The invention relates to a clinical physician in emergency department not only to conduct real-time online browsing DICOM medical images and clinical 12-lead electrocardiogram (ECG) through a remote control (e.g. PDA) but also to perform remote diagnosis and edit the reports. Telemedicine without restriction on PC by medical doctors can be realized. The present invention provides a 12-lead ECG and image teleconsultation system for processing clinical 12-lead ECG, the system comprising a picture archiving and communication systems (PACS), a gateway server, and a remote control.本發明係關於一種臨床急診醫師透過遠端操控裝置(如PDA)即時線上瀏覽DICOM醫學影像及臨床12導程心電圖,並可於遠端執行及撰寫報告,以使醫師無須局限於個人電腦進行遠距療。本發明提供一種臨床12導程心電圖暨影像診斷的遠距系統,其包含一影像儲傳系統(PACS)、一閘道伺服器及遠端操控之裝置。