Telemedical records are the weak link in telemedicine. With a number of med
icolegal and reimbursement issues still unresolved, telemedical record docu
mentation will be a critical piece of the puzzle when the patient's origina
l legal medical record must be produced. A questionnaire was distributed to
active telemedicine programmes in the USA to determine how interactive tel
econsultations were being documented. Forty programmes completed the questi
onnaire. The responses indicated a lack of consistency and a need for docum
entation guidelines for telemedical records.