Modern telemedicine is developing unevenly across the globe, and there are objective reasons for this. This article analyzes modern information and computing systems and technologies used for diagnosing and treating patients. This article provides a brief history of telemedicine as a technical means of providing medical care and provides examples of the use of information technology in Russian and global medical practice. Key approaches to the use of large-scale language models as a technological core to assist healthcare professionals in making professional decisions are explored. Examples of optimization of diagnostic and treatment processes using digital technologies are analyzed. The author attempts to analyze the latest scientific achievements in the use of information technologies in medicine, with the aim of demonstrating the transition to a new level of quality of medical services through the use of information and computing systems.

Keywords: telemedicine, digital technologies, large language models, medical diagnostics, medical practice, technology analysis, history of telemedicine, comparative analysis, digital transformation, systems analysis