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Workshop on Standardization in E-Health
Geneva, 23-25 May 2003


APT Second Opinion Center
Prof. Kiyoshi Kurokawa
The president of APT Telemedicine workshop 2002
Tokai University Institute of Medical Sciences

In close cooperation with ITU-D SG-2 Q14( Prof. Leonid Androuchko ), Tokai University, Japan, and Bandung Institute of Technology, Indonesia, the Asia and Pacific Telecommunity (APT) had organized a Workshop on "Mobile Communication Technology for Medical Care" in Jakarta from 26 till 28 October 2002. During this workshop, numerous recommendations were adapted by participants to promote telemedicine activities in Asia Pacific region.

As telemedicine services exists in many developing countries such as trial or pilot projects, it was considered necessary to establish the APT-ITU second opinion center to support advanced clinical applications by specialists. Following these recommendations, we have established the APT-ITU Second Opinion Center hosted at Tokai University as a standard model of IP-based Telemedicine, with technical sponsorship of Telemedicine Society of Japan and the Pacific Science Association. It has been operated from January 2003, especially strongly supported to the East Bhutan Tele-ECG project, the Bangladesh e-Health project.

To obtain successful attribution analysis for the Standardization, these are considered key factors on the second opinion center as follows; real-time or store and forward data communications, interactive, bandwidth, multimedia, response time, scheduling, clinical effect, technical cost. Store and forward systems have advantages for developing nations. Because the transfer of clinical information is not usually time sensitive the rate at which the information is transferred can be slower than real-time systems. This means store and forward systems usually require less bandwidth than real-time system and incur correspondingly lesser telecommunications tariff.

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