The integration of telemedicine in primary care is a focus in industrial as well as developing countries. Only a few physicians are available in rural areas. With the strategy of service-levels, this problem is solvable: Nurses or medical streetworker are supported in their work by a telemedical system. A standardized and very fast input of symptoms via barcodes is the basis for an intelligent triage system. For each patient, the triage system gives feedback, whether an escalation is necessary. The triage system is adaptable for various use cases and medical domains.