40 pediatric patients seen by a general practitioner (GP) whom the GP has referred or wants to refer to a pediatrician for clinical evaluation are included in this study.~Study is designed in 2 parts. Part 1 is at the emergency room in the hospital Part 2 is at the GPs office~The pediatrician sees the patient through a telemedicine consultation. Then sees the patient in real life to see if what was seen during telemedicine corresponds with the real life consultation.~With telemedicine and real life consultation the pediatrician rates the patient as either a candidate to go home or to be admitted. With the telemedicine consultation there is also an option in doubt: i want to see the patient in real life.~Also with both telemedicine and real life examination the pediatrician scores the patient using the respiratory observation scale (Siew et al, 2016)~Goal is to:~Check practical feasability~Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much harder to do a physical examination
Pediatrician does physical examination through telemedicine and in real life to see whether the telemedicine consultation corresponds with the real life examination.~Goal is to determine:~Check practical feasability~Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much more unreliable to do a physical examination a larger study is deemed unsafe)