System and method of communicating between an implantable medical device and a remote computer system or health care provider

A system for remotely delivering patient requested medical services to an implantable medical device over a communications system, comprising:

• means for establishing communications between an implantable medical device and a health care provider remote from the implantable medical device;
• means for requesting medical services by a patient and initiating upload of data from the implantable medical device;
• means for uploading data from a communications module in the implantable medical device;
• means for analyzing data that have been uploaded from the communications module by a remote system;
• means for diagnosing the patient by a remote system coupled to a health care provider;
• means for determining an appropriate remedial response by the health care provider based on the diagnosis;
• means for executing a medical response that was determined to be appropriate by the health care provider;
• means for confirming that the remedial response has been successfully executed in the implantable medical device;
• means for generating an invoice by the health care provider for the executed medical response;
• and
• means for storing implantable medical device data when the patient requests medical services to be used during diagnosing the patient to improve the diagnosis.