The work is devoted to design of the software package "Medved.Telemed". In this paper, the main types of architectures and their application situations were studied. Also, we study the main competitors, the legal basis. And current trends in the development of healthcare in the field of digital medicine. Based on the knowledge achieved and identified requirements, a hybrid architecture of a new information system has been developed. The system which is a combination of several architectural patterns, each of which at its own level provides the flexibility and scalability of each component and solution in the whole.