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Integration,

Interoperability

and Security in Telemedicine:

Accelerating the Healthcare Transformation

Virtual Encounter
Cited as “first-wave” telemedicine communications, virtual encounters involved point-to-point synchronous interactions with a medical specialist. Initially, these real-time consultations were limited interactions among talking heads. Technology at that time added little to enhance the conversation. Today’s technology, however, adds new dimensions to time-sensitive communications and decision-making by integrating other features critical to real-time diagnoses and advice.
Synchronous collaborations can now incorporate additional real-time information critical to diagnoses and treatment. Consider a surgical procedure requiring a biopsy and a prompt diagnosis. High-end medical imaging hardware and software integrate macro views, micro views and key measurements that connect pathologists, surgeons and consultants with real-time data to facilitate medical decisions. For example, images of the patient via a macro view, a microscopic view of the biopsy sample that has been enhanced with embedded measurements, are integrated, live, into local and remote screens to the virtual medical team. Picture-in-picture capability allows participants to focus on the desired image while retaining other images. Camera controls such as pan, tilt and zoom offer added flexibility.
Additional tools such as stethoscopic audio, endoscopic or otoscopic images and closeup views of the skin integrate into an information-rich environment that goes well beyond talking heads. Improvements in important healthcare delivery parameters in meeting the promise of efficient and cost-effective telemedicine services available today. time, costs and outcomes – are realized through innovations that transform a traditional medical consult into a working medical diagnosis and treatment event.

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