The following use cases (potential clinical situations) were
the starting point for the investigation of doctors’ needs and
strategies regarding palpation and ultrasonography in the
requirement analysis of the project.
1) Diagnostics of a severe abdominal pain: A patient in a
small rural hospital suffers severe stomach pain. A young
physician, who is on-call at the hospital, has difficulties
identifying the medical problem. S/He is going to ask an
internal medicine specialist at a remote location (Specialist
Hospital or Medical Center of Telemedicine) for support in
diagnostics. The remotely located specialist, performing a
standard medical interview and physical examination, has to
make a diagnosis and propose therapeutic procedures.
2) Diagnostics of an acute heart failure: The patient with
symptoms of acute heart failure is admitted to an emergency
unit of a small hospital late at night. Since patient’s general
conditions continuing to worsen, an immediate
ultrasonographic examination of heart (echocardiography) is
needed. There is no cardiologist on call in the hospital to
perform the examination but they have an ultrasonograph with