Telemedicine is the delivery of medical care, including an actual discussion of medical history and a physical exam.
Just like an office visit, in a telemedicine visit the doctor interviews the patient, gets a complete history, and then performs an exam. Recent advances in technology now allow providers to remotely measure blood pressure, oxygen saturation, cardiac and lung auscultation. They can even look at the tympanic membranes of the inner ear drum or take high resolution pictures of the skin without actually being in the same room as the patient.