Table 2: Legal and ethical issues in telemedicine. [Adapted from Legal and Ethical Issues in Telemedicine Article, 2006].

Issues that are fundamental to telemedicine
Ethical fundamentals
     - Autonomy and consent, confidentiality and other aspects of the patient-professional relationship, non-maleficence and beneficence, justice and access
Issues mostly affecting the use of telemedicine
Using and sharing health information
     - Consent to information sharing, confidentiality, privacy and data protection, information security management
Responsibility, liability and good practice
     - Duty of care, registration and training, indemnity insurance, clinical governance and risk management
Guidelines, protocols and best practice
     - Evolution, provenance and content of published guidelines, standards and protocols
Issues mostly affecting the supply of telemedicine
Supplying telemedicine services
     - Directives on Electronic Commerce and Distance Selling, advertising of medical and pharmaceutical products, media and broadcasting regulations
Standards and interoperability
     - ‘New Approach’ Directives, standards bodies, obligations relating to procurement by public bodies
Medical devices, product liability and safety
     - Medical devices regulations, CE marking, FDA approval, Directives on Product Liability and General Product Safety
Intellectual property rights
     - Copyright, patents, trademarks, design rights, passing off and other infringements, exploitation