The Nevita (EXIST project) is a cost-effective, mobile and modular telemedical system to support medical care in environments with limited resources and competences, such as developing and emerging countries. Biosignals can be recorded, stored and analyzed. In this process providers are confronted with complex decision-making situations, which they cannot judge without help. The system provides automated information and hints, whether there is an urgent need for action. Emergency situations are correspondingly recognized and further procedures are proposed. The basic configuration can be extended to a wide range of indications for example infectious diseases, pregnancy care, non communicable diseases or disaster management.