(Glossary of Telemedicine and eHealth)

· Teleconsultation: Consultation between a provider and specialist at distance using either store and forward telemedicine or real time videoconferencing.

· Telehealth and Telemedicine: Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients’ health status. Closely associated with telemedicine is the term “telehealth,” which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Videoconferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth. Telemedicine is not a separate medical specialty. Products and services related to telemedicine are often part of a larger investment by health care institutions in either information technology or the delivery of clinical care. Even in the reimbursement fee structure, there is usually no distinction made between services provided on site and those provided through telemedicine and often no separate coding required for billing of remote services. Telemedicine encompasses different types of programs and services provided for the patient. Each component involves different providers and consumers.

· TeleICU: TeleICU is a collaborative, interprofessional model focusing on the care of critically ill patients using telehealth technologies.

· Telemonitoring: The process of using audio, video, and other telecommunications and electronic information processing technologies to monitor the health status of a patient from a distance.

· Telemonitoring: The process of using audio, video, and other telecommunications and electronic information processing technologies to monitor the health status of a patient from a distance.

· Clinical Decision Support System (CCDS): Systems (usually electronically based and interactive) that provide clinicians, staff, patients, and other individuals with knowledge and person-specific information, intelligently filtered and presented at appropriate times, to enhance health and health care. ( http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html )

· e-Prescribing: The electronic generation, transmission and filling of a medical prescription, as opposed to traditional paper and faxed prescriptions. E-prescribing allows for qualified healthcare personnel to transmit a new prescription or renewal authorization to a community or mail-order pharmacy.

· Home Health Care and Remote Monitoring Systems:  Care provided to individuals and families in their place of residence for promoting, maintaining, or restoring health or for minimizing the effects of disability and illness, including terminal illness. In the Medicare Current Beneficiary Survey and Medicare claims and enrollment data, home health care refers to home visits by professionals including nurses, physicians, social workers, therapists, and home health aides. Use of remote monitoring and interactive devices allows the patient to send in vital signs on a regular basis to a provider without the need for travel.

· Medical/ Nursing Call Center: A centralized office that answers incoming telephone calls from patients, but may also respond to letters, faxes, e-mails and similar written correspondence. Usually staffed by nurses, call centers provide basic health information and instructions to callers but do not provide an official diagnosis of conditions or prescribe medicine. Call centers act as an initial triage point for patients.

· Personal Health Record (PHR): Health record maintained by the patient to provide a complete and accurate summary of an individual’s medical history accessible online.

· Picture Archiving and Communications System (PACS):  Combination of hardware and software dedicated to short and long-term storage, retrieval, management, distribution and presentation of digital medical images.

· Remote Monitoring: Type of ambulatory healthcare where patients use mobile medical devices to perform a routine test and send the test data to a healthcare professional in real-time.  Remote monitoring includes devices such as glucose meters for patients with diabetes and heart or blood pressure monitors for patients receiving cardiac care.

· Telementoring: The use of audio, video, and other telecommunications and electronic information processing technologies to provide individual guidance or direction.

· Teledermatology: Specialist use of Telemedicine to provide dermatological care at a distance. Teledermatology has been found to be an effective use of store and forward transmission of digital images and text, though real time consultation via videoconferencing is also used.

· Telehomecare: The use of remote technologies to provide care in a home setting. Based upon the clinical needs of the patient, this may include the use of real-time interactive videoconferencing systems to conduct homecare visits, or the use of remote monitoring systems that transmit patient data, such as blood pressure, weight, or pulse oximetry. Both of these approaches can use a wide variety of peripheral devices to collect vital signs or lab data, such as glucose levels. An education component is often a part of Telehomecare services, to promote medication compliance and encourage patients to become more involved with managing their health care needs

· Telepsychiatry: Use of videoconferencing to connect patients at a distant site to a psychiatric specialist at different location. See eMental Health

· Telesurgery: Use of Telemedicine through telepresence systems or videoconferencing to facilitate the success of a surgical procedure either through consultation or actual participation in the procedure from a distance.


Thesource.americantelemed.org. (2018). Telemedicine Glossary – The Source. [online] Available at: http://thesource.americantelemed.org/resources/telemedicine-glossary [Accessed 22 Feb. 2018].