Adopting a design science research approach we developed the solution based around stakeholders’ collaborative participation in prototyping and then evaluated the design using focus groups. The cloud-based solution supports doctors in evaluating and diagnosing patients’ data and medical history through intermediary health care workers or community clinics. The design also knowledgeably allows informed decisions on a course of treatment with follow up for remote or underserved communities. Previously unavailable clinical work is thus practically achieved through utilization of the cloud based e-health system, and generalisation of this approach in healthcare management is discussed.