Is it possible to make a diagnosis remotely?

Limitations for making diagnosis remotely which are contained in the Federal Law “On fundamentals of public healthcare Russian Federation” from 21.11.2011 N 323-ФЗ and entered into force on 1st January 2018, lead to great discussions professional society. In this article we describe hypothetical outcomes remote diagnostic such as increasing online consultations its consequence – increase financial expenses, health facilities burden, participance business representatives decreased quality medical care connection all them. Situation is worsened due lack real experience applying telemedical technologies clinical practice. The term «diagnosis» not established 323 «On Federation» also worsens prohibition diagnosis. paper examples changing approaches nosological method patient management a syndromal one described. Attention paid an international method, effectiveness logic, exceptions rule development centers Moscow period COVID-19 pandemic that allowed only make prescribe treatment but list temporary incapacity work. Technological appearance new knowledges change diseases classification provide possibilities receiving objective information health. Medical devices develop improve becoming more compact intuitive, available price wide range people including persons without education. Now it’s possible patients laboratory studies previously were clinics, by themselves at home transfer data any distance with telemedicine technologies. Nevertheless, still need care. Existing legislative limitations prescribing, 323, don’t allow approach flexibly conditions implement potential opportunities most powerful cross-cutting telemedicine.