Abstract
We have designed a system that provides support for physicians regardless to their specializations. The main objective of the system is to ensure an accurate diagnosis to local unclassified patients. Our computerized support system takes as input clinical data collected and stored in an electronic patient record. It generates as output recommendation for therapeutic interventions and laboratory testing based on a four-level diagnosis process. The process starts with the diagnosis made by the local physician. which will be subject to a double verification by local and remote expert systems and finally approved by an appropriate remote specialist. We have constructed a telemedicine based system called SOS Specialist (SOSS) to achieve our objective. The SOSS will provide quality care to rural areas and also in the big cities where in some hospitals and other governmental organizations are still suffering from the lack of specialists in some very specific domains. A very attractive characteristic of the SOSS is that it has the capability to promote itself and that by adding the diagnosis of the appropriate specialist about the new cases to its local patient database furthermore it helps the physicians to update their knowledge outside their specializations.