Recent technological advances in the field of telecommunications involving fiber optics, switching, and multimedia terminals guarantee a high quality of service (QoS) and user performance in conjunction with reasonable operating costs. This phenomenon has led a number of telecom providers to transform their enterprising perspectives to provide Value Added Integrated Telematic Services (VATSs).

There is a pressing need in the medical community for telematic services for distributed manipulation of security-sensitive electronic diagnostic reports and patient files in parallel with audio-visual conferencing data. These are known as Tele-Medicine Services (TS). This paper provides an overview of TS and describes a pilot implementation of a TS program.