In this project a voice-communication system, a tablet and a high-definition digital camera was installed in the ambulance. Real-time vital data such as blood pressure, ECG, pulse, saturation, capnogram were transmitted to the hospital physicians who supervised the transport of the patient. The data were directly captured from the vital signs monitor present in the ambulance and sent in one batch together with live video images to the hospital.  With this direct live transmission, advise could be given to the paramedic at the scene. This enabled remote and preliminary diagnosis and informed the emergency room to which the patient was transported (also, patient transports can be monitored from a distance and efficient use of medical personal can be achieved). Medical experts were virtually on board and supervised the patient remotely. Because the patient had been observed in the ambulance, the ER was informed about the clinical status of the patient and received advice about the need for a surgeon, anesthesiologist or cardiologist to be present or for the need to prepare the OR, or the Intensive Care Unit. The system has already passed the stages of Technical Proof of Concept and Medical Proof of Concept.

A complete roadmap is available for future partners interested in the implementation of this telemedicine system in clinical practice, including a positive business case, a technical roadmap for the ICT infrastructure, training of personnel, and more. Opportunities are scalability on either a national or on an international platform. The scope can be extended to include a connection with an electronic patient record system to store the collected vital data and video-images. The system is mobile enabled, cloud based, secure and GDPR compliant.