Background: A modern Teleconsultation System (TCS) improves patients' monitoring and favors remote assistance in terms of facilitating the daily life to the patients. This work investigates how to design and implement a modern remote consultation system. Methods: To achieve this work, we identify the actors who interact with the system to be developed and the use cases relating to each actor. A class model is designed to derive the relational model and the corresponding database. During implementation, we have used PHP language and MySQL database system. Results: A tele-consultation framework is implemented. The users (patients and doctors) must register then authenticate in order to use the system. The latter allows them audio and video conversation between them. Conclusion:We have given in this study how to design and implement a telemedicine system, which will improve health care, ensure continuity and quality of homecare while inhibiting intercurrences or complications, which will limit hospital admissions and limit medical travel.