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