We analyse the clinical process of patient referral developed and in routine use for over 5 year at Chorleywood Health Centre, UK. The system combines diagnostics performed in primary care with results forwarded to the consultant in electronic form. Patients may then be referred for teleconsultation between patient and local health care professional and distant consultant. By ensuring diagnostic information is gained in advance, we have determined that the teleconsultation may concentrate on management, and as a result is more efficient and effective. We further analyse the processes and determine the functional characteristics of the teleconsultation and the functional requirements of the teleconsultation system that may support the process in an optimum way.