using telecommunications (e.g. mobile or internet) in telemedicine.

Which forms of telemedicine exist?

  • Telemedicine benefits from doctors intercommunication transmitting patient data and obtaining a second opinion and knowledge exchange ("doc2doc" telemedicine). It is used in medical qualification, particularly in complicated cases or in remote areas.
  • Telemedicine is also used in direct cooperation between doctors and patients ("doc2patient" tele-medicine). Thereby especially health values will be monitored, if needed diagnoses and therapies will be provided.


The second-mentioned form of telemedicine is the daily task of the patient and the medical staff of a telemedicial center. Our telemedical center is staffed by qualified physicians and specialized nurses. Specialists provide the diagnoses for unusual measurements and coordinate necessary actions: normally they inform the patient and his supervising GP or specialist doctor. If his supervising GP or specialist doctor is not available (e.g. on the weekend), the telemedical physician leads a therapy himself (such as dose adjustments of drugs). In the acute emergency they can immediately send an ambulance and can support the initial actions by phone (e.g. cardiopulmonary resuscitation or ECG measurement, while the ECG measurement is transmitted over any period in real time at the telemedicine center).

The following figures shows the system architecture of the Fontane-Project:

System architecture of the Fontane-Project

System architecture of the Fontane-Project