Systems and methods of providing telemedicine services are provided. A systemcan include a medical device that obtains diagnostic information, a gatewaydevice coupled to the medical device, an application server coupled to the gatewaydevice via wired and wireless networks, a database coupled to the applicationserver, the database storing the diagnostic information, and an analyzing devicecoupled to the database, the analyzing device analyzes records in the databaseto identify diagnostic information that exceeds predefined thresholds.