A telemedical record model

Abstract

Medical record issues appear to be the weak link in telemedicine. A telemedical record model is proposed which would fit both a managed-care and fee-for-service health-care environment. In this model, the originator of the teleconsultation referral is the party responsible for creation of the record, since that is the initial point of patient contact. The telemedical record model prevents duplication of information gathering and provides a consistent way to document teleconsultations. Telemedical record policies and procedures should be in place before starting a telemedicine programme, to ensure consistency in the documentation of doctor–patient encounters.