telemedicine should consists of all these followings 1. Electronic medical records 2. Telemetry of medical devices ( multi parameter monitor, ultrasound scanning machine,ct, mri,) 3. Lab investigation report entering and order format. 4. tele pathology,microbiology physiology. 5. online prescription and treatment. 6.multi speciatlity case history book. 7.voice to type medical trancrition software. 8. written case history saving. all these should be accessible through portabale internet devices and laptop and pc thank you