---
title: Telemedicine User Manual
slug: portal-sub/telemedicine-user-manual
docTags: 
createdAt: 2026-03-04T12:03:20.010Z
---

# Telemedicine User Manual

This user manual will provide an overview of the Telemedicine Licensed Module for Profile, including configuration, options and use.

There are also some helpful videos located in the Videos folder. [Click here](https://help.intrahealth.com/en/support/solutions/folders/6000242837) to access the videos related to Telemedicine.

## Requirements

Profile’s Telemedicine capabilities are available via a licensed module and must be initially implemented and configured by Intrahealth. For more information, including fees, contact [sales@intrahealth.com](mailto\:sales@intrahealth.com) to request the Telemedicine Statement of Work (SOW).

As part of implementing Telemedicine, Intrahealth will have configured and implemented the following components. 

NOTE:

Some components implemented as part of Telemedicine may be independently used outside of the Telemedicine use case presented in this document. Use may result in an increase of fees. Please refer to your Telemedicine SOW for details of costs. 

### Profile Rich Client App

The Telehealth capabilities are only available via Profile Rich Client Access. Citrix is not supported. Contact Intrahealth Support for help with setting up Rich Client app where required. 

### Licensed Users 

The Telemedicine platform is licensed by the number of Virtual Provider Users. Please refer to your signed SOW to confirm how many users have access to use Telemedicine. 

The number of licensed users has been set up by Intrahealth as part of the implementation process and cannot be changed by the users. The association between which users have access (to the maximum of the total number of licensed users) is configurable by the clinic. 

### Email 

Links to Telemedicine appointments are sent via email (and/or SMS). If you have integrated your own email into Profile, you may continue to use it. If you have not integrated email into Profile, as part of Telemedicine, you have been licensed and implemented for outbound email. 

NOTE:

When implemented with our email solution, emails can be sent via third-party software, SendGrid. SendGrid emails may be delivered to Junk folders. Ensure patients check their junk mail for Telemedicine appointments sent through Profile. 

HOT TIP

The email implementation supports additional use cases, such as general client communications. 

### SMS (Optional)

As part of Telemedicine, you have the option to implement the integrated Profile SMS functionality for sending Telemedicine appointment links. 

A separate SMS Services Request is required to implement SMS. The SMS topic sheet and eLearning videos are available on the Self Services Center. 

HOT TIP

The SMS implementation supports additional use cases, such as automated Appointment Reminders with Response Handling, and ad hoc patient communications.

### Telemedicine Video Steam 

The Telemedicine Video Stream Service is limited for use with this Virtual Care Service. Links and patient communication relating to the Video Stream Service are sent via email and/or SMS. 

### eSignature

The eSignature licensed module is included in the Telemedicine and Internet Faxing offerings.  However, if you do not use the Telemedicine or Internet Faxing licensed modules, you will need to get the eSignature licensed module separately, which entails a monthly fee.  Please refer to the eSignature topic sheet for information on how to configure and use this functionality.

## Configuration

**Telemedicine**preferences are only available when the Telemedicine module is licensed.

### Granting of Telemedicine Role Action (required for Profile 8.4 only)

1. Go to **Organization/Roles**.
2. Search for **Telemedicine **and grant the **Organization\Preferences\Telemedicine** role action.

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### Setting of Telemedicine Preferences

:::::WorkflowBlock
:::WorkflowBlockItem
In Profile 8.4, go to Organization/Preferences/Telemedicine.   
:::

:::WorkflowBlockItem
In Profile 8.5 and above, go to Organization/Preferences/Setup/eMessages.  Double click Intrahealth VirtualCare Services in the Installed Services table.  This opens the Intrahealth VirtualCare Services Properties window.  

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:::

::::WorkflowBlockItem
In the **General**tab, In the General tab, press  

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 and set the following preferences, as necessary:

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/ZH-Dz7OBPfSsKKqMZCFQz_k9vo44aze8r28os5iqinq17mk9vfqhesrw.png)

- Choose a logo image by pressing

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:::Paragraph{indent="1"}
and selecting from your images.  The **Logo height **and** Logo background colour** can also be entered or adjusted in their respective fields.
:::

- Check the **Starts with provider video feed off** checkbox to ensure the provider camera is not activated at the appointment start
- Select how the wait time should be calculated in the** Waiting time calculation** dropdown field:
  - **Macro **– customizable wait time calculation by macro. Service fees apply.
  - **Relative to previous patients **– this is predictive for how long the patient must wait based on an average of patients (across all providers) waiting for a booked appointment and the patient’s arrival time relative to ‘now’
  - **Relative to previous patients (by provider)**- this is predictive for how long the patient must wait based on wait time for the last patient for the specific provider and the patient’s arrival time relative to ‘now’
- The **Appointment details macro** dropdown field allows the selection of a customizable macro which inserts a customizable string of text into the appointment information that is displayed to the patient.  Service fees apply.
- Enter a customized **Consent** text in the free text field, if needed.  The **Consent required** checkbox is checked by default and disabled.
- Enter the number of **minutes** for which a patient may start waiting in the virtual **Waiting Room** prior to the appointment start time
- Press the Apply button.

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::::

:::WorkflowBlockItem
In the **Link formatting** tab, you can modify the email and SMS link messages sent to the patient. You can enter the text in the **Subject field** and **Body field** fields in the **Email Formatting** panel and the **Text Preceding Link** field in the** SMS Formatting** panel.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/yiTMUA_JUdPlii3zPxphr_honcqoesrb5n2tlbhhfw6pc6xgp7kghzq.png)
:::

:::WorkflowBlockItem
Click the **Apply**  button to save the information and then click the **OK**  button to close the window.
:::
:::::

### Assignment of Telemedicine Licenses

Telemedicine licenses are sold independently of Profile EMR licenses.  Please refer to your Telemedicine SOW for your number of enabled licenses.  The use of the Telemedicine licenses may be transferred between provider within a Profile instance, i.e., a single database solution.

1. Go to **Organization/People & Places**.
2. Double click to open the desired provider’s profile.
3. In the Provider window, select the **Internet **view in the segment bar menu.
4. Check the **Allow Telemedicine Appointments** checkbox.

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NOTE:

The **Allow Telemedicine Appointments** checkbox cannot be unchecked for a provider if they have pending Telemedicine appointments.  The license can only be assigned to another provider once these appointments have been cancelled or moved to another provider.

### Setting of Telemedicine Appointment and Available Rules

To differentiate between **In Person **and **Telemedicine** appointments, a new appointment **Mode** has been added to the Appointment Rule and Available Rule windows.

**Go to Maintain/Appointments/Rules**Click on the **Mode** drop-down list and select **Telemedicine**.

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NOTE:

The default mode is **In Person**, but it can be toggled between **In Person, phone, **and **Telemedicine** when booking the appointment.

NOTE:

We recommend a new **Telemedicine** appointment type be created.  This will support offering **Telemedicine** appointments for booking through **Accession** as well as help with tracking **Telemedicine** appointments in **QuickSearch** for booked or available slots.

## Appointment Workflow

### Booking an Appointment

The basic workflow for booking an appointment is the same, but **Telemedicine** preferences allow patient communications to be accessed directly from the Book appointment window.

The Book appointment window displays the **Mode** field. When the **Telemedicine** option is selected, an adjacent dropdown field appears, called **Send Link**.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/mAD-wdVZ_qTQCoQ0JH7TU_mh4lbxxsthiisjtyi6asnvp8tugol4uoq.png)

When no option is selected, it defaults to the **Send Link to Patient** option. Once

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 is pressed, the appointment link is sent to the patient based on the enabled preferences.  

If the patient is missing any required information and/or the appropriate preferences to send the **Telemedicine** appointment link, the Required information window will appear, so you can enter the missing information or set the preference.

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The other options in the **Send Link** dropdown field are as follows:

- **Copy Patient Link** allows you to copy the patient appointment link so it can be pasted and sent to the patient manually, using email or SMS messaging
- **Copy Provider Link** allows you to copy the provider appointment link so it can be pasted and sent to the provider manually
- **Check Patient Readiness** opens a new window and displays the patient’s communication preferences as set in Alter Patient

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A yellow circle in the **Email** and **SMS** columns means that the patient's **General** details include a **Mobile Phone** number, an **Email** address or both.  

The **Pref** column will display the letters **ESA**, or a combination of them to denote the patient preferences:

- **E** = the patient’s Alter Patient contains an email address and the **E-Mail **checkbox is checked in the **Communicate by **area
- **S** = the patient’s Alter Patient contains a mobile number and the **Cell TXT Message** checkbox is checked in the **Communicate by** area
- **A** = the patient is enabled for **Accession**/**Aero Patient**

The **OK** column displays the method(s) by which the appointment link was sent.  A red X will appear if the system is unable to send to the patient.

The patient name can be double-clicked to view or change required patient preferences.  If the patient is missing the cell phone/page number or email address or the **Communicate by** information, it can be entered or selected in the appropriate fields or checkboxes.

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NOTE:

The **Telemedicine** mode does not currently support **Meeting** appointments with multiple patients.  However, the **Meeting** checkbox is not disabled, as this will be available in a future release. 

### Move a Telemedicine Appointment to a New Date and Time

To move a Telemedicine appointment to a new date or time, simply drag the appointment needing to be changed and drop it into the desired date or time slot. 

Alternatively, the appointment needing to change can be opened, and the date and time can be manually altered by clicking in the **Start Time drop-down list so the calendar appears. Select the appropriate date. Once the date has been chosen, place the curser in both the Start Time  and End Time  boxes associated with the time and change the time accordingly.  **

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/LRtwOl5JEBOSUsyoXX1RB_x34jxw78mi6eietw1kvcu-kgde5jghqdfg.png)

### Addition of Telemedicine Toolbar Icons

In the **Work Centre/Appointments** view filter, in the **Toolbar** panel, there is a new **Telemedicine** toolbar option available.

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When this **Telemedicine** checkbox is checked, 4 toolbar icons are added to the **Appointments** view.

These icons are enabled when a **Telemedicine** appointment is in context:

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**  Send Telemedicine Link**

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**Copy Telemedicine Link** where the dropdown arrow allows you to choose between copying the Patient link or the Provider link.

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**Send Telemedicine Message** which allows a message to be sent to a patient in the virtual **Waiting Room**.  This message field allows one message to display at a time to the patient.  If another message is written to the patient, the previous message will be replaced. This is one-way communication; the patient cannot respond.

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**Open Telemedicine Provider Link in Browser** opens a separate browser window and starts the **Telemedicine** appointment.

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###  Add the Telemedicine buttons to the Appointments Toolbar

The Telemedicine icons can be added by right clicking in the toolbar and selecting **Customize.**

**The Customize  window will appear. Click the box for Telemedicine and each of the icons will appear in the Commands panel. **

**Select Close  and the icons will appear on the Appointments  toolbar.  **

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### Appointment Information

- A

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:::Paragraph{indent="1"}
video icon displays in the appointment slot to denote a **Telemedicine **appointment.
:::

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When the appointment is in context, the

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video icon also appears in the **Custom Appointment Information** panel at the bottom of the **Appointments** view.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/w2TTY7IeDTdiJmBsnlPsT_r0jmuzsop9szh2gkvrykl-yuqftz1ooicq.png)

You can click

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to easily and quickly copy the patient or provider appointment link to the clipboard.

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In the Waiting area and **Alter Patient/Bookings**, a new **Telemedicine** column is available, denoted by a white video icon.

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In **Alter Patient/Bookings Click on the Edit  button in the filter and select Telemedicine. **

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/QpidlC6fb5-MpuTp0PKaW_b9wkti-6r6jcalbjdzkhgarpepq9rczq.png)

NOTE:

In order to see the **Telemedicine** column in **Alter Patient/Bookings**, you must check the **Telemedicine** checkbox in the **Column** table in the filter window.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/8TBCqIbH9ruxJJdKKzIZY_la8crhlmbqmg8mgypxwhihaqahcvlkiq.png" size="66" isUploading="false" initialPath="assets/lA8cr_hLmBqmG8mGyPxWhiHAqAhcVLK_IQ.png" githubPath="en/Portals/Telemedicine/assets/lA8cr_hLmBqmG8mGyPxWhiHAqAhcVLK_IQ.png" position="flex-start" showCaption="false"}

- Activities, including each successful message delivery, are logged in **Edit Appointment/Audit** tab

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/U1_SexfdT_U94KgpGWqj3_p4qxojoizfhbq9qob4kjgj1gzyvzeg-7q.png" size="100" isUploading="false" initialPath="assets/P4QxojoIZFHBq9QOB4kj_gJ1gZYVzEg-7Q.png" githubPath="en/Portals/Telemedicine/assets/P4QxojoIZFHBq9QOB4kj_gJ1gZYVzEg-7Q.png" position="flex-start" showCaption="false" indent="2"}

NOTE:

In order to see appointment activities in the **Audit** tab, you must check the **Use appointment activities** checkbox in **Organization/Preferences/Appointment/Main** tab.

- In the **Quick Search** panel, the search criteria now include the appointment **Mode**,** **the options of which can be set in the Quick Search Filters window**,** and the **Telemedicine **column is visible

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/Ng_51YUtdjOT7ImTQ-WCe_zzq0mulvdcyg0yktgssvi9r5akcyinvvw.png)

Click on the **Show/hide quick search** panel button to open the **Quick Search** panel.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/0n3_1V-YlYG0Ow4WCaH_4_bgeh3eijthkmftxoo7g-8cc4mdxsnem94q.png" size="10" isUploading="false" initialPath="assets/bGeH3eIjThKmFTxOO7g-8cc4MdxsNEm94Q.png" githubPath="en/Portals/Telemedicine/assets/bGeH3eIjThKmFTxOO7g-8cc4MdxsNEm94Q.png" position="flex-start" showCaption="false"}

From here, enter in any necessary details and select **Telemedicine** from the **Mode**  drop-down list and select **Search.**

- The **Appointments List** view in the Control Centre has several Telemedicine features:
  - **Telemedicine **column when the appointment mode is set to **(ignore)** or **Telemedicine** in the filter
  - Send email notification for checked appointments
  - Send message notification for checked appointments (SMS)
  - Send Telemedicine links to the checked patients

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/rCq97bf9NYM4trVsUDuTi_g3y2r59rbih2tq-evk4hjyefapewhvnaag.png" size="100" isUploading="false" initialPath="assets/G3y2R59rBIH2Tq-eVK4hJYeFapEWHVNaag.png" githubPath="en/Portals/Telemedicine/assets/G3y2R59rBIH2Tq-eVK4hJYeFapEWHVNaag.png" position="flex-start" showCaption="false" indent="3"}

- New patient appointment link print variables have been created for use with SMS and/or email appointment reminder functionality: 
  - **Appointment.PatientTelemedicineLink**
  - **Appointment.PatientTelemedicineLinkFormatted **–** **adds the text **Video Link:** prior to inserting the appointment link.  This variant adds 10 characters to the SMS message but formats the SMS message more neatly.

These check for the context of the appointment mode.   If the mode of the appointment is **Telemedicine**, the print variable will include the Telemedicine appointment link.   

### Appointment Examples

Here are examples of the email and SMS that a patient receives when the Telemedicine appointment link is sent.

Email:

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/1vceYWkCqgMlh7tBqavXL_upamavjsydyddm1izn4a-sqhyjyv3ifrq.png)

SMS:

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/-vi2Z_mChcRuMyrp_d8pI_wzlp2ckssxyperoybda4t7ufna-aem5udg.png)

## Telemedicine Visit

### Patient Consent

When a patient clicks on their **Telemedicine** appointment link, they are first sent to a Consent page.  The patient must agree in order to proceed to the virtual **Waiting Room**.   Alternatively, they can cancel the appointment.  Their preferred name is displayed in the **Show me as** field, but they can overwrite it to be displayed for the appointment.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/8ztXNxq9rWQjGO21ZdXqQ_uhif4ukis5paf8cd9vbwt2lwz0f6-ghgia.png)

NOTE:

Another reason for the **PROCEED TO WAITITNG ROOM **button to be disabled is that the patient is too early for the appointment, based on the Telemedicine preference of how long the patient can wait before the appointment start time.

### Virtual Waiting Room

Once the patient goes to the **Waiting Room** page, they will remain there until admitted by the provider.

The following information can be seen:

- **Current time**
- Wait time (from scheduled appointment time)
- **Expected wait time remaining**
- **Message from the staff** (from the **Send Telemedicine Message **toolbar icon in **Work Centre/Appointments**).  

The browser may prompt the patient to let the website use their webcam and microphone.  The patient must select **Yes** to proceed.  Once they do so, the camera and microphone will be enabled, and the camera view will display with a **TEST YOUR SETUP** button underneath.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/HlM6YkrGCYyxxvOu7mwMR_binphm4jj4s45xe1k5bzis90taek4bdkq.png)

The **TEST YOUR SETUP** button will allow testing of the camera and microphone used by the device.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/Ld00h6LrKR22AxijC1Fl0_8vtu93lljozhku0pdy9m4qxnxppvurwpng.png" size="63" isUploading="false" initialPath="assets/8VTU93LLjozHKu0PDY9M4QxNxPPVuRwpNg.png" githubPath="en/Portals/Telemedicine/assets/8VTU93LLjozHKu0PDY9M4QxNxPPVuRwpNg.png" position="flex-start" showCaption="false"}

In Profile, the patient is automatically arrived and displays in the waiting area.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/4WcbGKZQiokahhXceZFBw_exljrdhnbnz5sspu8ctxeukn4mb5fddoq.png" size="38" isUploading="false" initialPath="assets/exljRdHNBnz5sspU_8cTxeukN4mB5FdDoQ.png" githubPath="en/Portals/Telemedicine/assets/exljRdHNBnz5sspU_8cTxeukN4mB5FdDoQ.png" position="flex-start" showCaption="false"}

### Consultation 

The provider uses the standard workflow to open a **New Encounter** view.  Consultation notes and clinical actions are completed in the usual manner.

When the Telemedicine visit starts, i.e., when both the patient and provider are connected, the location area shows the patient as being seen denoted by

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/rvssN27Gs1sKfmA79Hj13_a9rpbklqcesw1lqae5genouexdhvu5p4gq.png" size="10" isUploading="false" initialPath="assets/A9RPBKlQcesw1Lqae5GENouEXdhVU5p4gQ.png" githubPath="en/Portals/Telemedicine/assets/A9RPBKlQcesw1Lqae5GENouEXdhVU5p4gQ.png" position="flex-start" showCaption="false"}

**Video**.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/BZqdY8Z_UUSFCSK5X2IFX_knzixg93ecsxfx3cwn8za0tj3yg0pasfca.png" size="22" isUploading="false" initialPath="assets/kNZixg93eCsXFX3CwN8zA0TJ3yG0paSFCA.png" githubPath="en/Portals/Telemedicine/assets/kNZixg93eCsXFX3CwN8zA0TJ3yG0paSFCA.png" position="flex-start" showCaption="false"}

To open the Telemedicine visit window, click , the **Open Telemedicine Provider Link in Browser** icon.  

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/quLiLQfo3SQJicfRkZsEN_a-tftqocb4cy8o7kidiltbpldt0xrfmmmw.png" size="10" isUploading="false" initialPath="assets/a-tfTQOCB4CY8o7kidiLtbpLdT0XRfmMMw.png" githubPath="en/Portals/Telemedicine/assets/a-tfTQOCB4CY8o7kidiLtbpLdT0XRfmMMw.png" position="flex-start" showCaption="false"}

This, along with the other **Telemedicine** icons, are available in the **New Encounter** view.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/gipEznA6MVYLpMlGZuy5O_a-gwfze6i16igvupmhfkr6gzlqtskfefga.png)

Alternatively, you can click the dropdown arrow in  

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/nmf_8fVf0feT0WnCx_8q2_zo8sjlq33uymwmtg5yftqg8mzff3kwfgmw.png" size="10" isUploading="false" initialPath="assets/ZO8sjLQ33uymWMTG5YFTqG8mZFf3kwfGmw.png" githubPath="en/Portals/Telemedicine/assets/ZO8sjLQ33uymWMTG5YFTqG8mZFf3kwfGmw.png" position="flex-start" showCaption="false"}

to copy the **Provider Link** and manually paste it into a browser.

Or, you can click on the **Open Telemedicine Provider Link in Browser** icon in the Appointments widow.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/FXlJlJNxByWckVeztVEoN_dehid8js9dzspoq4saxukqgc9p40gfduja.png" size="10" isUploading="false" initialPath="assets/DEhID8js9dZsPoQ4SaxukQGc9P40gfDUJA.png" githubPath="en/Portals/Telemedicine/assets/DEhID8js9dZsPoQ4SaxukQGc9P40gfDUJA.png" position="flex-start" showCaption="false"}![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/_CRxkGs-Dd7p1G72HbPEs_digbqrhwxtqmi3iv3dpkovbsivzaqvnihg.png)![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/QDxeQZrvRivaccS_g1uS4_jnymlld2ksv1hzszgac9ikbbvfmokhlhea.jpeg)

The bigger video display shows the patient and the inset displays shows the provider.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/yiiPVIgB239KBo87sj7q0_9nnycokjhj7t25lrulkcyi403ofh4anqca.png" size="10" isUploading="false" initialPath="assets/9NnyCOKjHj7T25LrulKcyI403ofH4anqcA.png" githubPath="en/Portals/Telemedicine/assets/9NnyCOKjHj7T25LrulKcyI403ofH4anqcA.png" position="flex-start" showCaption="false"}

  toggles the microphone on and off

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/BPPW7hc1qGYJSRznfaXRB_yjyp1twd2l0jvv2iizslqdd6qvgcgghq.png" size="10" isUploading="false" initialPath="assets/Yj_Y_P1twd2L0jVv2iiZSlqDD6QVgcGghQ.png" githubPath="en/Portals/Telemedicine/assets/Yj_Y_P1twd2L0jVv2iiZSlqDD6QVgcGghQ.png" position="flex-start" showCaption="false"}

  toggles the camera on and off

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/PnxxKicMdVYgt5kKpo7CY_tsn3eujt2kfhnwrzi3ah2xvf179yxfw.png" size="10" isUploading="false" initialPath="assets/tsn3EUJt2KfHNwrZI3ah2_XvF179Yxf__w.png" githubPath="en/Portals/Telemedicine/assets/tsn3EUJt2KfHNwrZI3ah2_XvF179Yxf__w.png" position="flex-start" showCaption="false"}

  closes the Telemedicine consultation (hangs up)

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/lCtNMtbRJsXvnhPufmszz_zk813lw0ogldsxo-yqr5o4qpntc2v4a5q.png" size="94" isUploading="false" initialPath="assets/ZK813Lw0OgldsxO-Y_Qr5o4QpnTc2v4A5Q.png" githubPath="en/Portals/Telemedicine/assets/ZK813Lw0OgldsxO-Y_Qr5o4QpnTc2v4A5Q.png" position="flex-start" showCaption="false"}::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/akTzEFUx71h-cB_qNoyLJ_v4pigiam6qfr2fteoovqm4q2pm6omxpw.png" size="10" isUploading="false" initialPath="assets/V4PiGIam_6qfr2fTEOovqm_4q2Pm6OMXPw.png" githubPath="en/Portals/Telemedicine/assets/V4PiGIam_6qfr2fTEOovqm_4q2Pm6OMXPw.png" position="flex-start" showCaption="false"}

to send the message. When the patient receives the message and doesn’t have the chat window open, they will see a New Message Notification on the chat bubble icon

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/-by1qwZRMM-76eX9biIGo_jtwvqqndgvoycmjlrb8zfai4ep1bb567fw.png" size="10" isUploading="false" initialPath="assets/jtwVQqndGvoYCmjLRB8zfai4Ep1Bb567fw.png" githubPath="en/Portals/Telemedicine/assets/jtwVQqndGvoYCmjLRB8zfai4Ep1Bb567fw.png" position="flex-start" showCaption="false"}

.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/kKjbnFXoDUG86o1UjsYae_vubulhuus1f2sebygqbmmeuoj8u5t4bcua.png" size="10" isUploading="false" initialPath="assets/VUBulhUUS1f2sEbygqBMmeUoj8U5t4bCuA.png" githubPath="en/Portals/Telemedicine/assets/VUBulhUUS1f2sEbygqBMmeUoj8U5t4bCuA.png" position="flex-start" showCaption="false"}

  displays the video and microphone device information

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/8LQ8z4Ti6Mm_sD6mqqYdB_hmhnkouxhnyhp08i4ormftsue649bpsaa.png" size="10" isUploading="false" initialPath="assets/HmhNKOuXHnyHP08I4ORmfTsuE649b_psAA.png" githubPath="en/Portals/Telemedicine/assets/HmhNKOuXHnyHP08I4ORmfTsuE649b_psAA.png" position="flex-start" showCaption="false"}

allows you to send documents to the patient, via a field

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/ICIVsr5sOfZbF1h91jlI1_xgyulivpnvivtv5l6ym4j7huazt3jwwifg.png" size="34" isUploading="false" initialPath="assets/XGYulIVpNvIVTv5l6Ym4j7hUaZt3JwwIfg.png" githubPath="en/Portals/Telemedicine/assets/XGYulIVpNvIVTv5l6Ym4j7hUaZt3JwwIfg.png" position="flex-start" showCaption="false"}

.  You will have to print your documents to PDF in order to attach them.  20 MB is the maximum amount to send at a time.  Once a document has been attached, click the Send button that appears to send the documents to the patient.  The patient has the same ability to send a document to you.  If a patient is using their phone, they can take and send a picture through the portal, as well.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/PeaaP1JL298tDNocDijSE_p4slfq74cyxabtxgtcilaytiwwo70i6ig.png" size="10" isUploading="false" initialPath="assets/p4sLFq74cyxAbTxGtcILaYtIwWo70I6I_g.png" githubPath="en/Portals/Telemedicine/assets/p4sLFq74cyxAbTxGtcILaYtIwWo70I6I_g.png" position="flex-start" showCaption="false"}

 a notification of a received document appears above the paperclip icon

Once the appointment has been completed, click

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/qWRNNK2aIQHAAQloSfIrD_kppz3uoobach5kcbgzpjl6hxedcz5iviw.png" size="10" isUploading="false" initialPath="assets/KpPZ3UOobaCH5_kCBGzpJl6hXEDcZ5IvIw.png" githubPath="en/Portals/Telemedicine/assets/KpPZ3UOobaCH5_kCBGzpJl6hXEDcZ5IvIw.png" position="flex-start" showCaption="false"}

.  An Appointment finished window displays.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/W2eZPBfwjtX_zThYw6DSq_ednxyqnobqcjfkwdntrxupl3qpwqef6csa.png" size="64" isUploading="false" initialPath="assets/edNXyqNOBQCJfkwdNtrXupL3QPWqeF6CSA.png" githubPath="en/Portals/Telemedicine/assets/edNXyqNOBQCJfkwdNtrXupL3QPWqeF6CSA.png" position="flex-start" showCaption="false"}::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/g1x0PXLqwvnREDDyYxfFs_dazf1vyvrkktggggmuz-8yzbwcfuodx3g.png" size="65" isUploading="false" initialPath="assets/dazF1VYVRKKtgGgGmUZ-8YzbwCfuoDx_3g.png" githubPath="en/Portals/Telemedicine/assets/dazF1VYVRKKtgGgGmUZ-8YzbwCfuoDx_3g.png" position="flex-start" showCaption="false"}

NOTE:

The patient will receive the same Appointment finished window, with the extra item, Consultation quality, which they can rate. See above.

The experience using a smartphone for the Telemedicine consultation is the same.  The screen is rendered for a smartphone.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/f4ipSCMdiwUc2tPELq0hG_xlmkimfq9dvi-qvc5sxsbzupcxi6ybdmqq.jpeg" size="91" isUploading="false" initialPath="assets/XLMkiMfQ9dVi-QVc5sxSBzUpCXI6YBdmqQ.jpeg" githubPath="en/Portals/Telemedicine/assets/XLMkiMfQ9dVi-QVc5sxSBzUpCXI6YBdmqQ.jpeg" position="flex-start" showCaption="false"}

## Billing Codes

### British Columbia

We have a standard MSP macro which sets the default service code for invoices and claims, see [Default Fee Codes](docId\:n15FeGDAAL9gmxrqF09XH). When the claim is linked to an appointment with Mode = Telemedicine, the macro will set the appropriate fee codes, either the age-based MSP Telemedicine fee codes (13237 – 13837) for fee-for-service claims, or the LFP Virtual Interaction fee codes for providers or locums using the [Longitudinal Family Physician payment model](docId\:obUuEDTCahJllBrdcae44).

### New Brunswick

Users should use the appropriate Telehealth billing codes for their claims.

### Australia and New Zealand

Users should use the appropriate Telehealth claiming code for their claims.

## Accession and Aero Patient Support

**Telemedicine** appointments and workflow are supported through the **Accession Patient** web portal and the **Aero Patient** smartphone app.

### Accession Patient

Patients enabled with **Accession Patient** can launch their **Telemedicine** video portal from the **Appointments** view.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/849Qw85ImViPQIMK0rmHc_ssas5h4bdyrghklukalkpqdkecya8bfq.png)

### Aero Patient

Patients enabled with **Aero Patient** can launch their **Telemedicine** video portal from the **Appointments** view.