To address these issues and provide a better and improved framework for virtual telemedicine we propose the use of a Clinical/Diagnosis Decision Support System (CDSS/DDSS) [10] in place of an expert system. A CDSS typically takes the patients data and propose a set of appropriate diagnosis. A Decision Support System (DSS) [11] is better in many respects when compared to a typical expert system. Expert systems are better for smaller domains where as DSS are better for larger domains such as medical experts. Similarly, a CDSS is based on active knowledge systems which use two or more items of patient data to generate case-specific advice. Moreover, a DSS offer decision support to improve patient outcomes and reduce errors. A DSS can be knowledge-based or algorithm based. In out approach we are using knowledge-based DSS.