This paper reports the development and design of the State of Santa Catarina's telemedicine network in Brazil. The resources concentration, like hospitals and clinical staff, in Brazilian large cities have been a problem in public healthcare policies improvement. Telemedicine technology for large scale telediagnostic, processing of routine outpatient examinations, the electronic delivery of examinations results integrated with the decision process of wetter to provide further treatment for a patient, is one strategy to overcome the difficulties imposed by healthcare concentration. The State needs to reduce costs like patient transportation, improve the quality of healthcare service and the origins control of these examinations, motivated the creation of this medical knowledge network. As a result it promoted better patient care, making faster diagnosis, creating a patient information history, reducing the examinations redundancy, maximizing this way, the social welfare and the health technological park on the Santa Catarina State.