 The paper describes a regional telemedicine platform in China that covers all levels of medical institutions and hospitals in Hunan Province and has been used for 103,957 remote medical consultations from 2015 to 2020. The study analyzed the system design scheme in remote consultations conducted via the system to understand the deployment and service delivery processes of a representative telemedicine platform in China. The results show that the numbers of consultations were high for departments focusing in the treatment of chronic diseases such as neurology, respiratory medicine, and oncology. The invited experts were mainly experienced doctors with senior professional titles. Year of consultation, tier of hospital, consultation department, and necessity of patient referral were the main factors affecting the duration of consultations. The study found that 60.4%, 136 slash 225, of medical practitioners and 53.8%, 121 slash 225, of patients had high satisfaction and believed that telemedicine is of vital importance for the treatment of illness. However, the waiting time needs to be further reduced to improve the efficiency of remote medical services. This article was authored by Feng Feng Chui, Qian Yin He, Yun Kai Zhai, and others.