A method and system for assisting a remote implantable medical device (IMD) clinician with evaluation of a patient having an IMD. The method includes capturing audio/video data of the patient while the patient performs a first evaluation protocol at a first location and performing a pattern recognition analysis of the audio/video data of the patient. The analysis includes comparing specific portions of the audio/video data to like portions of previous audio/video data of the patient that were recorded while the patient performed the first evaluation protocol. Yet another step is providing a report of any changes identified during the pattern recognition analysis.