Telemedicina is a Spanish project that covers teleradiology and radiosurgery areas. This project is under the frame of the Spanish Broadband National Plan (PLANBA). The final technical tests are being ended over Ethernet and ATM and it is planned to get their first clinical results on February-96. Two pilots will be installed: one in Madrid linking two sites through a ATM network (provided by Telefonica, Spanish PTT) and a second one in Asturias (north of Spain) using ISDN primary access (2 Mbps). The system handles still images, voice and video records, scanned documents, text and slides allowing doctors to interchange this data using cooperative tools. The system is based on a multimedia Unix platform with voice, video and videoconference devices and boards. The platform will be used in several ways: as desktop videoconferencing, primary diagnosis and review. Communications are based on ATM (over AAL5) at 155 Mbps and ISDN (primary access). The protocol used in both networks is TCP/IP. The application is written in C++ (object oriented design and programming) and C. GUI is built under X-Windows and Motif. The codification of video is MJPEG done through dedicated hardware. The system is integrated in a small PACS (previously installed); the images are captured from the modalities such as CT using the DICOM standard and it is connected with the Radiological Information System. The application allows collaborative work: telepointer, shared windows, editors and actions. Main news of the Telemedicina project will be the incorporation of broadband networks (ATM at 155 Mbps) and the integration of collaborative work. This two aspects allow the doctors to improve their work speeding up the transmission and retrieval of medical records. Also this platform can be used to achieve several goals: such as primary diagnosis, videoconference, review.