The Network and Distributed Systems Group within the University of Franche-Comte's computer research lab (LIFC) gained solid expertise on medical ediagnosis in the area of remote collaboration through continued research and findings. TeNeCi (Cooperative Teleneurology) is a European remote diagnosis project applied to neurology developed under the aegis of INTERREGIII. INTERREGIII is a European Community Initiative program aiming at supporting cross-border, transnational and interregional cooperation in both social and economic perspectives. This paper has a dual objective: it first presents the improvements and contributions made to advance the TeNeCi project which is a research and development tool, and then it synthesizes our research work in collaborative medical e-diagnosis. The TeNeCi tool originality is to allow practitioners to act as if they were at the same diagnosis table, using a great panel of medical tools (images, software,. . .). Collaboration and awareness features are used to make TeNeCi more efficient than classical telemedicine software in terms of collaboration level.
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